CH 5

The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take?

Speak privately with the interpreter and instruct them to only provide language interpretation.

Which nursing intervention reflects culturally appropriate care when addressing a client?

"Good morning, Mr. Smith. I am your nurse, John."

Which behavior by the nurse is stereotyping?

Cultural imposition

The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond?

Can you describe what you are feeling when you try to move?"

A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse?

Culture shock

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response

Document the client's request in the nursing care plan.

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information?

Soup, hot tea, and toast

A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate?

Powerlessness related to the inability to make health care providers understand the client's symptoms

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?

Racism

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?

Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock?

The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed?

The client's child learned the dominant language as a second language.

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse?

We can wait until your spiritual healer arrives and work together to answer these questions."

The nurse is preparing the discharge plan for a new mother and her newborn sson. Which new teaching should the nurse ensure is included after noting the family is Jewish?

care following the scheduled circumcision

The nurse is admitting a client who practices the Jewish faith to the acute care unit and calls the dietary department to order a kosher dietary tray without consulting the client about food preferences. Which behavior is the nurse demonstrating when performing this action?

generalization

Persistent gaps between the health status of minorities and non-minorities are defined as:

health disparities

Nurses are socialized into the:

healthcare culture.

A preconceived and untested belief about an individual or group of individuals is:

stereotyping.

A Native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What is the priority nursing diagnosis?

Avoiding older adult clients because their care is time consuming