STUDY GUIDE # 5

CULTURALLY RESPONSIVE NURSING CARE

Instructions:
Refer to the following pages for your answers: 276-279, 283-284, 286-287 of your book in a pdf file. If you’re using
an actual book, please be the one to identify from the pdf its corresponding pages in your book. b) The number
before each question is just for organization purposes because there are test items that will be merged in iStudy,
thus, only then a perfect score will be known. c) The answers will be entered into iStudy and will close on March
10, 2022. Please be guided.

Culture
1. Nurses’ worldview is influenced by the _________________ of the nursing profession and the culture of the
encounter
organization that he or she represents. Therefore, Every nurse-client interaction is a cultural 2) _________________.

self-awareness
To deliver a care that integrates client’s values and beliefs, the nurse must first develop (3) _________________of his
biases
or her own culture, attitudes, and beliefs, and examine the (4) ___________and assumption
(5) _______________ he or she
knowledge and skills
holds about different cultures. Next, the nurse needs to gain the necessary (6) _______________________to create an
trust
environment where (7) _________________can be developed with the client. This knowledge must include an
disparities historical
understanding of health (8) __________________as well as the (9) ______________________ and current portrayals
of racial and ethnic groups in society.
10. Cultural knowledge can help the nurse to better understand different perspective, while recognizing that
cultural generalization
_________________________________________ may not hold true at the individual level.
cultural assessment skills
11. __________________________________________ are essential in understanding the client’s viewpoint more fully,
and learning what the client values as important.
needs
12. In culturally responsive care, the nurse must respond to the _________________________________.
13. Only through self-awareness, deliberate cultural assessment, and incorporation of the client’s culture into the plan of
optimally
care can a nurse ________________________________care for a client.

culture
14. ___________________________________is the thoughts, communications, actions, customs, beliefs, values, and
institutions of racial, ethnic, religious, or social groups”.
multicultural
15. _________________________is used to describe a person who has multiple patterns of identification or crosses
several cultures, lifestyle, and set of values.
diversity
16. _________________________________, occurs not only between cultural groups but also within a cultural group
ethnicity
17. __________________________ is not a fixed concept.
religion
18. The practice of ______________________is revealed in numerous denominations, organizations, sects, and cults.
one's religion
19. Ethnicity and religion are related, and ____________________________ is often determined by one’s ethnic group.
generalization
20. ___________________________ may not hold true at the individual level, and should serve only as openings for
individuals to better understand each other.

1| FUNDA Theory Study Guide # 5 for Chapter 18. Culturally Responsive Nursing Care
 Four categories of determinants of health by the National Partnership for Action to End Health Disparities (2011):
social
21. _______________________________________________________________
behavioral
22. _______________________________________________________________
environmental
23. _______________________________________________________________
biological and genetic
24. _____________________________________________________________

health equity
25. The efforts to address disparities are aimed at achieving _________________________ – the highest possible
standard of health for all people, especially those risk for poor health.
acculturation
26. The involuntary process of ________________________occurs when people incorporate traits from another culture.
communicating
27. ____________________________ effectively with clients of various ethnic and cultural backgrounds are critical to
providing culturally competent nursing care.
intermediary
28. For the client whose language is not the same as that of the health care provider, an ___________ may be necessary.
interpreter
29. Avoid asking a member of the client’s family, especially a child or spouse, to act as __________________________.
30. A child who is used as interpreter may be exposed to language and concepts they are not developmentally
_______________ ready for.
touch
31. In some Asian cultures only certain older people are permitted to ____________ the head of others, and children are
never patted on the head.
cultures
32. ________________ dictate what forms of touch are appropriate for individuals of the same and opposite gender.
interaction
33. The nurse should watch ______________________ among clients and families for cues to the appropriate degree of
touch in that culture.
preference
34. The nurse should inquire about client’s ____________________, and inform clients before touching them, and
permission
whenever possible proceed after obtaining (35) _________________________________.
facial
36. _________________________ expression can also vary among cultures.
eye
37. ______________ movement during communication has cultural foundations.
cultural context
38. The nurse must consider the ____________________________ to avoid misinterpreting avoidance of eye contact.
nursing process are affected by the client’s and the nurse’s cultural values, beliefs, and
39. All phases of the ________________
behaviors.
self-awareness
40. _______________________ of personal biases can enable nurses to develop modifying behaviors or (if they are
unable to do so) to remove themselves from situations where care may be compromised.
values clarification
41. Nurses can become more aware of their own culture through _______________________________.
clinical judgment
42. In doing cultural assessment, how and when questions are asked requires sensitivity and _______________________.
timing
43. _____________________ is important in introducing questions.
sensitivity
44. _______________________________ is needed in phrasing questions.
trust
45. _________________ must be established before clients can be expected to volunteer and share sensitive information.
spend time
46. The nurse needs to _______________with clients and convey a genuine desire to understand their values and beliefs.

2| FUNDA Theory Study Guide # 5 for Chapter 18. Culturally Responsive Nursing Care
 language
47. Before conducting a cultural assessment, determine what ______________ the client speaks and the client’s degree of
fluency in the English language.
communication patterns
48. It is important to learn about the client’s ___________________________________ and space orientation.

The implementation of cultural nursing care includes

cultural preservation and maintenance
49. _______________________________________________
cultural accommodation and negotiation
50. _______________________________________________

The tasks of accommodating a client’s viewpoint and negotiating appropriate care require expert communication
skills such as

responding empathetically
51. ______________________________________________________
Validating information
52. ______________________________________________________
Effectively summarizing content
53. ______________________________________________________
54. Family members of a Cuban-American client who is terminally ill are visibly upset and crying loudly in the hallways.
Which intervention should the nurse implement?
A. Direct the family members to the chapel.
B. Close the doors of the other client’s rooms.
C. Provide a private room for the family and client.
D. Ask the family to quiet down when in the hallways.

55. When the client is providing care for a client who is not fluent in the English language, what is the INITIAL nursing
action?
A. Determine the client’s primary language.
B. Obtain translation dictionary for the client
C. Establish a means of communication using gestures and hand movements
D. Obtain a pad and paper so that the client can write and draw to express needs.

56. A client who speaks limited English requires instructions for a test. No one at your agency speaks the person’s
language. What is the nurse’s best approach?
A. Provide the instructions in writing.
B. Locate a professional interpreter.
C. Ask a family member to translate on the phone.
D. Document that the required instruction is not possible.

57. Which of the following factors are most likely to be influenced by culture as opposed to personal characteristics?
SELECT ALL THAT APPLY.
1. Value of older people in society
2. Gender roles
3. Nonverbal gestures
4. Skill with technology
5. Intelligence
6. Diet
A. 4 & 5 B. 1, 2, 3 C. 2, 4, 6 D. 1, 2, 3, 6

3| FUNDA Theory Study Guide # 5 for Chapter 18. Culturally Responsive Nursing Care
58. What is the most productive method of gathering assessment data regarding heritage?
A. Physical exam
B. Medical history
C. Blood analysis
D. Traditional beliefs and practices checklist
59. In initiating care for a client from a different culture than the nurse, which of the following would be an appropriate
statement?
A. “Since, in your culture, people don’t drink ice water, I will bring hot tea.”
B. “Do you have any books I could read about people of your culture?”
C. “Please let me know if I do anything that is not acceptable in your culture?”
D. “You will need to set aside your usual customs and practices while you are in the hospital.”

60. A home health client participates in cultural health practices that the nurse feels may be detrimental to his health.
In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care, what should the
nurse do?
A. Explain the right and wrong of the client’s treatment and try to persuade him to follow the scientific
perspective.
B. Have the client’s physician explain the care to the client in a firm but gentle manner.
C. Validate the client’s practices and understand that for this client, it may be beneficial to continue with his
preferences.
D. Try not to negotiate with the client by exploring his views and then provide relevant scientific information.

Term
61. Cultural skills
62. Folk Medicine
63. Space
64. Cultural competence
65. Time orientation
MATCHING TYPE
Definition
A. the ongoing process in which the health care professional continuously
strives to achieve the ability and availability to work effectively within
the cultural context of the patient. cultural competence
B. Those beliefs and practices relating to illness prevention and healing
that derive from cultural traditions rather than from modern medicine’s
scientific base. folk medicine
C. An individual’s focus on the past, the present, or the future. Time orientation
D. Centered on the client’s cultural point of view and integrates the client’s values
and beliefs into the plan of care.
E. The ability to collect culturally relevant data regarding the client’s health in a
culturally sensitive manner Cultural skill
F. A relative concept that includes the individual , the body, the surrounding
environment, objects within that environment. Space

th
Reference: Berman, A. & Synder, S. (2016) Kozier & Erb’s Fundamentals of Nursing. 10 ed. Pearson Education, Inc.

4| FUNDA Theory Study Guide # 5 for Chapter 18. Culturally Responsive Nursing Care