Chapter 11: Workplace Diversity
Test Bank
MULTIPLE CHOICE
1. The U.S. Department of Health and Human Services (USDHHS) acted to make cultural competence a priority in health care. Federal standards were issued that included which of the following?
a. Clients are expected to agree to medical services, regardless of their cultural beliefs.
b. Hiring practices of hospitals should not be affected by these standards.
c. Interpreters should be available to all non–English-speaking clients.
d. Nursing staff that are of the same culture as the client should care for the client.
ANS: C
Interpreter services should be available at no cost to each client with limited English proficiency at all points of contact, in a timely manner, and during all hours of operation.
DIF: Cognitive Level: Understand (Comprehension) REF: Page 190
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Basic Care and Comfort
2. A client of Vietnamese background is admitted to the unit after a hysterectomy. She has an order for clear liquids. When her tray is brought to her, she refuses the lime Jell-O. Which response by the nurse is most appropriate?
a. “I don’t blame you. I don’t like lime Jell-O either.”
b. “Tell me about your cultural beliefs to best help you.”
c. “Why don’t you want to eat the lime Jell-O?”
d. “It is important for you to eat so that you will heal.”
ANS: B
Asking clients to explain their cultural beliefs will assist nurses to recognize how these beliefs define health and illness.
DIF: Cognitive Level: Apply (Application) REF: Pages 190-191
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Cultural diversity refers to the:
a. acknowledgment of variation in thoughts, communication, values, and beliefs.
b. belief that one’s own culture is similar to another’s culture.
c. realization that all people in a particular culture have the same beliefs.
d. view that individuals living in a country should speak the native language.
ANS: A
Cultural diversity refers to variations with respect to the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups.
DIF: Cognitive Level: Understand (Comprehension) REF: Page 187
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. The diversity of patients seen in health care settings will be increased by the:
a. U.S. Census.
b. National Association for the Advancement of Colored People.
c. Centers for Medicare & Medicaid Services.
d. Affordable Care Act (ACA).
ANS: D
The Affordable Care Act of 2010 (ACA) will increase the diversity of patients seen in health care settings.
DIF: Cognitive Level: Understand (Comprehension) REF: Page 186
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Which of the following ethnic populations is growing faster than the U.S. population as a whole?
a. African Americans and Japanese
b. Iranians and Romanians
c. Hispanics and Asians
d. Vietnamese and Europeans
ANS: C
The Hispanic and Asian populations continue to grow faster than the U.S. population as a whole.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 186-187
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Cultural affiliation, health and care beliefs and practices, illness beliefs and customs, and spiritual practices best describe components of a:
a. cultural assessment.
b. data collection.
c. health evaluation.
d. medical history.
ANS: A
A cultural assessment consists of cultural affiliation, health and care beliefs and practices, illness beliefs and customs, interpersonal relations, spiritual practices, world view, and other social structure features.
DIF: Cognitive Level: Apply (Application) REF: Page 192
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
7. A graduate nursing student hopes to travel to many countries to care for clients when he is finished with his degree. His clinical focus is advanced practice nursing (family nurse practitioner) and transcultural nursing. His actions best exemplify the process of cultural:
a. awareness.
b. knowledge.
c. skill.
d. valuing.
ANS: B
Cultural knowledge is a process of seeking and obtaining an educational background about the different world views of various cultures. The knowledge base of fields such as transcultural nursing, sociology, psychology, and anthropology can be examined for cultural knowledge.
DIF: Cognitive Level: Apply (Application) REF: Page 191
TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. A nurse believes that she should provide optimal care to all clients, regardless of their cultural background. She is struggling with her emotions when caring for a client with a violent criminal background. What would be the best course of action for this nurse?
a. Avoiding the client as much as possible but providing care
b. Identifying her biases but providing care
c. Requesting another patient assignment
d. Taking sick days while the patient is hospitalized
ANS: B
Identifying her biases but yet still providing care to the client is a step in providing culturally competent care.
DIF: Cognitive Level: Apply (Application) REF: Page 191
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. Which of the following supports successful workplace diversity?
a. Being a “devil’s advocate”
b. Holding tight to one’s cultural values
c. Respect for differences
d. Withholding judgment of others
ANS: C
Strategies of respect for differences, exploring beyond the comfort zone, withholding judgment of others, emphasizing the positive, and practicing good communication techniques are strategies for encouraging successful workplace diversity.
DIF: Cognitive Level: Apply (Application) REF: Page 195
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. The distribution of ethnicity in the U.S. population is moving from one in four Americans being nonwhite in 2010. By 2050, an estimated one in three Americans will be one of the following ethnicities: Black, Hispanic, Native American, or:
a. Asian–Pacific Islander.
b. French Canadian.
c. Middle Eastern.
d. Russian.
ANS: A
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