Culture Diversity Prep U

A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of:

common and observable expressions of culture.

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms:

require an individualized approach by the nurse.

The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss?

"What type of food do you like to eat at home?"

A nurse interviews a client to determine the client's health beliefs and behaviors. The nurse uses this information for which aspects of care?

Conducting an assessment Developing client outcomes Providing client education

Which statement best conveys the relationship between race and ethnicity?

Race denotes physical characteristics, while ethnicity is rooted in a common heritage.

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just don't like the food here." What factors should the staff assess for this problem?

The food served may not be culturally appropriate.

A nurse is seeking to learn more about the concept of culture and asks the nurse manager about sources. When responding to the nurse, the nurse manager would include which discipline as the basis for study?

Anthropology

A nurse is working with a local community group to address health disparities in the area. Which concepts would be important for the group to address when planning to correct health disparities?

Minority Disadvantaged Less powerful

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock?

"I am very stressed now because I do not understand how things work on this unit."

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."

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep 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?"

What is the term that describes the inability of a person to recognize one's own values, beliefs, and practices as well as those of others, because of strong ethnocentric tendencies?

Cultural blindness Rationale: Cultural blindness occurs when one ignores differences and proceeds as though they do not exist, resulting in bias and stereotyping. Acculturation is the process by which members of a culture adapt or learn how to take on the behaviors of another group. Cultural imposition is the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture.

A nurse is reading a journal article about culturally competent nursing care. The article begins discussing culture and its unique characteristics. Which characteristics would the nurse expect to be identified? Select all that apply.

Culture is ever-changing. Culture makes sense to its members. Culture is shared through communication. NOT innate

A nurse is reading a journal article about mood disorders in the older adult population. Which information about these conditions would the nurse expect to find? Select all that apply.

Depression is often misdiagnosed. Symptoms often mimic those of other chronic comorbidities of the older adult. Suicide is the most serious consequence of depression.

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse?

Discuss with the client the need for assistance during ambulation. Rationale: For members of some cultures, providing care and performing nursing interventions can intrude into personal space. The nurse should discuss with the client the need for assistance during ambulation and prepare the client for potential closeness. The client may ambulate independently, but the nurse should still assist. Having the family or physical therapy ambulate the client does not address the issue related to culture and nursing interventions.

Medicare will no longer reimburse the hospital for certain adverse events, including in-hospital falls. Fall prevention is a major part of nursing and risk management. In order to reduce the risk of falling, the nurse must do which of the following? Select all that apply.

Ensure that the client wears his prescription glasses when up. Post signs to alert staff to the client at high risk for falls. Assess the client's fatigue level. Monitor gait and balance.

A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action?

Explain the purpose and need for assistance during ambulation.

A group of nursing students is reviewing information about the older adult and mobility. The students demonstrate a need for additional study when they identify which statement as accurate?

Falls are the leading cause of death due to injury in individuals who are over the age of 75 years

A nurse recently hired at a community care clinic is working with a group of culturally diverse clients. The nurse is not familiar with the various cultures. How would the nurse supervisor teach and encourage the new nurse on providing culturally competent care?

It is important to include a cultural assessment when evaluating diverse clients so their cultural beliefs and practices can be included in the care plan.

A nurse is part of an orientation team for a group of newly hired nurses. The nurse is to prepare a presentation for the group about different cultural groups common to the facility. As part of the presentation, the nurse is planning to describe how culture is communicated to provide a foundation for culturally competent care. Which methods of communication would the nurse include? Select all that apply.

Language Behavior Symbols

A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first?

asks an open-ended, general question

An older adult client tells the nurse, "I just don't seem to have an appetite and food just doesn't taste as good as it used to." The nurse understands that which factor may be playing a role in this client's lack of appetite? Select all that apply.

decreased number of taste buds decreased saliva production

The unlicensed assistive personnel reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond?

"What type of food did your family prepare for you, and does it have special meaning?"

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of?

A minority

A client who has difficulty sleeping expresses to the nurse that watching television may help him relax and get sleep. The nurse disregards the client's concern and suggests drinking warm milk before going to bed? Which cultural characteristic is the nurse demonstration?

Ethnocentrism

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 nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of:

cultural ritual. Rationale: Cultural competence is an approach to health care in which one is aware of one's one cultural beliefs and biases and understands the effects that a client's culture has on the client's health care. Stereotyping involves applying a preconceived and untested generalization to a whole group of people.

A nurse is interviewing an individual who is considered to have expert knowledge about the culture. The nurse is using which technique?

key informant Rationale: The key informant technique is a method in which the interviewer looks for, locates, and interviews people who have expert or native knowledge about a culture. An ethnographic interview is a structured way to elicit a respondent's concepts and understandings. The nurse asks questions, the client answers, and the nurse asks for clarification of the client's responses. The explanatory model is similar to the ethnographic interview, where the nurse questions the client in order to understand beliefs about his health or the client's explanation for his condition. Open-ended interviewing involves various techniques designed to elicit responses from the client that are as free from influence by the interviewer's comments as possible.

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?"

The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue? Upon moving to another country, a college student is very confused by many local customs. The student is especially bothered by the custom of men and women eating in separate areas and it makes the student angry and resentful of the new culture. What are the feelings experienced by this student?

Culture shock Rationale: The student is experiencing culture shock, which is defined as the feelings a person experiences when placed in a different culture. Ethnocentrism is the belief that one's ideas, beliefs, and practices are the best, are superior, or are most preferred to those of others. Cultural assimilation occurs when members of a minority group live within a dominant group and lose the cultural characteristics that make them different.

A nurse is providing care at an ambulatory care center to a wide range of older adults from diverse racial and ethnic groups. Based on recent statistics, which group would the nurse most likely identify as projected to be the largest?

Non-Hispanic Whites