Question 1

Horowitz identified six steps that clinicians can take to more effectively work with immigrant populations. Which of the following is the first step?
A) Know yourself: providers, like clients, are influenced by culture, values, and language.
B) Expect immigrants to respect the health system of the community and comply with instructions.
C) Schedule all people of the same ethnic background to come to the community health clinic on the same day to provide consistency.
D) Learn to speak the language of the immigrant population fluently.

Accepted Answer

The first step identified by Horowitz is for clinicians to know themselves, recognizing that their own culture, values, and language may influence their interactions with immigrant populations. Option B is incorrect as it suggests a lack of respect on the part of immigrants without acknowledging the potential barriers they may face in accessing healthcare. Option C may create an unsustainable workload for the clinic and does not necessarily address the individual needs of each patient. Option D is ideal but may not always be feasible for clinicians to become fluent in multiple languages.

Question 2

A person's skin color is an example of:
A) Multiculturalism
B) Ethnicity
C) Race
D) Culture

Accepted Answer

Skin color is a biological characteristic and is typically used as a determining factor for race classification, which is a social construct based on physical differences.

Question 3

A 35-year-old man from Russia comes to the United States seeking asylum because of religious persecution in his native country. This type of immigrant is known as a:
A) Legal immigrant
B) Lawful permanent resident
C) Refugee
D) Unauthorized immigrant

Accepted Answer

The 35-year-old man from Russia seeking asylum because of religious persecution is considered a refugee. A refugee is a person who has fled their home country due to persecution, war, or violence and is unable or unwilling to return due to fear of persecution. Asylum is a protection granted to refugees who are already in the U.S. or are arriving at a U.S. port of entry. Therefore, the man cannot be considered a lawful permanent resident or an unauthorized immigrant, as he is seeking asylum. He is also not a legal immigrant as he is seeking asylum protection rather than coming to the U.S. through the regular immigration process.

Question 4

Which of the following would be considered a cultural encounter?
A) Sharing assessment findings with other members of a racial minority to develop knowledge
B) Visiting the native land of the clients frequently served at a community health center
C) Telephoning the priest of a Latino church to discuss the health issues of a client
D) Learning directly from a Puerto Rican client about foods they avoid during periods of breastfeeding

Accepted Answer

A cultural encounter involves direct interaction and engagement with members of a different culture, and learning from them about their beliefs, values, practices, and customs. Option D involves learning about the cultural practices of a Puerto Rican client directly from them, which is a cultural encounter. Option A involves sharing assessment findings with members of a racial minority to develop knowledge, but it does not necessarily involve direct interaction or engagement with members of that culture. Option B involves visiting the native land of clients, which may provide cultural exposure but does not necessarily involve interaction with members of that culture. Option C involves telephoning a priest to discuss the health issues of a client, which may involve seeking cultural advice but does not necessarily involve direct interaction or engagement with members of that culture.

Question 5

Race is a classification that relies on physical markers. Which of the following is true?
A) In the United States, children of biracial parents are usually assigned the race of the father.
B) Ethnicity and race are synonymous terms.
C) Individuals may be of the same race but of different cultures.
D) No social significance is usually placed on race.

Accepted Answer

Race is based on physical characteristics such as skin color, hair texture, and facial features, whereas ethnicity refers to the cultural practices, language, and traditions shared by a particular group of people. Therefore, individuals may be of the same race but come from different cultural backgrounds. Option A is incorrect as the practice of assigning the child's race based on the father's race is not universal or consistent. Option B is incorrect as ethnicity and race are different concepts. Option D is incorrect as race often carries social significance and impacts access to resources and opportunities.

Question 6

Culture is a set of beliefs, values, and assumptions about life that are widely held among a group of people and are transmitted intergenerationally. An example of a behavior that may be defined by culture is:
A) Speaking a dialect of a language in a local region
B) Standing when an older adult gets on the bus to give him a seat
C) Immigrating to the United States seeking work
D) An organizational structure of a cultural group

Accepted Answer

Standing when an older adult gets on the bus to give him a seat is an example of a behavior that is influenced by cultural values and beliefs. Respect for elders is a commonly held value in many cultures, and the behavior of giving up one's seat is a manifestation of this value. Options A, C, and D are not behaviors, but rather relate to language, migration patterns, and organizational structures, respectively.

Question 7

The 1986 Immigration Reform and Control Act had what effect on illegal aliens living in the United States?
A) Discriminated against individuals from Southern and Eastern Europe
B) Allowed illegal aliens already living in the United States to apply for legal status
C) Permitted foreign-born populations to set up communities in or around major metropolitan areas
D) Allowed illegal aliens access to "Green cards" that would allow them to work in the United States

Accepted Answer

The 1986 Immigration Reform and Control Act allowed illegal aliens already living in the United States to apply for legal status. This was known as the amnesty provision, and it allowed certain undocumented immigrants to become legal residents and eventually apply for citizenship. The law also made it illegal for employers to knowingly hire unauthorized workers, and provided for increased border enforcement measures.

Question 8

Cultural competence is a combination of culturally congruent behaviors, practice, attitudes, and policies that allow nurses to use interpersonal communication, relationship skills, and behavioral flexibility to work effectively in cross-cultural situations. Nurses who strive to be culturally competent:
A) Respect individuals from different cultures and value diversity
B) Require nurses to immerse themselves in different cultures
C) Design care for special ethnic groups
D) Give explicit instructions to avoid client decision making

Accepted Answer

Cultural competence involves respecting individuals from different cultures and valuing diversity. Immersing oneself in different cultures may be beneficial, but it is not a requirement. Designing care for special ethnic groups may lead to stereotyping and is not an effective way to promote cultural competence. Explicit instructions to avoid client decision making would be paternalistic and not respectful of individual autonomy.

Question 9

Care that is not culturally competent may have adverse effects that include:
A) Enhancement of communication
B) An increase in the cost of health care
C) Quality indicators are met
D) A rewriting of Health People 2010

Accepted Answer

When care is not culturally competent, it can lead to misunderstandings, miscommunication, and ineffective treatment. This can result in increased costs due to the need for additional testing or procedures to correct errors. Additionally, it can cause patient dissatisfaction and lack of trust in the healthcare system, leading to further delays in seeking care and poorer health outcomes.

Question 10

Which of the following is true about a large portion of foreign-born residents of the United States?
A) They work in mainly service-producing and blue-collar sectors.
B) They reside mostly in rural areas.
C) They have language barriers.
D) Most are refugees.

Accepted Answer

The answer of Which of the following is true about...

Question 11

A nurse has a "cultural desire" to provide culturally competent care. Which of the following best illustrates an example of this?
A) The nurse relies on a textbook for information on an ethnic group.
B) The nurse brings in a translator to the clinic on a day that a lot of Spanish speaking people are expected.
C) The nurse takes Spanish classes in the evening at a local college.
D) A nurse judges others using his or her own cultural values.

Accepted Answer

The answer of A nurse has a "cultural desire" to...

Question 12

Which of the following is true about the nursing workforce that may affect perceptions of an illness?
A) The nursing workforce is overwhelmingly Caucasian.
B) The number of minority nurses is sufficient to meet the needs of the population's demographics.
C) The nursing workforce has many unauthorized immigrants.
D) Refugees make up a large part of the nursing workforce in some areas.

Accepted Answer

The fact that the nursing workforce is overwhelmingly Caucasian may affect perceptions of illnesses and health care needs of diverse populations, as cultural differences can impact patients' health beliefs and practices.

Question 13

A visitor from Japan comes to the United States for a 2-week vacation. While he is visiting, he breaks his leg. This person is known as a:
A) Non-immigrant
B) Refugee
C) Legal immigrant
D) Lawful permanent resident

Accepted Answer

A non-immigrant is someone who enters the United States temporarily, such as for a vacation, business trip, or education. In this scenario, the individual from Japan is visiting for a 2-week vacation, making them a non-immigrant. Breaking their leg during their visit does not change their status.

Question 14

Cultural knowledge involves learning about the clients' worldview from an emic perspective. A nurse wishes to obtain information on the alternative methods of health care her 45-year-old female client uses. Who is the best person to ask about this?
A) The husband of the client
B) A community leader of the ethnic group
C) The client herself
D) The religious leader of the ethnic group

Accepted Answer

The best person to ask about the alternative methods of health care used by the client is the client herself. It is important to get information directly from the client, as she is the one who is using these methods and can provide the nurse with the most accurate and relevant information. Asking other people, such as the husband, community leader, or religious leader, may not provide the same level of detail or accuracy.

Question 15

The way a person communicates with another is an example of:
A) Language
B) Ethnicity
C) Race
D) Culture

Accepted Answer

The answer of The way a person communicates with another...

Question 16

An identifying characteristic such as religion is:
A) Multiculturalism
B) Ethnicity
C) Race
D) Culture

Accepted Answer

Religion is considered an identifying characteristic of ethnicity, which refers to a shared cultural heritage and ancestry. While religion may be a component of culture, it is not a defining factor in determining one's race or in promoting multiculturalism.

Question 17

A student who is just starting her nursing career has a feeling of helplessness, discomfort, and disorientation. While working on the unit, the nurse experiences anxiety and wonders if this is the right career for her. This nurse is likely experiencing:
A) Undiagnosed mental illness
B) Regression
C) Culture shock
D) Bipolar disorder

Accepted Answer

The nurse is likely experiencing culture shock, as she is feeling disoriented and uncomfortable while adjusting to the new environment and culture of the nursing unit. This is a common experience for individuals who are entering a new profession or working in a new setting. It does not necessarily indicate any mental illness or disorder.

Question 18

A group of individuals who share common biological features defines:
A) Ethnicity
B) Race
C) Diversity
D) Culture

Accepted Answer

Race is the best choice as it specifically refers to a group of individuals who share common biological features, such as skin color or facial features. Ethnicity refers to a group of people who share common cultural characteristics, such as language or religion. Diversity and culture are broader terms that encompass a range of differences beyond just biological features.

Question 19

An example of an explicit cultural behavior is:
A) Interpersonal distance
B) Body language
C) Use of titles
D) Perception of health and illness

Accepted Answer

The answer of An example of an explicit cultural behavior...

Question 20

Which of the following is a misconception about the economic value of allowing immigrants to enter and work in the United States?
A) Taxes are typically paid to the states, and services are paid by the federal government.
B) They consume more in services than they pay in taxes.
C) They are a burden to the health care system because they use it more than United States citizens.
D) Medicaid is available to immigrants as soon as they apply for it.

Accepted Answer

This is a common misconception, but research has shown that immigrants actually contribute more in taxes than they receive in benefits. Immigrants also play an important role in the U.S. economy, as they are often willing to do jobs that others won't and can help grow certain industries. A study by the National Academies of Sciences, Engineering, and Medicine found that over the course of their lifetimes, immigrants contribute 20-30% more in taxes than they receive in benefits. Additionally, many immigrants are young and healthy, and therefore may use fewer health care services than older, native-born Americans. Medicaid is also not immediately available to most immigrants, as there are restrictions on who is eligible for the program.

Quiz 7: Cultural Diversity in the Community

Horowitz identified six steps that clinicians can take to more effectively work with immigrant populations. Which of the following is the first step?

A person's skin color is an example of:

A 35-year-old man from Russia comes to the United States seeking asylum because of religious persecution in his native country. This type of immigrant is known as a:

Which of the following would be considered a cultural encounter?

Race is a classification that relies on physical markers. Which of the following is true?

Culture is a set of beliefs, values, and assumptions about life that are widely held among a group of people and are transmitted intergenerationally. An example of a behavior that may be defined by culture is:

The 1986 Immigration Reform and Control Act had what effect on illegal aliens living in the United States?

Care that is not culturally competent may have adverse effects that include:

Which of the following is true about a large portion of foreign-born residents of the United States?

A nurse has a "cultural desire" to provide culturally competent care. Which of the following best illustrates an example of this?

Which of the following is true about the nursing workforce that may affect perceptions of an illness?

A visitor from Japan comes to the United States for a 2-week vacation. While he is visiting, he breaks his leg. This person is known as a:

Cultural knowledge involves learning about the clients' worldview from an emic perspective. A nurse wishes to obtain information on the alternative methods of health care her 45-year-old female client uses. Who is the best person to ask about this?

The way a person communicates with another is an example of:

An identifying characteristic such as religion is:

A student who is just starting her nursing career has a feeling of helplessness, discomfort, and disorientation. While working on the unit, the nurse experiences anxiety and wonders if this is the right career for her. This nurse is likely experiencing:

A group of individuals who share common biological features defines:

An example of an explicit cultural behavior is:

Which of the following is a misconception about the economic value of allowing immigrants to enter and work in the United States?