Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley – Test Bank

1. The nurse is interviewing a female Hispanic client who is scheduled for a cardiovascular
education program. The client states, ìI can’t eat and I don’t sleep because my daughter
left to return to Mexico. I am sad and nervous. I need rest.î The nurse suspects that she
is suffering from susto. Which action by the nurse would be best?
A) Give her a multivitamin supplement.
B) Encourage her to exercise.
C) Reschedule the education program.
D) Refer her to a counselor.
2. A nurse is admitting a client who is from another culture. Prior to caring for a client
from another culture, the nurse should place primary importance on which action?
A) Examining personal biases and prejudices
B) Researching characteristics of the specific culture
C) Asking colleagues about ways to approach the client
D) Developing awareness of the culture’s health practices
3. A nurse educator is leading a group of nurses in exercises aimed at improving cultural
competence. Which of the following would the educator use to best describe an aspect
of the term ìcultureî?
A) Transmission occurs to another generation through genetics.
B) It is shared through norms for behaviors, values, and beliefs.
C) It is adapted to a specific environment.
D) It is experienced by all people even without human contact.
4. A nurse states, ìHispanic people have no clue about primary prevention of illness.î The
nurse is demonstrating which of the following?
A) Stereotyping
B) Ethnicity
C) Cultural incompetence
D) Prejudice
5. A nurse is assessing a client of East Asian descent. Which biological variation would
the nurse expect?
A) Dry cerumen in the client’s ears
B) Profuse perspiration in the client’s axillary area
C) Strong body odor
D) Longer eustachian tubes
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6. A nurse who provides care in a busy, inner-city clinic performs physical examinations
on clients of various cultures. In a client from which group would the nurse expect to
find the greatest amount of body odor from perspiration?
A) Inuit
B) Asian
C) Caucasian
D) Native American
7. An African-American woman collapses at the funeral of her mother and later states that
she could hear everything people were saying to her but, for a brief period, she could not
move. The nurse interprets this as which of the following?
A) Spell
B) Falling out
C) Empacho
D) Susto
8. A nurse has identified the goal of becoming more culturally sensitive and competent.
What is the primary rationale for cultural sensitivity in health care settings?
A) Recognize that cultural diversity exists.
B) Understand individual differences.
C) Prevent offending the client.
D) Obtain accurate assessment data.
9. Based on a colleague’s feedback, a nurse learns that she is aware of cultural differences
in a general way but does not know what the specific differences are or how to
communicate with a person of a specific culture. This nurse exhibits which of the
following?
A) Unconscious incompetence
B) Conscious incompetence
C) Conscious competence
D) Unconscious competence
10. A group of students is reviewing material on cultural competence. The students
demonstrate understanding of this concept when they identify which of the following as
the starting point?
A) Cultural awareness
B) Cultural desire
C) Cultural skill
D) Cultural knowledge

Answer Key
1. C
2. A
3. B
4. A
5. A
6. C
7. B
8. D
9. B
10. B