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NSG 1900 CULTURAL COMPETENCE IN
HEALTHCARE MIDTERM EXAM 2
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2025 GALEN COLLEGE OF NURSING
1. What is the primary goal of culturally competent care in nursing? a. To treat all patients the same regardless of background b. To provide care that respects each patient's cultural beliefs and practices c. To increase the number of minority nurses d. To promote Western medicine in all populations Culturally competent care involves understanding and respecting the cultural backgrounds of patients to provide individualized, appropriate care.
2. Which term best describes the process by which a person adapts to a new culture while maintaining aspects of their original culture? a. Assimilation b. Cultural imposition c. Acculturation d. Cultural blindness Acculturation refers to adopting aspects of a new culture while retaining one's own cultural identity. 3. What is ethnocentrism? a. Appreciation of other cultures b. The belief that all cultures are equal c. The belief that one's own culture is superior to others d. A method of learning cultural sensitivity Ethnocentrism can lead to biases in healthcare by devaluing patients’ cultural perspectives. 4. A nurse assumes that a Hispanic patient prefers to have family involved in care without asking. What concept does this demonstrate? a. Stereotyping b. Cultural assimilation c. Cultural awareness d. Cultural respect Stereotyping involves assuming characteristics about an individual based on generalizations.
8. What does cultural sensitivity involve? a. Assuming all cultural beliefs are the same b. Being aware that cultural differences exist and affect healthcare delivery c. Treating everyone equally d. Avoiding cultural discussions Cultural sensitivity recognizes and respects cultural differences in healthcare. 9. Which of the following is an example of a cultural health practice? a. Using gloves during procedures b. Using herbal remedies for healing c. Administering antibiotics d. Monitoring vital signs Many cultures incorporate herbal remedies as part of their traditional healthcare. 10. What is cultural blindness? a. Understanding different cultural perspectives b. Ignoring cultural differences and treating everyone the same c. Being aware of cultural bias d. Prioritizing cultural education Cultural blindness fails to acknowledge differences and can lead to inadequate care.
11. What role does a nurse play in reducing health disparities? a. Avoiding contact with diverse patients b. Providing culturally appropriate care to underserved populations c. Referring all non-English speakers to social work d. Delivering identical care to all patients Culturally appropriate care improves access and outcomes for diverse patient populations. 12. A patient refuses a blood transfusion due to religious beliefs. What is the nurse’s best response? a. Persuade them to accept it b. Ignore the refusal c. Respect the decision and explore alternatives d. Discharge the patient Respecting beliefs and collaborating on acceptable alternatives aligns with cultural competence. 13. Which term describes the physical characteristics shared by a group? a. Culture b. Ethnicity c. Race d. Nationality Race refers to biologically inherited traits, while culture is learned. 14. When is a language interpreter required in healthcare? a. When the nurse is busy
Cultural imposition disregards patients’ values and enforces the provider’s beliefs.
18. A culturally competent nurse should always: a. Be fluent in multiple languages b. Avoid discussing culture c. Be open to learning from the patient d. Apply the same care plan to all Cultural competence includes openness, respect, and a willingness to learn from each patient. 19. A nurse who is aware of their own cultural beliefs is practicing: a. Cultural blindness b. Cultural self-awareness c. Cultural bias d. Cultural assimilation Self-awareness is the first step toward providing culturally appropriate care. 20. Which is an example of a cultural belief affecting healthcare? a. Fasting during religious holidays b. Taking prescribed medications c. Attending physical therapy d. Requesting second opinions Fasting may influence nutrition, hydration, and medication timing.
21. Why is trust important in cross-cultural care? a. To encourage compliance b. To build therapeutic relationships and open communication c. To control treatment d. To decrease workload Trust allows patients to share personal and cultural information important for care. 22. When a nurse adapts their communication style to meet the needs of a patient’s culture, this is known as: a. Cultural imposition b. Cultural avoidance c. Cultural accommodation d. Ethnocentrism Cultural accommodation involves adapting care to align with the patient’s cultural preferences. 23. Which federal law mandates equal access to healthcare services regardless of national origin or language? a. HIPAA b. Title VI of the Civil Rights Act of 1964 c. EMTALA d. Affordable Care Act Title VI prohibits discrimination based on national origin, ensuring interpreter access.
c. Uniform care for all patients d. Care limited to language services Culturally congruent care is individualized and respectful of cultural norms.
28. Which concept is essential to effective cultural communication? a. Medical terminology b. Silence c. Active listening d. Rapid speech Active listening shows respect and helps identify cultural needs. 29. What is a potential consequence of ignoring cultural factors in care? a. Increased satisfaction b. Higher adherence c. Miscommunication and poor health outcomes d. Improved recovery Ignoring culture can cause misunderstanding and reduce the effectiveness of care. 30. What type of question is best to assess a patient’s cultural beliefs? a. Yes/no questions b. Technical medical questions c. Open-ended questions d. Multiple-choice Open-ended questions allow for deeper exploration of beliefs and preferences.
31. When caring for a Native American patient, the nurse avoids direct eye contact as requested. This is an example of: a. Cultural ignorance b. Cultural respect c. Cultural assimilation d. Cultural shock Respecting cultural norms, such as avoiding direct eye contact when appropriate, is a sign of cultural competence. 32. Which strategy promotes effective cross-cultural patient education? a. Using only printed instructions b. Providing materials in the patient’s native language c. Speaking louder to the patient d. Relying on gestures only Educational materials in the patient’s preferred language ensure understanding and promote health literacy. 33. A nurse avoids assigning value judgments to cultural practices. This demonstrates: a. Cultural relativism b. Cultural avoidance c. Cultural competence d. Cultural imposition Cultural competence requires respecting differences without judgment.
37. In a culturally competent health system, policies should: a. Be rigid and uniform b. Promote diversity and inclusion c. Apply Western standards only d. Eliminate interpreter services Policies that support diversity and inclusion improve health outcomes for all populations. 38. What is cultural brokering? a. Refusing to discuss differences b. Providing legal aid c. Mediating between the healthcare system and the patient’s cultural needs d. Translating documents A cultural broker helps bridge gaps between a patient's cultural beliefs and the healthcare environment. 39. Which factor is most likely to influence a patient’s health beliefs? a. Weather b. Hospital architecture c. Religious and spiritual beliefs d. Access to public transportation Religion and spirituality often shape perceptions of illness, healing, and death.
40. Which nursing intervention supports cultural competence when caring for LGBTQ+ patients? a. Avoid asking personal questions b. Use only medical terminology c. Use inclusive language and ask about preferred pronouns d. Assume heterosexual identity Inclusive language and respectful communication foster trust and reduce disparities. 41. A nurse consistently mispronounces a patient’s name despite being corrected. This may indicate: a. Cultural sensitivity b. Cultural disrespect c. Cultural humility d. Cultural competence Continually mispronouncing a patient’s name despite correction demonstrates lack of cultural respect. 42. Which term best describes negative attitudes toward people from different cultural backgrounds? a. Cultural humility b. Cultural congruence c. Prejudice d. Health disparity
46. Which communication barrier often occurs in cross-cultural care? a. Empathy b. Misinterpretation of nonverbal cues c. Shared language d. Medical jargon Nonverbal cues can vary across cultures, leading to miscommunication. 47. A nurse learning about other cultures with the intent to provide better care is practicing: a. Cultural avoidance b. Cultural rejection c. Cultural awareness d. Cultural dominance Cultural awareness is the ongoing process of learning and integrating cultural knowledge. 48. Which cultural group may prefer silence during pain rather than verbal expression? a. Irish b. Italian c. Asian d. Hispanic Some Asian cultures view pain expression as a sign of weakness and may remain silent.
49. What should a nurse do if they don’t understand a cultural practice that impacts care? a. Ignore it b. Ask another nurse c. Respectfully ask the patient to explain d. Change the practice Open, respectful inquiry builds trust and improves culturally congruent care. 50. Which concept best supports the ethical principle of autonomy in cultural care? a. Cultural ignorance b. Cultural stereotyping c. Respect for patient values and preferences d. Cultural dominance Respecting cultural values supports the patient’s right to make informed decisions about their care. 51. A patient uses a healer from their culture instead of a physician. What should the nurse do? a. Report to administration b. Tell them to stop c. Respect their choice and explore possible safe integration with medical care d. Dismiss them
55. Cultural safety means: a. Avoiding all cultural discussions b. Creating an environment of mutual respect and empowerment c. Controlling cultural practices d. Providing standard education Cultural safety ensures that care is free from racism, discrimination, and judgment. 56. A culturally competent nurse will view cultural differences as: a. Challenges b. Obstructions to care c. Opportunities to learn and improve care d. Irrelevant to care Differences should be embraced as learning opportunities, not as obstacles. 57. The Campinha-Bacote model of cultural competence includes: a. Awareness, knowledge, skill, encounter, desire b. Language, interpretation, respect, education, empathy c. Diversity, ethics, policy, safety, empathy d. Compassion, neutrality, care, acceptance, knowledge The model emphasizes developing cultural competence through five interactive constructs. 58. Which action promotes cultural humility in nursing practice? a. Leading cultural education
b. Practicing only within your culture c. Engaging in lifelong self-reflection and learning d. Memorizing cultural facts Cultural humility is rooted in an ongoing process of self-reflection and open-mindedness.
59. What’s the best approach to handling cultural conflict in care? a. Ignore it b. Collaboratively explore solutions with the patient and care team c. Avoid the patient d. Enforce policies Conflict resolution involves respectful, culturally sensitive communication and collaboration. 60. The most effective way to build trust with culturally diverse patients is to: a. Tell them what to do b. Follow your cultural norms c. Show respect and ask about their preferences d. Avoid cultural discussions Trust is earned through respect and by including the patient in care decisions. 61. Which population is most likely to use folk medicine? a. Urban professionals b. College students
