Download NUR 3516 Cultural Competence in Healthcare Final exam Questions and Correct Answers (Ver and more Exams Nursing in PDF only on Docsity!
NUR 3516 Cultural Competence in Healthcare
Final exam Questions and Correct Answers
(Verified Answers) with Rationales 2025
- What is the best definition of cultural competence in healthcare? Understanding and responding effectively to the cultural and linguistic needs of patients
It involves awareness, knowledge, and skills to provide care that
respects the patient’s cultural background.
- Which of the following is an example of cultural humility? Engaging in self-reflection and lifelong learning about other cultures
Cultural humility emphasizes personal reflection and being open to
learning from others.
- The LEARN model stands for: Listen, Explain, Acknowledge, Recommend, Negotiate
The LEARN model is a communication framework to enhance cross-
cultural communication.
- What is an example of ethnocentrism? Believing one’s own culture is superior to others
Ethnocentrism hinders cultural understanding and promotes bias.
- Which action demonstrates cultural sensitivity? Asking the patient about their preferred form of address
This respects the individual’s identity and cultural norms.
- In Campinha-Bacote’s model, cultural desire refers to: The motivation to want to engage in cultural competence
Desire is the foundational element for developing cultural competence.
- Which is NOT a component of cultural competence? Cultural domination
Cultural domination contradicts the principles of cultural respect and
equity.
- A nurse uses an interpreter during a patient interaction. This is an example of: Culturally competent communication
Using interpreters ensures accurate and respectful communication.
- What is cultural awareness? Recognition of one’s own cultural beliefs and biases
It’s the first step in becoming culturally competent.
10.Which population is most at risk for health disparities? Minority ethnic and racial groups
These groups often face systemic barriers to quality healthcare.
It promotes equality and respect across cultures.
18.What is the role of language in cultural competence? It is essential to provide understandable and respectful care
Language barriers can result in misdiagnosis and treatment errors.
19.A patient refuses a blood transfusion for religious reasons. What should the nurse do? Respect the patient’s decision and explore alternatives
Patient autonomy and religious beliefs must be honored.
20.Culturally competent care includes which ethical principle? Respect for autonomy
It involves acknowledging and honoring cultural preferences.
21.Cultural brokering is: Advocating for and bridging cultural gaps in care
It supports patients in navigating the healthcare system.
22.Acculturation is defined as: Adapting to a new culture while retaining one’s original culture
Acculturation affects health beliefs and behaviors.
23.Which is a strategy to improve cultural competence? Participating in diversity training
Education builds awareness and skills for culturally responsive care.
24.Which is an example of cultural knowledge? Understanding dietary practices during Ramadan
This informs respectful and appropriate care decisions.
25.The process of lifelong learning about cultural diversity is called: Cultural humility
It involves continuous reflection and openness.
26.What is the main goal of culturally competent care? To improve health outcomes for diverse populations
It ensures equity and patient-centered care.
27.When a patient uses traditional medicine, the nurse should: Ask about its use and assess for interactions
This approach respects beliefs and promotes safe care.
28.An effective interpreter in healthcare should be: Trained in medical interpretation and impartial
This ensures accurate and confidential communication.
29.What is a health disparity? A difference in health outcomes linked to social, economic, or environmental disadvantage
Health disparities reflect systemic inequities.
30.The first step in developing cultural competence is:
37.When dealing with cultural conflict, the nurse should: Use negotiation and respect to reach compromise
This approach balances care and cultural values.
38.Cultural bias is: A preconceived opinion that prevents impartial judgment
Bias can affect clinical decisions and outcomes.
39.How can nurses advocate for culturally competent care? Educate colleagues and participate in policy-making
Advocacy improves care systems and access for diverse patients.
40.When a patient’s belief contradicts evidence-based practice, the nurse should: Respect the belief and provide education
Mutual respect and shared decision-making are key.
41.The concept of collectivism in culture means: Emphasis on group over individual needs
This affects decision-making and consent processes.
42.What is a trans-cultural nursing theory? Leininger’s Culture Care Theory
It emphasizes culturally congruent care.
43.Spirituality in cultural care is important because:
It influences coping and health decisions
Nurses must support spiritual needs as part of holistic care.
44.Health literacy is essential because: It affects a patient’s ability to understand health information
Poor health literacy can lead to worse outcomes.
45.A culturally appropriate diet for a Hindu patient would exclude: Beef
Many Hindus avoid beef for religious reasons.
46.What is a key difference between cultural competence and cultural humility? Competence is a skillset; humility is a lifelong process
Cultural humility goes beyond knowledge to continuous reflection.
47.Nonverbal communication includes: Gestures, eye contact, and body posture
These vary across cultures and can affect interpretation.
48.When addressing cultural needs, nurses must: Avoid assumptions and ask open-ended questions
This supports individualized and respectful care.
49.Cultural safety refers to: Creating an environment free from discrimination and bias
55.When a nurse ignores a patient’s spiritual needs, it may result in: Reduced patient satisfaction and trust
Spiritual needs are part of holistic, culturally competent care.
56.The concept of “face-saving” is especially important in: Asian cultures
Face-saving involves avoiding shame and preserving dignity.
57.A nurse advocating for a prayer room for Muslim patients is an example of: Cultural accommodation
It shows sensitivity and respect for spiritual practices.
58.What is a traditional health belief in many Latino cultures? Illness can be caused by imbalances such as hot and cold
Many Latino patients follow humoral theories of health.
59.Which strategy fosters cultural competence in healthcare teams? Interdisciplinary cultural competence training
Team training ensures consistent, inclusive care.
60.The use of folk healers is most common among which group? Hispanic/Latino populations
Folk healers such as curanderos are often consulted for illness.
61.Cultural congruence in nursing means: Care aligns with the patient’s cultural beliefs and values
It improves health outcomes and satisfaction.
62.Why is cultural self-assessment important for nurses? It helps identify personal biases and areas for growth
Self-awareness is critical in avoiding unintentional prejudice.
63.A culturally competent nurse will: Adapt care to meet the unique cultural needs of the patient
Flexibility ensures personalized and respectful care.
64.Which term describes a shared set of beliefs, values, and customs? Culture
Culture shapes behavior, communication, and health perceptions.
65.When a nurse assumes a patient who is quiet is noncompliant, this is an example of: Cultural misunderstanding
Silence may have cultural meaning, not imply noncompliance.
66.A nurse using Kleinman’s Explanatory Model is seeking to: Understand the patient’s view of illness and treatment
It bridges gaps between biomedical and cultural perspectives.
67.Cultural preservation refers to: Supporting the use of cultural practices that are beneficial
It respects traditions while promoting health.
Many Eastern traditions emphasize balance and energy flow.
75.When a nurse avoids cultural discussions to “treat everyone the same,” this is: Cultural blindness
Cultural blindness ignores important differences and needs.
76.Transcultural nursing emphasizes: Comparative study of cultures to understand similarities and differences
It supports more inclusive and competent nursing care.
77.Which is an appropriate cultural assessment question? “What do you think caused your illness?”
This invites the patient to share their belief system.
78.Using cultural generalizations carefully can: Help guide understanding without assuming specifics
Generalizations should not become stereotypes.
79.Cultural synergy is the concept of: Integrating the best practices from multiple cultures
It creates innovative and inclusive approaches to care.
80.A barrier to culturally competent care in rural areas is often: Limited access to trained interpreters
Rural settings may lack diverse resources for cultural care.
81.Which nursing theorist is most associated with transcultural nursing? Madeleine Leininger
She developed the Culture Care Theory of Nursing.
82.The most ethical response to a cultural practice that may be harmful is: Discuss the risks and explore safer alternatives
Nurses must balance respect with safety and advocacy.
83.Which culture may emphasize balance of yin and yang for health? Chinese
This principle guides diagnosis and treatment in Chinese medicine.
84.An example of implicit bias is: Unconsciously thinking a patient is drug-seeking based on race
Implicit bias operates below awareness but influences actions.
85.A nurse asks a transgender patient for their preferred pronouns. This is: A culturally respectful and inclusive action
It affirms identity and fosters trust.
86.The concept of “cultural safety” originated in: New Zealand
It was developed to address inequities in Maori healthcare.
87.What does the “N” in the ETHNIC model stand for? Negotiate
Patients, families, and community resources
Collaboration ensures culturally appropriate care.
95.An immigrant patient is anxious about visiting the hospital. The nurse should: Explore the source of anxiety and explain the care process
This builds trust and reduces fear from unfamiliar systems.
96.Which communication style is often preferred in African American communities? Expressive and engaging communication
Understanding styles fosters better connection and clarity.
97.To deliver culturally competent care, the nurse must: Respect, assess, and adapt to each patient’s cultural context
Personalization is central to cultural competence.
98.The biggest challenge in delivering culturally competent care is: Overcoming personal and systemic biases
Biases hinder fair treatment and patient trust.
99.A nurse includes cultural preferences in the care plan. This reflects: Culturally responsive care
The plan reflects the patient’s identity and values.
- The ultimate goal of cultural competence in nursing is:
Equity in health care delivery for all populations
It ensures fair, respectful, and quality care for everyone.
