Ch.5 Cultural Diversity
A nurse is caring for a female patient of Hawaiian descent. Which interview question would be appropriate based on the cultural beliefs of Hawaiians?
"Do you use any medicinal plants or minerals?"
The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education?
"Ethnicity and race are the same thing and are affected by cultural practice."
Which of the following statements by the nurse demonstrates ethnocentrism?
"That client needs to learn that pain is best managed with traditional medications like morphine."
A Hispanic client has been hospitalized for 6 days for postoperative infection. Her weight is decreasing each day, and her nutritional intake is declining. Which nutritional assessment question is most appropriate?
"What type of food do you eat at home?"
An Asian American client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had his prescribed medicines. The client believes that eating saffron will keep his blood sugar under control. What is the most appropriate response by the nurse?
"Why don't you take the medicines, too, and benefit from both?"
An Appalachian male has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset and the client wants to leave. What is the most appropriate cultural response by the charge nurse?
"Would you feel more comfortable with your family with you?"
Based on cultural factors, which client would be most likely to ask the following: "Why is there a male nurse in my wife's room?"
A 43-year-old Muslim male
An older adult client who speaks Cantonese has been admitted to the emergency department after suffering a fall and suspected hip fracture in her home. Emergency medical services personnel have reported to the nurse that the client speaks no English. Who is the best person to perform translation services to the client?
A hospital translator
A Hispanic single parent is having difficulty finding employment because she does not have a car and she speaks primarily Spanish. Which of the following is a barrier to health care?
Spanish as primary language
What is the priority assessment for the nurse when developing a plan of care for a client from a poverty culture?
Access to care
Which of the following behaviors by the nurse is stereotyping?
Avoiding clients who are elderly because their care is time consuming.
The nurse is caring for a client who speaks a language other than English and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client?
The interpreter should understand the health care system.
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate cultural response?
Ask the client about his personal space preferences.
A family recently emigrated from Haiti to the United States. The mother reports that her teenage daughter is showing signs of fear, has vague reports of stomach pain, and feels humiliated by her peers because of her culture. What is the priority assessment for the nurse?
Assess for culture shock.
A Malaysian client is admitted to the health care facility with complaints of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client?
At more than one arm's distance
Which of the following is an example of cultural competence in nursing?
Attending a conference for cultural diversity
A client who speaks Spanish is admitted to the hospital. What cultural interventions would be most appropriate by the nurse?
Call for a translator who is familiar with health care.
A family from China has recently moved to the United States. They are quickly learning English and their children are all in American schools. Both parents are working in the United States and adapting to the new culture. What is this family demonstrating?
Cultural assimilation
Which population group should the nurse routinely screen for heart disease?
Whites
Upon moving to China, an American college student is experiencing many new feelings that she associates with her placement in a different culture. What are the feelings experienced by this student?
Culture shock
A nurse is developing a care plan for a Hispanic client who has diabetes. What cultural intervention is most appropriate?
Dietary counseling, as Hispanic diets are often high in carbohydrates
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
Ethnic identity
What factor threatens to increase the number of people who are living at poverty level?
Feminization of poverty
While caring for a Hispanic client, the nurse inadvertently offends the client. What is the best action by the nurse?
Learn from the mistake and do not repeat it.
Which of the following nursing actions displays linguistic competence?
Learning pertinent words and phrases in the client's language
What cultural considerations might the nurse expect within a poverty culture? (Select all that apply.)
Low levels of self-respect and feelings of worthlessness are common. • Living conditions are often crowded, with several families living together. • Family structures are often unstable and abusive. • Large numbers in the culture need government assistance.
An Asian client is admitted to the unit. What cultural assessment might the nurse anticipate?
Nonverbal expressions of pain
Which statement best conveys the relationship between race and ethnicity?
Race denotes physical characteristics while ethnicity is rooted in a common heritage.
A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?
Stereotyping
In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?
The client may have a very different understanding of health promotion.
A female Asian client is admitted to the emergency department with a fractured femur. What cultural factor might affect nursing care?
The client may not report pain.
A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which of the following would demonstrate cultural assimilation
The client's daughter, who is with her, learned English as her second language.
A community health nurse is providing care to a group of Hispanic people living in an area that is heavily populated by white people. What are the Hispanic people in this community an example of?
a minority
A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?
belief system that guides behavior
When a client states, "I only want an American doctor," the client is expressing cultural:
ethnocentrism.
A nurse is assigned to care for a client who does not speak English. Which action by the nurse would be most effective when providing care for this client?
requesting the assistance of a trained interpreter
Which of the following is a cultural norm of the health care system?
There is the use of a systematic approach and problem-solving methodology.
An Arab client has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client?
Maintaining eye contact
A Native American client comes to a new clinic. He has been to multiple clinics. He uses peyote as part of his religion. Past care providers have dismissed his concerns as being imaginary. What is the priority nursing diagnosis?
Powerlessness related to the inability to make heath care providers understand his symptoms
A nurse is assigned the care of a client who speaks only French. The nurse does not know the language. What action is appropriate for the nurse in this case?
Request a professional interpreter.
