Chapter 1: Transcultural Diversity and Health Care
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. According to the 2010 U.S. Census Bureau, approximately 72.
...
Chapter 1: Transcultural Diversity and Health Care
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. According to the 2010 U.S. Census Bureau, approximately 72.4 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 disenfranchised 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.
11. In the process of cultural competence, the key and pivotal construct is cultural desire (true)
12. which one of the types of acculturation(assimilation)
13. leininger’s
Chapter 1: Transcultural Diversity and Health Care
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect: 12.1 percent of the U.S. population is black.
2 Correct: 12.6 percent of the U.S. population is Hispanic/Latino.
3 Incorrect: 0.9 percent of the U.S. population is American Indian or Alaskan Native.
4 Incorrect: Only 4.8 percent of the U.S. population is Asian.
2. ANS: 3
Feedback
1 Incorrect. Of the Hispanic population in the United States, the majority are Mexican.
2 Incorrect. Of the Hispanic population in the United States, the majority are Mexican.
3 Correct. Of the Hispanic population in the United States, the majority are Mexican.
4 Incorrect. Of the Hispanic population in the United States, the majority are Mexican.
3. ANS: 1
Feedback
1 Correct. A generalization is a starting point, not an endpoint.
2 Incorrect. A generalization is a starting point, not an endpoint.
3 Incorrect. A generalization is not a major or minor variation of stereotype.
4 Incorrect. A generalization is not a major or minor variation of stereotype.
4. ANS: 1
Feedback
1 Correct. Cultural imposition is applying the majority views and practices to minority groups.
2 Incorrect. Cultural imperialism is the practice of extending the policies and practices of one group (usually the dominant one) to disenfranchised and minority groups.
3 Incorrect. Cultural relativism is the belief that the behaviors and practices of people should be judged only from the context of their cultural system.
4 Incorrect. Cultural sensitivity is not saying things that may be seen as derogatory about another group—that is, using politically correct, neutral language.
5. ANS: 4
Feedback
1 Incorrect. This may be part of worldview, but it is not the best definition. The definition is not complete.
2 Incorrect. This may be part of worldview, but it is not the best definition. The definition is not complete.
3 Incorrect. This may be part of worldview, but it is not the best definition. The definition is not complete.
4 Correct. Worldview is best described as an understanding of how human experiences fit into a bigger picture.
6. ANS: 1
Feedback
1 Correct. Using politically correct language is a cultural sensitivity.
2 Incorrect. Cultural awareness is an appreciation of cultural arts and dress.
3 Incorrect. Knowing aggregate data about a cultural group is a step toward cultural competence.
4 Incorrect. Knowing specific cultural attributes about a cultural group is a step toward cultural competence.
7. ANS: 3
Feedback
1 Incorrect. Cultural relativism is the belief that the behaviors and practices of people should be judged only from the context of their cultural system.
2 Incorrect. Cultural imperialism is the practice of extending the policies and practices of one group (usually the dominant one) to disenfranchised and minority groups.
3 Correct. Cultural imposition is applying the majority views and practices to minority groups.
4 Incorrect. Cultural sensitivity is not saying things that may be seen as derogatory about another group—that is, using politically correct, neutral language.
8. ANS: 2
Feedback
1 Incorrect. Being aware of the ethnicity of your patients is not ethnocentrism.
2 Correct. Believing that your nursing practices and values are superior to others’ practices and values is ethnocentrism.
3 Incorrect. The belief that the behaviors and practices of people should be judged only from the context of their cultural system is cultural relativism.
4 Incorrect. Learning aggregate data of cultural groups to whom they provide care is a step of cultural competence.
9. ANS: 1
Feedback
1 Correct. A hallmark of individualistic cultures is self-expression.
2 Incorrect. Teamwork is a hallmark of collectivistic cultures.
3 Incorrect. High-context communication is a hallmark of collectivistic cultures.
4 Incorrect. The expectation of loyalty is a hallmark of collectivistic cultures.
10. ANS: 3
Feedback
1 Incorrect. Filipino culture is collectivistic and does not encourage self-expression.
2 Incorrect. The Thai culture is collectivistic and does not encourage self-expression.
3 Correct. The European American culture is individualistic and encourages self-expression.
4 Incorrect. The Somali culture is collectivistic and does not encourage self-expression.
Chapter 2: The Purnell Model for Cultural Competence
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 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. Which if the following is not one of the metaparadigm concepts in the Purnell Model for Cultural Competence?
1. Family
2. Global society
3. Spirituality
4. Person
____ 8. In a low-context language
1. Most of the message is implied.
2. Many words are used to express a thought.
3. Words are more important than nonverbal communication.
4. Voice volume and tone are low.
____ 9. 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.
____ 10. 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.
____ 11. In the more developed countries, which one has the highest rates of obesity?
1. United States
2. Canada
3. Sweden
4. Saudi Arabia
____ 12. Of the following statements regarding lactose intolerance, which is true?
1. White-skinned people are more likely to have lactose intolerance.
2. Dark-skinned people are more likely to have lactose intolerance.
3. There is no difference in lactose intolerance between white- and dark-skinned people.
4. Only people of Asian and American Indian descent have lactose intolerance.
____ 13. A taboo belief among many cultures is that a pregnant should not
1. Exercise.
2. Give in to cravings.
3. Reach over her head.
4. Engage in intercourse after the first trimester.
____ 14. An enlightened perspective in individualistic cultures is
1. Educational level of providers.
2. Access to care.
3. Affordability.
4. Patient autonomy.
____ 15. 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.
16. The nurse is using an interpreter to interview the parents of a 3-year-old with an earache. The nurse should direct questions to
Ans: Both parents
17. What determines a person’s adherence with his/her dominant cul-ture?
ANS: Variant Characteristics
Chapter 2: The Purnell Model for Cultural Competence
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. Ignoring the lack of timeliness may continue to cause concerns for future situations in which timeliness is important.
2 Correct. The importance of timeliness should be explained if timeliness is important.
3 Incorrect. Not seeing them if they are late demonstrates a lack of sensitivity and lacks respect.
4 Incorrect. Ignoring the lack of timeliness may continue to cause concerns for future situations in which timeliness is important. Given that some people are chronically late, the importance of timeliness should still be explained if timeliness is important.
2. ANS: 4
Feedback
1 Incorrect. Addressing questions only to the father shows a lack of respect for the mother.
2 Incorrect. Addressing questions only to the mother shows a lack of respect for the father.
3 Incorrect. The nurse should address the question to both parents, not the interpreter.
4 Correct. The nurse should address the question to both parents.
3. ANS: 2
Feedback
1 Incorrect. This will not help to determine oxygenation needs. Direct lighting is recommended.
2 Correct. This is the recommended technique for determining oxygenation needs in dark-skinned people.
3 Incorrect. Comparing darker and lighter parts of the body will not help determine oxygenation.
4 Incorrect. Pressing the skin and looking for blanching will not help determine oxygenation.
4. ANS: 3
Feedback
1 Incorrect. This is not a common belief.
2 Incorrect. This is not a common belief.
3 Correct. This is a common belief.
4 Incorrect. This is not a common belief.
5. ANS: 2
Feedback
1 Incorrect. Amulets provide solace and should not be removed unless absolutely necessary.
2 Correct. Amulets provide solace and should not be removed unless absolutely necessary, so taping it in place to ensure that it is not lost is best.
3 Incorrect. Amulets provide solace and should not be removed unless absolutely necessary.
4 Incorrect. Amulets provide solace and should not be removed unless absolutely necessary.
6. ANS: 1
Feedback
1 Correct. Traditional practitioners are usually known by the individual and more trusted.
2 Incorrect. The use of traditional practitioners is not correlated with socioeconomic status.
3 Incorrect. Traditional healers do not generally specialize in specific health conditions.
4 Incorrect. Traditional healers treat conditions after they have occurred.
7. ANS: 3
Feedback
1 Incorrect: Family is a metaparadigm concept.
2 Incorrect: Global society is a metaparadigm concept.
3 Correct. Spirituality is a domain.
4 Incorrect: Person is a metaparadigm concept.
8. ANS: 1
Feedback
1 Correct. Low-context means most of the message is implied.
2 Incorrect. Low-context means few words are used to express a thought.
3 Incorrect. Low-context means that nonverbal is as important if not more important than words.
4 Incorrect. Low-context communication may have loud or soft voice volume.
9. ANS: 4
Feedback
1 Incorrect. Country of origin may cause discord.
2 Incorrect. Differences in assertiveness may cause discord.
3 Incorrect. Differences in language may cause discord.
4 Correct. Homogeneity does not cause discord.
10. ANS: 2
Feedback
1 Incorrect. Environment can be a cause of illness and disease.
2 Correct. Educational level is not a cause of illness or disease.
3 Incorrect. Genetics can be a cause of illness or disease.
4 Incorrect. Lifestyle can be a cause of illness or disease.
11. ANS: 1
Feedback
1 Correct. Of the countries listed, the United States has the highest rates of obesity.
2 Incorrect. Of the countries listed, the United States has the highest rates of obesity.
3 Incorrect. Of the countries listed, the United States has the highest rates of obesity.
4 Incorrect. Of the countries listed, the United States has the highest rates of obesity.
12. ANS: 2
Feedback
1 Incorrect. Anyone can have lactose intolerance, but the incidence is lower in white-skinned people.
2 Correct. African Americans, blacks, and American Indians have high rates of lactose intolerance.
3 Incorrect. Anyone can have lactose intolerance, but the incidence is lower in white-skinned people.
4 Black populations and people of Asian American and American Indian descent have high levels of lactose intolerance.
13. ANS: 3
Feedback
1 Incorrect. Whereas certain types of exercise might be discouraged in some cultures, there is no taboo against exercise in general for a pregnant woman.
2 Incorrect. Many believe that the woman should give in to the craving; otherwise the infant might be marked.
3 Correct. Several cultures believe that if the woman reaches over her head while pregnant, it will cause the umbilical cord to wrap around the neck of the fetus.
4 Incorrect. Not engaging in intercourse after the first trimester is not a common taboo belief.
14. ANS: 4
Feedback
1 Incorrect. This is not an enlightened perspective of individualistic cultures.
2 Incorrect. Access to care is a desire of both collectivistic and individualistic culture.
3 Incorrect. Affordability of care is a desire of both collectivistic and individualistic cultures.
4 Correct. Patient autonomy is a hallmark of individualistic cultures.
PTS: 1
15. ANS: 1
Feedback
1 Correct. Interpretation is verbal and translation is written.
2 Incorrect. Interpretation is verbal and translation is written.
3 Incorrect. Interpretation is verbal and translation is written.
4 Incorrect. Interpretation is verbal and translation is written.
Chapter 3: Individual Competence and Evidence-Based Practice
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 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.
____ 3. A statement that alerts the health-care provider that a patient may not have adequate heath literacy is
1. I usually take my medication every morning.
2. My spouse keeps all this information; I will take the form home to complete.
3. I prefer to get my information from the Internet; I can remember it better.
4. I think I understand the information; I will call you if I have additional questions.
____ 4. When unable to find best evidence in systematic reviews, the New York Academy of Medicine is another source where the provider can obtain
1. Grey literature.
2. The Cochrane library.
3. Evidence-based practice journals.
4. PubMed.
____ 5. Each component of Quality and Safety Education for Nurses (QSEN) has all but the following:
1. Knowledge.
2. Skills.
3. Attitudes.
4. Risk.
____ 6. A good source for finding systematic reviews for evidence-based practice is
1. The World Health Organization.
2. Health Sciences online.
3. Campbell Collaboration Library.
4. Scirus for scientific information.
Chapter 3: Individual Competence and Evidence-Based Practice
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Critical reflection helps free the professional from prejudice.
2 Incorrect. Critical reflection is intended for the health professional, not the patient.
3 Incorrect. Critical reflection is not the same as cultural competence.
4 Incorrect. Critical reflection is not the same as cultural sensitivity.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Aggregate data are part of Standard 3: knowledge of cultures.
2 Incorrect. Cross-cultural communication is part of Standard 9: cross cultural communication.
3 Incorrect. Policy Development is Standard 11.
4 Correct. The standards are based on social justice, not market justice.
PTS: 1
3. ANS: 2
Feedback
1 Incorrect. This statement by itself does not indicate that the patient has a health literacy problem.
2 Correct. This is a statement that alerts the provider to a possible health literacy concern, and he or she should investigate further.
3 Incorrect. This statement does not indicate that the patient has a health literacy problem.
4 Incorrect. This statement by itself does not indicate that the patient has a health literacy problem.
PTS: 1
4. ANS: 1
Feedback
1 Correct. The New York Academy of Medicine is a good source for grey literature.
2 Incorrect. The Cochrane Library is not part of the New York Academy of Medicine.
3 Incorrect. Evidence-based practice journals are part of the New York Academy of Medicine.
4 Incorrect. PubMed is a database of referred journal articles.
PTS: 1
5. ANS: 4
Feedback
1 Incorrect. Knowledge is part of each component.
2 Incorrect. Skills are part of each component.
3 Incorrect. Attitudes are part of each component.
4 Correct. Risk is not part of each component.
PTS: 1
6. ANS: 3
Feedback
1 Incorrect. The World Health Organization is a good source for grey literature.
2 Incorrect. Health Sciences online is a good source for grey literature.
3 Correct. This is a good source for systematic reviews.
4 Incorrect. Scirus for scientific information is a good source for grey literature.
PTS: 1
Chapter 4: Organizational Cultural Competence
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 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.
____ 3. Which of the following statements is true regarding Culturally and Linguistically Appropriate Services (CLAS) 14 Standards?
1. All 14 standards are mandates.
2. The organization can select any four standards to follow.
3. Interpretation services must be free to the consumer.
4. Interpretation services are required for only three languages.
____ 4. Patient satisfaction surveys need to be in which of the following languages?
1. Spanish and Portuguese
2. Chinese and Korean
3. Arabic and Turkish
4. None of the above
Chapter 4: Organizational Cultural Competence
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. The organization cannot charge for translation services.
2 Incorrect. The organization cannot charge for interpretation services.
3 Incorrect. There is no one required method for providing interpretation services.
4 Correct. Interpretation services must be provided free of charge.
PTS: 1
2. ANS: 1
Feedback
1 Correct. The overarching goal of organizational cultural competence is to decrease health disparities.
2 Incorrect. Improving satisfaction scores is good, but it is not the overarching goal of organizational cultural competence.
3 Incorrect. Decreasing cost to the consumer is good but it is not the overarching goal of organizational cultural competence.
4 Incorrect. Decreasing cost to the organization is good but it is not the overarching goal of organizational cultural competence.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. Some standards are mandates, some are guidelines, and some are recommended.
2 Incorrect. Only four standards are mandates for any organization that receives federal funds.
3 Correct: Interpretation services must be free of charge to the consumer.
4 Incorrect. Interpretation services are required for all languages.
4. ANS: 4
Feedback
1 Incorrect. Patient satisfaction surveys need to be in the primary languages of the consumers.
2 Incorrect. Patient satisfaction surveys need to be in the primary languages of the consumers.
3 Incorrect. Patient satisfaction surveys need to be in the primary languages of the consumers.
4 Correct. Patient satisfaction surveys need to be in the primary languages of the consumers.
Chapter 5: Perspectives on Nursing in a Global Context
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Global health has become a priority because
1. It pertains only to less developed countries.
2. It largely affects more developed countries.
3. Of the potential for the spread of infectious disease.
4. Of the rural area at particular risk.
____ 2. The Millennium Goals address which of the following?
1. Eliminate health-care disparities by 2020.
2. Eradicate extreme hunger and poverty.
3. Ensure cultural competence in more developed countries.
4. Ensure cultural competence in less developed countries.
____ 3. 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.
____ 4. According to the World Health Organization, the country with the lowest density of health-care providers is
1. Haiti.
2. Bangladesh.
3. Senegal.
4. Guinea.
Chapter 5: Perspectives on Nursing in a Global Context
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Global health affects all countries.
2 Incorrect. Global health affects all countries.
3 Correct. Infectious diseases have the potential of affecting health on a global scale.
4 Incorrect. Both urban and rural areas are at risk.
PTS: 1
2. ANS: 2
Feedback
1 Incorrect. The Millennium Goals do not directly address health-care disparities.
2 Correct. The millennium goals address eradicating extreme hunger and poverty.
3 Incorrect. The Millennium Goals do not directly address cultural competence.
4 Incorrect. The Millennium Goals do not directly address cultural competence.
PTS: 1
3. ANS: 1
Feedback
1 Correct. The U.S. Agency for international Development provides economic assistance to countries with natural disasters.
2 Incorrect. The Peace Corps does not provide economic assistance for natural disasters.
3 Incorrect. The World Health Organization does not provide economic assistance for natural disasters.
4 Incorrect. Care International does not provide economic assistance for natural disasters.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. Guinea has the lowest density of health-care providers.
2 Incorrect. Guinea has the lowest density of health-care providers.
3 Incorrect. Guinea has the lowest density of health-care providers.
4 Correct. Guinea has the lowest density of health-care providers.
PTS: 1
Chapter 6: People of African American Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The home-health nurse visited Mrs. Underwood, a 68-year-old African American woman, to determine her progress with her insulin regulation. Four children, appearing to be between the ages of 4 and 12, were present. Mrs. Underwood explained that two of the children were her daughter’s and the other two were the children of a friend who was unable to care for them. The nurse recognizes this family structure as a(an)
1. Subfamily.
2. Augmented family.
3. Secondary family.
4. Nonblood family.
____ 2. Compared with hypertension in other ethnic groups, hypertension among African Americans
1. Is more common but less severe.
2. Is more severe but less common.
3. Is more resistant to treatment.
4. Starts at an older age.
____ 3. A community-health worker wants to work with the African American community to help decrease the teenage pregnancy rate. The most effective approach would to be work through
1. School teachers.
2. One-on-one contact.
3. Contact at nightclubs.
4. Church leaders.
____ 4. A common belief among African Americans and among other groups is that
1. Suffering and pain are inevitable.
2. Being stoic with pain will decrease it.
3. Immediate treatment will increase the pain.
4. Pain is primarily due to liver disease.
____ 5. Mrs. Karlyn Lincoln, an African American from the southern part of the United States, is 6 months pregnant with her third child. Her hemoglobin and serum potassium remain low despite supplemental iron and oral potassium. The nurse had told her the dangers of eating clay on a previous checkup, but Mrs. Lincoln indicated that her mother and grandmother did that and she would continue doing so to make sure the fetus got the minerals it needed. What advice should the nurse now give?
1. Change from red clay to blue clay.
2. Decrease the amount of clay she eats.
3. Eat the clay on an empty stomach.
4. Eat the clay only with lunch.
Chapter 6: People of African American Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. Subfamilies include only nieces, nephews, cousins, aunts, and uncles.
2 Correct. This is the definition of an augmented family.
3 Incorrect. Secondary families consist of peers of the primary parents, older relatives of the primary parents, and parents of the primary parents.
4 Incorrect. Nonblood relatives are individuals who are unrelated by blood ties but who are closely involved with family functioning.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. Hypertension among African Americans is more severe than that in other ethnocultural groups.
2 Incorrect. Hypertension among African Americans is more common than it is in other ethnocultural groups.
3 Correct. Hypertension among African Americans is more resistant to treatment than it is in other ethnocultural groups.
4 Incorrect. Hypertension among African Americans occurs at an earlier age than it does in other ethnocultural groups.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Although reaching out to African Americans through school teachers, one-on-one contact, and contact at nightclubs may be beneficial, most studies indicate that the most effective way is through the church.
2 Incorrect. Although reaching out to African Americans through school teachers, one-on-one contact, and contact at nightclubs may be beneficial, most studies indicate that the most effective way is through the church.
3 Incorrect. Although reaching out to African Americans through school teachers, one-on-one contact, and contact at nightclubs may be beneficial, most studies indicate that the most effective way is through the church.
4 Correct. Although reaching out to African Americans through school teachers, one-on-one contact, and contact at nightclubs may be beneficial, most studies indicate that the most effective way is through the church.
PTS: 1
4. ANS: 1
Feedback
1 Correct. This is a common belief among many African Americans.
2 Incorrect. Although this may be a belief for some African Americans, it is not common.
3 Incorrect. This is not a known belief among African Americans.
4 Incorrect. This is not a known belief among African Americans.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Changing from red to blue clay will not prevent the problem of interference with the absorption of iron.
2 Correct. Decreasing the amount of clay will increase the amount of iron absorption.
3 Incorrect. Eating clay on an empty stomach will decrease the iron absorption.
4 Incorrect. Eating clay on a full stomach may increase iron absorption, but this is not as effective as decreasing the amount of clay eaten.
PTS: 1
Chapter 7: The Amish
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is preparing discharge instructions on wound care for William Yoder, a 40-year-old Amish man. The nurse should
1. Obtain an interpreter for instructions in Deutsch.
2. Obtain an interpreter for instructions in English.
3. Provide verbal and written instructions in English.
4. Give verbal instructions in English and written instruction in Deutsch.
____ 2. Amish newspapers are printed in
1. Vernacular German.
2. Deutsch.
3. English.
4. High German.
____ 3. Care for the Amish is culturally encoded in their dialect as abwaarde, which means
1. To minister to someone by being present.
2. Silent individual prayer at the ill person’s bedside.
3. Corporate prayer at the ill person’s bedside.
4. To combine folk practices with allopathic medicine.
____ 4. What was the primary reason the Amish came to the New World?
1. Expulsion from their homeland
2. Religious freedom
3. Better economic opportunities
4. Crowded living conditions in Europe
____ 5. A female public-health nurse has gone to an Amish community to increase immunization rates. The nurse should greet the Amish with
1. A nod of the head.
2. Her hands at her side.
3. A handshake.
4. A smile.
Chapter 7: The Amish
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Amish are fully bilingual.
2 Incorrect. Amish are fully bilingual.
3 Correct. Amish are fully bilingual.
4 Incorrect. Amish are fully bilingual.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. Amish newspapers are printed in English.
2 Incorrect. Amish newspapers are printed in English.
3 Correct. Amish newspapers are printed in English.
4 Incorrect. Amish newspapers are printed in English.
PTS: 1
3. ANS: 1
Feedback
1 Correct. Abwaarde means to administer to someone by being present.
2 Incorrect. This does not mean abwaarde.
3 Incorrect. Abwaarde does not have to be corporate.
4 Incorrect. There is no specific word that means combining folk practices with allopathic medicine.
PTS: 1
4. ANS: 2
Feedback
1 Incorrect. The Amish came to the New World for religious freedom.
2 Correct. The Amish came to the New World for religious freedom.
3 Incorrect. The Amish came to the New World for religious freedom.
4 Incorrect. The Amish came to the New World for religious freedom.
5. ANS: 3
Feedback
1 Incorrect. The preferred greeting is a handshake.
2 Incorrect. The preferred greeting is a handshake.
3 Correct. The preferred greeting is a handshake.
4 Incorrect. The preferred greeting is a handshake; a smile is optional.
Chapter 8: People of Appalachian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is doing a home visit with Mrs. Lawless, a 68-year-old, seventh-generation Appalachian, to evaluate her cardiac status. Which of the following statements by Mrs. Lawless indicates the ethic of neutrality?
1. I do not want to inconvenience my neighbor to take me for blood work.
2. I prefer to prepare my own meals.
3. I like to grow my own vegetables.
4. My granddaughter takes me to the grocery store every week.
____ 2. Flora Jenkins, age 76 years, tells the nurse that she is concerned that she has high blood. The nurse recognizes that, to Appalachians, high blood probably means
1. Too much blood volume.
2. Misdistribution of blood in the body.
3. High blood pressure.
4. The blood is too heavy.
____ 3. Dr. Patel is doing a home visit with Mrs. Parks, an 82-year-old Appalachian whose husband died last year. Mrs. Parks has been complaining of a “fast heartbeat” for the last week. Her 15-year-old pregnant granddaughter has been living with her for the last 3 months. In order for Dr. Patel to establish trust, he should
1. “Sit a spell” and chat rather than start by asking questions.
2. Go directly to asking questions about her cardiac complaints.
3. Express his concern about her pregnant granddaughter.
4. Find out the cause of her husband’s death.
____ 4. Lawrence and Ethel Jenkins are expecting their first child. When the nurse encourages Mr. Lawrence to accompany his wife to the delivery room, he is reluctant to do so. The nurse should
1. Respect his wishes and not make him feel guilty.
2. Explain the benefits of his presence in the delivery room.
3. Ask his wife to have him accompany her to the delivery room.
4. Encourage him to accompany his wife along with her mother to the delivery room.
____ 5. Recognized values among traditional Appalachians include all of the following except
1. Sensitivity.
2. Independence.
3. Doing.
4. Loyalty.
Chapter 8: People of Appalachian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. The ethic of neutrality includes not interfering and inconveniencing other people.
2 Incorrect. This comment demonstrates a preference.
3 Incorrect. This comment demonstrates a preference.
4 Incorrect. The granddaughter voluntarily takes her to the grocery store without her having to ask, so this is not interfering with the ethic of neutrality.
2. ANS: 3
Feedback
1 Incorrect. This may be true for some cultures; to Appalachians, it usually means hypertension.
2 Incorrect. High blood among Appalachians usually means hypertension.
3 Correct. High blood among Appalachians usually means hypertension.
4 Incorrect. High blood among Appalachians usually means hypertension.
3. ANS: 1
Feedback
1 Correct. To establish trust, Dr. Patel should “sit a spell” and chat rather than start by asking questions.
2 Incorrect. Beginning this way will not establish trust.
3 Incorrect. Beginning this way will not establish trust.
4 Incorrect. Beginning this way will not establish trust.
4. ANS: 1
Feedback
1 Correct. The nurse should respect his wishes and not make him feel guilty.
2 Incorrect. The nurse should respect his wishes and not make him feel guilty.
3 Incorrect. The nurse should respect his wishes and not make him feel guilty.
4 Incorrect. The nurse should respect his wishes and not make him feel guilty.
5. ANS: 3
Feedback
1 Incorrect. Sensitivity is a recognized value among traditional Appalachians.
2 Incorrect. Independence is a recognized value among traditional Appalachians.
3 Correct. Doing is not a recognized value among traditional Appalachians.
4 Incorrect. Loyalty is a recognized value among traditional Appalachians.
Chapter 9: People of Arab Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Male caregivers need to be especially mindful when touching devout Islamic females. When touch is necessary, the nurse should
1. Explain the necessity and then proceed with the examination.
2. Acknowledge the religious concern and proceed with the examination.
3. Ask if using gloves is acceptable for the examination.
4. Complete only the physical part of the examination in which touch is not necessary.
____ 2. While making a visit to an Arab man with a chronic illness, the home-health nurse notices that he is berating his 13-year-old daughter for what the nurse considers a minor offense. The nurse should
1. Ask the father what was so offensive about his daughter’s behavior.
2. Ignore the situation.
3. Explain to the father that he is mentally abusing his daughter.
4. Explain child abuse laws in the United States.
____ 3. A 66-year-old Arab Islamic man is having difficulty making a decision about having surgery for an abdominal aortic aneurysm. The best strategy for helping him to make the decision about surgery would be
1. Helping him contact a rabbi.
2. Helping him contact an imam.
3. Asking the hospital chaplain to talk with him.
4. Re-explaining the danger to his health if he does not have the surgery.
____ 4. Amal Abd Al-Ramaan, an 80-year-old Arab Muslim, has been cared for at home where he has been recuperating from a brain surgery. He was brought to the emergency room comatose and is not expected to live. His son very loudly tells the nurse that he must face Mecca immediately. Which direction would the nurse turn him?
1. Depends on which part of the world he is in
2. Depends on which part of the hospital he is in
3. East
4. West
____ 5. Among Arab Muslims, irreversible forms of birth control are considered haram, which means
1. Unusual.
2. A family decision.
3. Absolutely unlawful.
4. Murder.
Chapter 9: People of Arab Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Explaining the necessity of the examination is not satisfactory; permission to touch needs to be obtained.
2 Incorrect. Acknowledging the religious concern is not satisfactory; permission to touch needs to be obtained.
3 Correct. Ask if touch using gloves is acceptable.
4 Incorrect. Eventually, a complete examination is necessary.
2. ANS: 4
Feedback
1 Incorrect. The father would probably see this as outside the nurse’s role.
2 Incorrect. Ignoring the situation would encourage it to happen again.
3 Incorrect. The father would disagree with this and ignore the nurse.
4 Correct. This is the best initial approach; it places the offense in a legal perspective.
3. ANS: 2
Feedback
1 Incorrect. A rabbi is the religious leader in the Jewish culture.
2 Correct. An imam is the religious leader in Islam.
3 Incorrect. A chaplain may be helpful, but an imam is the best choice.
4 Incorrect. Repeated explanations may not help him make a decision. The imam is the best choice in this situation.
4. ANS: 1
Feedback
1 Correct. Mecca must be determined by the part of the world in which he is located. For example, in the United States, the patient would be facing east.
2 Incorrect. His location in the hospital is not important.
3 Incorrect. Mecca must be determined by the part of the world in which he is located.
4 Incorrect. Mecca must be determined by the part of the world in which he is located.
5. ANS: 3
Feedback
1 Incorrect. Haram means absolutely unlawful.
2 Incorrect. Haram means absolutely unlawful.
3 Correct. Haram means absolutely unlawful.
4 Incorrect. Haram means absolutely unlawful.
Chapter 10: People of Chinese Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Compared with white ethnic groups, people of Chinese ancestry have increased adverse side effects from
1. Isoniazid.
2. Propranolol.
3. Antibiotics.
4. Antiemetics.
____ 2. Bing Li, a 43-year-old Chinese American, has osteopenia. She has lactose intolerance. Dietary instructions would include increasing
1. Milk in her diet.
2. Cheese in her diet.
3. Calcium in her diet.
4. Leafy green vegetables in her diet.
____ 3. A female nurse is examining an elderly Chinese American male who does not speak Chinese. The nurse speaks no Chinese, and an interpreter is not available. The patient seems uncomfortable when the nurse tries to touch him. To communicate that touch is necessary for the examination, the nurse should
1. Wait for an interpreter.
2. Get someone to help.
3. Get a male to do the examination.
4. Try gesturing.
____ 4. Which foods do many Chinese women add to their diet when they are pregnant?
1. Fruits and vegetables
2. Rice and sweets
3. Meats and organ meats
4. Milk and milk products
____ 5. Central to traditional Chinese Medicine is qi, which is
1. Considered the vital source of life.
2. The balance of yin and yang.
3. An excess of yin.
4. An excess of yang.
Chapter 10: People of Chinese Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. No data exist to support this.
2 Correct. Asians have more increased adverse side effects from propranolol than other ethnic/racial groups.
3 Incorrect. No data exist to support this.
4 Incorrect. No data exist to support this.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. She has lactose intolerance. Milk is high in lactose.
2 Incorrect. She has lactose intolerance. Cheese is high in lactose.
3 Incorrect. Increasing calcium may help, but the question asks for dietary instructions.
4 Correct. Leafy green vegetables are high in calcium.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. The examination should proceed, to determine the severity of the patient’s symptoms.
2 Incorrect. Getting someone to help will not decrease the communication barrier.
3 Incorrect. The patient may be even more uncomfortable with a male examiner.
4 Correct. Gesturing and looking for cues for understanding and acceptance before touching is the best choice until an interpreter is located.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. Chinese women add meats and organ meats to their diets when they are pregnant.
2 Incorrect. Chinese women add meats and organ meats to their diets when they are pregnant.
3 Correct. Chinese women add meats and organ meats to their diets when they are pregnant.
4 Incorrect. Chinese women add meats and organ meats to their diets when they are pregnant. Most are lactose intolerant.
PTS: 1
5. ANS: 1
Feedback
1 Correct. Qi is considered the vital source of life.
2 Incorrect. Qi is considered the vital source of life.
3 Incorrect. Qi is considered the vital source of life.
4 Incorrect. Qi is considered the vital source of life.
PTS: 1
Chapter 11: People of Cuban Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Elena Carmen de Diaz, a 76-year-old Cuban American, is recuperating from a myocardial infarction. She is 30 pounds overweight by the “dominant” American standards. Mrs. Diaz tells the nurse she is not displeased with her weight. The nurse should
1. Tell her that if she does not lose weight, she will have another heart attack.
2. Involve her family in helping to explain the importance of losing weight.
3. Factually explain the advantages of losing some weight.
4. Accept the fact that she does not want to lose weight.
____ 2. A 22-year-old from Cuba comes to the prenatal clinic for the first time. She introduces herself as Carmen Elena Salvador Potillo. The receptionist should ask what
1. Is your husband’s surname?
2. Is your husband’s last name?
3. Name do you wish to be called?
4. What is your legal name?
____ 3. Juana Diaz, a Cuban construction worker, prefers 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.
____ 4. The nurse is using an interpreter to interview the parents of a 6-year-old Cuban, Juan, who has left abdominal quadrant pain. Both parents speak some English. The nurse should direct questions to
1. The father.
2. The mother.
3. The interpreter.
4. Both parents.
____ 5. Traditional Cubans value simpatia, which is translated as
1. Having sympathy for your patients.
2. Smooth interpersonal relationships.
3. Personal relationships over bureaucratic relationships.
4. Bureaucratic relationships over personal relationships.
Chapter 11: People of Cuban Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. This may or may not be true, and it does not involve the patient in helping to make a decision to lose weight.
2 Incorrect. The first intervention should be with the patient, not the family.
3 Correct. Providing factual information is the first approach, and then see if the patient wants to lose weight.
4 Incorrect. Being overweight can have a deleterious effect on her heart, and this should be explained to the patient.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. The surname and last name are the same. She may not be using her husband’s last name.
2 Incorrect. The surname and last name are the same. She may not be using her husband’s last name.
3 Incorrect. The name she goes by may not be her legal name.
4 Correct. The legal name is what should be used for record-keeping.
PTS: 1
3. ANS: 1
Feedback
1 Correct. Traditional practitioners are usually known by the individual and more trusted.
2 Incorrect. The use of traditional practitioners is not correlated with socioeconomic status.
3 Incorrect. Traditional healers do not generally specialize in specific health conditions.
4 Incorrect. Traditional healers treat conditions after they have occurred.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. Addressing questions only to the father shows a lack of respect for the mother.
2 Incorrect. Addressing questions only to the mother shows a lack of respect for the father.
3 Incorrect. The nurse should address the questions to both parents, not the interpreter.
4 Correct. The nurse should address the questions to both parents.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Simpatia is the need for smooth interpersonal relationships.
2 Correct. Simpatia is the need for smooth interpersonal relationships.
3 Incorrect. This is a Cuban value but it is not simpatia.
4 Incorrect. Cubans value personal relationships over bureaucratic relationships.
PTS: 1
Chapter 12: People of European American Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 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. 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.
____ 3. European American cultural characteristics, values, and beliefs are reflected in which of the following statements?
1. I do not need prenatal care because having a baby is a natural part of life.
2. My husband is taking time off from work because he wants to be with me for the labor and delivery.
3. Before I make a decision, I need to speak with my parents because I appreciate their advice.
4. I am not going to do anything different during my pregnancy because what will be will be.
____ 4. Low-context English means that
1. Most of the message is implied.
2. Few words are used to express a thought.
3. Many words are used to express a thought.
4. Nonverbal communication is more important than verbal communication.
____ 5. Maintaining eye contact when conversing in the dominant American culture means
1. That the conversants understand each other.
2. That the conversants are being truthful with each other.
3. That the conversants are actively listening.
4. Surprise or anger.
Chapter 12: People of European American Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. Ignoring the lack of timeliness may continue to cause concerns for future situations in which timeliness is important.
2 Correct. The importance of timeliness should be explained if timeliness is important.
3 Incorrect. Ignoring the lack of timeliness may continue to cause concerns for future.
4 Incorrect. Ignoring the lack of timeliness may continue to cause concerns for future situations in which timeliness is important. Given that some people are chronically late, the importance of timeliness should still be explained if timeliness is important.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. This is not a common belief.
2 Incorrect. This is not a common belief.
3 Correct. This is a common belief.
4 Incorrect. This is not a common belief.
PTS: 1
3. ANS: 2
Feedback
1 Incorrect. Whereas many adhere to this philosophy, the woman is expected to seek prenatal care.
2 Correct. This statement is consistent with the European American view of family-centered childbirth.
3 Incorrect. With the value of individualism of the European American culture, the woman does not feel obligated to seek permission from her parents.
4 Incorrect. This statement reflects fatalism, which is not a dominant value in the European American culture.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. In high-context English, most of the message is implied.
2 Incorrect. Low-context English means that many words are used to express a thought.
3 Correct. Low-context English means that many words are used to express a thought.
4 Incorrect. Verbal communication is more important than nonverbal communication in low-context English.
PTS: 1
5. ANS: 3
Feedback
1 Incorrect. Maintaining eye contact does not equate to understanding.
2 Incorrect. Maintaining eye contact does not equate to telling the truth.
3 Correct. Maintaining eye contact in the dominant American culture means that the conversants are listening to each other.
4 Incorrect. Maintaining eye contact in the dominant American culture does not equate to surprise or anger.
PTS: 1
Chapter 13: People of Filipino Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. When assessing the health needs of Filipino young adults and adolescents, the health-care provider should recognize that
1. True feelings are not divulged for fear of hurting the feelings of the receiver of the communication.
2. Communication in this generation is more intragenerational than intergenerational when it comes to thoughts and feelings.
3. This generation assimilates slowly, owing to their overprotective family structure.
4. This group shares intimate thoughts and feelings only with close family members.
____ 2. Lino Faranon, age 39 years, emigrated from the Philippines 12 years ago. He has had abnormal liver enzymes from hepatitis B for at least 15 years. The nurse recognizes that hepatitis B may be a precursor for
1. Diabetes mellitus.
2. Hypertension.
3. Liver cancer.
4. Esophageal cancer.
____ 3. Which of the following Filipino terms means fatalism?
1. Utang na loob
2. Pakkipagkawa
3. Pakiramdam
4. Bahala na
____ 4. When greeting an older Filipino man, the health-care provider should address him using
1. The first name and last name, in that order.
2. The last name and first name, in that order.
3. Only the surname.
4. Gender- and age-specific honorific nouns.
____ 5. Dula Galang, age 35 years, is 48 hours postpartum. She has requested the nurse to find a hilot for her. A hilot is
1. Someone who gives an aromatic sponge bath.
2. The Filipino word for mother.
3. A traditional midwife.
4. A Filipino priest.
Chapter 13: People of Filipino Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. This group is more acculturated because of their desire to assimilate and therefore shares more easily.
2 Correct. In their attempt to assimilate, this group shares their thoughts and feelings more easily.
3 Incorrect. This group acculturates more easily to promote assimilation with their new world.
4 Incorrect. This group is more likely to share intimate thoughts and feelings with others to enhance their acceptance.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. Hepatitis B is not a precursor for diabetes mellitus.
2 Incorrect. Hepatitis B is not a precursor for hypertension.
3 Correct. Hepatitis B is a precursor for liver cancer among Filipinos.
4 Incorrect. Hepatitis B is not a precursor for esophageal cancer.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Utang na loob means reciprocal obligation to kin.
2 Incorrect. Pakkipagkawa means shared identity.
3 Incorrect. Pakiramdam means shared perception with others.
4 Correct. Bahala na means fatalism.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. When greeting an older Filipino, the health-care provider should address him or her with gender- and age-specific honorific nouns.
2 Incorrect. When greeting an older Filipino, the health-care provider should address him or her with gender- and age-specific honorific nouns.
3 Incorrect. When greeting an older Filipino, the health-care provider should address him or her with gender- and age-specific honorific nouns.
4 Correct. When greeting an older Filipino, the health-care provider should address him or her with gender- and age-specific honorific nouns.
PTS: 1
5. ANS: 1
Feedback
1 Correct. A hilot is someone who gives an aromatic sponge bath and massage.
2 Incorrect. A hilot is someone who gives an aromatic sponge bath and massage.
3 Incorrect. A hilot is someone who gives an aromatic sponge bath and massage.
4 Incorrect. A hilot is someone who gives an aromatic sponge bath and massage.
PTS: 1
Chapter 14. People of German Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The home-health nurse arrives at the home of Iolda Schwarts, an 80-year-old who has breast cancer with metastasis to the lungs. Mrs. Schwarts died 15 minutes before the nurse arrived. Her oldest son is sitting quietly in a chair reading a magazine. Her oldest daughter is sobbing uncontrollably and banging her fist into a pillow. The nurse recognizes that
1. Each is grieving in his or her own way.
2. The son probably does not care about his mother’s death.
3. The daughter’s response is exaggerated.
4. The son does not care for the sister.
____ 2. Hans Neuberger, a German American, aged 43 years, is newly diagnosed with hereditary hemochromatosis. The nurses recognize this condition as a
1. New form of myotonic muscular dystrophy.
2. Toxic level of iron accumulation.
3. Form of hepatitis.
4. Type of polycythemia vera.
____ 3. Charles Knapp, a 28-year-old from Germany, suffered multiple fractures from an auto accident. He requests to have a religious leader from the local Lutheran church perform a powwow for his pain. What action should the nurse take?
1. Allow the powwow; the ceremony is not harmful.
2. Get permission from the physician before calling the church.
3. Gently explain that this ceremony is against the rules.
4. Explain that the medication ordered for him is stronger than the powwow.
____ 4. The German language is considered
1. Individualistic.
2. Collectivistic.
3. Low context.
4. High context.
____ 5. Germans have a valued concept called ordnung, which means
1. Community focused.
2. Order.
3. Timeliness.
4. People focused.
Ch14. People of German Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Each is grieving in his or her own way.
2 Incorrect. This may be an incorrect assumption.
3 Incorrect. This may be an incorrect assumption.
4 Incorrect. This may be an incorrect assumption.
PTS: 1
2. ANS: 2
Feedback
1 Incorrect. Hemochromatosis is not a form of myotonic muscular dystrophy.
2 Correct. Hereditary hemochromatosis is a toxic level of iron accumulation seen among populations of German ancestry.
3 Incorrect. Hemochromatosis is not a form of hepatitis.
4 Incorrect. Hemochromatosis is not a type of polycythemia vera.
PTS: 1
3. ANS: 1
Feedback
1 Correct. A powwow will not interfere with any treatment regimen.
2 Incorrect. Permission from a physician is not necessary, but the physician should be made aware of the powwow.
3 Incorrect. Religious ceremonies are protected by law.
4 Incorrect. The powwow may be as effective as the pain medication.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. Languages are not classified as individualistic.
2 Incorrect. Languages are not classified as collectivistic.
3 Correct. German is a low-context language in which many words are used to express a thought.
4 Incorrect. German is a low-context language in which many words are used to express a thought.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Ordnung means order.
2 Correct. Ordnung means order.
3 Incorrect. Ordnung means order.
4 Incorrect. Ordnung means order.
PTS: 1
Chapter 15: People of Haitian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Jean Paul Sabatier, aged 78, is from Haiti. While visiting his daughter and her extended family in the United States, he had a cerebrovascular accident and was admitted to an acute medical unit. The evening nurse is having difficulty with numerous visitors, which is interfering with the other patient in the room. The nurse should
1. Ask a family spokesperson to help control the visitors.
2. Have security talk with them to limit the number of visitors.
3. Ask the physician to talk with the family and explain the importance of limiting visitors.
4. Explain that Mr. Sabatier needs rest and the visitors are interfering with his recovery.
____ 2. Bella Labelle, a 30-year-old Haitian American, is 54 pounds overweight. She emphatically insists that she does not want to be “pencil thin” like many of her friends. The first step in helping her lose weight is to
1. Determine her food preferences.
2. Provide her with a 1000-calorie diet.
3. Provide her with a 1500-calorie diet.
4. Negotiate with her as to what she believes is an acceptable weight.
____ 3. The discharge nurse is providing verbal discharge instructions to Mr. Baptise, a 34-year-old Haitian. When the nurse asks him if he understands the instructions, he looks at her and nods. The nurse recognizes that he probably does not understand and should
1. Ask him to repeat the instructions.
2. Give him written instructions to ensure understanding.
3. Have him demonstrate the instructions.
4. Give the instructions to a family member.
____ 4. An emergency department (ED) nurse has noticed that many Haitians who have had auto accidents were not wearing their seat belts. The most effective strategy to increase compliance with seat belt laws would be to
1. Provide brochures about seat belt use at the time of admission to the ED.
2. Provide brochures about seat belt use at the time of discharge from the ED.
3. Work with paramedics on a billboard display.
4. Work with the Haitian American Church and other community activities.
____ 5. Many Haitians practice the hot and cold theory of health maintenance. Haitian for this practice is
1. Yin and yang.
2. Calor y frio.
3. Fret and cho.
4. Am and duong.
Chapter 15: People of Haitian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Asking a family member to help control the number of visitors is the first option.
2 Incorrect. Asking a family member to help control the number of visitors is the first option.
3 Incorrect. Asking a family member to help control the number of visitors is the first option.
4 Incorrect. Asking a family member to help control the number of visitors is the first option. They may not be interfering with his recovery.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Determining her food preferences does not mean she is agreeable to losing weight.
2 Incorrect. Before a diet is started, negotiation on an acceptable weight is preferable.
3 Incorrect. Before a diet is started, negotiation on an acceptable weight is preferable.
4 Correct. The first step in helping her to lose weight is to negotiate what she believes is an acceptable weight for her.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. Repeating the instructions does not ensure understanding.
2 Incorrect. Giving him written instructions does not ensure understanding.
3 Correct. The nurse should ask him to demonstrate the instructions.
4 Incorrect. Giving the instructions to a family member does not ensure that he or the family member understands them.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. This is not the most effective strategy.
2 Incorrect. This is not the most effective strategy.
3 Incorrect. This is not the most effective strategy.
4 Correct. An effective strategy to increase compliance with seat belt laws would be to work with the Haitian American Church and other Haitian community activities.
PTS: 1
5. ANS: 3
Feedback
1 Incorrect. Yin and yang are Chinese.
2 Incorrect. Calor y frio are Spanish.
3 Correct. Fret and cho are Haitian for hot and cold.
4 Incorrect. Am and duong are Vietnamese.
PTS: 1
Chapter 16: People of Hindu Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. In the “joint” family structure among Hindus, a close relationship between the husband and the wife is
1. Disapproved.
2. Approved.
3. Shared between the families involved.
4. Shared only with the nuclear family.
____ 2. Bandhu Bali, a traditional Hindu, is refusing pain medicine after surgery. The nurse recognizes that many Hindus are stoic with pain because
1. The family is supposed to request pain medicine.
2. Hindus expect pain medicine to be administered without asking.
3. Religious belief in karma means that pain should be borne with courage.
4. Pain medicine will decrease healing.
____ 3. Black-skinned people in India are referred to as
1. Hindustani.
2. Urdu.
3. Dravidians.
4. Punjabi.
____ 4. Which of the following statements about the hot and cold dichotomy of foods is true for Hindus?
1. The geographic differences in the hot and cold perceptions are dramatic.
2. The geographic differences in the hot and cold perceptions are few.
3. Only very traditional Hindus prescribe to the hot and cold dichotomy of foods.
4. The hot and cold dichotomy of food consumption is prescribed by law.
____ 5. One of the principles of Ayurveda is
1. Vegetarianism.
2. One’s health is a personal responsibility.
3. One’s health is a family responsibility.
4. Dependent on one’s karma.
Chapter 16: People of Hindu Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Close relationships are disapproved because it induces favoring the nuclear family and dissolving the joint family.
2 Incorrect. A close family relationship is disapproved in the joint family structure.
3 Incorrect. Close relationships are disapproved because it induces favoring the nuclear family and dissolving the joint family.
4 Incorrect. Close relationships are disapproved because it induces favoring the nuclear family and dissolving the joint family.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. With religious belief in karma, pain should be borne with courage.
2 Incorrect. With religious belief in karma, pain should be borne with courage.
3 Correct. With religious belief in karma, pain should be borne with courage.
4 Incorrect. With religious belief in karma, pain should be borne with courage.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. Hindustani is a dialect of Hindi.
2 Incorrect. Urdu is a language.
3 Correct. Black-skinned people in India are referred to as Dravidians.
4 Incorrect. Punjabi is a region of India.
PTS: 1
4. ANS: 1
Feedback
1 Correct. The geographic differences in the hot and cold perceptions are dramatic.
2 Incorrect. The geographic differences in the hot and cold perceptions are dramatic.
3 Incorrect. Most Hindus prescribe to the hot and cold dichotomy of foods, regardless of the degree of their traditionality.
4 Incorrect. The hot and cold dichotomy of foods is not prescribed by law.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Vegetarianism is not a principle of Ayurveda.
2 Correct. Personal responsibility for health is a hallmark of Ayurveda.
3 Incorrect. One’s health is an individual responsibility, not the responsibility of the family.
4 Incorrect. Karma is not a principle of Ayurveda.
PTS: 1
Chapter 17: People of Hmong Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Many older Hmong living in the United States are functionally illiterate primarily because
1. Of the lack of a written Hmong language.
2. The primary language in school was Vietnamese.
3. The primary language in school was Laotian.
4. Older Hmong did not value education.
____ 2. Many Hmong believe that Americans are rude because they
1. Stand very close when conversing.
2. Stand very far away when conversing.
3. Are too direct with their questions.
4. Avoid eye contact with lower socioeconomic groups.
____ 3. In the Hmong culture, the primary person to make health-care decisions is the
1. Female head of the family.
2. Male head of the family.
3. Grandmother.
4. Oldest daughter.
____ 4. When is a male Hmong considered to be an adult?
1. At age 18 years
2. At age 21 years
3. When the clan leader designates him an adult
4. When he marries
____ 5. Many older Hmong may have breathing difficulties due to
1. Small lung capacity.
2. Paragonimiasis, which is a parasite contracted in Southeast Asia.
3. Malnourishment from childhood.
4. Anxiety-related disorders.
Chapter 17: People of Hmong Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. The Hmong language was not written until the 1950s.
2 Incorrect. The Hmong primary language was Hmong; the Hmong language was not written until the 1950s.
3 Incorrect. The Hmong primary language was Hmong; the Hmong language was not written until the 1950s.
4 Incorrect. Education was valued but primarily for the need to know to function in an agrarian society.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. This is not why Hmong think Americans are rude.
2 Incorrect. This is not why Hmong think Americans are rude.
3 Correct. Among the Hmong, direct questioning can be seen as rude.
4 Incorrect. This is not why Hmong think Americans are rude.
PTS: 1
3. ANS: 2
Feedback
1 Incorrect. The primary person to make health-care decisions is usually the male.
2 Correct. The primary person to make health-care decisions is usually the male.
3 Incorrect. The primary person to make health-care decisions is usually the male.
4 Incorrect. The primary person to make health-care decisions is usually the male.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. A male Hmong becomes an adult when he marries.
2 Incorrect. A male Hmong becomes an adult when he marries.
3 Incorrect. A male Hmong becomes an adult when he marries.
4 Correct. A male Hmong becomes an adult when he marries.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Older Hmong may have breathing difficulties due to paragonimiasis, a parasite contracted in Southeast Asia.
2 Correct. Older Hmong may have breathing difficulties due to paragonimiasis, a parasite contracted in Southeast Asia.
3 Incorrect. Older Hmong may have breathing difficulties due to paragonimiasis, a parasite contracted in Southeast Asia.
4 Incorrect. Older Hmong may have breathing difficulties due to paragonimiasis, a parasite contracted in Southeast Asia.
PTS: 1
Chapter 18: People of Japanese Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Japanese commonly use tatamis (straw mats) in their home. A common problem with tatamis is
1. Allergies caused by nonvegetable dyes.
2. Allergies caused by vegetable dyes.
3. Dust mites.
4. Sliding on floors, causing a physical hazard.
____ 2. First-generation Japanese in the United States are known as
1. Nisei.
2. Sansei.
3. Nihonjin.
4. Issei.
____ 3. Evidence that Japanese are strong believers in illness and disease prevention is evidenced by
1. Not correcting minor orthopedic variations.
2. Not correcting dental variations.
3. Drinking electrolyte-replacement beverages.
4. Wearing face masks in public.
____ 4. Ms. Kalamaru offered the visiting nurse o-cha, which is
1. Warm water with lemon.
2. Cold water with lemon.
3. Green tea.
4. A fermented drink.
____ 5. Pregnant Japanese women are encouraged to
1. Work until their due date.
2. Work until 30 days before their due date.
3. Avoid stressful activities.
4. Avoid intercourse after the first trimester.
Chapter 18: People of Japanese Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Tatamis frequently have dust mites.
2 Incorrect. Tatamis frequently have dust mites.
3 Correct. Tatamis frequently have dust mites.
4 Incorrect. Tatamis frequently have dust mites.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Nisei are second-generation Japanese.
2 Incorrect. Sansei are third-generation Japanese.
3 Incorrect. Nihonjin means Japanese.
4 Correct. Issei are first-generation Japanese.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Although Japanese do not routinely correct minor orthopedic variations, this is not related to illness and disease prevention.
2 Incorrect. Although Japanese do not routinely correct minor dental variations, this is not related to illness and disease prevention.
3 Incorrect. Although Japanese frequently consume electrolyte-replacement beverages, they do so for energy enhancement, not for illness and disease prevention.
4 Correct. Japanese wear face masks in public to shield others from their infection.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. O-cha is green tea.
2 Incorrect. O-cha is green tea.
3 Correct. O-cha is green tea.
4 Incorrect. Sake is a fermented drink.
PTS: 1
5. ANS: 3
Feedback
1 Incorrect. Pregnant women are encouraged to get plenty of rest, but they can continue to work.
2 Incorrect. Pregnant women are encouraged to get plenty of rest, but they can continue to work.
3 Correct. Pregnant women are encouraged to avoid stressful activities.
4 Incorrect. There are no recommendations for avoiding intercourse.
PTS: 1
Chapter 19: People of Jewish Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Abraham Handmann, an Orthodox Jew, came with his wife, Sarah, to the prenatal clinic. The nurse, Luanne Prather, extended her hand in greeting to Mr. Handmann. He did not extend his hand in greeting but rather put his hands behind his back. The nurse recognizes that Mr. Handmann is
1. Uncomfortable with being at the clinic.
2. Being rude.
3. Distracted by his surroundings and all the equipment.
4. Not allowed to touch women other than his wife.
____ 2. Most of the genetic diseases affecting the Jewish population, such as Tay-Sachs disease, Gaucher’s disease, and familial dysautonomia, are autosomal recessive. This means that
1. The mother is the carrier.
2. The father is the carrier.
3. Both parents are carriers.
4. The paternal grandparents are the carriers.
____ 3. When does Sabbath begin for Jews?
1. Just before sunset on Friday
2. Just before sunset on Saturday
3. Two hours after sunset on Friday
4. Two hours after sunset on Saturday
____ 4. From what part of the world do Sephardic Jews originate?
1. Eastern Europe
2. Africa
3. South America
4. Spain and Portugal
____ 5. Which of the following foods is appropriate to serve at a conference at which Jewish people are in attendance?
1. Chicken cordon bleu
2. Ham with pineapple
3. Veal alfredo
4. Steak with no sauce
Chapter 20: People of Korean Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The dominant Korean language is
1. Chusok.
2. Hyo.
3. Han’gul.
4. Tae-kyo.
____ 2. With which religion do most of the Koreans in the United States identify?
1. Buddhism
2. Confucianism
3. Chondo-kyo
4. Christianity
____ 3. Korean women practice tae-kyo during their pregnancy. The objective of tae-kyo, fetus education, is to
1. Have a small baby.
2. Have a baby without birthmarks.
3. Promote the health and well-being of the fetus and mother by having the mother focus on art and beautiful objects.
4. Ensure having a male offspring.
____ 4. The structure Koreans use to write their full name is
1. First name, middle name, last name, mother’s maiden name.
2. Mother’s maiden name, last name, first name.
3. First name, mother’s maiden name, middle name, last name.
4. Last name, first name, middle name.
____ 5. The nurse suspects spousal abuse with a Korean patient being seen in the Emergency Department. The nurse should address the
1. Patient directly and ask about suspected abuse.
2. Patient indirectly and ask about the suspected abuse.
3. Spouse and the patient directly about the suspected abuse.
4. Spouse of the patient indirectly and ask about suspected abuse.
Chapter 20: People of Korean Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Chusok is the harvest moon festival in Korea.
2 Incorrect. Hyo means respect in Korean.
3 Correct. Han’gul is the dominant language in Korea.
4 Incorrect. Tae-kyo means fetus education.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Most Koreans in the United States identify with Christian religions.
2 Incorrect. Most Koreans in the United States identify with Christian religions.
3 Incorrect. Most Koreans in the United States identify with Christian religions.
4 Correct. Most Koreans in the United States identify with Christian religions.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. The objective of tae-kyo is to promote the health and well-being of the fetus and mother by having the mother focus on art and beautiful objects.
2 Incorrect. The objective of tae-kyo is to promote the health and well-being of the fetus and mother by having the mother focus on art and beautiful objects.
3 Correct. The objective of tae-kyo is to promote the health and well-being of the fetus and mother by having the mother focus on art and beautiful objects.
4 Incorrect. The objective of tae-kyo is to promote the health and well-being of the fetus and mother by having the mother focus on art and beautiful objects.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. The system Koreans use to write their full name is last name, first name, middle name.
2 Incorrect. The system Koreans use to write their full name is last name, first name, middle name.
3 Incorrect. The system Koreans use to write their full name is last name, first name, middle name.
4 Correct. The system Koreans use to write their full name is last name, first name, middle name.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Koreans value indirect communication.
2 Correct. Koreans value indirect communication.
3 Incorrect. Asking sensitive information with the spouse present will probably not get accurate information.
4 Incorrect. Asking the spouse directly will probably not get accurate information.
PTS: 1
Chapter 21: People of Mexican Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. When assisting Mexican families to make important health-care decisions, the health provider must remember that the decision-making authority is determined by
1. A patriarchal family structure.
2. A matriarchal family structure.
3. Godparents.
4. A family structure in which gender roles vary according to social class and education.
____ 2. Kelly de la Caza Gaborra y Salinas has come to the maternity clinic for her first prenatal visit. What name should the receptionist use for her medical record?
1. Ask her what her legal name is.
2. Use de la Caza, her husband’s name.
3. Use her father’s name, Gaborra.
4. Use her mother’s maiden name, Salinas.
____ 3. Enrique and Maria Sanchez bring their 3-year-old son, Olmedo, to the public-health clinic because he has been increasingly lethargic over the last 3 days. The parents tell the nurse that they have been giving him greta for a toothache. The nurse realizes that greta has high levels of
1. Lead.
2. Iron.
3. Sulfonamides.
4. Digitalis.
____ 4. When assessing a 2-year-old child, the nurse should address questions to
1. Only the father, whose role is spokesperson for the family.
2. The mother, who usually knows more about the child’s behavior than the father.
3. Both parents.
4. Whichever parent seems to understand English the best.
Chapter 21: People of Mexican Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. Even though Mexico is a society of machismo, decision-making varies with social class and education.
2 Incorrect. Decision-making varies with social class and education. In lower socioeconomic groups, women tend to be the decision-makers.
3 Incorrect. Although godparents may be consulted, they are not the primary decision-makers.
4 Correct. Gender roles and decision-making authority are dependent upon social class and education.
PTS: 1
2. ANS: 1
Feedback
1 Correct. Most Hispanic/Latina women have an extended-name format. She can use any name she wishes for a legal name.
2 Incorrect. Most Hispanic/Latina women have an extended-name format. She can use any name she wishes for a legal name.
3 Incorrect. Most Hispanic/Latina women have an extended-name format. She can use any name she wishes for a legal name.
4 Incorrect. Most Hispanic/Latina women have an extended-name format. She can use any name she wishes for a legal name.
PTS: 1
3. ANS: 1
Feedback
1 Correct. Greta has high levels of lead.
2 Incorrect. Greta does not have high levels of iron.
3 Incorrect. Greta does not have high levels of sulfonamides.
4 Incorrect. Greta does not have high levels of digitalis.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. The father may be the spokesperson, but questions should be addressed to both parents.
2 Incorrect. This may be true, but questions should be addressed to both parents.
3 Correct. The nurse should address the questions to both parents.
4 Incorrect. Questions should be addressed to both parents, regardless of their English language skills.
PTS: 1
Chapter 19: People of Jewish Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. Orthodox men are not permitted to touch women other than their wives, and this should not be taken as rude behavior.
2 Incorrect. Orthodox men are not permitted to touch women other than their wives, and this should not be taken as rude behavior.
3 Incorrect. Orthodox men are not permitted to touch women other than their wives, and this should not be taken as rude behavior.
4 Correct. Orthodox men are not permitted to touch women other than their wives, and this should not be taken as rude behavior.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. This is not the definition of autosomal recessive.
2 Incorrect. This is not the definition of autosomal recessive.
3 Correct. This is the definition of autosomal recessive.
4 Incorrect. This is not the definition of autosomal recessive.
PTS: 1
3. ANS: 1
Feedback
1 Correct. Sabbath begins 18 minutes before sunset on Friday.
2 Incorrect. Sabbath begins 18 minutes before sunset on Friday.
3 Incorrect. Sabbath begins 18 minutes before sunset on Friday.
4 Incorrect. Sabbath begins 18 minutes before sunset on Friday.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. Ashkenazi Jews originate from Eastern Europe.
2 Incorrect. Sephardic Jews originate from Spain and Portugal.
3 Incorrect. Sephardic Jews originate from Spain and Portugal.
4 Correct. Sephardic Jews originate from Spain and Portugal.
PTS: 1
5. ANS: 4
Feedback
1 Incorrect. Chicken cordon bleu contains ham, which is not eaten by traditional Jews.
2 Incorrect. Ham is not eaten by Jews.
3 Incorrect. Veal is eaten by Jews but not with an alfredo sauce. Milk and meat are not mixed at the same meal.
4 Correct: Steak is a meat choice permitted by Jews.
PTS: 1
1 Incorrect. Chicken cordon bleu contains ham, which is not eaten by traditional Jews.
2 Incorrect. Ham is not eaten by Jews.
3 Incorrect. Veal is eaten by Jews but not with an alfredo sauce. Milk and meat are not mixed at the same meal.
4 Correct: Steak is a meat choice permitted by Jews.
PTS: 1
Chapter 22: People of Polish Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Ludwick Ciborek, an immigrant from eastern Poland, was a farmer before coming to the United States 12 years ago. Based on his country of origin, Mr. Ciborek should be assessed for
1. Mental health disorders owing to his age.
2. Cardiovascular disease owing to his occupation.
3. Multiple sclerosis owing to his genetic background.
4. Cancer owing to radiation exposure.
____ 2. The current wave of Polish who emigrate are often referred to as
1. Proportionalists.
2. Reductionists.
3. Religious immigrants.
4. Solidarity immigrants.
____ 3. When interacting with others, Poles consider
1. Gender and religion.
2. Age and family importance.
3. Title and religion.
4. Age, gender, and title.
____ 4. Nicoderm Slawinska, a 22-year-old Pole with blond hair and blue eyes, is at an increased risk for
1. Thyroid disorders.
2. Thyroid cancer.
3. Skin cancer.
4. Cardiovascular disorders.
____ 5. Owing to their sense of stoicism and fear of being dependent upon others, Polish Americans use inadequate pain medication and use
1. Distraction as a means of coping.
2. Loud moaning as a means of coping.
3. Alternate between hot and cold for abdominal pain.
4. Eat nonspicy foods.
Chapter 22: People of Polish Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. People living in eastern Poland at the time of the Chernobyl incident in Russia are at an increased risk for cancer owing to radiation exposure. They are not at increased risk for mental-health disorders.
2 Incorrect. People living in eastern Poland at the time of the Chernobyl incident in Russia are at an increased risk for cancer owing to radiation exposure. They are not at an increased risk owing to farming.
3 Incorrect. People living in eastern Poland at the time of the Chernobyl incident in Russia are at an increased risk for cancer owing to radiation exposure. They are not at increased risk for multiple sclerosis owing to their genetic background.
4 Correct. People living in eastern Poland at the time of the Chernobyl incident in Russia are at an increased risk for cancer owing to radiation exposure.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. The current wave of Polish who emigrate are often referred to as solidarity immigrants.
2 Incorrect. The current wave of Polish who emigrate are often referred to as solidarity immigrants.
3 Incorrect. The current wave of Polish who emigrate are often referred to as solidarity immigrants.
4 Correct. The current wave of Polish who emigrate are often referred to as solidarity immigrants.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. When interacting with others, Poles consider age, gender, and title but not religion.
2 Incorrect. When interacting with others, Poles consider age, gender, and title but not family importance.
3 Incorrect. When interacting with others, Poles consider age, gender, and title but not religion.
4 Correct. When interacting with others, Poles consider age, gender, and title.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. Her physical description does not indicate an increased risk for thyroid disorders.
2 Incorrect. Her physical description does not indicate an increased risk for thyroid cancer.
3 Correct. Any person with a fair complexion is at an increased risk for skin cancer.
4 Incorrect. Her physical description does not indicate an increased risk for cardiovascular disorders.
PTS: 1
5. ANS: 1
Feedback
1 Correct. Distraction is seen as a means of coping with pain for some Poles.
2 Incorrect. This is not consistent with stoicism.
3 Incorrect. There is no evidence that this is a treatment.
4 Incorrect. There is no evidence that this is a treatment.
PTS: 1
Chapter 23: People of Puerto Rican Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The concept of hot and cold is recognized by most Puerto Ricans. The health-care professional recognizes that this concept is
1. Related to the metabolic properties of food.
2. Consistent across cultural groups.
3. Related to the temperature of foods.
4. Related to the spiciness of foods.
____ 2. Mrs. Estrada, an 80-year-old Puerto Rican, self-identifies as Boricua, which is
1. A slang expression for Puerto Ricans.
2. Used only by older Puerto Ricans.
3. The Taino Indian word for Puerto Rico.
4. The Puerto Rican word for respected elders.
____ 3. When assisting Puerto Rican families to make important health-care decisions, the health provider must remember that the decision-making authority is determined by
1. A patriarchal family structure.
2. A matriarchal family structure.
3. Godparents.
4. A family structure in which decision-making varies according to social class and education.
____ 4. Which of the following is a traditional folk healer used by Puerto Ricans?
1. Diviner
2. Hoca
3. Espiritista
4. Hilot
____ 5. Traditional Puerto Ricans express grief of a loved one
1. Stoically.
2. Through loud crying.
3. Silent tears.
4. Histrionically.
Chapter 23: People of Puerto Rican Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Hot and cold relate to the metabolic properties of food.
2 Incorrect. Hot and cold are not consistent across cultural groups.
3 Incorrect. Hot and cold have more to do with metabolic properties and how they are used in the body than with temperature alone.
4 Incorrect. Hot and cold have more to do with metabolic properties and how they are used in the body than with spiciness alone.
PTS: 1
2. ANS: 3
Feedback
1 Incorrect. Boricua is not a slang expression for Puerto Ricans. Boricua is the Taino Indian word for Puerto Rico.
2 Incorrect. All age groups may self-identify as Boricua.
3 Correct. Boricua is the Taino Indian word for Puerto Rico.
4 Incorrect. Boricua is not a word used for respected elders. Boricua is the Taino Indian word for Puerto Rico.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Even though Cuba is a society of machismo, decision-making varies with social class and education.
2 Incorrect. Decision-making varies with social class and education. In lower socioeconomic groups, women tend to be the decision-makers.
3 Incorrect. Although godparents may be consulted, they are not the primary decision-makers.
4 Correct. Gender roles and decision-making authority are determined by social class and education.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. A diviner is a Navajo folk practitioner.
2 Incorrect. A hoca is a Turkish folk healer.
3 Correct. An espiritista is a folk healer used by Puerto Ricans.
4 Incorrect. A hilot is a Filipino folk healer.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Traditional Puerto Ricans express grief of a loved one through loud crying and verbal expressions of grief. They are not stoic.
2 Correct. Traditional Puerto Ricans express grief of a loved one through loud crying and verbal expressions of grief.
3 Incorrect. Traditional Puerto Ricans express grief of a loved one through loud crying and verbal expressions of grief.
4 Incorrect. Although traditional Puerto Ricans express grief of a loved one through loud crying and verbal expressions of grief, they are not usually histrionic.
PTS: 1
Chapter 24: People of Russian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Vladimir Sarinov, a visitor from Russia, was in a minor automobile accident. The emergency room physician recommended that he apply ice packs to the contusions on his abdomen. He asked the discharge nurse if that was really correct and that in his country they did not use ice for such things. The nurse should explain
1. The necessity of treatment with ice in factual terms.
2. That treatments in Russia are outdated.
3. That this is the way contusions are treated in the United States.
4. That treatment with ice will prevent further bruising.
____ 2. A 60-year-old Russian immigrant is reluctant to share his troubled history with the nurse. The nurse recognizes that he needs to
1. Establish trust.
2. Speak more slowly owing to a generational difference.
3. Use very simple English; she does not understand him.
4. Obtain someone with the same religious background as the patient.
____ 3. A 76-year-old man from Russia is 3 days postcoronary bypass. The nurse notices he is reluctant to take prescribed pain medication. The best approach to get him to accept pain medication is to
1. Give it to him without asking him.
2. Tell him that the doctor has ordered it.
3. Explain that the pain medicine will promote healing.
4. Explain that taking pain medicine will not decrease his manliness.
____ 4. Many Russian immigrants are reluctant to immunize their children because
1. Immunizations are not done in Russia.
2. They fear adverse side effects.
3. The quality of immunizations in Russia was questionable.
4. They do not want the child to undergo a painful procedure.
____ 5. In terms of burial practice, Russian Orthodox
1. Usually practice cremation.
2. Do not usually practice cremation.
3. Practice interment exclusively.
4. Bury in waterproof vaults aboveground.
Chapter 24: People of Russian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Factual information is best in this example.
2 Incorrect. Avoid putting down other people’s practices.
3 Incorrect. Factual information is best in this example.
4 Incorrect. Factual information is best in this example.
PTS: 1
2. ANS: 1
Feedback
1 Correct. Older immigrants from Russia may be reluctant to disclose personal information and may not trust health-care providers based on their sense of decorum.
2 Incorrect. A generational difference is not the reason for his reluctance to disclose personal information.
3 Incorrect. Nothing in the scenario indicates that the patient does not understand the nurse.
4 Incorrect. The religious backgrounds of the patient and nurse are not known from this scenario.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. The patient has the right to know when he is getting pain medicine.
2 Incorrect. Just because the doctor ordered the pain medicine does not mean he wants to take it.
3 Correct. Pain medicine will increase his mobility and promote healing.
4 Incorrect. He may see this as insulting.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. Many Russian immigrants are reluctant to immunize their children because the quality of immunizations in Russia was questionable.
2 Incorrect. Many Russian immigrants are reluctant to immunize their children because the quality of immunizations in Russia was questionable.
3 Correct. Many Russian immigrants are reluctant to immunize their children because the quality of immunizations in Russia was questionable.
4 Incorrect. Many Russian immigrants are reluctant to immunize their children because the quality of immunizations in Russia was questionable.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Cremation is unlikely among Russian Orthodox.
2 Correct. Cremation is unlikely among Russian Orthodox.
3 Incorrect. Interment is a viable choice, but it is not exclusive.
4 Incorrect. Burial aboveground in a waterproof vault is not common practice.
PTS: 1
Chapter 25: American Indians and Alaska Natives
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Mr. Begay, a 62-year-old Navajo Indian, has been admitted to a medical unit for immunodeficiency syndrome. While his wife is visiting him, the nurse asks her additional questions for Mr. Begay’s health assessment. However, Mrs. Begay does not answer the questions but just looks at her husband. Mrs. Begay does not answer the questions because
1. She does not know the answers.
2. She does not want to contradict previous information.
3. According to Navajo tradition, one should not speak for another person.
4. According to Navajo tradition, Mr. Begay is the head of the household.
____ 2. Which of the following is not a traditional Navajo Indian folk practitioner?
1. Singer
2. Diviner
3. Crystal gazer
4. Sand painter
____ 3. Rather than pointing with the finger to give direction, the Navajo
1. Move their head in the desired direction.
2. Move their entire body in the desired direction.
3. Shift their eyes in the desired direction.
4. Shift their lips in the desired direction.
____ 4. Single-parent households among the Navajo are
1. Uncommon because of a severe stigma.
2. Uncommon because of the value placed on virginity.
3. Accepted without stigma.
4. Accepted but with a stigma.
____ 5. The Indian Preference Law states that Indian Health Service must
1. Hire an AI/AN if available.
2. Give preference to an AI/AN.
3. Give preference to women over men.
4. Give preference to men over women.
____ 6. Severe combined immunodeficiency syndrome (SCIDS)
1. Is caused by a misuse of alcohol.
2. Is a failure of the antibody response and cell-mediated immunity.
3. Results from a lack of micronutrients in traditional diets.
4. Results from inadequate preservations of milk and milk products.
Chapter 25: American Indians and Alaska Natives
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. According to Navajo tradition, one should not speak for another person.
2 Incorrect. According to Navajo tradition, one should not speak for another person.
3 Correct. According to Navajo tradition, one should not speak for another person.
4 Incorrect. We do not know from the scenario whether Mr. Begay is the head of the household. According to Navajo tradition, one should not speak for another person.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. A singer is a type of traditional Navajo folk practitioner.
2 Incorrect. A diviner is a type of traditional Navajo folk practitioner.
3 Incorrect. A crystal gazer is a type of traditional Navajo folk practitioner.
4 Correct. Sand painting is a form of Navajo art.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Rather than pointing with the finger to give direction, the Navajo shift their lips in the desired direction.
2 Incorrect. Rather than pointing with the finger to give direction, the Navajo shift their lips in the desired direction.
3 Incorrect. Rather than pointing with the finger to give direction, the Navajo shift their lips in the desired direction.
4 Correct. Rather than pointing with the finger to give direction, the Navajo shift their lips in the desired direction.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. Single-parent households among the Navajo are accepted without stigma.
2 Incorrect. Single-parent households among the Navajo are accepted without stigma.
3 Correct. Single-parent households among the Navajo are accepted without stigma.
4 Incorrect. Single-parent households among the Navajo are accepted without stigma.
PTS: 1
5. ANS: 1
Feedback
1 Correct. IHS is the only organization allowed to discriminate in hiring practices.
2 Incorrect. IHS is the only organization allowed to discriminate in hiring practices.
3 Incorrect. IHS does not dictate gender in hiring.
4 Incorrect. IHS does not dictate gender in hiring.
PTS: 1
6. ANS: 2
Feedback
1 Incorrect. SCIDS is not caused from a misuse of alcohol.
2 Correct. SCIDS is an immunodeficiency syndrome that results in a failure of the antibody response and cell-mediated immunity.
3 Incorrect. SCIDS is not a result from a lack of micronutrients in traditional diets.
4 Incorrect. SCIDS does not result from inadequate preservations of milk and milk products.
PTS: 1
Chapter 26: People of Baltic Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Jaan Gulbe, a 50-year-old of Estonian ancestry, spent many years in Russia where his parents were taken during World War II. He is currently working in the hospital maintenance department and having difficulty making decisions related to his work. His supervisor recognizes that
1. He is fearful of making a mistake.
2. He does not know the job requirements.
3. He dislikes authority figures.
4. His reluctance to make decisions is probably based on values he learned under the Communist regime.
____ 2. Adomas and Gelda Galinas, Latvian first-generation immigrants, are expecting their first child. When the nurse encourages Mr. Galinas to accompany his wife to the delivery room, he is reluctant to do so. The nurse should
1. Respect his wishes and not make him feel guilty.
2. Explain the benefits of his presence in the delivery room.
3. Ask his wife to have him accompany her to the delivery room.
4. Encourage him to accompany his wife along with her mother to the delivery room.
____ 3. Newer immigrants from the Baltic countries should be assessed for
1. Malaria.
2. Thalassemia.
3. Orthopedic disorders.
4. Endocrine disorders.
____ 4. The language spoken by people from the Baltic countries is
1. The same for Latvians and Lithuanians but different for Estonians.
2. The same for Estonians and Latvians but different for Lithuanians.
3. Different for each country.
4. The same for each country.
____ 5. When people of Baltic descent have a conflict with people in the workforce, they usually
1. Quickly and directly confront the issue.
2. Find ways to deal with difficult situations or people through the use of humor or deference.
3. Ignore the conflict until it escalates to an unbearable situation.
4. Do not deal with the conflict directly.
Chapter 26: People of Baltic Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. His reluctance to make decisions is probably based on values he learned under the Communist regime. We do not know if he is fearful of making a mistake.
2 Incorrect. His reluctance to make decisions is probably based on values he learned under the Communist regime. We do not know if he does not know the job requirements.
3 Incorrect. His reluctance to make decisions is probably based on values he learned under the Communist regime. We do not know if he dislikes authority figures.
4 Correct. His reluctance to make decisions is probably based on values he learned under the Communist regime.
PTS: 1
2. ANS: 1
Feedback
1 Correct. The nurse should respect his wishes and not make him feel guilty.
2 Incorrect. The nurse should respect his wishes and not make him feel guilty.
3 Incorrect. The nurse should respect his wishes and not make him feel guilty.
4 Incorrect. The nurse should respect his wishes and not make him feel guilty.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Baltic immigrants are not at high risk for malaria.
2 Incorrect. Baltic immigrants are not at high risk for thalassemia.
3 Incorrect. Baltic immigrants are not at high risk for orthopedic disorders.
4 Correct. Newer immigrants from the Baltic countries should be assessed for endocrine disorders because of radiation fallout from the Chernobyl accident.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. The language spoken by people from the Baltic countries is different for each country.
2 Incorrect. The language spoken by people from the Baltic countries is different for each country.
3 Correct. The language spoken by people from the Baltic countries is different for each country.
4 Incorrect. The language spoken by people from the Baltic countries is different for each country.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. When people of Baltic descent have a conflict with people in the workforce, they usually find ways to deal with difficult situations or people through the use of humor or deference.
2 Correct. Baltic people commonly use humor to deal with difficult situations.
3 Incorrect. When people of Baltic descent have a conflict with people in the workforce, they usually find ways to deal with difficult situations or people through the use of humor or deference.
4 Incorrect. When people of Baltic descent have a conflict with people in the workforce, they usually find ways to deal with difficult situations or people through the use of humor or deference.
PTS: 1
Chapter 27: People of Brazilian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Lisimaco Bonilla, a 67-year-old Brazilian, has colon cancer. When the nurse talks with him about his discharge instructions, he is reluctant to talk about his disease. The nurse recognizes that
1. This is a culture-bound practice.
2. He is in denial.
3. He does not understand what the nurse is saying.
4. He does not understand the impact of his illness.
____ 2. The folk-health field has many types of health-care practitioners for Brazilians. Praying women or rezadeiras assist the family by
1. Helping to exorcise an illness.
2. Acting as sorcerers.
3. Summoning the appropriate souls and spirits.
4. Acting as health-care counselors or advisors.
____ 3. Important taboos for pregnant women in Brazil include
1. Swimming, hard work, and sexual relations.
2. Eating too much and lifting the arms above the head.
3. Eating black fruits, going out in the morning dew, and taking vitamins.
4. Sitting by the window in the dark, knitting, and naming the baby before it is born.
____ 4. Family is the greatest source of strength to the Brazilians. In order to honor a deceased family member, they practice certain rituals such as
1. Placing fresh flowers at a family altar and the burial site weekly.
2. Chanting over the body until the burial ceremony is complete.
3. Wearing black for one year as a mourning ritual.
4. Placing the deceased’s portrait in the family chapel or near the family altar where an eternal light burns.
____ 5. Many Brazilians believe that talking about an illness
1. Positively influences the outcome.
2. Negatively influences the outcome.
3. Increases discrimination.
4. Gets increased sympathy.
Chapter 27: People of Brazilian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Many traditional Brazilians do not like to talk about their disease.
2 Incorrect. This may be true, but many traditional Brazilians do not like to talk about their disease
3 Incorrect. This may be true, but many traditional Brazilians do not like to talk about their disease.
4 Incorrect. This may be true, but many traditional Brazilians do not like to talk about their disease.
PTS: 1
2. ANS: 1
Feedback
1 Correct. Rezadeiras are sought to exorcise an illness.
2 Incorrect. Catimbozeiros are sorcerers.
3 Incorrect. Espiritualistas summon souls and spirits.
4 Incorrect. Conselheiros are counselors or advisors.
PTS: 1
3. ANS: 1
Feedback
1 Correct. These are important Brazilian taboos.
2 Incorrect. Pregnant Brazilian women are encouraged to eat for two because bigger babies are considered healthy babies.
3 Incorrect. These taboos are part of the Filipino culture.
4 Incorrect. These taboos are part of the Filipino culture.
PTS: 1
4. ANS: 4
Feedback
1 Incorrect. Although some may do this, it is not a death ritual.
2 Incorrect. Although this is a ritual in some cultures, it is not a common practice for this culture.
3 Incorrect. Although older family members may wear black for various lengths of time based on the relationship of the family member, it is not a routine practice.
4 Correct. This is a common Brazilian death ritual.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Many Brazilians believe that talking about an illness negatively influences the outcome.
2 Correct. Many Brazilians believe that talking about an illness negatively influences the outcome.
3 Incorrect. Many Brazilians believe that talking about an illness negatively influences the outcome.
4 Incorrect. Many Brazilians believe that talking about an illness negatively influences the outcome.
PTS: 1
Chapter 28: People of Egyptian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Understanding that touch, when necessary, is allowed and expected from health professionals is important. However, when observing spatial relationships and touch between Egyptian clients, it is important to understand that
1. Personal space is more distant between same-sex friends than between opposite-sex partners.
2. Touching and holding hands among strict Muslims are inappropriate between opposite-sex friends.
3. Touching and holding hands in public between same-sex friends are inappropriate.
4. Women are free to vent their anger to their husbands and powerful figures.
____ 2. Hamadi Ramses, age 42 years, has been admitted for major abdominal surgery. The admitting nurse is highly anxious because he speaks in a loud voice and appears angry. The nurse should
1. Recognize that loud speech may not be anger but rather the Egyptian dynamic speech pattern.
2. Ask the patient to lower his voice.
3. Get a male to complete the assessment.
4. Return later when the patient has had time to adjust to his room.
____ 3. What type of health-care provider do most Egyptians prefer for nonintimate care?
1. Male
2. Female
3. Younger
4. Older
____ 4. The dominant language of Egyptians is
1. Egyptian.
2. English.
3. Arabic.
4. French
____ 5. Pap smears may be unacceptable for unmarried Egyptians because
1. They are afraid of them.
2. Of the expectations for preserving virginity until marriage.
3. They are painful or uncomfortable.
4. They do not trust physicians.
Chapter 28: People of Egyptian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. Personal space is closer between same-sex friends than between opposite-sex partners.
2 Correct. Strict Muslims may not shake hands or touch members of the opposite sex.
3 Incorrect. Touching and holding hands are appropriate among male Hindus.
4 Incorrect. Generally, women are not free to vent their anger against their husbands or powerful figures.
PTS: 1
2. ANS: 1
Feedback
1 Correct. Loud speech may not be anger but rather the Egyptian dynamic speech pattern.
2 Incorrect. Asking him to lower his voice may not mean that he will do so.
3 Incorrect. Traditional Egyptians use loud voice volume with males and females.
4 Incorrect. Returning later will not solve the nurse’s anxiety about a loud voice.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. For intimate-care procedures, many prefer same-gender providers.
2 Incorrect. For intimate-care procedures, many prefer same-gender providers.
3 Incorrect. Most Egyptians prefer older health-care providers, believing they have more wisdom and knowledge.
4 Correct. Most Egyptians prefer older health-care providers, believing they have more wisdom and knowledge.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. The dominant language of Egyptians is Arabic. There is no language called Egyptian.
2 Incorrect. The dominant language of Egyptians is Arabic.
3 Correct. The dominant language of Egyptians is Arabic.
4 Incorrect. The dominant language of Egyptians is Arabic.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Pap smears may be unacceptable for unmarried Egyptians because women are expected to be virgins until married.
2 Correct. Pap smears may be unacceptable for unmarried Egyptians because women are expected to be virgins until married.
3 Incorrect. Pap smears may be unacceptable for unmarried Egyptians because women are expected to be virgins until married.
4 Incorrect. Pap smears may be unacceptable for unmarried Egyptians because women are expected to be virgins until married.
PTS: 1
Chapter 29: People of French Canadian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. French Canadians whose first language is French are commonly called
1. Metis.
2. Acadians.
3. Francophones.
4. First peoples.
____ 2. Which of the following statements is true among French Canadian women regarding breastfeeding?
1. Francophones breastfeed at higher rates than do Anglophones.
2. Anglophones breastfeed at higher rates than do Francophones.
3. Anglophones and Francophones breastfeed at the same rates.
4. Studies comparing the two groups have not been done.
____ 3. The Canadian population, Metis, is (are)
1. Acadians.
2. Joual.
3. Francophones.
4. Of Native American descent.
____ 4. Traditional French Canadian intergenerational relationships are
1. Rapidly disappearing.
2. Greater than in previous times.
3. Disappearing in Quebec but not in Ontario.
4. Disappearing in Ontario but not in Quebec.
____ 5. The late 1960s and early 1970s brought important modifications in education and industrialization and increased the role of women in economic activity among Canadians. This era was called
1. The Quiet Revolution.
2. The Era of Equality.
3. Women’s Equality.
4. Gender Equality.
Chapter 29: People of French Canadian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Metis are descendents of Native Americans and Europeans.
2 Incorrect. Acadians are descendents of early French colonists, mainly from west-central France.
3 Correct. Canadians whose first language is largely French are called Francophones.
4 Incorrect. First peoples refer to the Native Indian population.
PTS: 1
2. ANS: 2
Feedback
1 Incorrect. Anglophones breastfeed at higher rates (48 percent) than do Francophones (26 percent).
2 Correct. Anglophones breastfeed at higher rates (48 percent) than do Francophones (26 percent).
3 Incorrect. Anglophones breastfeed at higher rates (48 percent) than do Francophones (26 percent).
4 Incorrect. Anglophones breastfeed at higher rates (48 percent) than do Francophones (26 percent).
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. The French group who settled in Nova Scotia and New Brunswick are Acadians. Francophones are Canadians whose first language is French.
2 Incorrect. Joual is a French dialect.
3 Incorrect. Francophones are French-speaking Canadians.
4 Correct. Metis are of Native American and European descent.
PTS: 1
4. ANS: 1
Feedback
1 Correct. Traditional French Canadian intergenerational relationships are rapidly disappearing.
2 Incorrect. Traditional French Canadian intergenerational relationships are rapidly disappearing.
3 Incorrect. Traditional French Canadian intergenerational relationships are rapidly disappearing.
4 Incorrect. Traditional French Canadian intergenerational relationships are rapidly disappearing.
PTS: 1
5. ANS: 1
Feedback
1 Correct. The Era of Equality increased the role of women in economic activity for Canadian women.
2 Incorrect. This era was called the Quiet Revolution.
3 Incorrect. This era was called the Quiet Revolution.
4 Incorrect. This era was called the Quiet Revolution.
PTS: 1
Chapter 30: People of Greek Ancestry
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The core values of honor and respect among people of Greek heritage are called
1. Giagia.
2. Philotimo.
3. Koumarbi.
4. Chistosomo.
____ 2. Many Greeks practice the vendouses, which is
1. Acupuncture.
2. Acupressure.
3. Coining.
4. Cupping.
____ 3. Mr. Philopopous has been taking her 5-month-old daughter who has colic to a magissa. A magissa is woman who cures
1. Abdominal conditions.
2. Earaches.
3. The evil eye.
4. Pulmonary conditions.
____ 4. Fasting is an integral part of the Greek Orthodox religion. During fasts
1. It is forbidden to eat meat, fish, and animal products.
2. Nothing is permitted except water.
3. Meat is prohibited but fish is acceptable.
4. Meat is prohibited but dairy products are permitted.
____ 5. The Greek concept of self consists of the interrelationship of three values, which are
1. Interdependence, serving others, and serving a higher being.
2. Independence, serving others, and spirituality.
3. Collective thinking, tempered personality, and spirituality.
4. Self-respect, a sense of freedom, and the concept of the ideal person.
Chapter 30: People of Greek Ancestry
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. Giagia means grandma.
2 Correct. The core values of honor and respect are called philotimo.
3 Incorrect. Koumarbi means coparents.
4 Incorrect. Chistosomo is a type of bread served at Christmas.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Vendouses is cupping.
2 Incorrect. Vendouses is cupping.
3 Incorrect. Vendouses is cupping.
4 Correct. Vendouses is cupping.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. A magissa cures the evil eye.
2 Incorrect. A magissa cures the evil eye.
3 Correct. A magissa cures the evil eye.
4 Incorrect. A magissa cures the evil eye.
PTS: 1
4. ANS: 1
Feedback
1 Correct. During fasts, it is forbidden to eat meat, fish, and animal products.
2 Incorrect. During fasts, it is forbidden to eat meat, fish, and animal products such as eggs, cheese, and milk. Water is permitted.
3 Incorrect. During fasts, it is forbidden to eat meat, fish, and animal products such as eggs, cheese, and milk.
4 Incorrect. During fasts, it is forbidden to eat meat, fish, and animal products such as eggs, cheese, and milk.
PTS: 1
5. ANS: 4
Feedback
1 Incorrect. The Greek concept of self consists of the interrelationship of the three values: self-respect, a sense of freedom, and the concept of the ideal person.
2 Incorrect. The Greek concept of self consists of interrelationship of the three values: self-respect, a sense of freedom, and the concept of the ideal person.
3 Incorrect. The Greek concept of self consists of interrelationship of the three values: self-respect, a sense of freedom, and the concept of the ideal person.
4 Correct. The Greek concept of self consists of interrelationship of the three values: self-respect, a sense of freedom, and the concept of the ideal person.
PTS: 1
Chapter 31: People of Guatemalan Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is giving dietary discharge instructions to Senora de la Caza, who tells the nurse she eats only Salvadorian food. The nurse should first
1. Help her adapt the U.S. Department of Agriculture Food Pyramid to her food choices.
2. Encourage her to change her food patterns.
3. Determine where she buys her food.
4. Determine food-preparation practices.
____ 2. Carolina Perez, a married 63-year-old Guatemalan immigrant, seeks consultation at the Clinica Libertad because of weakness, lethargy, and fatigue of 2 months’ duration. The curandero at the clinic diagnosed susto. The nurse recognizes that susto is a culture-bound syndrome with an English translation of
1. Stress.
2. Magical fright.
3. Depression.
4. Bipolar disorder.
____ 3. Armando Salazar is a 49-year-old Guatemalan mechanic who has undergone a craniectomy and is in the neurointensive care unit. Fourteen members of Mr. Salazar’s family, including his wife and mother, come to visit him and are waiting patiently for an opportunity to see him. An effective way to handle the large number of visitors is to
1. Ask for a family spokesperson to help control visitors.
2. Limit visitors to only his wife and mother.
3. Allow half of them at a time, and restrict visiting to 5 minutes.
4. Ask that only three or four family members come to the hospital at a time.
____ 4. Angelo Rojas, a 36-year-old Guatemalan newly arrived immigrant, presents to the nurse practitioner with lassitude, sporadic fever, and weight loss. He has a history of heavy smoking and occasional alcohol use. The nurse should test him for
1. Sexually transmitted infection.
2. Cancer.
3. Malaria and dengue fever.
4. Pulmonary infection.
____ 5. Guatemalan men in the United States frequently have a high alcohol intake. The primary reason for this is
1. Genetics.
2. Availability of alcohol that they did not have in their home country.
3. Increased socioeconomic status in the United States.
4. Being away from their family, friends, and support systems.
Chapter 31: People of Guatemalan Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. The nurse should use the Hispanic Food Pyramid.
2 Incorrect. The nurse should not encourage her to change her food patterns. This will not ensure compliance.
3 Incorrect. Determining where she buys her food is not as important as determining preparation practices.
4 Correct. The first step in dietary instructions is determining food choice and preparation practices.
PTS: 1
2. ANS: 2
Feedback
1 Incorrect. Stress can bring on susto, but the translation is magical fright.
2 Correct. Susto is translated as magical fright and has varied mental and physical symptoms.
3 Incorrect. Depression can bring on susto, but the translation is magical fright.
4 Incorrect. Loneliness can bring on susto, but the translation is magical fright.
PTS: 1
3. ANS: 1
Feedback
1 Correct. Ask for a family spokesperson to help control visitors. Visiting the sick is a family obligation.
2 Incorrect. Visiting the sick is a family obligation.
3 Incorrect. Visiting the sick is a family obligation.
4 Incorrect. Visiting the sick is a family obligation.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. A sexually transmitted infection would not have sporadic fever.
2 Incorrect. Cancer does not cause sporadic fever.
3 Correct. These are symptoms for malaria and dengue fever.
4 Incorrect. A pulmonary infection does not cause a sporadic fever.
PTS: 1
5. ANS: 4
Feedback
1 Incorrect. One of the primary reasons Guatemalan men in the United States have a high alcohol intake is being away from their family, friends, and support systems.
2 Incorrect. One of the primary reasons Guatemalan men in the United States have a high alcohol intake is being away from their family, friends, and support systems.
3 Incorrect. One of the primary reasons Guatemalan men in the United States have a high alcohol intake is being away from their family, friends, and support systems.
4 Correct. One of the primary reasons Guatemalan men in the United States have a high alcohol intake is being away from their family, friends, and support systems.
PTS: 1
Chapter 32: People of Iranian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The Iranian public respectful form of speech is known as
1. Ta’arof.
2. Baten.
3. Zerangi.
4. Zaher.
____ 2. A 43-year-old Iranian presents to the neighborhood clinic with a chief complaint of Narahati. Narahati is
1. Evil eye.
2. Distress of the heart.
3. Gastrointestinal distress.
4. Depression.
____ 3. As a norm, Iranians tend to be
1. Shy and withdrawn with strangers.
2. Accepting of conflict.
3. Fatalistic and have an internal locus of control.
4. Fatalistic and have an external locus of control and destiny.
____ 4. The hot and cold properties of food among Iranians are called
1. Yin and yang.
2. Am and duong.
3. Garm and sard.
4. Calor and frio.
____ 5. Upon marriage, a traditional Iranian woman
1. Takes the surname of her husband.
2. Keeps her maiden surname.
3. Keeps her maiden surname and adds her husband’s surname with a hyphen.
4. Takes her husband’s surname hyphenated with her mother’s maiden name.
Chapter 32: People of Iranian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Ta’arof is the Iranian public re-spectful form of speech.
2 Incorrect. Baten refers to the inner self.
3 Incorrect. Zerangi means cleverness.
4 Incorrect. Zaher means proper behavior.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Narahati is a term that means various unexplained symptoms most syn-onymous with depression.
2 Incorrect. Narahati is a term that means various unexplained symptoms most syn-onymous with depression.
3 Incorrect. Narahati is a term that means various unexplained symptoms most syn-onymous with depression.
4 Correct. Narahati is a term that means various unexplained symptoms most syn-onymous with depression.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. As a norm, Iranians are fatalistic with an external locus of control.
2 Incorrect. As a norm, Iranians are fatalistic with an external locus of control.
3 Incorrect. As a norm, Iranians are fatalistic with an external locus of control.
4 Correct. As a norm, Iranians tend to be fatalistic and have an external locus of control and destiny.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. Yin and yang are Chinese for hot and cold.
2 Incorrect. Am and duong are Vietnamese for hot and cold.
3 Correct. The hot and cold properties of food among Iranians are called garm and sard.
4 Incorrect. Calor and frio are Spanish for hot and cold.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Upon marriage, a traditional Ira-nian woman keeps her maiden name.
2 Correct. Upon marriage, a traditional Iranian woman keeps her maiden name.
3 Incorrect. Upon marriage, a traditional Ira-nian woman keeps her maiden name.
4 Incorrect. Upon marriage, a traditional Ira-nian woman keeps her maiden name.
PTS: 1
Chapter 33: People of Irish Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Robert McDonald, a second-generation Irish American, has seen a nurse psychotherapist for the third time. His daughter has been encouraging him to see the nurse for 5 months because his wife died in an auto accident and he has been reluctant to show any emotions. He has increased his alcohol consumption during this time. The nurse psychotherapist recognizes that his behavior
1. Is short-lived and not an area for concern.
2. Is highly unusual for traditional Irish men.
3. Is consistent with the behavior of traditional Irish men.
4. Will require long-term therapy.
____ 2. Research shows that the traditional behavioral response of the Irish to pain is
1. Openly expressive for women but not for men.
2. Openly expressive for men but not for women.
3. Openly expressive for women and for men.
4. Stoic.
____ 3. In general, Irish men and women may care for each other in the health-care setting as long as
1. A chaperone of the same gender is present.
2. Privacy is maintained.
3. Sensitivity is maintained.
4. Privacy and sensitivity are maintained.
____ 4. Margaret O’Brien, aged 76 years, is an Irish American. She is 3 days’ postcoronary bypass. The nurse notices she is reluctant to take prescribed pain medication. The best approach to get her to accept pain medication is to
1. Give it to her without asking her.
2. Tell her that the doctor has ordered it.
3. Explain that the pain medicine will promote healing.
4. Explain that taking pain medicine is an expectation.
____ 5. Traditional Irish reaction to death is
1. A combination of their pagan past and current Christian beliefs.
2. Prepare technologically for death.
3. Prepare for death stoically.
4. Resignation and leaving the ill alone to rest.
Chapter 33: People of Irish Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. This is unknown at this time.
2 Incorrect. His behavior is consistent with the behavior of traditional Irish men, who are reluctant to express their innermost thoughts and feelings.
3 Correct. His behavior is consistent with the behavior of traditional Irish men, who are reluctant to express their innermost thoughts and feelings.
4 Incorrect. This is unknown at this time.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Research shows that the traditional behavioral response of the Irish to pain is stoic for both men and women.
2 Incorrect. Research shows that the traditional behavioral response of the Irish to pain is stoic for both men and women.
3 Incorrect. Research shows that the traditional behavioral response of the Irish to pain is stoic for both men and women.
4 Correct. Research shows that the traditional behavioral response of the Irish to pain is stoic for both men and women.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. A chaperone is not required.
2 Incorrect. Both sensitivity and privacy must be maintained.
3 Incorrect. Both sensitivity and privacy must be maintained.
4 Correct. In general, men and women may care for each other in the health-care setting as long as privacy and sensitivity are maintained.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. The patient has the right to know when she is getting pain medicine.
2 Incorrect. Just because the doctor ordered the pain medicine does not mean she will have to take it.
3 Correct. Pain medicine will increase her mobility and promote healing.
4 Incorrect. She needs an explanation of the expectation.
PTS: 1
5. ANS: 1
Feedback
1 Correct. Traditional Irish reaction to death is a combination of their pagan past and current Christian beliefs.
2 Incorrect. Traditional Irish reaction to death is a combination of their pagan past and current Christian beliefs. Technology may not hold high value.
3 Incorrect. Traditional Irish reaction to death is a combination of their pagan past and current Christian beliefs. Fatalism may be present, but they are not usually stoic.
4 Incorrect. Traditional Irish reaction to death is a combination of their pagan past and current Christian beliefs. The dying person should never be left alone.
PTS: 1
Chapter 34: People of Italian Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Rita Morelli, an Italian American, is expecting her third child. In her first trimester, she has already gained 20 pounds. She believes she has to gain at least 50 pounds to have a large and healthy baby. The nurse should explain that a large baby
1. Has increased risks for birthmarks.
2. Will be born premature.
3. Is more likely to have jaundice.
4. Is not necessarily a healthy baby.
____ 2. Mr. Morelli, a 63-year-old Italian American, speaks an Italian dialect for which the hospital does not have an interpreter. What language should the nurse use for Italian when a dialect-specific interpreter is not available?
1. Sardinian
2. Piedmontes
3. Neapolitanese
4. Tuscany
____ 3. Mrs. Rossi brings her 2-year-old son to the neighborhood clinic because he has il mal occhio. Il mal occhio is
1. Earache.
2. Toothache.
3. The evil eye.
4. Low blood.
____ 4. A major distinguishing characteristic of the Italian American family is
1. Individualism.
2. The need to control conflict at all costs for fear of causing disruption among the family.
3. Willingness to share thoughts and feelings among family members.
4. Willingness to share thoughts and feelings with outsiders.
____ 5. People of Italian heritage have some notable genetic conditions and include all of the following except
1. Familial Mediterranean fever.
2. Bipolar disorders.
3. Mediterranean-type glucose-6-phosphate dehydrogenase deficiency (G-6-PD).
4. Beta-thalassemia.
Chapter 34: People of Italian Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Feedback
1 Incorrect. No evidence exists to support this statement.
2 Incorrect. No evidence exists to support this statement.
3 Incorrect. No evidence exists to support this statement.
4 Correct. A large baby is not necessarily a healthy baby.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. Tuscany has words with pure meaning and is used for formal writing.
2 Incorrect. Tuscany has words with pure meaning and is used for formal writing.
3 Incorrect. Tuscany has words with pure meaning and is used for formal writing.
4 Correct. Tuscany has words with pure meaning and is used for formal writing.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. Il mal occhio is the evil eye.
2 Incorrect. Il mal occhio is the evil eye.
3 Correct. Il mal occhio is the evil eye.
4 Incorrect. Il mal occhio is the evil eye.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. The Italian American family is collectivistic, not individualistic.
2 Incorrect. Conflict is accepted and rarely causes disruption among the family.
3 Correct. This is a major distinguishing characteristic of the Italian American family.
4 Incorrect. Italians share their thoughts and feeling among family members, not with outsiders.
PTS: 1
5. ANS: 1
Feedback
1 Incorrect. People of Italian ancestry have some notable genetic diseases, such as familial Mediterranean fever, Mediterranean-type glucose-6-phosphate dehydrogenase deficiency (G-6-PD), and beta-thalassemia.
2 Correct. Bipolar disorder is not common among Italians.
3 Incorrect. People of Italian ancestry have some notable genetic diseases, such as familial Mediterranean fever, Mediterranean-type glucose-6-phosphate dehydrogenase deficiency (G-6-PD), and beta-thalassemia.
4 Incorrect. People of Italian ancestry have some notable genetic diseases, such as familial Mediterranean fever, Mediterranean-type glucose-6-phosphate dehydrogenase deficiency (G-6-PD), and beta-thalassemia.
PTS: 1
Chapter 35: People of Somali Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A 72-year-old Somali woman, Fadumo Omar, came to the United States 3 months ago to live with her son and daughter-in-law. She really did not want to come to the United States but did not have a choice because of turmoil in her home country. She has been healthy with no noted illnesses. Because she was not eating and was losing weight, she was brought to the clinic by her daughter-in-law. The most likely explanation for her not eating is
1. Diabetes mellitus.
2. Posttraumatic stress syndrome.
3. She does not like the American foods.
4. She is saving food for the rest of her family.
____ 2. When a traditional Somali women marries, she
1. Keeps her maiden name.
2. Keeps her maiden name and adds the name of her husband.
3. Gives up her maiden name and takes the name of her husband.
4. Takes a new first name and the last name of her husband.
____ 3. Somali culture is primarily
1. Egalitarian.
2. Individualistic.
3. Collectivistic.
4. Midscale between individualistic and collectivistic.
____ 4. Most Somali are Muslim and refrain from alcoholic beverages. When assessing alcohol intake, a good approach is
1. We ask these questions of everyone.
2. You do not drink alcohol, do you?
3. What beverages do you normally consume?
4. Do not ask about alcohol intake unless there is a specific reason.
____ 5. Muslim prayer includes praying
1. Five times a day in a mosque for men but not for women.
2. Three times a day facing Mecca.
3. Twice a day in a mosque and three times a day at the person’s choosing.
4. Five times a day at the person’s choosing as long as he or she faces Mecca.
Chapter 35: People of Somali Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Feedback
1 Incorrect. Diabetes mellitus usually causes an increase in appetite.
2 Correct. Given this patient’s history, this is the most likely cause of her not eating.
3 Incorrect. This is an unknown factor and she can probably get all her traditional food in the United States.
4 Incorrect. This is unlikely.
PTS: 1
2. ANS: 1
Feedback
1 Correct. Traditional Somali women keep their maiden name.
2 Incorrect. Traditional Somali women keep their maiden name.
3 Incorrect. Traditional Somali women keep their maiden name.
4 Incorrect. Traditional Somali women keep their maiden name.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. Traditional Somali culture is collectivistic.
2 Incorrect. Traditional Somali culture is collectivistic.
3 Correct. Traditional Somali culture is collectivistic.
4 Incorrect. Traditional Somali culture is collectivistic.
PTS: 1
4. ANS: 1
Feedback
1 Correct. The health-care provider should ask this question of everyone.
2 Incorrect. The inferred response should be “no.” The health-care provider should ask this question of everyone.
3 Incorrect. The health-care provider should ask about alcohol consumption from everyone.
4 Incorrect. The health-care provider should ask about alcohol consumption from everyone.
PTS: 1
5. ANS: 4
Feedback
1 Incorrect. Men and women can go to the mosque for prayer.
2 Incorrect. Praying is five times a day.
3 Incorrect. Prayer can be held anyplace; it does not have to be in a mosque.
4 Correct. Praying is done five times a day at the person’s choosing, as long as he or she faces Mecca.
PTS: 1
Chapter 36: People of Thai Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Ratana Rangsiyawong, a 22-year-old native of Thailand, moved to the United States 3 years ago after marrying an American. She has delivered a healthy baby. She tells the home-health nurse that she cannot practice postpartum yue fai and asks the nurse what she might do instead. A culturally congruent suggestion is to
1. Take hot sitz baths twice a day.
2. Take a cool shower before going to bed.
3. Drink cold liquids.
4. Drink warm brandy before going to bed.
____ 2. When conversing with people of higher status, Thais are expected to
1. Look down and not maintain eye contact.
2. Look over the person’s shoulder without maintaining eye contact.
3. Watch the person’s mouth without maintaining eye contact.
4. Maintain eye contact.
____ 3. Traditional Thai families are
1. Extended.
2. Joint, with members from both the husband’s and the wife’s families.
3. Joint, with members from only the husband’s family.
4. Nuclear.
____ 4. The rate of anorexia among Thais is
1. High but stable.
2. High and continuing to increase.
3. Currently low but increasing.
4. Currently low and decreasing.
____ 5. A famous spicy Thai salad originating from the northeast of Thailand that include fresh shredded papaya, cut tomatoes, tamarind juice, fish sauce, salt, sugar, fresh crushed garlic, and hot chilies is called
1. Opisthorchis viverrini.
2. Som-tum.
3. Yue fai.
4. Khwan.
Chapter 36: People of Thai Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Feedback
1 Correct. Yue fai practices are used to increase heat.
2 Incorrect. A hot shower should be recommended to increase heat.
3 Incorrect. Cold liquids should be avoided.
4 Incorrect. Alcohol is to be avoided.
PTS: 1
2. ANS: 4
Feedback
1 Incorrect. When conversing with people of any status, Thais are expected to maintain eye contact.
2 Incorrect. When conversing with people of any status, Thais are expected to maintain eye contact.
3 Incorrect. When conversing with people of any status, Thais are expected to maintain eye contact.
4 Correct. When conversing with people of any status, Thais are expected to maintain eye contact.
PTS: 1
3. ANS: 4
Feedback
1 Incorrect. Traditional Thai families are nuclear.
2 Incorrect. Traditional Thai families are nuclear.
3 Incorrect. Traditional Thai families are nuclear.
4 Correct. Traditional Thai families are nuclear.
PTS: 1
4. ANS: 3
Feedback
1 Incorrect. The rate of anorexia among Thais is currently low but increasing among younger people. Only seven cases have been reported so far.
2 Incorrect. The rate of anorexia among Thais is currently low but increasing among younger people. Only seven cases have been reported so far.
3 Correct. The rate of anorexia among Thais is currently low but increasing among younger people. Only seven cases have been reported so far.
4 Incorrect. The rate of anorexia among Thais is currently low but increasing among younger people. Only seven cases have been reported so far.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. Opisthorchis viverrini is a river fluke.
2 Correct. This is a salad that is consumed by most all Thais.
3 Incorrect. Yue fai is a traditional Thai postpartum practice.
4 Incorrect. Khwan means life spirit.
PTS: 1
Chapter 37: People of Turkish Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The blue bead, or nazur boncuk, is
1. A symbol of the child’s social class.
2. Usually placed on the child’s right shoulder.
3. Usually placed on the child’s left shoulder to protect her or him from the evil eye.
4. Only used on male children.
____ 2. Traditional death rituals for Turkish Muslims include all of the following practices except
1. Honoring the deceased by fasting for 24 hours.
2. Turning the head toward the holy city of Mecca.
3. Closing the eyes, tying the chin, putting their hands on the abdomen, putting their feet next to each other, and removing their clothes.
4. If the rituals are not completed, the spirit of the deceased will be left behind.
____ 3. Turks have food remedies for certain ailments. Health providers should consider these remedies when providing cultural-specific care. Select the statement that is not true regarding some of these food remedies.
1. Chicken soup is a common remedy for the cold and flu.
2. Tea, cinnamon, hot sugar water, ginger, mint, and various roots are used separately or in various combinations to treat rheumatism, low blood pressure, gas, or colds and flu.
3. Milk is commonly consumed by adults to ward off illnesses.
4. Molasses, baklava, lokum, tahini, honey, nuts, and raisins are believed to increase strength and sexual vigor.
____ 4. Alper Aksit, aged 34 years, is an immigrant nurse from Turkey. He has successfully passed his nursing licensing examination and has started working on an adult surgical unit. His preceptor notices that Mr. Askit’s patients seem to have poor pain control. The medication records of his patients verify that his patients do not receive expected pain medications. What should the preceptor do?
1. Explore cultural beliefs about pain control with him.
2. Report his inadequate pain medication administration to the nurse manager.
3. Report his inadequate pain medication administration to the patient’s physician.
4. Ask him if he would prefer working on a medical unit.
____ 5. For health professionals to be effective when working with Turkish clients, they must understand their communication patterns. Select the statement that is most true regarding Turkish communication.
1. Turkish men speak in low to moderate voices to avoid attention.
2. It is uncommon for Turks to interrupt a conversation.
3. Prolonged eye contact denotes respect.
4. Maintaining appropriate eye contact with clients demonstrates respect and truthfulness.
Chapter 37: People of Turkish Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. It is to protect the child from the evil eye.
2 Incorrect. It is usually placed on the left shoulder.
3 Correct. This is a true statement.
4 Incorrect. It is used for both male and female children.
PTS: 1
2. ANS: 1
Feedback
1 Correct. This is not a true statement; in fact, the ritual is to honor the deceased with a special meal.
2 Incorrect. This is a true statement.
3 Incorrect. This is a true statement.
4 Incorrect. This is a true statement.
PTS: 1
3. ANS: 3
Feedback
1 Incorrect. This is a true statement for many cultures, including the Turkish.
2 Incorrect. This is a common belief among the Turkish.
3 Correct. Adults in the Turkish culture do not commonly consume milk.
4 Incorrect. This is a true statement.
PTS: 1
4. ANS: 1
Feedback
1 Correct. The first step is to explore Mr. Askit’s beliefs about pain control.
2 Incorrect. This is not a first intervention.
3 Incorrect. This is not a first intervention.
4 Incorrect. This action would not help him acculturate to the U.S. health-care system.
PTS: 1
5. ANS: 4
Feedback
1 Incorrect. Turks tend to speak in loud voices to share their excitement or involvement.
2 Incorrect. It is common for many Turks to speak at the same time.
3 Incorrect. Prolonged eye contact is considered rude.
4 Correct. This is a true statement.
PTS: 1
Chapter 38: People of Vietnamese Heritage
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Miss Thu, a very thin, recent Vietnamese immigrant, has lactose intolerance. To get her calcium needs met, the nutritionist should encourage her to
1. Gradually increase cheese in her diet.
2. Drink only skim milk.
3. Eat stews cooked with pork bones.
4. Take Lactaid.
____ 2. Nguyen has undergone the traditional Vietnamese practice of cao gio, which leaves
1. Long scratch marks.
2. Round, ecchymotic marks.
3. Large welts.
4. Small puncture wounds.
____ 3. Thu Phan, a 42-year-old former Vietnamese refugee, has been having unsettling nightmares to the point that she is afraid to go to sleep. These recurring nightmares have become worse over the last 7 years. When her American husband suggested that she see a local psychiatrist, she became loud and belligerent, stating that she did not need a psychiatrist; she needs a doctor for menopause. The nurse recognizes that her behavior is most likely the result of
1. The stigma of mental illness in traditional Vietnamese culture.
2. Hormonal imbalance from menopause.
3. Having “flashbacks” from the refugee camp.
4. Being homesick for Vietnam.
____ 4. Mr. Liu, an older Asian client, does not maintain eye contact with his female caregiver, a home-health assistant. The assistant should
1. Consider that he is being polite.
2. Demand that he look at her.
3. Assume that he does not understand.
4. Move into his line of vision.
____ 5. In Vietnam, a person’s age is calculated
1. 30 days after birth in case the infant dies before then.
2. From the time of conception; most children are considered to be already a year old at birth and gain a year each Tet.
3. From January 1 each year.
4. The same as in the United States.
Chapter 38: People of Vietnamese Heritage
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Feedback
1 Incorrect. Many cheeses are high in lactose.
2 Incorrect. Skim milk has lactose.
3 Correct. Eating stews cooked with pork bones is consistent with her culture and provides a good source of calcium.
4 Incorrect. She may not be able to afford Lactaid, and she should first learn food selections and preparation practices that are natural, without the aid of Lactaid.
PTS: 1
2. ANS: 1
Feedback
1 Correct. Cao gio leaves long scratch marks.
2 Incorrect. Cao gio leaves long scratch marks.
3 Incorrect. Cao gio leaves long scratch marks.
4 Incorrect. Cao gio leaves long scratch marks.
PTS: 1
3. ANS: 1
Feedback
1 Correct. Mental illness is a stigma in the Vietnamese culture.
2 Incorrect. Menopausal symptoms would not continue over a 7-year period.
3 Incorrect. This may be true, but the reason for the behavior is the stigma of mental illness in the Vietnamese culture.
4 Incorrect. This may be true, but the reason for the behavior is the stigma of mental illness in the Vietnamese culture.
PTS: 1
4. ANS: 1
Feedback
1 Correct. Not maintaining eye contact among traditional Asians is a sign of respect and politeness.
2 Incorrect. The home-health assistant should not demand that he look at her.
3 Incorrect. Not maintaining eye contact is seen as respectful, not a sign that he does not understand her.
4 Incorrect. The home-health assistant should not move into his line of vision. He may see this as rude behavior.
PTS: 1
5. ANS: 2
Feedback
1 Incorrect. From the time of conception; most children are considered to be already a year old at birth and gain a year each Tet.
2 Correct. From the time of conception; most children are considered to be already a year old at birth and gain a year each Tet.
3 Incorrect. From the time of conception; most children are considered to be already a year old at birth and gain a year each Tet.
4 Incorrect. From the time of conception; most children are considered to be already a year old at birth and gain a year each Tet.
PTS: 1
Leadership and Followership
Liset Cruz
Florida National University
January 9, 15
Leadership and Followership
Liset Cruz
Florida National University
January 9, 15
1) Leadership involves defining the direction to be followed by a team and communication to them, inspiring, empowering, and motivating them to achieve organizational success (Small Biz Connect). Followership refers the ability to be a team player, take direction well, concur with a program, and deliver on expectations placed on you.
2) It is vital to be a good follower. It is because it is impossible to become a responsible leader if one is not a team player and a good follower.
3) A charge nurse at the hospital, I was attached to demonstrated leadership qualities. One nurse came to complain about the lack of drugs and equipments. He listened to him and later dis-cussed with the management, and the problem was resolved.
4) The leadership theories include; “Great Man”, Trait, Contingency, Situational, Behavioral, Participative, Management, and Relationship theories (Cherry, 2015). Participative theory appeals strongly to me because it allows one to consider the input of others. “Great Man” theory might be hard to apply because I believe leaders are made rather than born.
5) Goals that will enable one become a good follower include;
a) Take directions well
b) Be a team player
c) Try to deliver on what is expected of you
6) Qualities of effective leaders include;
a) Inspirational
b) Optimistic
c) Decisive
d) Have integrity
e) Are confident
7)
Leadership skill Spe-cific mechanism An-tici-pat-ed out-come
inspirational I will al-ways to try to come with ideas that in-spire my peers Peo-ple will enjoy my company
optimistic I will al-ways en-cour-age my peers Peo-ple will seek my ad-vice more
decisive I will try to al-ways find solu-tions to prob-lems Peo-ple will be con-fi-dent in me
integrity I will al-ways en-sure I fol-low rules and regu-la-tions in my activ-ities Peo-ple will have trust in me
8) The qualities in the leaders I have observed include; confidence, integrity, and decisiveness. They have been able to solve conflicts among coworkers using these qualities.
9) I will listen to the questions they ask and give appropriate answers. I will also provide guidance to them based on my experience. I will also encourage them not to be afraid and instead, give their best.
[Show More]
.png)
