TB-Chapter 02 Cultural Assessment PDF

Preview

Summary

These are test bank questions that I paid for. All of the exams use these questions from the test banks....

Description

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK

TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

15

Chapter02:CulturalAssessment MULTIPLECHOICE 1.Thenurseisreviewingthedevelopmentofculture.Whichstatementiscorrectregardingthedevelopmentof onesculture?Cultureis: a.

Geneticallydeterminedonthebasisofracialbackground.

b.

Learnedthroughlanguageacquisitionandsocialization.

c.

Anonspecificphenomenonandisadaptivebutunnecessary.

d.

Biologicallydeterminedonthebasisofphysicalcharacteristics.

ANS:B Cultureislearnedfrombirththroughlanguageacquisitionandsocialization.Itisnotbiologicallyor geneticallydeterminedandislearnedbytheindividual. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 2.Duringaclassontheaspectsofculture,thenursesharesthatculturehasfourbasiccharacteristics.Which statementcorrectlyreflectsoneofthesecharacteristics? NURSINGTB.COM

a.

Culturesarestaticandunchanging,despitechangesaroundthem.

b.

Culturesareneverspecific,whichmakesthemhardtoidentify.

c.

Cultureismostclearlyreflectedinapersonslanguageandbehavior.

d.

Cultureadaptstospecificenvironmentalfactorsandavailablenaturalresources.

ANS:D Culturehasfourbasiccharacteristics.Cultureadaptstospecificconditionsrelatedtoenvironmentaland technicalfactorsandtotheavailabilityofnaturalresources,anditisdynamicandeverchanging.Cultureis learnedfrombirththroughtheprocessoflanguageacquisitionandsocialization,butitisnotmostclearly reflectedinoneslanguageandbehavior. DIF:CognitiveLevel:Analyzing(Analysis) MSC:ClientNeeds:PsychosocialIntegrity 3.Duringaseminaronculturalaspectsofnursing,thenurserecognizesthatthedefinitionstatingthespecific anddistinctknowledge,beliefs,skills,andcustomsacquiredbymembersofasocietyreflectswhichterm? a.

Mores

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

b.

Norms

c.

Culture

d.

Sociallearning

16

ANS:C Theculturethatdevelopsinanygivensocietyisalwaysspecificanddistinctive,encompassingallofthe knowledge,beliefs,customs,andskillsacquiredbymembersofthesociety.Theothertermsdonotfitthe givendefinition. DIF:CognitiveLevel:Remembering(Knowledge) MSC:ClientNeeds:PsychosocialIntegrity 4.Whendiscussingtheuseofthetermsubculture,thenurserecognizesthatitisbestdescribedas: a.

Fittingasmanypeopleintothemajoritycultureaspossible.

b.

Definingsmallgroupsofpeoplewhodonotwanttobeidentifiedwiththelargerculture.

c.

Singlingoutgroupsofpeoplewhosufferdifferentialandunequaltreatmentasaresultofcultural variations.

d.

Identifyingfairlylargegroupsofpeoplewithsharedcharacteristicsthatarenotcommontoall membersofaculture.

NURSINGTB.COM

ANS:D Withincultures,groupsofpeoplesharedifferentbeliefs,values,andattitudes.Differencesoccurbecauseof ethnicity,religion,education,occupation,age,andgender.Whensuchgroupsfunctionwithinalargeculture, theyarereferredtoassubculturalgroups. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 5.WhenreviewingthedemographicsofethnicgroupsintheUnitedStates,thenurserecallsthatthelargest andfastestgrowingpopulationis: a.

Hispanic.

b.

Black.

c.

Asian.

d.

AmericanIndian.

ANS:A

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

17

HispanicsarethelargestandfastestgrowingpopulationintheUnitedStates,followedbyAsians,Blacks, AmericanIndiansandAlaskanatives,andothergroups. DIF:CognitiveLevel:Remembering(Knowledge) MSC:ClientNeeds:General 6.Duringanassessment,thenursenoticesthatapatientishandlingasmallcharmthatistiedtoaleatherstrip aroundhisneck.Whichactionbythenurseisappropriate? a.

Askthepatientabouttheitemanditssignificance.

b.

Askthepatienttolocktheitemwithothervaluablesinthehospitalssafe.

c.

Tellthepatientthatafamilymembershouldtakevaluableshome.

d.

Noactionisnecessary.

ANS:A Thenurseshouldinquireabouttheamuletsmeaning.Amulets,suchascharms,areoftenconsideredan importantmeansofprotectionfromevilspiritsbysomecultures. DIF:CognitiveLevel:Applying(Application) MSC:ClientNeeds:PsychosocialIntegrity NURSINGTB.COM

7.Thenursemanagerisexplainingculturallycompetentcareduringastaffmeeting.Whichstatement accuratelydescribestheconceptofculturallycompetentcare?Thecaregiver: a.

Isabletospeakthepatientsnativelanguage.

b.

Possessessomebasicknowledgeofthepatientsculturalbackground.

c.

Appliestheproperbackgroundknowledgeofapatientsculturalbackgroundtoprovidethebest possiblehealthcare.

d.

Understandsandattendstothetotalcontextofthepatientssituation.

ANS:D Culturallycompetentimpliesthatthecaregiverunderstandsandattendstothetotalcontextoftheindividuals situation.Thiscompetencyincludesawarenessofimmigrationstatus,stressfactors,othersocialfactors,and culturalsimilaritiesanddifferences.Itdoesnotrequirethecaregivertospeakthepatientsnativelanguage. DIF:CognitiveLevel:Analyzing(Analysis) MSC:ClientNeeds:PsychosocialIntegrity 8.Thenurserecognizesthatanexampleofapersonwhoisheritageconsistentwouldbea: a.

Womanwhohasadaptedherclothingtotheclothingstyleofhernewcountry.

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

b.

Womanwhofollowsthetraditionsthathermotherfollowedregardingmeals.

c.

Manwhoisnotsureofhisancestorscountryoforigin.

d.

Childwhoisnotabletospeakhisparentsnativelanguage.

18

ANS:B Someonewhoisheritageconsistentlivesalifestylethatreflectshisorhertraditionalheritage,notthenorms andcustomsofthenewcountry. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 9.Afteraclassoncultureandethnicity,thenewgraduatenursereflectsacorrectunderstandingoftheconcept ofethnicitywithwhichstatement? a.

Ethnicityisdynamicandeverchanging.

b.

Ethnicityisthebeliefinahigherpower.

c.

Ethnicitypertainstoasocialgroupwithinthesocialsystemthatclaimssharedvaluesand traditions. NURSINGTB.COM

d.

Ethnicityislearnedfrombirththroughtheprocessesoflanguageacquisitionandsocialization.

ANS:C Ethnicitypertainstoasocialgroupwithinthesocialsystemthatclaimstohavevariabletraits,suchasa commongeographicorigin,migratorystatus,religion,race,language,values,traditions,symbols,orfood preferences.Cultureisdynamic,everchanging,andlearnedfrombirththroughtheprocessesoflanguage acquisitionandsocialization.Religionisthebeliefinahigherpower. DIF:CognitiveLevel:Applying(Application) MSC:ClientNeeds:PsychosocialIntegrity 10.Thenurseiscomparingtheconceptsofreligionandspirituality.Whichofthefollowingisanappropriate componentofonesspirituality? a.

BeliefinandtheworshipofGodorgods

b.

Attendanceataspecificchurchorplaceofworship

c.

Personaleffortmadetofindpurposeandmeaninginlife

d.

Beingcloselytiedtoonesethnicbackground

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

19

ANS:C Spiritualityreferstoeachpersonsuniquelifeexperiencesandhisorherpersonalefforttofindpurposeand meaninginlife.Theotherresponsesapplytoreligion. DIF:CognitiveLevel:Applying(Application) MSC:ClientNeeds:PsychosocialIntegrity 11.AwomanwhohaslivedintheUnitedStatesforayearaftermovingfromEuropehaslearnedtospeak Englishandisalmostfinishedwithhercollegestudies.Shenowdresseslikeherpeersandsaysthatherfamily inEuropewouldhardlyrecognizeher.Thisnurserecognizesthatthissituationillustrateswhichconcept? a.

Assimilation

b.

Heritageconsistency

c.

Biculturalism

d.

Acculturation

ANS:A Assimilationistheprocessbywhichapersondevelopsanewculturalidentityandbecomeslikemembersof thedominantculture.Thisconceptdoesnotreflectheritageconsistency.Biculturalismisadualpatternof identification;acculturationistheprocessofadaptingtoandacquiringanotherculture. NURSINGTB.COM

DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 12.Thenurseisconductingaheritageassessment.Whichquestionismostappropriateforthisassessment? a.

Whatisyourreligion?

b.

Doyoumostlyparticipateinthereligioustraditionsofyourfamily?

c.

Doyousmoke?

d.

Doyouhaveahistoryofheartdisease?

ANS:B Askingquestionsaboutparticipationinthereligioustraditionsoffamilyenablesthenursetoassessapersons heritage.Simplyaskingaboutonesreligion,smokinghistory,orhealthhistorydoesnotreflectheritage. DIF:CognitiveLevel:Applying(Application) MSC:ClientNeeds:PsychosocialIntegrity 13.InthemajoritycultureofAmerica,coughing,sweating,anddiarrheaaresymptomsofanillness.Forsome individualsofMexican-Americanorigin,however,thesesymptomsareanormalpartofliving.Thenurse recognizesthatthisdifferenceistrue,probablybecauseMexican-Americans:

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

a.

Havelessefficientimmunesystemsandareoftenill.

b.

Considerthesesymptomspartofnormalliving,notsymptomsofillhealth.

c.

ComefromMexico,andcoughingisnormalandhealthythere.

d.

Areusuallyinalowersocioeconomicgroupandaremorelikelytobesick.

20

ANS:B Thenurseneedstoidentifythemeaningofhealthtothepatient,rememberingthatconceptsarederived,in part,fromthewayinwhichmembersoftheculturalgroupdefinehealth. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 14.Thenurseisreviewingtheoriesofillness.Thegermtheory,whichstatesthatmicroscopicorganismssuch asbacteriaandvirusesareresponsibleforspecificdiseaseconditions,isabasicbeliefofwhichtheoryof illness? a.

Holistic

b.

Biomedical NURSINGTB.COM

c.

Naturalistic

d.

Magicoreligious

ANS:B Amongthebiomedicalexplanationsfordiseaseisthegermtheory,whichstatesthatmicroscopicorganisms suchasbacteriaandvirusesareresponsibleforspecificdiseaseconditions.Thenaturalistic,orholistic, perspectiveholdsthattheforcesofnaturemustbekeptinnaturalbalance.Themagicoreligiousperspective holdsthatsupernaturalforcesdominateandcauseillnessorhealth. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 15.AnAsian-Americanwomanisexperiencingdiarrhea,whichisbelievedtobecoldoryin.Thenurse expectsthatthewomanislikelytotrytotreatitwith: a.

Foodsthatarehotoryang.

b.

ReadingsandEasternmedicinemeditations.

c.

Highdosesofmedicinesbelievedtobecold.

d.

Notreatmentistriedbecausediarrheaisanexpectedpartoflife.

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

21

ANS:A Yinfoodsarecoldandyangfoodsarehot.Coldfoodsareeatenwithahotillness,andhotfoodsareeatenwith acoldillness.Theotherexplanationsdonotreflecttheyin/yangtheory. DIF:CognitiveLevel:Applying(Application) MSC:ClientNeeds:PsychosocialIntegrity 16.ManyAsiansbelieveintheyin/yangtheory,whichisrootedintheancientChinesephilosophyofTao. WhichstatementmostaccuratelyreflectshealthinanAsianwiththisbelief? a.

Apersonisabletoworkandproduce.

b.

Apersonishappy,stable,andfeelsgood.

c.

Allaspectsofthepersonareinperfectbalance.

d.

Apersonisabletocareforothersandfunctionsocially.

ANS:C ManyAsiansbelieveintheyin/yangtheory,inwhichhealthisbelievedtoexistwhenallaspectsoftheperson areinperfectbalance.Theotherstatementsdonotdescribethistheory. DIF:CognitiveLevel:Analyzing(Analysis)

NURSINGTB.COM

MSC:ClientNeeds:PsychosocialIntegrity 17.Illnessisconsideredpartoflifesrhythmiccourseandisanoutwardsignofdisharmonywithin.This statementmostaccuratelyreflectstheviewsaboutillnessfromwhichtheory? a.

Naturalistic

b.

Biomedical

c.

Reductionist

d.

Magicoreligious

ANS:A Thenaturalisticperspectivestatesthatthelawsofnaturecreateimbalances,chaos,anddisease.Fromthe perspectiveoftheChinese,forexample,illnessisnotconsideredanintroducingagent;rather,illnessis consideredapartoflifesrhythmiccourseandanoutwardsignofdisharmonywithin.Theotheroptionsarenot correct. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

22

18.Anindividualwhotakesthemagicoreligiousperspectiveofillnessanddiseaseislikelytobelievethathis orherillnesswascausedby: a.

Germsandviruses.

b.

Supernaturalforces.

c.

Eatingimbalancedfoods.

d.

Animbalancewithinhisorherspiritualnature.

ANS:B Thebasicpremiseofthemagicoreligiousperspectiveisthattheworldisseenasanarenainwhichsupernatura forcesdominate.Thefateoftheworldandthoseinitdependsontheactionsofsupernaturalforcesforgoodor evil.Theotheranswersdonotreflectthemagicoreligiousperspective. DIF:CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:PsychosocialIntegrity 19.IfanAmericanIndianwomanhascometotheclinictoseekhelpwithregulatingherdiabetes,thenthe nursecanexpectthatshe: a.

Willcomplywiththetreatmentprescribed. NURSINGTB.COM

b.

Hasobviouslygivenupherbeliefinnaturalisticcausesofdisease.

c.

Mayalsobeseekingtheassistanceofashamanormedicineman.

d.

Willneedextrahelpindealingwithherillnessandmaybeexperiencingacrisisoffaith.

ANS:C Whenself-treatmentisunsuccessful,theindividualmayturntothelayorfolkhealingsystems,tospiritualor religioushealing,ortoscientificbiomedicine.Inadditiontoseekinghelpfromabiomedicalorscientifichealth careprovider,patientsmayalsoseekhelpfromfolkorreligioushealers. DIF:CognitiveLevel:Analyzing(Analysis) MSC:ClientNeeds:PsychosocialIntegrity 20.AnolderMexican-Americanwomanwithtraditionalbeliefshasbeenadmittedtoaninpatientcareunit.A culturallysensitivenursewould: a.

Contactthehospitaladministratoraboutthebestcourseofaction.

b.

Automaticallygetacuranderoforher,becauserequestingoneherselfisnotculturallyappropriate.

c.

Furtherassessthepatientsculturalbeliefsandofferthepatientassistanceincontactingacurandero

NURSINGTB.COM

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)

23

orpriestifshedesires. d.

AskthefamilywhattheywouldliketodobecauseMexican-Americanstraditionallygivecontrol ofdecisionmakingtotheirfamilies.

ANS:C Inadditiontoseekinghelpfromthebiomedicalorscientifichealthcareprovider,patientsmayalsoseekhelp fromfolkorreligioushealers.Somepeople,suchasthoseofMexican-AmericanorAmerican-Indianorigins, maybelievethatthecureisincompleteunlessthebody,mind,andspiritarealsohealed(althoughthedivision ofthepersonintopartsisaWesternconcept). DIF:CognitiveLevel:Analyzing(Analysis) MSC:ClientNeeds:PsychosocialIntegrity 21.A63-year-oldChinese-Americanmanentersthehospitalwithcomplaintsofchestpain,shortnessof breath,andpalpitations.Whichstatementmostaccuratelyreflectsthenursesbestcourseofaction? a.

Thenurseshouldfocusonperformingafullcardiacassessment.

b.

Thenurseshouldfocusonpsychosomaticcomplaintsbecausethepatienthasjustlearnedthathis wifehascancer.

c.

Thispatientisnotinanydangeratpresent;therefore,thenurseshouldsendhimhomewith instructionstocontacthisphysician. NURSINGTB.COM

d.

Itisunclearwhatishappeningwiththispatient;consequently,thenurseshouldperforman assessmentinboththephysicalandthepsychosocialrealms.

ANS:D Wideculturalvariationsexistinthemannerinwhichcertainsymptomsanddiseaseconditionsareperceived, diagnosed,labeled,andtreated.Chinese-Americanssometimesconvertmentalexperiencesorstatesinto bodilysymptoms(e.g.,complainingofcardiacsymptomsbecausethecenterofemotionintheChineseculture istheheart). DIF:CognitiveLevel:Analyzing(Analysis) MSC:ClientNeeds:PsychosocialIntegrity 22.Symptoms,suchaspain,areofteninfluencedbyapersonsculturalheritage.Whichofthefollowingisa truestatementregardingpain? a.

Nursesattitudestowardtheirpatientspainareunrelatedtotheirownexperienceswithpain.

b.

Nursesneedtorecognizethatmanyculturespracticesilentsufferingasarespo...