During the admission interview, the culturally diverse client averts her eyes and refrains from answering questions
for long periods of time. The culturally sensitive nurse should take which action?
1. Come back at a different time, when the client is feeling more communicative.
2. Have another nurse finish the interview, as there is something uncomfortable the client senses.
3. Understand that this may be completely appropriate and take cues accordingly.
4. Leave the room and come back after having learned more about this particular culture.
Question 17
Type: MCSA
The school nurse is conducting head lice screenings. Before checking the head of an Asian child, the nurse should
first take which action?
1. Ask permission.
2. Make sure the child understands the reason for the contact.
3. Put gloves on.
4. Ask the child to wait until last, to avoid embarrassing the child.
Question 18
Type: MCSA
The nurse needs to determine the apical pulse of a client from a different culture. In order to show appropriate
sensitivity to the client, the nurse should take which action?
1. Explain the procedure, then wait for permission to continue.
2. Explain to the client what will occur during the assessment.
3. Ask the client to stay quiet because the nurse will be listening to the heart.
4. Take the baseline vital signs, then determine if cardiac auscultation is necessary.
Question 19
Type: MCSA
The nurse is teaching a client from a culture that is “present oriented” about a dressing change that should be
performed twice a day. How should the nurse address the cultural issue?
1. Allow the client to select the times the dressing will be changed.
2. Instruct the client to change the dressing after breakfast and before going to bed.
3. Explain that the client should complete the dressing change at 10 AM and 4 PM.
4. Suggest that the dressing change can be performed whenever the client chooses, as long as it gets done twice
daily.
Question 20
Type: MCSA
The nurse is preparing a menu for a Jewish client who observes kosher customs. Which food items would be
appropriate to serve this client, assuming all have been properly inspected and prepared?
1. Hamburger, fruit, and milk
2. Fish, vegetables, and hot tea
3. Ham, baked potato, and fresh fruit
4. Cream soup, sausage, and toast
.
Question 21
Type: MCSA
The nurse is working in a clinic setting and is meeting a new client for the first time. In order to convey cultural
sensitivity, how should the nurse introduce herself?
1. “I’m Jane, and I’ll be your nurse today.”
2. “I’m Dr. Smith’s nurse, Jane.”
3. “I’m Jane Brown, and I’m a nurse here at the clinic.”
4. “I’m glad to meet you. You can call me Jane.”
Question 22
Type: MCSA
A home health client participates in cultural health practices that the nurse feels may be detrimental to his health.
In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care, the nurse should
take which action?
1. Explain the right and wrong of the client’s treatment and try to persuade him to follow the scientific perspective.
2. Have the client’s physician explain the care to the client in a firm but gentle manner.
3. Validate the client’s practices and understand that for this client, it may be beneficial to continue with his
preferences.
4. Try to negotiate with the client by exploring his views and then provide relevant scientific information.
Question 23
Type: MCSA
A client who is from a different culture than the nurse has not been able to achieve this goal: Client will select
low-fat foods from a list by the end of the month. What should the nurse do?
1. Consider whether the client’s belief system has been an influencing factor.
2. Extend the time frame and give the client a longer period to achieve the goal.
3. Make sure that the client understands the importance of the goal.
4. Select a different goal.
Question 24
Type: MCSA
A nurse educator uses Madeleine Leininger’s model and describes a formal area of study and practice focused on
comparative human-care differences and similarities of the beliefs, values, and patterned lifeways of cultures to
provide culturally congruent, meaningful, and beneficial health care to people. What type of nursing is the
educator practicing?
1. Transcultural nursing
2. Cultural competence
3. Cultural knowledge
4. Competent nursing
Question 25
Type: MCMA
The community health nurse is using the Heritage Assessment Interview tool with a group of community
members. Which data indicate heritage consistent?
Standard Text: Select all that apply.
1. A client frequently visits the “old country neighborhood” he grew up in.
2. A client is raised by a single parent.
3. The client’s education occurred at a religious school.
4. The client participates in religious festivals and cultural events.
5. The client has been the first of his family to earn a college degree.
Question 26
Type: MCMA
The nurse is planning to provide culturally responsive care to a minority client and family. What actions should
the nurse perform when providing this care?
Standard Text: Select all that apply.
1. Personally reflecting on feelings related to the client’s nationality
2. Making an effort to direct all assessment questions initially to the client
3. Involving the family with the client’s permission
4. Assessing the client’s interest in alternative healing methods
5. Educating the client and family when appropriate
Question 27
Type: MCMA
The nurse is planning to explain the importance of culturally appropriate care to a new nursing assistant. What
should the nurse include when explaining the term “culture” to this staff person?
Standard Text: Select all that apply.
1. “Culture involves groups who share biological markers.”
2. “Cultures seldom have diversity within them.”
3. “Male nurses are an example of a culture.”
4. “A culture is primarily exhibited through shared thoughts, actions, and beliefs.”
5. “A culture shapes its members’ view of the world.”
New Questions:
Question 28
Type: MCMA
After an assessment, the nurse determines that a client of African American descent is experiencing disparities
that are a part of behavioral health determinants. What assessment data did the nurse use to come to this
conclusion?
Standard Text: Select all that apply.
1. Treated for asthma
2. Body mass index of 32
3. Unemployed for 9 months
4. Smokes 1 ppd of cigarettes
5. Mother diagnosed with heart disease
Question 29
Type: MCMA
The nurse is concerned that many ethnically diverse clients are not receiving a consistently high level of health
care within a community. What information should the nurse access to learn how to improve these clients’ level
of health care?
Standard Text: Select all that apply.
1. The National Partnership for Action to End Health Disparities website
2. The National Stakeholder Strategy for Achieving Health Equity goals
3. The Office of Minority Health’s standards for cultural and linguistic programs
4. The National Center on Minority Health and Health Disparities mission statement
5. The Centers for Disease Control and Prevention website for employment opportunities
