Which statement about the nurse and ethnocentrism is true?
A nurse must not think of his or her own attitudes and beliefs.
Nurses may have a tendency to inwardly view their own culture as superior to others.
Ethnocentrism is a desirable trait in a nurse.
Nurses must deny their ethnocentrism.
The Correct Answer is B
Ethnocentrism is the universal tendency of human beings to use their own culture as the standard of measurement for judging all other cultures. In a clinical setting, this can lead to cultural imposition, where the healthcare provider subconsciously enforces their own values and medical beliefs onto a client, potentially compromising the therapeutic alliance and the quality of patient-centered care.
Rationale:
A. Self-reflection is the foundation of cultural competence. A nurse must be acutely aware of their own attitudes, biases, and beliefs to ensure they do not interfere with the objective delivery of care. Ignoring one's internal framework makes it impossible to recognize when a bias is influencing clinical judgment.
B. Ethnocentrism is the often-unconscious belief that one's own cultural patterns, social customs, and religious practices are superior or more correct than those of others. For nurses, acknowledging this tendency is the first step toward achieving cultural humility and respecting diverse health practices.
C. Ethnocentrism is an undesirable trait in nursing as it creates barriers to effective communication and trust. It can lead to the dismissal of a client's traditional healing practices or dietary preferences, which may result in non-adherence to the treatment plan or the client feeling alienated by the healthcare system.
D. Denial is a barrier to professional growth. Instead of denying ethnocentrism, nurses are taught to identify and address it. By acknowledging that everyone has an ethnocentric bias, the nurse can consciously work to mitigate its effects through education, empathy, and the active adoption of a multicultural perspective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
According to Maslow’s Hierarchy of Needs and standard nursing prioritization (the Safety/Risk Reduction framework), physical safety is always the primary concern. Children with ADHD often struggle with extreme impulsivity and poor judgment, which can lead to accidental self-harm or aggressive outbursts toward peers and staff.
Rationale:
A. Ensuring the child's safety and that of others is the absolute priority. Because ADHD involves a deficit in executive function, specifically inhibitory control, the child may act before thinking (e.g., running into a street or jumping from heights). Until a safe environment is established, no other therapeutic or educational interventions can be effectively implemented.
B. Simplifying instructions is a helpful behavioral intervention to manage the symptoms of inattention. It helps the child complete tasks and reduces frustration, but it is a secondary priority compared to preventing physical injury.
C. A structured daily routine is a cornerstone of long-term ADHD management. It provides the external organization that the child’s internal system lacks. Although vital for reducing anxiety and improving compliance, it does not address the immediate, acute need for physical safety.
D. Improving role performance such as academic success or social skills is a long-term goal of treatment. These outcomes are measured over weeks or months and are considered the final stage of the nursing care plan, once safety and behavioral stability are achieved.
Correct Answer is C
Explanation
Self-monitoring in the context of eating disorders like bulimia nervosa is a cornerstone of Cognitive Behavioral Therapy (CBT). It goes beyond simple food logging; it is a specialized technique designed to help the client identify the antecedents (triggers) of their behavior, the behavior itself (bingeing/purging), and the consequences (emotional or physical) that follow, thereby breaking the cycle of disordered eating.
Rationale:
A. Keeping a record of food intake is a component of self-monitoring, but this statement is incomplete. Monitoring food alone does not address the behavioral connection between emotions and the urge to purge. This answer describes a food diary rather than a comprehensive therapeutic self-monitoring strategy.
B. Confronting conflict relates to interpersonal therapy and assertiveness training. Although improved communication can reduce stress, it is not a direct measure of the effectiveness of self-monitoring techniques, which are specifically focused on tracking the client’s internal and external cues for eating behaviors.
C. It demonstrates that the client has moved beyond passive recording to active analysis. The client identifies the link between emotions (the "why") and the binge (the "what"), and is actively developing healthy alternative responses. This shows the self-monitoring has successfully increased the client's self-awareness and functional coping.
D. This statement is non-therapeutic and reflects a shame-based view of the disorder. Bulimia is not a lack of self-control but a complex psychological illness. Adopting a mindset of self-blame is likely to increase anxiety and trigger further binge-purge cycles rather than foster recovery.
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