1.
Nurse Emma is caring for a Chinese female patient
who is in her second to the third phase of labor and
delivery. Nurse Emma noticed that, unlike most patients
who cry and shout during contraction, the patient seems to
be making faces but does not shout nor cry. Based on
Chinese health care beliefs, crying during delivery is a sign
of weakness.
The nurse contemplates the various transcultural nursing
concepts that can help her plan for better care of the
patient. Which model postulates that the competence of the
nurse depends on how the nurse appraises his/her
cognitive, practical, and affective skills that are developed
thru various nurse training and experiences?
Process of Cultural Competence in the Delivery of
Healthcare
Transcultural Assessment Model
Cultural Competence Model
Cultural Competence Confidence Model
2.
Nurse Emma is caring for a Chinese female patient
who is on her second to third phase of labor and delivery.
Nurse Emma noticed that unlike most patients who cries
and shouts during contraction, the patient seems to be
making faces but does not shout nor cry. Based from
Chinese health care beliefs, crying during delivery is a sign
of weakness.
Based on Larry Purnell's model, if the nurse does not
recognize this Chinese pregnancy belief in birthing despite
of her history taking and standard assessment the nurse can
be considered as
Unconsclously competent
Unconsciously incompetent
Consclously incompetent
Consciously competent
3.
Nurse Emma is caring for a Chinese female patient
who is on her second to third phase of labor and delivery.
Nurse Emma noticed that unlike most patients who cries
and shouts during contraction, the patient seems to be
making faces but does not shout nor cry. Based from
Chinese health care beliefs, crying during delivery is a sign
of weakness.
The nurse contemplates on the various transcultural nursing
concepts that can help her plan for better care of the patient
Knowing that the patient's PHILOSOPHICAL BELIEF
that crying is a sign of weakness, the nurse understood that
she should help and advocate for painless delivery.
Philosophical belief is an influencing factor based on which
model?
- Sunrise Enabler Model
- Bureaucratic Caring Model
- Cultural Competence Model
- Cultural Competence and Confidence Model
4.
Cultural competence is a process and not an event.
This includes five processes that includes:
- Cultural awareness, presence, values, knowledge
and skills
- Cultural desire, influences, values, encounters and
skill
- Cultural encounters, desire, skill, knowledge and
awareness
5.
To improve the cultural Competence and
confidence of the nurse, the nurse can make use of the
various kinds of experiences. Which experience involves
indirect encounter of situations but still contributes to the
knowledge, skills and attitude of the nurse in rendering
transcultural nursing care?
- Persuassion
- Actual performance
- Vicarious experlence
- Emotional arousal
6.
Situation A: Nurse Monica is attending to a VIP
patient in an internationally accredited tertiary hospital in
Quezon City. The patient, Mr. Antonio, is a 79-year old
male, widow, with colon cancer, Stage 2. It was diagnosed
during his annual executive check-up, no symptoms were
experienced prior to diagnosis. He is admitted to the
hospital for his 6th cycle of chemotherapy.
He is a successful businessman with 3 children who are also
financially successful. The children hired a private duby
nurse who can accompany their father throughout the
hospital stay.
Situation B: Nurse Michaela is attending to an indigent
patient in a tertiary government a hospital in Quezon City.
The patient, Mang Tonyo, is a 79- year old male, widow,
with colon cancer, stage 4. He was diagnosed after being
admitted due to abdominal pain and blood in stool. 3 days
prior to consultation. He does not usually go to the doctor
because he has no money to pay for check-up and to buy
medicine,
He used lo drive a pedicab when he was younger. He has 3
children, who are all trying to keep ends meet (struggling
hard to earn money). Mang Tonyo's daughter and
daughters-in-law takes turn to accompany him in the
hospital.
Comparing both situations, which of the following
influencing factors is the best Contributor to the early
diagnosis of colon cancer?
- Educational Factors
- Economic Factors
- Kinship and social factors
- Political and legal factors
7.
Nurse Emma is caring for a Chinese female patient
who is on her second to third phase of labor and delivery.
Nurse Emma noticed that unlike most patients who cries
and shouts during contraction, the patient seems to be
making faces but does not shout nor cry. Based from
Chinese health care beliefs, crying during delivery is a sign
of weakness
Based on Larry Purnell's model, if the nurse make extra
effort to learn about this phenomenon and recognizes this
Chinese pregnancy belief in birthing, she can properly plan
for better nursing care of the patient. This
can be described as:
- Unconsciously incompetent
- Consciously competent
- Consciously incompetent
- Unconsciously competent
8.
Situation B: Nurse Michaela is attending to an
indigent patient in a tertiary government hospital in Quezon
City. The patient, Mang Tonyo, is a 79- year old male,
Manileño, widow, with colon cancer, stage 4. He was
diagnosed after being admitted due to abdominal pain and
blood in stool, 3 days prior to consultation. He does not
usually go to the doctor because he has no money to pay
for check-up and to buy medicine
Given the situation, which of the following dimensions of
care as mentioned in Bureaucratic Spiritual-Ethical caring
theory can BEST help Nurse Michaela to improve the
compliance of Mang Tonyo in the treatment regimen?
- Provide a written reminder of the treatment regimen
- Provide educational materials
- Refer to social worker for financial assistance
- Refer to medico-legal to assist with his rghts to
treatment
9.
10.
11.
Situ
sabb saaan daaw c anonymous mink
Sino ka ba
12.
Language, dress, food habits, religion, aesthetics
(taught and learned deliberately) is part of
- Cultural fad
- Explicit culture
- Hidden culture
- Implicit culture
13.
Which of the following things would be cultural
specific?
- the specific knowledge that you acquired in school
- the kinds of clothes that you wear
- the language that you speak
- None of the above.
14.
Culture is ------- Othe same thing as society
- limited to humans
- None of the above
- Possessed only by male
15.
A _______ is a regional, social, or ethnic group
that is distinguishable from other groups in a society by the
fact that its members share a common identity, food
tradition, dialect or language, and other cultural traits that
come from their common ancestral background and
experience
- Minority
- Culture
- Sub-culture
- Multi-ethnic society
16.
A nurse is conducting an assessment of an
American Indian woman who has come to the clinic
complaining of a headache. The patient tells the nurse that
the medicines prescribed by the tribal healer have done
some good. What is the appropriate response of the nurse at
this time?
- Tell me about this medicines and how often you are
using them
- Could these medicines cause you headache?
- Maybe you should increase
- I advise do not use those medicines
17.
A world view that rejects the global centrality of
any single cultural or historical perspective is termed as
- Culture sensitive view
- Multiculturalism
- Cultural awareness
- Multinational
18.
-
-
Societies are ________
created only by technologically sophisticated
peoples such as those in the industrialized nations of
the world
only found among humans
none of the above
groups of interacting organisms
19.
The way people eat in their country such as with
forks, chopsticks or fingers is an example of
- Cultural diffusion
- Cultural region
- Ethnicgroup
- Cultural trait
20.
refers to _________constructs which occur in only
one culture.
- Culture
- Emic
- Sub-culture
- Etic
21.
______refers to the multicultural identity of
combining shared system of meanings, beliefs, values and
Multi from multiple groups. Simply, a multicultural
individual identifies with more than one group of people.
- Multicultural-self
- Cultural awareness
- Culture sensitivity
- Cultural self-awareness
22.
An american Nurse tries to speak with a Korean
client who cannot understand the English language. To
effectively communicate to a client with a differnet
language, which of the following should the nurse
implement?
-Speak slowly
-Speak loudly close to the client
-Speak to the family
-Have an interpreter to translate
23.
A nurse is caring for a client who has symptoms of
chills, fever, no sweating, headache, nasal congestion, and
stiffness and pain in the shoulders, upper back, neck, and
back of the head that are common in Chinese culture and is
called as syndromes of Wind. This is an example of which
of the following?
- Culture biased
- Culture awareness
- Culture bound syndrome
- Culture sensitivity
24.
A clinic nurse is preparing to examine a Hispanic
child who was brought by the mother for his first physical
check-up. While assessing the child, the nurse would avoid
doing which of the following?
- Having an interpreter if necessary
- Weighing the client
- Asking the mother about questions about the child
- Admiring the child
25.
A clinic nurse is preparing to examine a Hispanic
child who was brought by the mother for his first check-up.
While assessing the child, the nurse would avoid doing
which of the following?
-having an interpreter if necessary
-weighing the client
-asking the mother about questions about the child
-Admiring the child
26.
The amculatory care nurse is discussing
preoperative procedures with a Japaenese American client
who is scheduled for surgery the following week. During
the discussion, the client continually smiles and nods the
head. How should the nurse interpret this nonverbal
behavior?
-an acceptance of the treatment
-client udnerstanding of the pre-operative procedure
-reflecting a cultural value
-client agreement tot he required procedure
27.
The nurse is preoviding instructions to a
Chinese-American client about the frequency and dosages
of the take home medicines. When conducting th teaching,
the client continuously turns away from the nurse. The
nurse should do which of following appropriate action?
-continue with the instructions and confirming
client understanding
-no action will be made
-call the attention of the client by speaking loudly
-walk around the client so the nurse can still face the
client
28.
The ambulatory care nurse is discussing
preoperative procedures with a Japanese American client
who is scheduled for surgery the following week. During
the discussion, the client continually smiles and nods the
head. How should the nurse interpret this nonverbal
behavior
- An acceptance of the treatment
- Client understanding of the pre-operative procedure
- Reflecting a cultural value
- Client agreement to the required procedure
29.
The nurse is providing instructions to a
Chinese-American client about the frequency and dosages
of the take home medicines. When conducting the teaching,
the client continuously turns away from the nurse. The
nurse should do which of the following appropriate action?
- Continue the instructions and confirming client
understanding
- No action will be made
- Call the attention of the client by speaking loudly
- Walk around the client so the nurse can still face the
client
30. To assess, evaluate and support a patient’s
spirituality, the best action a nurse can take is to:
- Provide the patient with a variety of religious
literature
- Refer the patient to the health care facility chaplain
- Determine the patient’s perceptions and belief
system
- Assist the patient to use faith to get well
31. A chinese-american client experiencing cough with
clear white phlegm, which is believed to be a yin
disorder, is likely to treat it with:
- Touch therapy
- Foods considered being yin
- Aromatherapy
- Foods considered being yang
32. A nurse is preparing a plan of care for a client who
is a Jehova’s witness. The client has been told that
the surgery is necessary. The nurse considers the
client’s religious preferences in developing the plan
of care and documents that:
- Blood products cannot be administered
- Alternative medicines can be advised
- Surgery is strictly prohibited
- Giving any medication is not allowed
33. An athletic young woman has just fractured her leg
while training for a marathon. The use of meditation
has many physiological properties that will help the
young woman to:
- Increase mood swings
- Lower muscle tension
- Increase oxygen consumption
- Raise blood pressure
34. A clinic nurse is performing an admission
-
assessment for an African-American client
scheduled for an emergency appendectomy.
Which of the following questions would be
inappropriate for the nurse to ask for the initial
evaluation?
How close your family during these
situations?
35. When caring for patients, the nurse understand
the difference between religion and spirituality.
Religious care helps individuals
- ALL OF THE CHOICES
36. Which of these countries best describe social
behaviors of the people?
- LGBTQ parents are common - C
- Defends private spaces - B
- Teenage Pregnancy - C
37. Availability of insurance varies depending on
the income of the person. The higher income,
the better health insurance is accessible for the
individual and his/her dependents. The
following countries have varied incomes per
month per person. Match the correct income
with the correct country.
- Approximately 2,617 - A
- Approximately 2.028 - C
- Approximately 1,440 - D
37. The higher income, the better health insurance is
accessible for the individual and his/her dependents.
The following countries have varied incomes per
month per person. Match the correct income with the
correct country.
- Approximately 1,440 - A
- Approximately 645 - B
- Approximately 678 - D
38. Communication is an important factor in
rendering culturally congruent care. Identify
which of these language strategies can you use
to efficiently care for the patients below:
- Brazilian elderly - C
- Nigerian adult - B
- British child - A
39. You are working as a nurse in a highly diverse
workplace. Among your co-nurses in the
clinical area, you noticed that some of the
nurses have different nursing education
background. Which country offers Licensed
Practical Nurse (LPN) and Licensed Vocational
Nurse (LVN)?
- UNITED STATES OF AMERICA
40. Nurse alanis now works in the United Kingdom
and in a NHS hospital. Which of the following
is true to NHS hospitals?
- Hospital services are free and paid by the
government
41. Which of these items should be made available
to Islam patients?
- QURAN
42. Caring is not grounded in Roach 6 Cs of
commitment,
compassion,
conscience,
confidence, competency and comportment.
- FALSE
43. Which dimension of transcultural caring dynamics
in nursing and health care illuminates the commitment
of nursing to relationships and the human-environment
process? It requires understanding of the holistic nature
of the patient (i.e. body, mind, and spirit), human
relationships, diverse cultures, the nurse patient
relationship, and complex organizations.
- Transcultural Caring Ethics
44. Defined as a multidirectional way of caring in
professional life that encourages transcultural
communication to mutually understand the needs,
suffering problems, and questions of people that arise
in culturally dynamic situations.
- TRANSCULTURAL COMMUNICATIVE
CARING
45. In roach philosophy of sic C’s of caring, she
defined commitment as the state of having knowledge
….. professional responsibilities.
- FALSE
46. In Ray’s transcultural communicative spiritual
caring tool for cultural competency. Which of the
following process are included
- All check
47. It helps to shape the moral character of community.
To set forth a positive moral landscape. It specifically
should attempt to foster relationships and caring.
Responsibility and accountability
- CARING AND ETHICS
48. Boykin and schoenhofer identified nursing as
caring and suggest that the goal of the nurse is to
enhance life for self and others
- TRUE
49. Caring helps to shape the moral - CARING AND
ETHICS
Caring entails a move from progressivism- CARING
AND POLITICAL
Caring is not mere emotion- CARING AND
PHILOSOPHY
Caring spans all religions-CARING IN THEOLOGY
It plays a role in understanding- CARING AND
ETHICS
50. Watson highlighted caring as a human mode of
being and the most consistently used concept to
describe nursing since the evolution of the profession
- TRUE
51. In Ray’s transcultural communicative spiritual-caring
tool, compassion means acting ethically by doing good,
being fair and facilitating choice.
-True
-False
52. This dimension of transcultural caring dynamics in
nursing and healthcare outlines the importance of spirituality
and/or religion in all choice making processes in
conjunction with the understanding of caring as transcultural
ethics and within a transcultural context.
-Essense of Caring
-Universal Sources
-Transcultural Context
-Transcultural Caring Ethics
53. As a nurse, you care required to do good for others. You
are obliged to act what is morally and legally demanded by
nursing’s professional role. Which ethical principle is this?
-non-maleficence
-justice
-beneficence
-autonomy
-veracity
54. Theories contribute to knowledge of ethics in nursing
and healthcare and lay the foundation for transcultural ethics
in the dynamic global world. Which theory is being
described by this, “the rightness or wrongness of an act
depends upon the nature of the act and not on the
consequences that occur from it”?
-virtue ethics
-biomedical ethics
-utilitarianism
-kantian ethics
55. It pertains to the ordered structure of the world governed
by cosmic reason and divine decree thus is differentiated
from human legislation. On one hand, it provides direction
for human conduct as a precondition oa paeron’s natural
development, and on the other hand, it is a set of rules
ordered by God an transmitted to human beings by way of
the Ten Commandments and also, by way of revelation
through the exercise of conscience.
-natural law
-utilitarianism
-christian ethics
-kantian ethics
56. Ethical principles are basic moral truths that guide
deliberation and action in medicine and nursing and are
grounded in ethical theories. Which theory is being
decribed?
-biomedical ethics
-virtue theory
-utilitarianism
-kantian ethics
57. This theory holds that:
(1) Actions are to be judged right or wrong solely by
virtue of their consenquence
(2) In assessing consequences, the only thing that
matters is the amount of happiness or unhappiness
that is created and
(3) Each person’s happiness counts the same
-christian ethics
-natural law
-utilitarianism
-kantian ethics
58. This deals with principles and moral rules that all
cultures and societies have in common, because those rules
are necessary for a society to exist
-ethical relativism
-natural law
-ethical universalism
-virtue theory
59. This holds that morality is relative to the normas of a
particular culture; hence, there are no universal truths in
ethics. It emphasizes the need to examine the context of the
decision because sociocultural differences influence whether
an act is moral. Diversity of expression of caring is
considered culturally relative from an ethical perspective
and deals witht he fact that different cultures have different
moral codes.
-ethical universalism
-ethical relativism
-virtue theory
-natural law
60. This ethical principle relates to faithfulness and keeping
promises. In nursing, this means loyalty to the patient within
the nurse-patient relationship.
-autonomy
-veracity
-fidelity
-justice
61. Transcultural ethics, transcultural caring and
transcultural ethical caring share the same fundamental
characteristics: respect for all persons and a sense of
compassion, justice and clinical and cultural wisdom.
-true
-false
62. In this theory, the character of the human being and
character itself must be taken into consideration.
-virtue theory
-christian ethics
-biomedical theory
-natural law
63. Nurses frequently are challenged ethically in practice.
Match the following situations with the example of
malpractice, negligence, or horizontal nurse-nurse violence.
(1) A nurse does not wash her hands with soap or an
alcohol sanitizer, and drops and contaminates
intravenous tubing, and then inserts the tubing into
the
patient/s
intravenous bag or vein.
MALPRACTICE
(2) A nurse in a busy emergency department lets a
patient or patients wait for hours for care with little
communication and then when she finally interacts
with the patient(s) provides very little care. This
nurse claims to be devoted for others
MALPRACTICE
(3) A nurse administrator who knows that he should be
supporting staff nurses, justified to the chief
executive and operational officers that because of
higher stress levels inherent in their jobs, only
physician-economic desires should be recognized
and should take precedence over staff nurse and
patient care needs. HORIZONTAL VIOLENCE
(4) A nurse steals a patient’s narcotic pain medication
to feed her own