42. What would be alternative treatment modalities used during an illness?
a. Strict adherence to the prescribed medical regimen
b. Willingness to seek a second medical opinion
c. Refusal to allow any medical treatment to be performed
d. Consultation of a healer outside the medical establishment
43. A patient follows the teachings of Christian Science and will not take any medications, but
for which health problem will medications be used by members of this religion?
a. Chemotherapy to treat cancer
b. Immunizations to comply with civil law
d. Narcotics for pain relief
44. Which type of healing is most appropriate for a person who is possessed by external evil?
b. Physical healing
c. Inner healing
d. Spiritual healing
45. Why is understanding family heritage important?
a. New traditions can be discovered to be incorporated into daily life.
b. It provides answers to questions regarding why family members behaved as they did.
c. Knowing the methods of socialization that were passed down among families can explain social behaviors today.
d. Health practices can be altered as a result of understanding heritage.
46. Why is it important to examine individual familial health/health practices?
a. Rejects those health traditions if they differ from those of the same ethnocultural group
b. Identifies what healing practices need to be used when one is ill
c. Helps a person become sensitized to understand the role that ethnocultural and religious heritage has played within a family
d. Generalizes to all members of the same ethnocultural group the various health practices that are done
47. What is the value of sharing family health practices among people?
a. Encourages feelings of nostalgia for past times with family
b. Supports the rejection of all types of family health practices
c. Recognizes autonomy for the efficacy of the health practices
d. Provides an awareness of the differences between various groups
48. Which health protection action would the nurse assess in a patient who is of Black American
a. Eating fresh lemons
b. Wearing camphor around the neck in the winter
c. Taking a daily shot of whiskey
d. Drinking blackstrap molasses
49. Which health restoration practice for a cold would the nurse assess in a patient of English
a. Drinking honey and vinegar
b. Rubbing the chest with Vicks
c. Gargling with water and vinegar
d. Drinking brandy with warm milk
50. A patient of Swedish-American Protestant descent wants a specific health protection intervention to maintain throat health. Which action will the patient most likely request?
a. Gargling with salt and taking honey with milk
b. Having the throat blessed on St. Blaise Day
c. Ingesting baking soda
d. Staying in a steamy bathroom when the throat is sore
51. Which action would a patient from Italian-American Catholic heritage perform to protect
a. Never washing hair before going outdoors
b. Keeping a kitchen warm
c. Drinking water with meals
d. Taking regular vitamin tonics
52. What is an assumption about socialization into the health care culture?
a. Interventions for health events must follow a prescribed protocol.
b. The more technological the intervention, the greater benefit it yields.
c. Effective treatment can only be done by educated and licensed professionals.
d. Alternative complementary treatments have validity.
53. How does the U.S. health care expenditure per person compare to other nations?
a. Expenditures rank lower than those of other nations.
b. Expenditures are equal with other nations.
c. Expenditures are a fraction of the gross domestic product.
d. Expenditures exceed those of other nations.
54. What impact did social and health policy have on the health care system in the latter part of
the twentieth century?
a. Exploding health care costs and the challenges to reform and control them
b. The majority of health care being paid for through government subsidies
c. Affordable health care for all citizens
d. Health care costs decreasing as a result of social and health policy
55. What would be a reason why a person with sickle cell disease does not receive adequate care
and pain control during a crisis?
a. Physicians are not familiar with the trajectory of a pain crisis.
b. There may be subtle racism exhibited toward those with sickle cell disease.
c. The person isn’t aware that appropriate care for a pain crisis exists.
d. The person may not explain their symptoms appropriately.
56. What would be a barrier to health care for a person who lives in a rural area?
57. How would the nurse practicing cultural care define health?
a. Experience of well-being and integrity of the mind and body
b. Absence of illness and disease
c. Balance of the person both within and in the outside world
d. Use of science and technology to cure diseases
58. During a health history, the patient describes health restoration activities that are synonymous with cultural care. Which activity would the patient practice to restore health?
a. Participate in human experimentation
b. Complete recommended diagnostic tests
c. Agree to radical treatments
d. Use herbal preparations
59. Which is a characteristic of health insurance usage by the American Indian and Alaska
a. Less than among the general population
b. Dependent on federal monies
c. Subsidized by tribal income
d. Greater than among the general population
60. The nurse practitioner desires to provide health care to American Indians. In what part of the
United States would the nurse find the largest concentration of American Indians to provide
61. What might a patient from the American Indian culture use to prevent disease?
a. Wear certain objects or charms as a preventive measure
b. Perform specific daily rituals against disease
c. Deny that disease or illness can harm a person
d. Accept that disease is a part of life
62. Which American Indian tribe associates illness with evil spirits?
63. Which action is considered to be a traditional practice among American Indians to maintain
their harmony with nature?
a. Eating ritual foods
b. Lunar cycle agriculture
64. In which American Indian tribe are meditation and herbs used to create a trance to provide
the vision of the evil that causes an illness?
65. A patient that is of the American Indian culture is waiting to be seen in a non-Indian Health
Service facility. What concern might this patient have about receiving health care through
a. Conflict between his or her perception of the illness and what the physician diagnoses
b. Easier to receive medical care through emergency departments rather than private physicians
c. Receive better health care from mainstream medical services
d. Concern that medical insurance won’t cover all the medical costs
66. In which cities do the largest number of naturalized Asian citizens reside?
a. Washington, D.C.
b. New York
67. What is the birthplace for the largest percentage of Asians who became naturalized in 2010?
c. People’s Republic of China
68. What does Chinese medicine teach about health?
a. It is the way to ultimate reality.
b. It is based in Confucian philosophy.
c. It is the prevention of illness.
d. It is a state of spiritual and physical harmony with nature.
69. Which action would a United States health care provider need to take to understand the
Chinese philosophy of health and illness?
a. Live according to the Buddhist precepts.
b. Follow the Confucian way of life.
c. Understand the Chinese culture.
d. Examine Taoist religion and philosophy.
70. Which is a concept of holism in traditional Chinese medicine?
a. Integration of the body with the external environment
b. Energy fields that create health or disease
c. Local pathology as separate from the body
d. Harmonic balance that creates illness
71. Why does the Chinese physician focus on palpating a patient’s pulse?
a. It can help to refine a diagnosis.
b. It indicates a specific treatment.
c. It is considered the storehouse of the blood.
d. It determines the time of death.
72. While assessing the health history of a patient who is an Asian/Pacific Islander, what will the
nurse identify as a leading cause of death for people from this culture?
a. Alzheimer’s disease
b. Influenza and pneumonia
c. Malignant neoplasms
d. Chronic lower respiratory diseases
73. What is the geographic origin of the majority of African Americans?
a. West coast of Africa
b. African interior
c. Southern coast of Africa
d. East coast of Africa
74. What is a traditional Black belief regarding health?
a. The mind, body, and spirit are not separated
b. Health represents energy forces
c. Represents a process rather than a state
d. Believed to be influenced by ancestors
75. Which is considered a traditional Black belief about illness?
a. A separation of body, mind, and spirit
b. A state of disharmony
c. An alteration in the energy force
d. Evil ancestral influence on the person
76. Which health maintenance practice would a patient from the Black culture use to keep the
a. Participate in rooting and prayer
b. Have massages
c. Take laxatives
d. Wear amulets
77. Which is a preparation used in the spring of each year by individuals of the Black culture to
a. Drinking blackstrap molasses
b. Wearing asafetida around the neck
c. Rubbing a sulfur and molasses preparation on the back
d. Drinking cod liver oil weekly
78. How would a patient from the Black culture treat poison ivy?
a. Sprinkling crushed bluestone powder on the affected area
b. Placing a mixture of garlic, onions, and parsley on the site
c. Placing clay in a dark leaf over the affected area
d. Rubbing Vicks Vaporub on the area
79. During the examination of a patient from the Black culture, how will the nurse recognize
a. Slow blood return
b. Palpate the skin
c. Check the sclera
d. Absence of underlying red tones
80. What is important for the nurse to know about high school graduation and college attendance
a. The total percentage of Hispanic people who graduated from high school in 2010 was
b. Graduation from college is expected in the Hispanic population.
c. More Hispanics are applying to college than ever before in the history of the United
d. Hispanics who graduate from high school are more likely to be naturalized.
81. What can be surmised regarding the combination of employment patterns and income levels
of Hispanics living in the United States?
a. Capable of remaining above the poverty line
b. Remain at the middle of the economic spectrum for employment
c. More likely to live in poverty than non-Hispanic whites
d. Remain at the lowest level for economic benefits
82. What will a patient from the Mexican culture explain to the nurse as the cause of an illness?
a. Punishment from an ancestor
b. An imbalance within the body
c. Warning from God to live a better life
d. Inevitable with no method to prevent it from occurring
83. A patient from the Mexican culture tells the nurse that an illness has been caused by mal ojo
or bad eye. How did this health problem occur?
a. Excessive admiration from someone else
b. Having a spell caused by black magic
c. Being touched improperly by a health care provider
d. Lying about the amount of food one has eaten
84. Which method will a patient of the Hispanic culture use to counteract illness caused by an
a. Refrain from discussing the illness with family members.
b. Eat foods that are opposite of the imbalance.
c. Seek appropriate medical care from the local healer.
d. Dress appropriately.
85. Which is a dilemma encountered by health care providers when trying to accommodate a
patient of the Mexican culture’s desire to maintain hot and cold
a. Ensuring that all medications are taken with specific foods
b. Avoiding all foods that contain certain spices
c. Obtaining the unusual foods native to a Mexican patientâs diet
d. Understanding which foods the patient considers hot and cold
86. What would the nurse infer about the incidence of lung cancer being lower among Hispanic
women versus that of the general population?
a. Hispanic women are less likely to smoke.
b. Hispanic women are healthier than the general population.
c. Hispanic women have better preventive health practices.
d. Hispanic women are not genetically predisposed to lung cancer.
87. In 2010, which cities in the United States had both the largest number of White alone and
multiple-race White populations?
c. Los Angeles
d. San Diego
88.What would a patient of Italian descent tell the nurse is the cause of a less severe illness?
a. The evil eye
d. Failure to pray
89. Which action would a patient of German descent use to protect health?
a. Always wearing a hat to protect the head
b. Dressing properly for the season
c. Eating garlic with lunch and dinner
d. Drinking orange juice every day
90. What will the nurse assess as an important component of healing for a patient of Italian
a. Wearing black when a family member is ill
b. Use of garlic and olive oil in tonics
c. Religious faith in God
d. Eating pasta at every meal
91. For what would a patient of Polish descent tell the nurse that paregoric is used?
92. What would the nurse consider about the incidence of cancer when assessing a White
a. Is significantly lower than other races
b. Is lower than among the overall population
c. Is equal with other races in incidence
d. Is slightly higher than for the overall population
93. When comparing the leading causes of death for all persons, which problem ranks higher for
the White population?
a. Alzheimer’s disease
b. Influenza and pneumonia
c. Diseases of the heart
94. Which action would the nurse take to improve cultural care?
a. Expect everyone to embrace the process
b. Confront biases and stereotypes
c. Learn a foreign language
d. Study different cultures
95. The nurse is developing the ability to hears when caring for a patient from a different
culture. What is this nurse doing?
a. Understanding the patient and the patient’s culture
b. Listening to the patient talk in the native language
c. Observing patient-family interactions
d. Identifying cultural inconsistencies
96. What action would a nurse take to learn more about the different cultures represented in the
a. Walk through the community.
b. Prepare a guide sheet with a list of herbs.
c. Recognize hot-cold imbalances.
d. Recognize folk diseases.
97. What is identified as an issue with using an interpreter when communicating with a non-
a. Age of the interpreter
b. Fee for service
c. Different dialects
d. An interpreter interprets
98. A health clinic in a socioeconomically depressed area that provides care to Hispanic patients
is being closed. Which action should the nurse take to support the patients?
a. Investigate the misappropriation of funds
b. Urge for increased funding
c. Create a list of comparable resources outside the community
d. Write directions to the nearest hospital in the patients native
99. The nurse is on the journey to learn cultural competence and sees an open highway
ahead. Which action should the nurse take at this time?
a. Cruise along, but not too fast
c. Go faster
d. Expect clear sailing ahead
100. Two nurses are overheard talking about their experiences with cultural competency.
Which experience would be considered an unexpected positive event?
a. Learning a foreign language
b. Role of a healer within a culture
c. Deep love of life and people
d. Being an advocate for funding
42. What would be alternative treatment modalities used during an illness?