Transcultural Diversity and Health Care
____ 1. According to the 2010 U.S. Census Bureau, approximately 65.1 percent of the population reported their race as white. The second most commonly reported race is?
1. Black.
2. Hispanic.
3. American Indian/Alaskan Native.
4. Asian.
____ 2. Of the Hispanic population in the United States, the largest percentage self-identify as
1. Puerto Rican.
2. Cuban.
3. Mexican.
4. Central American.
____ 3. In distinguishing a stereotype from a generalization, a generalization is a(an)
1. Starting point.
2. End point.
3. Minor variation of stereotype.
4. Major variation of stereotype.
____ 4. Mr. James, a nutritionist at McDowell Memorial Medical Center, gave the U.S. Department of Agriculture Dominant American food pyramid to a traditional Guatemalan migrant worker. This is an example of
1. Cultural imposition.
2. Cultural imperialism.
3. Cultural relativism.
4. Cultural sensitivity.
____ 5. Worldview is best described as
1. An explanation for disease etiology.
2. The one who exercises the most power within a group.
3. Careful consideration of future implications when making a decision.
4. An understanding of how human experiences fit into a bigger picture.
____ 6. Cultural sensitivity is
1. Using politically correct language.
2. Having an appreciation of cultural arts and dress.
3. Knowing aggregate data about a cultural group.
4. Knowing specific cultural attributes about a group.
____ 7. Cultural imposition is defined as
1. Applying the majority views and practices to minority groups.
2. The practice of extending the policies and practices of one group (usually the dominant one) to disenfranchise and minority groups.
3. The belief that the behaviors and practices of people should be judged only from the context of their cultural system.
4. Not saying things that may be seen as derogatory about another group—that is, using politically correct, neutral language.
____ 8. Ethnocentrism is
1. Being aware of the ethnicity of your patients.
2. Believing that your nursing practices and values are superior to others’ practices and values.
3. The belief that the behaviors and practices of people should be judged only from the context of their cultural system.
4. Learning aggregate data of cultural groups to whom they provide care.
____ 9. A hallmark of individualistic cultures is
1. Self-expression.
2. Teamwork.
3. High-context communication.
4. Expectations of loyalty.
____ 10. One culture that encourages self-expression is
1. Filipino.
2. Thai.
3. European American.
4. Somali.
Chapter 2: The Purnell Model for Cultural Competence
____ 1. Categorically imperative concepts of timeliness (being on time for appointments) are not shared by all cultures. What should the health-care provider do to help ensure that the client is on time for appointments?
1. Ignore the issue; some people will never be timely.
2. Explain the importance of timeliness to treatments.
3. Inform them that they will not be seen if they are late.
4. Accept that they will be late and move on.

____ 2. The nurse is using an interpreter to interview the parents of a 3-year-old with an earache. The nurse should direct questions to
1. The father.
2. The mother.
3. The interpreter.
4. Both parents.
____ 3. Techniques to determine oxygenation needs in dark-skinned people include
1. Examining the skin using indirect lighting.
2. Examining the palms of the hands.
3. Comparing darker and lighter parts of the body.
4. Pressing the skin and looking for blanching.
____ 4. A taboo practice for pregnant women among many cultures is that they should not reach their hands over their head while pregnant. This practice is believed to
1. Cause a miscarriage.
2. Make the delivery more difficult.
3. Cause the cord to wrap around the baby’s neck.
4. Decrease oxygenation to the fetus.
____ 5. A 4-year-old boy was brought to the emergency department by the paramedics. The nurse notices that he has a thin red cord tied around his wrist. The nurse should
1. Place it with the rest of his clothes.
2. Tape it in place.
3. Give it to the parents when they arrive.
4. Leave it in place or put it in the pocket of his pants.
____ 6. Some individuals, regardless of cultural heritage, prefer traditional practitioners over Western allopathic practitioners. The most likely explanation for this is
1. Traditional practitioners are usually known by the individual and more trusted.
2. Most individuals who prefer traditional practitioners cannot afford allopathic practitioners.
3. Traditional practitioners specialize in specific health conditions.
4. Traditional practitioners stress wellness and health promotion.
____ 7. Discord occurs in the workforce in every culture. However, in a multicultural workforce discord can be intensified because of issues related to all of the following except
1. Country of origin.
2. Differences in assertiveness.
3. Language differences.
4. Homogeneity.
____ 8. Cultural, ethnic, and racial diseases and illnesses can be grouped into three categories, which include all of the following except
1. Environment.
2. Educational level of providers.
3. Genetics.
4. Lifestyle.
____ 9. In the more developed countries, which one has the highest rates of obesity?
1. United States
2. Canada
3. Sweden
4. Saudi Arabia
____ 10. The difference between a translation and an interpretation is
1. Interpretation is verbal.
2. Translation is verbal.
3. There are no differences between translation and interpretation.
4. Interpretation is a higher level than translation.
Chapter 3: Individual Competence and Evidence-Based Practice
____ 1. Which statement about critical reflection is true?
1. Critical reflection helps free the professional from prejudice.
2. Critical reflection is intended for the patient, not the health professional.
3. Critical reflection is the same as cultural competence.
4. Critical reflection is the same as cultural sensitivity.
____ 2. Standards of Practice for Culturally Competent Nursing Care include all of the following except
1. Aggregate data on individual cultures.
2. Cross-cultural communication.
3. Policy development.
4. Market justice.
Chapter 4: Organizational Cultural Competence
____ 1. Culturally competent organizations must provide language assistance services
1. At a nominal fee for translation.
2. At a nominal fee for interpretation.
3. In person and one-on-one.
4. Free of charge to the consumer.
____ 2. The overarching goal of organizational cultural competence is to
1. Decrease disparities in health care.
2. Improve satisfaction scores.
3. Decrease cost to the consumer.
4. Decrease cost to the organization.
Chapter 5: Perspectives on Nursing in a Global Context
____ 1. The U.S. government agency that provides economic assistance to countries with natural disasters is
1. U.S. Agency for International Development.
2. U.S. Peace Corps.
3. World Health Organization.
4. Care International.