Question 1

The nurse is taking a history on a low-income Hispanic toddler. The parent tells the nurse that occasional diarrhea is treated with "azogue," a mercury compound commonly used in the parent's native Mexico. The nurse should recognize which of the following about this remedy?

Accepted Answer

Azogue, a mercury compound, is dangerous as mercury is toxic and can cause serious health issues, especially in children.

Question 2

The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse. The best explanation for this, considering cultural differences, is that the parent does which of the following?

Accepted Answer

In many Asian cultures, including Vietnamese culture, avoiding eye contact is a sign of respect, especially when interacting with someone perceived as an authority figure or in a professional setting. This behavior is not indicative of feeling responsible, inferior, or embarrassed but is a cultural norm demonstrating politeness and respect.

Question 3

The nurse observes that the families who do not show up for scheduled clinic appointments are usually from minority cultural groups. The best explanation for this is that these families often differ from the dominant culture because they:

Accepted Answer

The best explanation for the observed behavior is that families from minority cultural groups may have different cultural perceptions of time, which can influence their punctuality and adherence to scheduled appointments. This is a reflection of cultural differences rather than a lack of education, an intentional avoidance of healthcare, or being more forgetful.

Question 4

Health beliefs vary among the cultural groups living in the United States. The belief that health is "a state of harmony with nature and the universe" is common in which of the following cultures?

Accepted Answer

The belief that health is "a state of harmony with nature and the universe" is a common perspective among Native American cultures. They often view health holistically, emphasizing balance and harmony with the natural world.

Question 5

Children are taught the values of their culture through observation and feedback, relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which of the following factor(s) may be culturally determined. (Select all that apply.)

Accepted Answer

A) Degree of competition, C) Determination of status, and D) Social roles are culturally determined factors. These elements are influenced by the values, beliefs, and norms of a culture, which dictate how individuals interact, their roles within society, and how status is achieved and recognized. B) Racial variation is a biological rather than a cultural determination. E) Geographic boundaries, while they can influence cultural development, are not determined by culture but rather by physical geography or political decisions.

Question 6

Which of the following terms best describes the emotional attitude that one's own ethnic group is superior to others?

Accepted Answer

Ethnocentrism is the belief in the inherent superiority of one's own ethnic group or culture. It often involves judging other cultures by one's own cultural standards.

Question 7

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist, and vegetarians." The nurse's best intervention is to:

Accepted Answer

Ordering a meatless tray respects the family's religious dietary restrictions and ensures the child's nutritional needs are met in a manner consistent with their beliefs.

Question 8

In which of the following cultural groups is good health considered to be a balance between yin and yang?

Accepted Answer

The concept of yin and yang, which represents balance and harmony in the universe, is a fundamental aspect of traditional Chinese philosophy and medicine. This concept has influenced various Asian cultures, making it a significant part of their understanding of health and well-being.

Question 9

A young child from Mexico is hospitalized for a serious illness. The father tells the nurse that the child is being punished by God for being bad. The nurse should recognize that this is:

Accepted Answer

This reflects a health belief common in some cultures, where illness or misfortune is sometimes interpreted as divine punishment for wrongdoing. Understanding and respecting cultural perspectives on health and illness is important in providing culturally competent care.

Question 10

A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jello, popsicles, and juices are left. Which of the following would best explain this?

Accepted Answer

In many Hispanic cultures, health and illness are often viewed through the lens of balance between hot and cold. This concept, deeply rooted in traditional Hispanic health beliefs, posits that illnesses are caused by an imbalance between these two forces. In the case of pneumonia, which is considered a "cold" illness, the parent might be trying to restore balance by providing "hot" remedies, such as broth, to counteract the cold nature of the illness. This practice is not related to personal preference (A), the concept of the "evil eye" (C), or the strengthening of "chi" (D), which is more commonly associated with Asian cultures.

Question 11

Currently, the fastest growing segment of the homeless population in the United States consists of which of the following?

Accepted Answer

Families with children are the fastest growing segment of the homeless population in the United States, reflecting broader socio-economic issues such as housing affordability, poverty, and lack of social services.

Question 12

The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this is which of the following?

Accepted Answer

This is a description of "coining," a traditional Southeast Asian healing practice intended to rid the body of disease-causing elements. It is not considered child abuse or a discipline measure but rather a cultural health practice.

Question 13

Which of the following (after the family) is most likely to have the greatest influence on providing continuity between generations?

Accepted Answer

Schools provide continuity between generations by transmitting knowledge, values, and skills from one generation to the next.

Question 14

Maria is a Spanish-speaking 5-year-old who has started kindergarten in an English-speaking school. Crying most of the time, she appears helpless and unable to function in this new situation. The best explanation for this is which of the following?

Accepted Answer

Maria is likely experiencing culture shock due to the sudden change in language and possibly cultural norms, which can be overwhelming and lead to feelings of helplessness and distress, as seen in her behavior.

Question 15

Research is being done on the development of assets in children. A community that is supportive of children has which of the following external assets.

Accepted Answer

Empowerment is an external asset that a supportive community can provide to children. It involves giving children opportunities, resources, and support to grow and contribute positively to their community, thereby fostering their development and well-being.

Question 16

Which of the following is a frequent health problem of migrant children and adolescents in the United States?

Accepted Answer

Tuberculosis (TB) is more common among migrant children and adolescents in the United States, often due to factors such as coming from countries with higher TB prevalence, living in crowded conditions, and facing barriers to healthcare access.

Question 17

Which of the following terms best describes a group of people who share a set of values, beliefs, practices, social relationship, law, politics, economics, and norms of behavior?

Accepted Answer

Culture best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior.

Question 18

When minority groups immigrate to another country, a certain degree of cultural/ethnic blending occurs through the involuntary process of:

Accepted Answer

Acculturation refers to the process of cultural change and psychological change that results following meeting between cultures. It involves the minority group adopting elements of the dominant culture, such as language, dress, values, or behaviors, often as a means of fitting in or succeeding in the new society.

Quiz 4: Social, Cultural, and Religious Influences on Child Health Promotion