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NSG 1900 CULTURAL COMPETENCE IN
HEALTHCARE MIDTERM EXAM 1
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2025 GALEN COLLEGE OF NURSING
1. What is cultural competence in healthcare? A. Learning another language B. Memorizing customs of different groups C. Providing care that respects patients’ diverse values and beliefs D. Avoiding patients from unfamiliar cultures Cultural competence involves understanding and respecting diverse cultural factors to provide effective care. 2. Which term describes the belief that one’s own culture is superior? A. Multiculturalism B. Ethnocentrism
C. Cultural humility D. Cultural congruence Ethnocentrism is the tendency to view one’s own culture as the standard.
3. A nurse who uses a patient's traditional healing practices demonstrates: A. Cultural imposition B. Cultural ignorance C. Cultural sensitivity D. Cultural shock Cultural sensitivity involves respecting and incorporating patients’ cultural practices. 4. What is the most important initial step in developing cultural competence? A. Self-assessment of personal beliefs and biases B. Reading about other cultures C. Attending cultural festivals D. Learning traditional foods Self-awareness helps nurses recognize and address their own biases. 5. Which factor is most likely to influence a patient’s health beliefs? A. Hair color B. Cultural background C. Blood pressure D. Hospital size
B. Forcing personal health beliefs onto the patient C. Asking the patient about dietary practices D. Respecting spiritual beliefs Cultural imposition occurs when one imposes their values on another.
10. In the Campinha-Bacote model, one component is: A. Cultural ego B. Cultural hostility C. Cultural desire D. Cultural isolation Cultural desire is the motivation to become culturally competent. 11. What does the LEARN model for cross-cultural communication stand for? A. Listen, Empathize, Act, Respect, Negotiate B. Listen, Explain, Acknowledge, Recommend, Negotiate C. Learn, Educate, Argue, Reassure, Navigate D. Lead, Evaluate, Accept, Respond, Normalize The LEARN model guides effective cross-cultural interactions in clinical settings. 12. When a nurse avoids eye contact with a Native American patient to show respect, this reflects: A. Disinterest B. Disrespect C. Cultural sensitivity
D. Cultural competence failure Some cultures perceive direct eye contact as disrespectful; adapting shows respect.
13. What is a health disparity? A. A difference in health outcomes among different populations B. An individual illness C. A disease outbreak D. A new diagnosis Health disparities are preventable differences in health outcomes across groups. 14. An example of a cultural health belief is: A. Vital signs B. Use of herbal remedies C. CBC result D. Insurance status Many cultures include traditional remedies as part of health and healing. 15. What is the goal of culturally competent care? A. Faster patient discharge B. Universal treatment protocols C. Improving health outcomes and patient satisfaction D. Reducing staff burden Culturally competent care leads to better communication, adherence, and outcomes.
D. Veterans Minority populations often face systemic barriers to quality care.
20. When a patient uses cupping therapy, the nurse should: A. Ask the patient about its significance and assess the skin B. Report abuse C. Discourage the practice D. Ignore the marks Understanding the practice helps avoid misinterpretation and ensures proper care. 21. Cultural assessment tools help the nurse to: A. Diagnose illness B. Understand patient values, beliefs, and behaviors C. Write prescriptions D. Schedule appointments These tools guide individualized, respectful, and effective care. 22. A culturally competent organization will: A. Employ only bilingual staff B. Offer one-size-fits-all education C. Include cultural awareness training for all staff D. Avoid cultural topics Training all staff helps build an inclusive and competent environment. 23. Which behavior shows a lack of cultural sensitivity? A. Stereotyping a patient’s behavior based on ethnicity
B. Asking about religious needs C. Providing dietary options D. Being aware of language needs Stereotyping ignores individual differences and creates barriers to trust.
24. Cultural competence improves patient safety by: A. Reducing workloads B. Enhancing communication and preventing misunderstandings C. Speeding discharges D. Avoiding family involvement Effective communication reduces errors and improves collaboration. 25. What does "transcultural nursing" focus on? A. Comparative study of cultures to deliver meaningful nursing care B. Learning languages C. Promoting Western practices D. Avoiding unfamiliar treatments Transcultural nursing aims to provide care that is congruent with patients’ cultures. 26. Cultural assessment includes: A. Employment history B. Language, religious beliefs, and health practices C. Political views D. Voting history
B. Enforcing payment plans C. Advocating for equitable care and access D. Denying cultural differences Nurses advocate for fair treatment and culturally appropriate care. 31. A nurse learns about local immigrant populations to improve care. This demonstrates: A. Bias B. Discrimination C. Cultural competence in action D. Cultural blindness Actively seeking knowledge supports culturally informed care.
32. A nurse refuses to care for a patient based on ethnicity. This is: A. Ethical B. Discrimination C. Legal D. Standard practice Discrimination violates professional ethics and patient rights. 33. A healthcare belief common in Hispanic culture is: A. Yin and Yang B. Use of curanderos (folk healers) C. Bloodletting D. Reiki therapy Many Hispanic patients may use curanderos alongside Western medicine.
34. In Asian cultures, patients may prefer: A. Loud, direct communication B. Indirect communication and modesty C. Aggressive treatment plans D. Being alone Indirectness and non-confrontation are valued in many Asian cultures. 35. The term "acculturation" means: A. Isolation B. Adopting traits from another culture C. Abandoning one’s culture D. Cultural destruction Acculturation is the process of adjusting to a new culture. 36. What is cultural awareness? A. Knowing everyone’s culture B. Recognizing your own biases and how culture affects care C. Stereotyping with good intentions D. Memorizing religious holidays It begins with self-awareness and acknowledging cultural influences. 37. Which best demonstrates cultural knowledge? A. Ignoring cultural issues B. Understanding various health beliefs and cultural norms C. Generalizing about groups
C. Avoiding visitors D. Isolation Many cultures have specific rites and spiritual needs at the end of life.
42. Nurses can address cultural needs by: A. Enforcing uniformity B. Avoiding sensitive topics C. Asking open-ended questions about preferences D. Skipping care planning Open questions help elicit patient values and beliefs. 43. Which is an example of health inequity? A. Universal screening B. Lack of access to care for uninsured minorities C. Vaccination for all D. Standardized guidelines Inequities exist when certain groups lack access to necessary care. 44. Which group may be at higher risk for communication barriers? A. Fluent English speakers B. Patients with limited English proficiency C. Nurses with master’s degrees D. Bilingual providers Patients with language limitations need support to ensure understanding. 45. When a nurse is open and curious about cultural differences, this is: A. Cultural humility
B. Cultural rejection C. Cultural control D. Cultural intolerance Cultural humility is rooted in respect and lifelong learning.
46. A key part of cultural competence is: A. Ignoring differences B. Speaking loudly C. Recognizing and honoring cultural diversity D. Following orders only Cultural competence means embracing and adapting to diversity. 47. If a patient avoids eye contact, the nurse should: A. Demand attention B. Recognize it may be a cultural norm C. Assume guilt D. End the conversation Avoiding eye contact is respectful in some cultures. 48. What is cultural congruence? A. Universal treatment B. Forcing Western care C. Care that fits the patient’s cultural values D. Ignoring culture Cultural congruence promotes harmony between care and patient beliefs.
52. Which of the following is an example of a cultural health risk? A. High income B. Religious fasting during illness C. Healthy eating habits D. Private insurance coverage Certain cultural practices, like fasting, may pose health risks in specific contexts. 53. When a nurse avoids asking about a patient’s cultural beliefs, it may lead to: A. Better communication B. More efficient care C. Misunderstandings and inappropriate care D. Increased trust Failing to explore cultural needs can result in misaligned care and poor outcomes. 54. What is an appropriate response when a patient uses folk medicine? A. Tell the patient to stop immediately B. Ask about the remedies and assess for interactions C. Report the patient to the provider D. Dismiss the information Understanding folk practices ensures safe and respectful care planning. 55. What is the term for a healthcare system that blends traditional and Western medicine?
A. Ethnocentrism B. Complementary care C. Holistic exclusion D. Biocultural care Complementary care integrates traditional and biomedical approaches to healing.
56. Which cultural group may place strong value on family-centered decision-making? A. Western Europeans B. Canadians C. Hispanics/Latinos D. Australians Hispanic/Latino families often make collective decisions regarding healthcare. 57. What should a nurse do when caring for a patient who refuses pain medication due to cultural beliefs? A. Administer it anyway B. Avoid discussing pain C. Respect the decision and offer alternative pain management options D. Report the patient to social services Respecting the patient’s beliefs while offering alternatives honors autonomy.
61. A nurse encounters a belief in spiritual causes of illness. How should they respond? A. Acknowledge the belief and discuss care options respectfully B. Dismiss the belief as unscientific C. Refer to psychiatry D. Ignore it Acknowledging beliefs fosters trust and cooperation in care planning. 62. If a patient insists on having a family elder make decisions, the nurse should: A. Refuse due to autonomy B. Include the elder in the decision-making process C. Refer to ethics D. Cancel the plan of care Respecting family hierarchy is important in many cultural contexts. 63. In Native American cultures, healing may include: A. Only antibiotics B. Avoiding traditions C. Ceremonial rituals and spiritual guidance D. Hospital chaplains only Native American healing practices often include spiritual and community- based rituals. 64. When a nurse consistently provides culturally competent care, it promotes:
A. Higher costs B. Decreased documentation C. Increased trust and better health outcomes D. Longer stays Trust improves when care aligns with patients’ beliefs and values.
65. Cultural competence requires understanding how culture affects: A. Only clothing choices B. Nurse-patient ratios C. Health beliefs, behaviors, and expectations D. Nursing diagnoses only Culture influences all aspects of health, not just superficial traits. 66. What is one ethical obligation of a culturally competent nurse? A. To respect patient autonomy and cultural identity B. To impose health teachings C. To ignore spiritual concerns D. To treat all patients identically Ethical nursing care includes respecting cultural values and individuality. 67. An example of cultural health practice that may conflict with Western medicine is: A. Using a wheelchair B. Reading patient handouts C. Applying healing crystals D. Taking prescribed medications
