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NSG 1900 CULTURAL COMPETENCE IN
HEALTHCARE FINAL EXAM 1 QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025 GALEN
COLLEGE OF NURSING
1. What is the best definition of cultural competence in healthcare? a. Memorizing customs of different cultures b. Delivering effective care that respects diverse cultural health beliefs c. Only caring for patients of the same background d. Avoiding cultural discussions in clinical settings Cultural competence involves providing care that acknowledges and respects patients' cultural values, beliefs, and practices. 2. Which term refers to the belief that one's own culture is superior to others? a. Cultural relativism b. Ethnocentrism
c. Cultural sensitivity d. Cultural humility Ethnocentrism is the belief that one’s own culture is superior and is often a barrier to cultural competence.
3. A culturally competent nurse should first: a. Learn every language b. Reflect on their own cultural beliefs and biases c. Study anthropology d. Avoid discussing culture with patients Self-awareness is the first step toward cultural competence, helping nurses recognize personal biases. 4. Which of the following demonstrates cultural humility? a. Correcting a patient’s belief about illness b. Asking patients how they view their illness c. Assuming patients want Western medicine d. Ignoring spiritual concerns Cultural humility involves listening and valuing the patient’s perspective without judgment. 5. A patient uses traditional healers and herbal remedies. The nurse should: a. Instruct the patient to stop immediately b. Report the patient to the provider c. Assess for potential interactions and respect the patient's choice
d. A result of poor diet Traditional Native American beliefs often view illness as a spiritual or natural imbalance.
9. Which term best describes integrating cultural knowledge into clinical practice? a. Cultural prejudice b. Culturally congruent care c. Assimilation d. Cultural conflict Culturally congruent care aligns nursing interventions with the patient’s cultural values and beliefs. 10. When a nurse stereotypes a culture, they are: a. Making assumptions without considering individual differences b. Demonstrating cultural awareness c. Respecting tradition d. Avoiding bias Stereotyping involves assuming all members of a group share the same traits, which undermines patient-centered care. 11. What is the LEARN model used for? a. Diagnosing mental illness b. Teaching about diet c. Improving cross-cultural communication
d. Reporting errors The LEARN model (Listen, Explain, Acknowledge, Recommend, Negotiate) is used to facilitate respectful communication across cultures.
12. Why is using certified medical interpreters important? a. They provide medical treatment b. They ensure accurate and ethical communication c. Family interpreters are more trustworthy d. Nurses can use translation apps instead Certified interpreters ensure privacy, accuracy, and legal compliance in communication. 13. Which is a barrier to cultural competence? a. Empathy b. Open communication c. Stereotyping d. Cultural sensitivity Stereotyping interferes with understanding and providing individualized care. 14. Which approach shows respect for a patient's cultural dietary restrictions? a. Telling them to eat hospital food b. Asking them about food preferences during meal planning c. Ignoring their request d. Offering the same meal to everyone
Understanding the patient’s values and beliefs about death enhances culturally sensitive care.
18. What is cultural imposition? a. Learning about other cultures b. Respecting patient preferences c. Forcing one's cultural beliefs on another d. Avoiding cultural discussions Cultural imposition occurs when healthcare providers push their own cultural beliefs onto patients. 19. Which group often uses silence to show respect? a. Americans b. Italians c. Native Americans and Asians d. Germans In some Native American and Asian cultures, silence is a sign of respect and thoughtfulness. 20. If a Muslim woman refuses care from a male provider, the nurse should: a. Ignore her request b. Try to accommodate her preference for a female provider c. Explain that gender doesn’t matter d. Tell her she must comply
Respecting religious and gender preferences shows cultural sensitivity and builds trust. 21. What does transcultural nursing focus on? a. Only treating international patients b. Comparing cultural values and integrating them into care c. Eliminating spiritual beliefs d. Promoting Western medicine Transcultural nursing helps integrate cultural insights into holistic and respectful care.
22. Cultural competence is a: a. Fixed skill b. Personal opinion c. Lifelong process of learning and adapting d. Legal requirement only Cultural competence involves continuous learning, reflection, and adaptation. 23. Why is it important to ask patients about their preferred language? a. To test their literacy b. To ensure clear, effective communication c. To avoid extra paperwork d. To speed up care
Spiritual practices are essential in many cultures and supporting them enhances care.
27. What is a health disparity? a. A personal decision b. A difference in health outcomes based on social or economic factors c. A disease d. A cultural belief Health disparities reflect inequalities that affect vulnerable populations. 28. How can a nurse build trust with culturally diverse patients? a. Use medical jargon b. Dismiss their beliefs c. Show respect and interest in their culture d. Focus only on the disease Respect and cultural interest foster rapport and trust. 29. Which is a component of Campinha-Bacote’s model of cultural competence? a. Cultural rigidity b. Cultural desire c. Cultural rejection d. Cultural denial Cultural desire is the motivation to become culturally competent. 30. A nurse who demonstrates cultural skill is able to: a. Speak multiple languages
b. Perform cultural assessments c. Avoid all cultural questions d. Only treat similar backgrounds Cultural skill involves assessing patients’ cultural needs and preferences.
31. What is an example of cultural knowledge? a. Ignoring dietary practices b. Assuming patients are the same c. Knowing that some cultures fast for religious reasons d. Rejecting cultural practices Cultural knowledge includes awareness of beliefs that impact healthcare, like fasting. 32. The term "acculturation" means: a. Adapting to a new culture while retaining original culture b. Rejection of all cultures c. Eliminating differences d. Complete assimilation Acculturation involves blending into a new culture while keeping original traditions. 33. Culturally competent nurses do all EXCEPT: a. Reflect on personal bias b. Enforce personal beliefs c. Seek cultural knowledge
Cultural brokers help bridge the gap between cultural values and healthcare.
37. The term “cultural blindness” refers to: a. Understanding diversity b. Ignoring differences and treating everyone the same c. Promoting inclusion d. Celebrating culture Cultural blindness leads to ignoring important cultural factors in care. 38. What is the best way to handle cultural conflicts in care? a. Avoid them b. Enforce hospital rules c. Collaborate and negotiate respectful solutions d. Ignore patient concerns Respectful negotiation promotes patient-centered care. 39. Health beliefs are shaped by: a. Education only b. Culture, experience, and religion c. Diet only d. TV Culture, spirituality, and lived experiences influence health perceptions. 40. What should be included in a cultural assessment? a. Insurance info only b. Family history only
c. Beliefs, language, health practices d. Height and weight Cultural assessments include beliefs, practices, and language needs.
41. Which culture is more likely to use coining or cupping? a. African-American b. Middle Eastern c. Southeast Asian d. Native American Coining and cupping are common traditional healing practices in Southeast Asian cultures. 42. In some cultures, direct eye contact is: a. Always respectful b. Required c. Considered rude or aggressive d. Unimportant Some cultures view direct eye contact as disrespectful, especially with elders. 43. A belief in fate or external control of health is known as: a. Self-efficacy b. External locus of control c. Cultural fatalism d. Determinism
Organizational support is vital to build a culturally competent environment.
47. A nurse unfamiliar with a patient’s culture should: a. Avoid asking questions b. Ask the patient respectfully about their preferences c. Guess based on appearance d. Focus only on clinical tasks Engaging the patient directly helps ensure care aligns with their values. 48. When dealing with end-of-life decisions, some cultures: a. Always want full disclosure b. Prefer to protect the patient from the diagnosis c. Do not believe in death d. Always rely on nurses In some cultures, family members may shield patients from terminal news. 49. Cultural competence improves: a. Costs b. Patient satisfaction and health outcomes c. Provider schedules d. Technology use Culturally competent care improves trust, satisfaction, and compliance. 50. Nurses must assess for cultural needs: a. Once at admission b. Only during emergencies
c. Continuously throughout care d. Only if the patient asks Cultural needs may change and should be reassessed throughout the healthcare experience.
51. What is the first step in becoming culturally competent? a. Learning another language b. Becoming aware of one’s own cultural background and biases c. Studying world religions d. Avoiding sensitive topics Self-awareness helps nurses recognize their own biases and how those may affect care. 52. Which population might prefer traditional medicine over Western healthcare? a. Suburban middle-class Americans b. Recent immigrants from Southeast Asia c. Urban teenagers d. Professional athletes Some Southeast Asian cultures rely on traditional remedies before seeking Western medicine. 53. A nurse who judges a patient’s cultural practice as “backward” is demonstrating: a. Ethnocentrism
d. Cultural rejection Cultural rejection is the opposite of competence and is not part of the model.
57. What is a microaggression? a. A medical condition b. A subtle, often unintentional act of discrimination c. A conflict with another nurse d. An overt insult Microaggressions are everyday comments or actions that may offend or stereotype someone. 58. The concept of time orientation can affect care by: a. Helping with weight loss b. Preventing medication errors c. Influencing whether patients prioritize future appointments d. Improving wound healing Some cultures value the present over the future, which can affect appointment adherence. 59. What should you do if a patient’s cultural practice is unsafe? a. Forbid it b. Accept it without question c. Discuss alternatives respectfully while educating about risks d. Report the patient
Balancing safety with cultural sensitivity requires respectful dialogue and compromise.
60. Which culture may prefer the whole family present during care discussions? a. German b. Canadian c. Hispanic/Latino d. Irish Hispanic cultures often emphasize family-centered decision-making. 61. A patient from an Asian background avoids eye contact. The nurse should: a. Recognize this may be a sign of respect b. Demand eye contact to show honesty c. Document noncompliance d. Assume the patient is lying In some cultures, avoiding eye contact is respectful and not a sign of dishonesty. 62. A culturally competent nurse knows that beliefs about pain: a. Are universal b. Vary by cultural background c. Do not affect treatment d. Can be ignored
