At Health Center XYZ, staff members on the rehab unit have a head nurse who is intolerant of error ...

At Health Center XYZ, staff members on the rehab unit have a head nurse who is intolerant of error and publicly chides anyone who makes a mistake.
 
  Over time, the rules on the unit dictate that mistakes are hidden and that areas of concern related to the functioning of the unit are discussed in tub rooms and are never openly discussed during periodic meetings. New staff members are quickly made to realize that silence is expected. The situation described is an example of:
 
  a. Ethnicity.
  b. Work environment.
  c. Work culture.
  d. Marginalization.

Question 2

Mary joins 5W nursing unit. Mary is a new graduate who is anxious to fit in. She soon learns that some of her book learning is being criticized by her colleagues, so she adapts her practice to what others on the unit are doing. She is demonstrating:
 
  a. Cultural awareness.
  b. Cultural sensitivity.
  c. Acculturation.
  d. Cultural marginality.

Question 3

When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize that the candidate's lack of eye contact reflects the candidate's cultural sensitivity. You are exhibiting:
 
  a. Acculturation.
  b. Cultural sensitivity.
  c. Ethnocentrism.
  d. Transculturalism.

Question 4

Within the deaf culture, there is considerable disagreement about the use of SEE (Signed Exact English) and ASL (American Sign Language). This is indicative of:
 
  a. Dominant versus nondominant behaviors.
  b. The need to recognize diversity within groups.
  c. The impact of cross-culturalism.
  d. How language separates subgroups.

Question 5

The nurse manager for a unit's culturally diverse staff creates a staff-development program so the professional nursing staff members can enhance their understanding of cultures on the basis of published literature.
 
  The literature reveals that the following characteristic is inherent in a culture. It:
 
  a. Develops over time.
  b. Maintains a strong work ethic.
  c. Changes easily.
  d. Develops quickly.

Question 6

In designing programs through your institution to address the health needs of Hispanics in your community, you most likely would develop programs related to:
 
  a. Diabetes.
  b. Cardiovascular disease.
  c. Cancer.
  d. Asthma.

Question 7

Because an increasing number of Hispanic patients are being admitted, a nurse manager designs a staff-development program to help her staff understand the Hispanic culture. A nurse should understand that culture is determined by which of the following?
 
  a. Behavior
  b. Love for people
  c. Shared vision
  d. Genetic predisposition

Question 8

A 66-year-old native Chinese patient, hospitalized for a myocardial infarction, asks the nurse manager about seeing his acupuncture doctor for treatment of his migraine headache. The best response to this patient would be:
 
  a. How long have you been using acupuncture treatment?
  b. Do you think acupuncture relieves your pain satisfactorily?
  c. What have you told your heart specialist about your migraines and treatment?
  d. Have you tried nonprescription pain medication or been given a prescription drug for your headaches?