Transcultural Nursing Madeleine
Cultural Competence refers to
Leininger
1.In a small, rural hospital the nurse is
caring for patient who speaks a language
other than English. The nurse needs to use
an interpreter to communicate but the
hospital does not have access to an
interpreter who speaks the patients
language. When choosing another
individual to interpret for this patient,
what characteristic should the nurse
prioritize?
-Interpreter should recognize the need to
speak in a loud voice.
-Interpreter should be able to conduct the
conversation quickly to avoid
misinterpretation.
Interpreter should be fluent in several
dialects of the patients language.
-Interpreter should know that repetition
must be avoided while interpreting.
2. The nurse is admitting a patient with
uncontrolled hypertension and type I
diabetes to the unit. During the initial
assessment, the patient informs the nurse
that he has been seeking assistance and
care from the "manghihilot" in his
community. The nurse recognizes that the
patients blood pressure and his blood
sugar level are elevated upon admission.
What is the nurses best response to the
patients indication that his care provider is
a manghihilot?
- Thank you for providing the information
about the manghihilot, but we will keep
that information and approach separate
from your current hospitalization.
-It seems that the care provided by your
manghihilot is not adequately managing
your hypertension and diabetes, so we will
try researched medical approaches.
-Dont worry about insulting your
manghihilot, as he will understand his
approach to your hypertension and
diabetes was not working after your
doctor tells him how sick you were in the
hospital.
I understand that you value the care
provided by the manghihilot, but we
would like you to consider medications
and dietary changes that may lower your
blood pressure and blood sugar levels.
3. It is professional care
knowledge.
-Emic
-Epic
-Etic
-Sense
4.The foreigner is likely to
experience feelings of discomfort
and helplessness and some degree
of disorientation because of the
differences in cultural values,
beliefs, and practices.
-Culture Awareness
Culture shock
-Culture Readiness
-Culture Acceptance
5.You are the nurse caring for a
patient who is a recent immigrant
to the United States from
Philippines. Which of the following
variables would you prioritize
when performing an assessment
of the patients cultural beliefs?
-Patients previous medical history
-Patients age
-Patients marital status
Patients communication style
6.Crosscultural, intercultural, and
multicultural nursing are also the
same with transcultural nursing.
True
-False
7.
the complex integration of
knowledge, attitudes, values,
beliefs, behaviors, skills, practices,
and cross-cultural encounters that
include effective communication
and the provision of safe,
affordable, quality, accessible,
evidence-based, and efficacious
nursing care
-True
-False
8.Culture-specific refers to
particular values, beliefs, and
patterns of behavior that tend to
be special or unique to a group
and that do not tend to be shared
with members of other cultures.
True
False
9. She is the developer of the
concept of transcultural nursing
that has a great impact on how to
deal with patients of different
culture and cultural background.
-Joyce Travelbee
-Dorothy Johnson
-Madeleine Leininger
-Jean Watson
10.Culture universals include/s
______________________.
-Burial rituals
-Language
-Marriage
-All of the above
11. You are caring for a patient
who is terminally ill whose family
has requested to hold a spiritual
ceremony during which they will
be using incense. What would be
the best intervention you could
make on behalf of this patient?
-Discourage the use of incense in
the hospital.
-Arrange for the ceremony to
occur after notifying all
departments affected.
-Ask the family to have the
ceremony off the unit.
-Encourage the family to conduct
the ceremony elsewhere because
it may affect other patients in the
unit.
12. This is the knowledge gained
from direct experience or directly
from those who have experienced
it.
-Emic
-Epic
-Etic
-Sense
13. It is a humanistic and scientific
area of nursing study and practice
that focuses on how patterns of
behavior in health, illness, and
caring are influenced by the values
and beliefs of specific cultural
groups.
-Transitions Theory
-Transcultural Nursing
-Pediatric nursing
-Transpersonal Caring
14. The nurse is preparing a
discharge teaching session with an
Asian patient to evaluate the
patients ability to change a
dressing. The patient speaks and
understands minimal English.
What would be the best way to
promote understanding during the -Cultural care negotiation
teaching session?
-Culture care restructuring
-Ask the patient to repeat the
-None of the above
instructions carefully.
18.___________ refers to those
-Write the procedure out for the
cognitively based assistive,
patient in simple language.
supportive, facilitative, or enabling
-Use an interpreter during the acts or decisions that are mostly
teaching session. tailor-made to fit with an
individual’s, group’s or institution’s
-Have the patient demonstrate the
cultural values, beliefs, and
dressing change
lifeways
15.It reflects individuals’ (or
-Ethno-nursing research
groups) ‘ability to perform their
daily role activities in culturally -Culturally congruent nursing care
expressed, beneficial, and
-Cultural Competence
patterned lifeways.
-All of the Above
-Illness
19.Different cultures have the
-Disease
same caring behaviors and same
-Health health and illness values, beliefs,
and patterns of behaviors.
-Wellness
-True
16.This is the learned, shared, and
transmitted values, beliefs, norms, -False
and lifeways of a particular group
20.The central focus of this field is
of people that guide thinking,
the application of knowledge to
decisions, and actions in a
solution of human problems.
patterned way.
-Anthropology
-Rituals
-Geography
-Traditions
-Biography
-Culture
-Culture
-Arts
21.Using cultural knowledge to
treat a patient helps a nurse to be
17. It includes those assistive, open-minded to treatments that
supporting, facilitative, or enabling can be considered non-traditional,
professional actions and decisions such as spiritually based therapies
that help people of a particular like meditation
culture to retain and/or preserve
-True
relevant care values so that they
can maintain their well-being, -False
recover from illness, or face
22. It is defined as those abstract
handicaps and/or death.
and concrete phenomena related
-Cultural care maintenance to assisting, supporting, or
enabling experiences or behaviors
toward or for others with evident
or anticipated needs to ameliorate
or improve a human condition or
lifeway.

-Core

-Cure

-Care

-Trim

23.Worldview is how people look

at the world, or the universe, and
form a “picture or value stance”
about the world and their lives.

-True

-False

24.Cultural imposition refers to

the outsider’s efforts to impose
their own cultural values, beliefs,
behaviors upon an individual,
family, or group from another
culture.

-True

False

25. Immigrate means to leave one

country or region to settle in
another

-True

-False
MIDTERM EXAM
1.Florence Nightingale was called
_______________________.
The Lady of the Lamp
Lady with a Lamp
Lady in the Lamp
2. It refers to the appropriate
handling and disposal of bodily
excretions and sewage to prevent
contamination of the
environment.
Cleanliness
Efficient drainage
Light
Pure air
3. The sharing of feelings is a risk-
taking experience for both nurse
and patient.
True
False
4. Nursing is being responsible for
someone else's health.
True
False
5. The client refuses to take
medication because she believes it
will worsen his illness or make
things worse in his body. To ensure
that the client is informed and free
from uncertainty, the nurse
explains the drug's mechanisms to
her. Which client subsystem does
this situation represent?
Eliminative subsystem
Dependency subsystem
Aggressive-Protective subsystem
Sexual subsystem
6. Florence Nightingale
emphasized that the patient was
in control of and responsible for
his/her environmental
surroundings.
True
False
7. It focuses on the set of
expectations about how a person
occupying one position behaves
toward a person occupying
another position.
Physiological-Physical Mode
Self-Concept - Group Identity
Mode
Role Function Mode
Interdependence Mode
8. Food, elimination, and
ventilation are examples of
___________________.
lower-order psychophysical needs
lower-order biophysical needs
higher-order psychosocial needs
higher order intrapersonal-
interpersonal need
9. She/He has enough experience
to grasp aspects of the situation,
yet still guided by rules and
oriented by task completion.
Novice
Advanced Beginner
Competent
Proficient
Expert
10.Novice to Expert Model
Patricia Benner
Dorothy Johnson
11.Temperature is the
hemothermic range of a person’s
internal environment maintained
by the thermoregulatory system of
the body. Temperature is the
degree of temperature measured
by the oral thermometer taken for
one minute under the tongue.
Temperature is the degree of
temperature measured by the oral
thermometer taken for one
minute under the tongue. This
definition is an example of
__________________.
Theoretical definition
Operational definition
12. It is associated with the
physical and chemical processes
involves in the function and
activities of living organisms.
Physiological-Physical Mode
Self-Concept - Group Identity
Mode
Role Function Mode
Interdependence Mode
13. When you as a nurse skips
lunch to stay with a patient who
needs support during a procedure
is an act of _____________
Being Sensitive to Self and Others
Sustaining Humanistic-Altruistic
Values
14. Theoretical Models are
representations of the interaction
among and between the concepts
showing patterns, which are
typically accompanied by a
pictorial representation of the
variables and their
interrelationships.
True
False
15. The person has no background
experience of the situation.
Novice
Advanced Beginner
Competent
Proficient
16
Reverentially Assisting with Basic
Needs as Sacred Acts, Sustaining
Human Dignity
Minister
Deepen
Nurture
Dignity
17.
This subsystem has something to
do with relationship as it forms the
basis of social organizations,
survival and security.
Dependency subsystem
Ingestive subsystem
Aggressive-Protective subsystem
Attachment-Affiliative subsystem
18.Which of the following
statements is related to Florence
Nightingale?
The role of nursing is to facilitate
the body’s reparative processes by
manipulating client’s environment.
19.The environment is the source
of sustenal imperatives which are
necessary requirements to
maintain health. Sustenal
imperatives include the following,
EXCEPT:
Stimulation
Functional
20.The nurse has an intuitive grasp 25.The individual is in harmony
of the situation based on with himself and with his
background understanding, environment.
perceiving the situation as a
System
whole.
Disease
Novice
Equilibrium
Advanced Beginner
Tension
Competent
26.Dorothy Johnson
Proficient
Behavioral System Model
Expert
27.The nurse allows the patient to
21.This is the translated and
be informed of his/her condition,
expanded carative factors by Jean
prevention and treatments, then
Watson, suggesting ways or
the nurse shows the carative
application of care to clients.
factor of ________________
Care
engage in transpersonal teaching
Caritas and learning within context of
caring relationship
Core
opening and attending to the
Trim
spiritual, mystery unknowns
22.Benner places most newly
being authentically present
graduated nurses at what level?
development and sustaining
Novice
loving, trusting relationship
Advanced Beginner
28.It focuses on the psychological
and spiritual aspects of the human
Competent
system.
23.Adaptation problems are the
difficulties related to the indicators Physiological-Physical Mode
of positive adaptation.
Self-Concept - Group Identity
Mode
True
Role Function Mode
False
24.The four major concepts in Interdependence Mode
nursing theory, which are in the
29.According to Sister Callista Roy,
metaparadigm level of knowledge
it represents the condition of the
are:
life processes described on three
Person, Environment, Nurse, levels as integrated,
Health compensatory, and compromised.
Person, Environment, Nursing, Competency level
Health
Cognitive level
Adaptation level
30.The nurse already gained 2-3 Health understanding of the situation to
years of experience. an appropriate action. The nurse
Environment
knows the patient.
Novice
36.At age _____, Nightingale
Novice
Advanced Beginner wrote about her calling in her
diary: "God spoke to me and called Advanced Beginner
Competent
me to His service"
Competent
Proficient
17
Proficient
Expert
37.We do not have the control
Expert
31.The nurse promotes the over this subsystem, as it includes
mother to perform her maternal the approval, attention, 42.Nurses at higher levels of skill
roles like breastfeeding and caring recognition and physical assistance in Pediatric ward could be
for her newborn. from other people. classified at novice level if placed
in Surgical ward, which is new to
Dependency subsystem Sexual subsystem
them.
Ingestive subsystem Dependency subsystem
True
Sexual subsystem Aggressive-Protective subsystem
False
Eliminative subsystem Attachment-Affiliative subsystem
43.It produces tension and result
32.It refers to describing and 38.Nightingale referred to the in a degree of instability.
studying meaningful human person as a patient.
Stressors
phenomena in a careful and
True
detailed manner as free as Bacteria
possible from prior theoretical False
Relationships
assumptions, based instead on
39.Which of the following is NOT
practical understanding. Damage/Trauma
included in the internal
Salience environment, according to Jean 44.This is the nurse's manipulation
Watson theory? of environment by using good fire,
Experience
opening windows, and properly
spiritual aspect
Hermeneutics positioning the client in the room.
sociocultural beliefs
Formation Pure Air
safety
33.She is the founder of modern Light
nursing. mental well-being
Cleanliness
Florence Nightingale 40.These are often called the
Efficient drainage
building blocks of theories.
34.The nine caritas processes of
45.The role of medicine focuses on
Jean Watson describe the Concepts
biological system while the
essential care provided by nurses.
Propositions nursing's focus is the behavioral
True system.
Metaparadigm
False True
Principles
35.According to Nightingale, False
41.
___________ as being well and
using every power (resource) to She/he no longer relies on
the fullest extent in living life. analytical principles to connect an
46.It describes the nurse's role in
developing effective nurse-patient
interrelationships and in
promoting wellness by helping the
patient adopt health-seeking
behaviors.

Being Sensitive to Self and Others

Creating a Healing Environment

Being Authentically present

Allowing for Expression of Positive

& Negative Feelings

47.Creating a Healing Environment

at All Levels, a Subtle Environment
for Energetic, Authentic Caring
Practice

Forgive

Trust

Co-Create

Balance

48.

Florence Nightingale traveled to

Scutari, Turkey, together with how
many nurses?

34

49.It involves being real, honest,

genuine and authentic.

Congruence

Empathy

Nonpossessive warmth

Effective communication

50.It is defined as a state of being

stretched or strained and can be
viewed as an end-product of a
disturbance in equilibrium.

Illness

Tension

Disease
FINALS
1.The nurse assisted the patient in
ambulation after surgery.
Wholly compensatory
Partial Compensatory
Supportive-educative
None of these
2.This is the Betty Neuman
model's outer solid circle which
represents the adaptational level
of health.
Basic structure
Normal line of defense
Flexible line of defense
Lines of resistance
3.It describes and explains why
people can be helped through
nursing
Theory of self-care
Theory of dependent-care
Theory of self-care deficit
Theory of nursing systems
4.Each time a person feels
threatened, these responses are
triggered. Example of this
Response to stress
Fight or flight response
Inflammatory-immune response
Sensory response
5. When a nurse helps a patient
perform self-care tasks, it is
described as ______________
Wholly compensatory system
Partly compensatory system
Supportive-educative system
6.Through ___________________,
individuals are able to confront
challenges, adapt accordingly, and
maintain their uniqueness.
Adjustment
Adaptation
Acceptance
Conservation
7.Myra Estrin Levine's model notes
that the response to fear is also
what we commonly known as the
fight or flight response.
True
False
8. Self-care is the practice of
activities that persons perform on
their own behalf in the interest of
maintaining life, health and well-
being.
True
False
9.It involves the maintenance of
optimal wellness following
treatment. It includes reeducation
to prevent future occurrences.
Primary prevention
Secondary prevention
Tertiary prevention
Reconstitution
10.It is a natural law which
describes the way complex
systems are able to continue to
function even when severely
challenged.
Adjustment
Acceptance
Conservation
Adaptation
11.Energy is used by the human
body to carry out its tasks. To
enable energy utilization output,
the human body requires energy-
producing input (food, oxygen,
and fluids).
Conservation of Energy
Conservation of Structural
Integrity
Conservation of Personal Integrity
Conservation of Social Integrity
12._______________ refer to
nursing interventions or actions
that are needed when individual is
unable to perform the necessary
self-care activities.
Self-care
Self-care deficit
Nursing systems
Basic conditioning factors
13.It is the client system's first
protective mechanism. As it
expands, greater protection is
provided; as it draws closer, less
protection is available. (Neuman)
Basic structure
Normal line of defense
Flexible line of defense
Lines of resistance
14. In Neuman systems model,
early case detection, screening,
and symptom treatment
are examples of _____________.
Primary prevention
Secondary prevention
Tertiary prevention
Rehabilitation
15.It refers to those assistive,
supportive, facilitative, or enabling
professional actions and decisions
that help people reorder, change
or modify their healthcare
practices and lifeways.
Culture Care Preservation and/or
Universality
Culture Care Accommodation
and/or Negotiation
Culture Care Repatterning and/or
Restructuring
Both A & B
16. If the nursing interventions are
intended to strengthen family
care, social connectivity, and
communication with others, then
these nurses are supporting the
principle of __________________.
Conservation of Energy
Conservation of Structural
Integrity
Conservation of Personal Integrity
Conservation of Social Integrity
17. Self-care agency simply refers
to the individual’s ability to meet
the known self-care needs.
True
False
18. Theory of Culture Care
Diversity and Universality
Dorothea Orem
Dorothy Johnson
Jean Watson
Madeleine Leininger
19. Health care professionals
conducted webinar series in
relation to communicable diseases Culture Congruent care
and management.
24.It refers to the outsider or
Wholly compensatory stranger views or institutional /
system knowledge and interpreted
Partial Compensatory
values about cultural phenomena.
Supportive-educative
Emic
None of these
Etic
20.It refers to actions, attitudes, or
Hermeneutic
practices to assist others toward
healing and well-being (Leininger). Ethnohistory
Care 25.It describes why and how
people care for themselves
Caring
Theory of self-care
Diversity
Theory of dependent-care
Universality
Theory of self-care deficit
21.This is the Betty Neuman
model's outer broken ring which Theory of nursing systems
serves as the protective buffer
26.It refers to learned, shared, and
preventing stressors from breaking
transmitted values, beliefs, norms,
the wellness state of an individual.
and lifeways that guide thinking,
Basic structure decisions, and actions in patterned
ways.
Normal line of defense
Rituals
Flexible line of defense
Care
Lines of resistance
Culture
22.It is based on valuing self-
identity, self-worth, and self- Traditions
respect, that the body cannot be
27.It consists of the summation of
separated from the mind,
care measures necessary at
emotions and soul.
specific times or over duration of
Conservation of Energy time to meet all of an individual's
known self-care requisites.
Conservation of Structural
Integrity Therapeutic Self-Care demand
Conservation of Personal Integrity Dependent-care demand
Conservation of Social Integrity Self-Care deficit
23.It refers to the differences in Nursing systems
culture care beliefs and patterns.
28.Conservation model
Culture Care Diversity
Myra Estrin Levine
Culture Care Universality
Dorothea Orem
Worldview
Betty Neuman
Madeleine Leininger
29.When the body comes into
contact with infections/pathogens,
and irritants, this is the main
healing mechanism that takes
place.
Response to stress
Fight or flight response
Inflammatory-immune response
Sensory response
30. It refers to those assistive,
supportive, facilitative, or enabling
professional actions and decisions
that help people of a particular
culture to adapt to or negotiate
with others for culturally
congruent, safe, effective care.
Culture Care Preservation and/or
Maintenance
Culture Care Accommodation
and/or Negotiation
Culture Care Repatterning and/or
Restructuring
None of the Above
31.It refers to those assistive,
supportive, facilitative, or enabling
professional actions and decisions
that help people of a particular
culture to retain, preserve, or
maintain meaningful care beliefs
and values for their well-being.
Culture Care Preservation and/or
Maintenance
Culture Care Accommodation
and/or Negotiation
Culture Care Repatterning and/or
Restructuring
All of the Above
32.In order to promote health and 36.Age and gender, according to
prevent harmful substances from Orem, are considered as basic
entering the body, nursing conditioning factors affecting the
interventions will involve self-care demand of an individual.
maintaining the body's normal
True
structure, such as the skin and
other membranes. False
Conservation of Energy 37.Autoimmune responses were
described by Neuman as an
Conservation of Structural
example of
Integrity
____________________.
Conservation of Personal Integrity
Intrapersonal forces
Conservation of Social Integrity
Interpersonal forces
33.Systems Model
Extra-personal forces
Madeleine Leininger
Transpersonal forces
Myra Estrin Levine
38.Self-Care Deficit Nursing Theory
Betty Neuman
Myra Estrin Levine
Dorothea Orem
Dorothea Orem
34.According to Neuman, client
Betty Neuman
system is composed of five
variables. This variable refers to Madeleine Leininger
the age-related processes and
39.Role expectations were
activities.
described by Neuman as an
Physiological variable example of
____________________.
Psychological variable
Intrapersonal forces
Sociocultural variable
Interpersonal forces
Developmental variable
Extrapersonal forces
Spiritual variable
40.Dependent care refers to the
35.According to Neuman, client
care that is provided to a person
system is composed of five
who is unable to perform self-care
variables. What variable contains
needed to maintain life, health
the structures and function of the
and well-being.
body?
True
Physiological variable
False
Psychological variable
Developmental variable
Sociocultural variable