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NSG 1900 CULTURAL COMPETENCE IN HEALTHCARE FINAL EXAM 2 QUESTIONS AND CORRECT ANSWERS (V, Exams of Nursing

NSG 1900 CULTURAL COMPETENCE IN HEALTHCARE FINAL EXAM 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2025 GALEN COLLEGE OF NURSING

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2024/2025

Available from 07/03/2025

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NSG 1900 CULTURAL COMPETENCE IN
HEALTHCARE FINAL EXAM 2 QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025 GALEN
COLLEGE OF NURSING
1. Which of the following best defines cultural competence in
healthcare?
A. Treating all patients the same regardless of their background
B. Delivering care that respects the beliefs, values, and needs of
diverse patients
C. Providing language classes to healthcare workers
D. Requiring patients to adapt to the healthcare system
Cultural competence involves understanding and integrating a patient’s
cultural background into care decisions.
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NSG 1900 CULTURAL COMPETENCE IN

HEALTHCARE FINAL EXAM 2 QUESTIONS

AND CORRECT ANSWERS (VERIFIED

ANSWERS) PLUS RATIONALES 2025 GALEN

COLLEGE OF NURSING

  1. Which of the following best defines cultural competence in healthcare? A. Treating all patients the same regardless of their background B. Delivering care that respects the beliefs, values, and needs of diverse patients C. Providing language classes to healthcare workers D. Requiring patients to adapt to the healthcare system Cultural competence involves understanding and integrating a patient’s cultural background into care decisions.
  1. The term "ethnocentrism" refers to: A. Learning a new language B. Believing one's culture is superior to others C. Blending cultural practices D. Avoiding cultural biases Ethnocentrism can hinder culturally competent care because it promotes judgmental attitudes.
  2. Which approach is most effective when communicating with patients from a different culture? A. Use of professional medical interpreters B. Relying on family members for translation C. Speaking slowly and louder D. Avoiding communication until a translator is available Professional interpreters reduce errors and ensure accurate communication.
  3. Which of the following is an example of cultural humility? A. Mastering another culture's language B. Ignoring one’s own biases C. Acknowledging limitations in one’s understanding of a patient’s culture D. Assuming all members of a culture act the same

C. Call security D. Proceed with treatment anyway Negotiation and understanding are key in aligning care with cultural values.

  1. Cultural awareness begins with: A. Understanding all cultures B. Examining one’s own cultural background and biases C. Traveling internationally D. Speaking multiple languages Self-awareness is the foundation for developing cultural competence.
  2. A nurse stereotypes a patient based on ethnicity. This is an example of: A. Cultural sensitivity B. Bias C. Empathy D. Assimilation Bias involves assumptions based on generalizations and can impair care quality.
  3. Which is a barrier to cultural competence? A. Cultural training B. Language differences and stereotyping

C. Interpreter services D. Patient education Language and stereotyping are significant barriers to effective cross- cultural care.

  1. A nurse explains a diagnosis to a patient with limited English proficiency. What is the best approach? A. Use medical terms B. Use a certified interpreter C. Use the patient’s child to translate D. Provide written materials in English Certified interpreters ensure accurate and ethical communication.
  2. What does the LEARN model encourage? A. Effective cross-cultural communication B. Disease prevention strategies C. Time management for nurses D. Medical documentation The LEARN model supports Listening, Explaining, Acknowledging, Recommending, and Negotiating.
  3. Which of the following reflects cultural imposition? A. Offering alternative therapies B. Forcing one’s own cultural beliefs onto the patient

C. Respect and understand cultural differences D. Focus only on physical health Cultural sensitivity involves valuing and respecting cultural differences.

  1. Cultural assessment should be performed: A. Only at admission B. Throughout the entire patient care process C. Only with international patients D. When problems arise Cultural needs may change over time; ongoing assessment is crucial.
  2. Which is NOT a domain in the Purnell Model? A. Biocultural ecology B. Legal compliance C. Communication D. High-risk behaviors Legal compliance is not one of the domains in the Purnell Model.
  3. What is the impact of using family members as interpreters? A. Improves trust B. Can compromise accuracy and confidentiality C. Saves time D. Is legally required Using family members can lead to miscommunication and privacy issues.
  1. What is cultural brokering? A. Translating medical terms B. Providing cultural food C. Mediating between the healthcare system and the patient's culture D. Administering care without consent Cultural brokers help bridge gaps in understanding between patients and providers.
  2. A nurse learns that a patient uses traditional healers. The appropriate response is to: A. Discourage it B. Respect and integrate it into care when possible C. Ignore the information D. Report the healer to administration Integrating safe traditional practices shows respect and builds trust.
  3. The best indicator of a culturally competent organization is: A. Policies that promote diversity, equity, and inclusion B. Use of high-tech tools C. Standard operating procedures D. Uniform dress code Policies and practices supporting diversity lead to systemic cultural competence.
  1. Which communication style is commonly used in high-context cultures? A. Direct and explicit B. Indirect and implicit C. Loud and assertive D. Written communication only High-context cultures rely on nonverbal cues and the context of the message more than words.
  2. Which of the following is an example of a low-context culture? A. Japan B. United States C. Saudi Arabia D. China Low-context cultures like the U.S. emphasize clear, direct communication.
  3. A culturally competent nurse must understand that pain expression varies by: A. Income B. Age C. Culture D. Gender Different cultures have different norms for expressing and interpreting pain.
  1. In collectivist cultures, healthcare decisions are often made: A. By the physician only B. Solely by the patient C. By the family or group D. By government officials Collectivist cultures value group consensus over individual autonomy.
  2. A nurse is caring for a Muslim patient. Which of the following dietary practices should be respected? A. Avoiding pork and alcohol B. Eating only cold foods C. Avoiding dairy products D. Fasting every day Muslims typically abstain from pork and alcohol for religious reasons.
  3. The term “cultural relativism” means: A. Viewing behaviors within the context of the patient’s culture B. Avoiding cultural discussions C. Promoting assimilation D. Judging patients based on Western norms Cultural relativism promotes understanding actions based on cultural context rather than judgment.
  4. The best way to learn about a patient’s cultural preferences is to:

A. Wearing hospital gowns B. Taking medications at specific times C. Use of herbal remedies D. Sleeping during the day Herbal remedies may interact with prescribed medications and should be assessed.

  1. What does stereotyping lead to in healthcare settings? A. Better cultural understanding B. Inequitable and biased care C. Improved efficiency D. Strong patient relationships Stereotyping overlooks individual differences and reduces quality of care.
  2. Cultural competence can best be achieved through: A. A one-time course B. Ongoing education and self-assessment C. Ignoring cultural differences D. Hiring only diverse staff Cultural competence requires continual learning and evaluation.
  3. Which group is more likely to use traditional Chinese medicine? A. Native Americans B. Asian Americans

C. African Americans D. Hispanic Americans Traditional Chinese medicine is common among Asian populations.

  1. During Ramadan, what is the most appropriate nursing intervention for Muslim patients? A. Encourage meals during the day B. Offer food during non-fasting hours C. Limit food intake D. Prohibit prayer Muslims fast from dawn to sunset; accommodating meal times supports cultural sensitivity.
  2. When caring for a Jehovah's Witness patient, what should the nurse be prepared to respect? A. Avoidance of dairy B. Refusal of blood transfusions C. Preference for vegetarian meals D. Use of acupuncture Jehovah’s Witnesses typically refuse blood transfusions based on religious beliefs.
  3. What is the best nursing approach for a patient with limited health literacy? A. Provide a medical dictionary

B. Disease transmission C. Diet management D. Health literacy This model outlines five essential elements to achieve cultural competence.

  1. A nurse demonstrates cultural desire by: A. Avoiding cultural discussions B. Genuinely wanting to understand and interact with different cultures C. Completing mandatory training only D. Limiting contact with diverse patients Cultural desire reflects the motivation to engage and learn about different cultures.
  2. Which population may practice Ayurveda? A. Hispanic B. Native American C. African American D. Indian Ayurveda is a traditional system of medicine practiced in India.
  3. The concept of “fatalism” in health belief systems is the idea that: A. Health outcomes are predetermined and cannot be changed B. Illness is caused by bacteria

C. Medicine always works D. Health is random Some cultures believe fate controls health, which may affect decision- making.

  1. Cultural safety differs from cultural competence by emphasizing: A. Language learning B. Diversity hiring C. Patient-defined care experiences free from discrimination D. Medication access Cultural safety focuses on creating an environment of respect and empowerment.
  2. Which of the following reflects implicit bias in nursing care? A. Asking cultural questions B. Using an interpreter C. Assuming a patient’s preferences based on race D. Providing individualized care Implicit bias is unconscious and can result in assumptions that affect care.
  3. When should a cultural assessment be performed? A. Only during emergencies B. Only for international patients C. Only during discharge planning D. As early as possible in the care process
  1. Which nursing intervention shows cultural competence? A. Giving all patients the same pamphlet B. Tailoring education to the patient’s language and literacy level C. Ignoring cultural beliefs to prevent conflict D. Avoiding family involvement Customized education that fits a patient’s background ensures comprehension and respect.
  2. Which group may view health holistically, including spiritual and emotional balance? A. Western Europeans B. Canadians C. Native Americans D. Scandinavians Many Native American tribes see health as a balance of body, mind, and spirit.
  3. What is a common health disparity among minority populations in the U.S.? A. Low rate of chronic illness B. Higher incidence of diabetes and hypertension C. Greater access to healthcare D. Lower hospitalization rates

Minority populations often face greater chronic illness rates due to systemic barriers.

  1. What does the term “health equity” mean? A. Everyone has a fair opportunity to attain full health B. Everyone receives the same treatment C. Everyone pays the same cost D. All patients follow the same plan Health equity accounts for individual needs and removes barriers to care.
  2. Which belief may delay seeking care in some cultural groups? A. Preference for Western medicine B. Belief that illness is punishment or spiritual C. Belief in early diagnosis D. Emphasis on prevention Spiritual beliefs about illness may lead to delays in seeking medical care.
  3. Which culture may emphasize harmony with nature in their health practices? A. German B. Native American C. British D. Cuban Native American beliefs often include living in balance with nature.