A Bad Test Question on Worldview


My daughter was preparing for her NCLEX (Nursing exam for the US). In a preparation app for the test (so I don’t know if this question ever showed up in an actual NCLEX) was:

A nurse caring for a (sic) Asian-American client plans care considering the client’s view of illness. Which of the following appropriately describes the Asian-American’s view of illness?

a.  Illness is caused by supernatural forces

b.  Illness is a punishment for sins

c.  Illness is a disharmoniouus state that may be caused by demons and spirits

d.  Illness is caused by an imbalance between yin and yang

So let’s unpack the options.  Option (a) is a possibility. Some might call the idea that illness is caused by supernatual forces a Premodern perspective. It certainly could be the viewpoint of the Asian-American patient. Option (b) is a possibility. Many Asian-Americans, especially from the Abrahamic faiths, definitely might see illness as a punishment for sins. Option (c) is a possibility as well. There are certainly Asian-Americans who could have a more animistic or spiritualistic perspective. Option (d) is also a possibility. A Daoist or Daoist/Buddhist perspective is certainly a possibility.

If all of these are a possibility, which is supposed to be correct? I am guessing that (d) was the one they wanted. When Americans talk about “Asian-Americans” they often picture East-Asians (Chinese, Korean, and Japanese). As such, option (d) would probably fit best. However, one might say option (a) is better since it is the broadest. That is because options (b), (c), and (d) could generally be thought of as being sub-categories of option (a).

However, I could add two more options:

e.  Illness is caused by bacteria, viruses, or other natural phenomena.

f.  Illness is caused by factors that are recognized in the culture they presently live in.

Both of these options make sense. Many Asian-Americans believe in a “modernist” or “materialist” perspective with regards to illness, so option (e) is a possibility. Also, many Asian-Americans assimilate into the culture they now live in, so American beliefs may predominate their thinking, making option (f) a possible answer.

However, there is a best answer. Here it is:

g.  One cannot tell identify the patient’s worldview by their ethnicity or nationality. You will have to ask.

The question is a horrible one. It makes no sense.

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