Culture Set 3

A nursing instructor is providing a session on cultural beliefs related to health. On completion of the session, the instructor asks a nursing student to describe the beliefs of many Appalachian clients in regard to health care providers (HCPs). Which is an appropriate response by the nursing student?

"The Appalachian client may prefer personal relationships with health care providers and a desire for frequent communication."

A nurse has recently completed a seminar on cultural diversity. Which statement regarding development of cultural knowledge indicates a need for additional teaching?

"The more curious the nurse is about the client's culture, the more the client will want to share."

The nurse manager is giving a staff inservice on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply.

"The population served will determine the culturally sensitive resources to use for teaching." "Assessment of a client's preferred learning approach is essential to facilitate the learning process." "It is important to have an accurate translator when the nurse and client do not speak the same language."

The nurse manager is giving a staff inservice on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply.

"The population served will determine the culturally sensitive resources to use for teaching." "Assessment of a client's preferred learning approach is essential to facilitate the learning process." "It is important to have an accurate translator when the nurse and client do not speak the same 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."

Which questions should the nurse include in a cultural assessment? Select all that apply.

"What do you do to promote good health?" "What religion do you belong to?" "Do have a particular name for this illness?"

The unlicensed assistive personnel (UAP) 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 Hispanic client 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?

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

A client with Asian heritage 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 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?"

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond?

"You sound upset, would like you to talk about it?"

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?

"Ask the client about his personal space preferences"

The nurse is caring for a client of ASIAN descent and is post-operative 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 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 nurse is caring for a black client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?

"Can you tell me what foods you prefer to eat and what your family is bringing you?"

The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond?

"Collecting this information allows us to develop a personalized plan of care to meet your needs."

The nurse is collecting data from an African-American client scheduled for surgery. Which questions would be most appropriate for the nurse to ask on initial assessment? Select all that apply.

"Do you ever experience chest pain?" "Do you have any difficulty breathing?" "Do you frequently have episodes of headache?"

The nurse is collecting data from an African-American client scheduled for surgery. Which questions would be most appropriate for the nurse to ask on initial assessment? Select all that apply.

"Do you ever experience chest pain?" "Do you have any difficulty breathing?" "Do you frequently have episodes of headache?"

The nurse in an ambulatory care clinic is performing an admission assessment for an African-American client who is scheduled for a cataract removal with intraocular lens implantation. Which question would be appropriate for the nurse to ask the client on an initial assessment?

"Do you have any breathing or heart problems?"

A clinic nurse is performing an admission assessment on an African-American client scheduled for cataract removal with intraocular lens implantation. Which question should the nurse avoid asking on the initial assessment?

"Do you have any family problems?"

A nurse is caring for a female client 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 is interviewing a client who is Native American/First Nations. What question would be best to ask this client?

"Do you use herbal or medicinal plants?"

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 statement by the nurse is a culturally appropriate reaction to a client's perception of pain?

"If a client needs to yell in pain, that is his or her right."

The unlicensed assistive personnel (UAP) is assigned to care for a client who is of Asian heritage. The UAP tells the nurse, "I think that my assignment needs to be changed. Every time I try to talk, the client turns away." Which statement is the most appropriate teaching response from the nurse?

"If the client turns away, continue with the discussion."

The nursing instructor is providing a session on cultural beliefs related to health and illness. At the end of the session, the instructor asks a nursing student to describe the beliefs of some African Americans in regard to illness. Which statement would be the best response by the student?

"Illness is a disharmonious state that may be caused by demons and spirits."

The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to describe the concept of acculturation. The nurse educator should make which most appropriate response?

"It is a process of learning a different culture to adapt to a new or changing environment."

A nursing student is discussing cultural diversity issues in a clinical conference when the nursing instructor asks the student to describe ethnocentrism. Which statement, if made by the student, would indicate a lack of understanding of the concept of ethnocentrism?

"It is imposing one's beliefs on individuals from another culture."

The staff nurse overhears the charge nurse talking to the unlicensed assistant personal (UAP). Which statement made by the charge nurse is an example of ethnocentrism?

"Italians are the best at everything"

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?

"My Russian heritage is superior to all others."

When teaching a group of unlicensed assistive personnel (UAP) about race, which statement by a UAP REQUIRES INTERVENTION by the nurse?

"People with common physical features share the same culture."

The nurse is taking a client history. With which client is direct eye contact appropriate?

32-year-old white woman

A pregnant patient from a nondominant culture wants to deliver the baby "the American way" with epidural pain management. How should the nurse describe this patient's statement about childbirth? A) Attempting assimilation B) Combating ethnocentrism C) Expression of acculturation D) Stereotyping American behavior

A

Which clients has a high risk of obesity and diabetes mellitus? Select all that apply.

A 40-year-old Latino American man A 45-year-old Native American man A 35-year-old Hispanic American man A 40-year-old African American woman

Which clients has a high risk of obesity and diabetes mellitus?

A 40-year-old Latino American man, A 45-year-old Native American man, A 35-year-old Hispanic American man, A 40-year-old African American woman

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

3. When assessing African Americans for pain, the nurse should consider which of the following? Select all that apply A. African Americans are more likely to under report their pain level B. African Americans often use alternative pain management before seeking medical treatment C. African Americans often deny or refuse pain medications D. African Americans are more prone to experiencing nausea as a side effect of pain medication

A. African Americans are more likely to under report their pain level B. African Americans often use alternative pain management before seeking medical treatment C. African Americans often deny or refuse pain medications

In making a correct nursing diagnosis regarding a rash on a patient, the nurse should complete which of the following tasks first? A. Become familiar with the patients normal coloring to establish a baseline. B. Assess the skin in artificial lighting, not in sunlight. C. Assess darkly pigmented areas first, as it is less difficult to note color changes there. D. Assess lightly pigmented areas first, as it is less difficult to note color changes there.

A. Become familiar with the patients normal coloring to establish a baseline.

While assessing a client who does not speak English, the nurse is aware of nonverbal indications of anxiety that include which of the following? A. Being uncooperative and withdrawn. B. Looking directly at the nurse and nodding yes. C. Looking at the blood and nodding no. D. Being cooperative and outgoing.

A. Being uncooperative and withdrawn.

Mongolian spots are a common finding in which of these groups? Mark all that apply. A. Black Americans B. White Americans. C. Asian Americans. D. American Indians.

A. Black Americans C. Asian Americans. D. American Indians.

5. What are the most common symbols found in a DIa de los Muertos celebration? Select all that apply A. Calaveritas B. Candles C. Crosses D. Monarch butterflies E. Marigolds

A. Calavertitas B. Candles C. Crosses E. Marigolds

1. Which of the following diseases are African Americans at highest risk for? Select all that apply A. Diabetes mellitus B. Glaucoma C. Appendicitis D. Addison's Disease

A. Diabetes mellitus B. Glaucoma

When a child from a remote part of Africa dies as a result of a chronic illness, the nurse notes that while the parents appear saddened, they do not express the degree of grief typically expressed by American parents. Which question asked by the nurse best demonstrates an understanding of this particular cultural response? A. Do children often die in your native country? B. Would you prefer to be left alone with your child? C. How does your culture deal with the death of a child? D. Do you need any specific help from me?

A. Do children often die in your native country?

Which intervention is directed toward minimizing cause of children's deaths worldwide? A. Educating parents on the importance of vaccinations and immunizations B. Organizing a 5-km walk with proceeds going to the world food relief services C. Advocating for relaxation of international adoption regulations D. Instructing third world refugees on the immigration process required of Canada and the US

A. Educating parents on the importance of vaccinations and immunizations

Because touching the head has specific meaning in the Vietnamese culture, before measuring the head circumference of a child, the nurse should: A. Explain the procedure and ask permission of the parent. B. Play a game with the child. C. provide privacy by pulling the curtains. D. Sit the child on the parent's lap.

A. Explain the procedure and ask permission of the parent.

The reaction to the research conducted in Sierra Leone by their government demonstrates the need to respond appropriately to achieve the desired results. Which was a major fault of this study? A. Failed to adequately respond to the major problem B. Anticipation of lack of transportation C. Provided resources to enable women to travel to the medical centers D. Failed to properly interpret the findings

A. Failed to adequately respond to the major problem

When a nurse is discussing a medication home regimen with an Alaskan Eskimo patient, the nurse might expect which of the following? A. Focused on present events. B. Focused on the benefit of present events as they affect the future. C. Primarily concerned with past historic events. D. Unaffected by time orientation.

A. Focused on present events.

When caring for the patient who believes there is a relationship between outcomes and internal feelings of control, the patient can be expected to do which of the following? A. Follow directions given for healthcare. B. View the future as a result of luck, chance, or fate. C. Believe compliance behaviors and health are unrelated. D. Adhere to beliefs of external control.

A. Follow directions given for healthcare.

1. Which of the following diseases are Arabic individuals predisposed to? Select all that apply A. Hepatitis B. pneumonia C. Tuberculosis D. valley fever E. sickle cell anemia

A. Hepatitis C. tuberculosis E. sickle cell anemia

2. The risk for peripheral artery disease is increased in African Americans due to which of the following factors? Select all that apply A. Higher incidences of diabetes B. Higher incidence of hypertension C. Decreased BMI rates D. Decreased cholesterol levels

A. Higher incidences of diabetes B. Higher incidence of hypertension

2. Which of the following religions from Asian Indian race practice cremation? Select all that apply A. Hinduism B. Jainsim C. Buddhism D. Sikhism E. Parsis (Zoroastrians) F. Only Muslims and Christians

A. Hinduism B. Jainism C. Buddhism D. Sikhism

A group of nurses are trying to establish a small medical clinic in an impoverished, rural community. The nurses realize this project will require the input and participation from the others to help making it successful and enable them to provide quality health care. To whom should the nurses look to for possible partnership in this venture to help make it successful? A. Local churches B. The local government C. The national government D. The local schools E. The local radio stations

A. Local churches B. The local government C. The national government D. The local schools E. The local radio stations

A nurse doing discharge teachings with a Navajo diabetic patient should recognize the patient may experience which of the following? A. May have trouble with keeping appointments. B. Will adhere to taking medication by associating it will mealtimes. C. Is future oriented and therefore motivated to be adherent. D. Is likely to perform illness prevention activities to be in harmony with nature.

A. May have trouble with keeping appointments.

The nurse approaches the subject of organ donation with a terminally ill Buddhist client based on the understanding that: A. The decision is one that will be discussed at length with family to secure their approval B. The body holds not a specific value to the Buddhist after death C. The decision will be deferred to the client's oldest son D. The body will be allowed to naturally decompose before being buried

B. The body holds not a specific value to the Buddhist after death

Research has been used to show where changes needed to be made and how to better meet the needs of various cultures within the health care realm. For cultures where family ties are extremely close and very important for social events, how has moving to the United States affected some of the traditions of Pakistani women? A. Financial restrictions leading to a decline having children B. Unable to feed "Ghutti" to the newborn at the hospital C. Unable to perform the ceremonial washing in the medical clinic D. Requiring the men to become more involved

B. Unable to feed "Ghutti" to the newborn at the hospital

4. What common and alternative medicines are used among Asian Indians? Select all that apply A. Energy healing therapy B. Vegetarian Diet C. Herbal supplements D. Ayurveda

B. Vegetarian diet C. Herbal supplements D. Ayurveda

The nurse is conducting a spiritual needs assessment with a newly admitted client to the unit. Which question would be the appropriate approach to determine this client's culture? A. Which church do you go to? B. When you need strength or hope, who or what do you turn to? C. What did your parents teach you about spirituality? D. Which hospital chaplain would you like to visit you?

B. When you need strength or hope, who or what do you turn to?

A registered nurse is admitting a patient of French heritage to the hospital. Which question asked by the nurse indicates that the nurse is stereotyping the patient? a. "what are your dietary preferences?" b. "what time do you typically go to bed?" c. "do you bathe and use deodorant more than once a week?" d. "do you have any health issues that we should know about?"

C. "do you bathe and use deodorant more than once a week?"

3. According to the Indian Heart Association, what percent of the Asian Indian culture account for the world's heart disease condition? A. 40% B. 20% C. 60% D. 50%

C. 60%

A nursing student is taking postoperative vital signs in the PACU. She knows that some ethnic groups are more prone to genetic disorders. Which of the following patients is most at risk for developing malignant hypertension? a. Ashkenazi Jew b. Chinese American c. African American d. Filipino

C. African American

Various laws and legislation that is part of the american culture will not be acceptable to other cultures. What concept is demonstrated by the Patient Self-Determination Act of 1991? A. Client's right to health care B. Client's cooperation C. Client's autonomy D. Respinsibilities of the client's family during times of illness

C. Client's autonomy

On which maternal-child healthcare issue would the world health organization's (WHO) nursing and midwifery team be most useful as a resource? A. Sending midwives to staff a rural Hispanic birthing center B. Providing educational recourse to students studying OB nursing in Chile C. Creating breastfeeding policies to be adopted by a third world health care system D. Monitoring infant mortality and morbidity statistics from an urban hospital in a third world country

C. Creating breastfeeding policies to be adopted by a third world health care system

Which principle concerning death rituals is the primary basis for the nurse's role in the death and grieving process? A. Each individual faces death alone B. An individual death affects many individuals C. Death rituals are critical to an individual's grief process D. Individual death rituals vary very little

C. Death rituals are critical to an individual's grief process

When planning to teach an Islamic client, the nurse needs to be aware of which of the following? A. Decision making tends to be male dominated. B. Decision making tends to be female dominated. C. Decision making tends to be generally consultative between spouses. D. Decision making tends to be consultative with the entire family.

C. Decision making tends to be generally consultative between spouses.

Recent world events are a good reminder that nurses everywhere should be aware of what is going on in other areas of the world due to which reason? A. They are ready to go where the are needed to help with a crisis B. They can institute preventative measures in their community C. Disease can spread quickly today with all the world traveling D. They will be ready when the outbreak reaches their community

C. Disease can spread quickly today with all the world traveling

A nurse is providing discharge instructions to an Asian-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. Which nursing action is most appropriate?

Continue with the instructions verifying client understanding.

The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which best action?

Continue with the instructions, verifying client understanding.

A client is admitted with end stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse if 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?

Cultural IMPOSITION

A client originally from Asia believes that her illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating?

Cultural blindness

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture?

Cultural imposition

A nurse is presenting an in-service program to a group of nurses about culture and cultural diversity. When describing culture, which characteristics would the nurse include? Select all that apply.

Culture has recognizable patterns. Culture is dynamic.

When striving for social justice, which intervention demonstrates an understanding of nursing responsibility? A. Providing parenting classes to teenage, single mothers B. Teaching CPR classes to senior citizen groups C. Presenting info on organ donation to a women's exercise group D. Advocating for a free clinic for unemployed African emigrants

D. Advocating for a free clinic for unemployed African emigrants

which intervention demonstrates that the nurse understands the cultural implication of the parents' belief that their child has been hexed? A. Observing the parents for symptoms similar to those of the child's B. Monitoring the child for hallucinations and possible delusional thinking C. Preparing the family to initiate elaborate religious rituals D. Asking the parents to describe the types of symptoms they expect to see in the child

D. Asking the parents to describe the types of symptoms they expect to see in the child

In developing a culturally sensitive care plan for a Hmong (Asain-American) psychiatric patient, which of the following would be inappropriate? A. Including the family in the plan of care. B. Showing respect by avoiding eye contact. C. Avoiding touching the head. D. Communicating all instructions in written form.

D. Communicating all instructions in written form.

Which intervention demonstrates an attempt to meet a goal related to the health issues in Africa identified by the Millennium Development project? A. Improving TB screeing efforts directed toward young adults b. Educating parents about the importance of minimizing exposure to UV rays C. Advocating for voting rights for all females D. Establishing a series of rural prenatal clinics

D. Establishing a series of rural prenatal clinics

When addressing the issue of organ donation, which culture belief is the basis for the Amish family's traditional viewpoint? A. The body is but a physical container for the soul and has no useful purpose after death B. Organ donation is supported by the belief that it is one's responsibility to help others C. Entrance into heaven is dependent upon an undamaged physical body D. It is preferable that an intact body be buried

D. It is preferable that an intact body be buried

A common factor among many of the major denominations in the united states and Canada is their willingness to be involved with providing healthcare, especially to those who need it the most. What denomination is recognized for being one of the major contributors to healthcare? A. Seventh-Day Adventist B. Protestant C. Buddhism D. Roman Catholic

D. Roman Catholic

Which notion best demonstrates that the nurse is respectful of a client's spiritual and religious beliefs? A. The family will be in the chapel awaiting the client's return from surgery B. The client requested a visit from the hospital chaplain C. The schedule of the hospital's religious services was provided to the client as requested D. Rosary beads were sent to the diagnostic lab attached to the client's hospital gown

D. Rosary beads were sent to the diagnostic lab attached to the client's hospital gown

A nurse who seeks to work as an international nurse can apply for positions with the World Health Organization (WHO). Which position is the nurse most likely to fill with WHO? A. Clinical staff B. Establish clinics C. Clinical supervisor D. Technical advisor

D. Technical advisor

When analyzing the assessment data on the admissions of a client with limited English skills, the nurse notices the client has answered yes or nodded the head indicating yes to all questions. The nurse interprets this as indicating which of the following? A. The client intended to answer all questions as yes. B. The client nodded the head and responded yes to indicate cooperation. C. The nurse should repeat the questions more loudly so the patient will hear. D. The nurse should get an interpreter to assist with the assessment.

D. The nurse should get an interpreter to assist with the assessment.

Blood groups are said to differentiate people in different racial groups. You have a 29 year old American Indian client admitted to your unit with diabetes. Based on what you know about American Indians, you might expect the patients blood type to be which of the following? A. Type A B. Type B C. Type AB D. Type O

D. Type O

3. A Navajo patient is receiving dialysis for kidney failure. The nurse overhears him talking about his peyote use which he thinks will heal his spirit and therefore is kidneys. What do you do? A. Inform your charge nurse about what you overheard B. Have a private conversation with him and discourage his peyote use C. Call his family members for an intervention D. Understand the Navajo holistic belief system and allow him to continue

D. Understand the Navajo holistic belief system and allow him to continue

2. Your patient is a 25-year old female of Mexican descent. She was recently diagnosed with Type II Diabetes Mellitus and is preparing for discharge. You are preparing to provide education about proper diet. She writes out a list of her favorite foods. Which food would you explain to her is best to avoid? A. Peanuts B. Turkey C. Avocado D. White Rice

D. White Rice

A group of nurses are working with a group of refugees who have recently relocated to the area. The nurses are concerned by some of the unsafe and unhealthy cultural practices and are trying to create an educational program that will help teach the young mothers a safer way to care for their children. Which will be important for the nurses to remember as they create this program? A. Ensuring the refugees complete assimilate into the new environment B. Preparing a reward program for the women as they complete new skills and make changes C. Requesting assistance from the elders of the group to give their approval for the changes D. Working to maintain the core values and beliefs while finding ways to Incorporated new methods that will be safer and healthier for the refugees

D. Working to maintain the core values and beliefs while finding ways to Incorporated new methods that will be safer and healthier for the refugees

Which of the following is required in the delivery of culturally congruent care? a. learning about vast cultures b. motivation and commitment to caring c. influencing treatment and care of patients d. acquiring specific knowledge, skills, and attitudes

D. acquiring specific knowledge, skills, and attitudes

To enhance their cultural awareness, nursing students need to make an in-depth self-examination of their own: a. motivation and commitment to caring b. social, cultural, and biophysical factors c. engagement in cross-cultural interactions d. background, recognizing her bias and prejudices

D. background, recognizing her bias and prejudices

A 6-month old child from Guatemala was adopted by an American family in Indiana. The child's socialization into the American midwestern culture is best described as: a. assimilation b. acculturation c. biculturalism d. enculturation

D. enculturation Rationale: socialization into one's primary culture as a child is called enculturation

Culture strongly influences pain expression and need for pain medication. However, cultural pain is: a. not expressed verbally or physically b. expressed only to others from a similar culture c. usually more intense than physical pain d. suffered by a patient whose valued way of life is disregarded by practitioners

D. suffered by a patient whose valued way of life is disregarded by practitioners

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

The nurse is caring for a client of Asian descent. The client is postoperative 3 days from coronary artery bypass graft (CABG). 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.

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft (CABG). 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.

transcultural nursing

Distinct discipline developed by Leininger that focuses on the comparative study of cultures to understand similarities and differences among groups of people

Mandating change

Do not force patients to participate in care that conflicts with their values

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 Hispanic-American client admitted with a diagnosis of diabetic ketoacidosis. Several family members are present. Which behavior, if displayed by the family members, would the nurse interpret as characteristic of this cultural group?

Dramatic body language

The nurse is caring for a Hispanic-American client admitted with a diagnosis of diabetic ketoacidosis. Several family members are present. Which behavior, if displayed by the family members, would the nurse interpret as characteristic of this cultural group?

Dramatic body language.

The nurse caring for an Orthodox Jewish client plans a diet that adheres to the practices of the client's faith. The nurse recognizes that which principles are consistent with dietary kosher laws? Select all that apply.

Eating fish with scales and fins is allowed, Unleavened bread is eaten during Passover week, Meat from animals who are vegetable eaters is allowed, & Meat is allowed if the food animal is ritually slaughtered.

The nurse caring for an Orthodox Jewish client plans a diet that adheres to the practices of the client's faith. The nurse recognizes that which principles are consistent with dietary kosher laws? Select all that apply.

Eating fish with scales and fins is allowed. Unleavened bread is eaten during Passover week. Meat from animals who are vegetable eaters is allowed. Meat is allowed if the food animal is ritually slaughtered.

The role of the nurse regarding complementary and alternative medicine should include which action?

Educating the client about therapies that he or she is using or is interested in using

The role of the nurse regarding complementary and alternative medicine should include which action?

Educating the client about therapies that he or she is using or is interested in using.

Cultural competent nursing care

Effective, individualized care that demonstrates respect for the dignity, personal rights, preferences, beliefs and practices of the person receiving care while acknowledging any biases Sensitive to the needs of individuals, families and groups from diverse populations within society

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that they would like to take an herbal substance to help lower their blood pressure. The nurse should take which action?

Encourage the client to discuss the use of an herbal substance with the health care provider.

When describing the concept of ethnicity, which statement would be most appropriate to use?

Ethnicity allows people to define themselves and others to define them.

A nurse is caring for a postoperative client of Asian descent after knee arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action?

Explain the purpose and need for assistance during ambulation.

Hispanic cultural factors

Family - Familial role is important. - Compadrazgo: special bond between a child's parents and the child's grandparents - Family is the primary unit of society. Folk and Traditional Health Care -Curanderas(os): folk healers who base treatments on humoral pathology—basic functions of the body are controlled by four body fluids or "humors": - Blood—hot and wet -Yellow bile—hot and dry - Black bile—cold and dry -Phlegm—cold and wet -The secret of good health is to balance hot and cold within the body Values and Beliefs -Respect is given according to age (older) and sex (male). - Roman Catholic Church may be very influential. Nursing Considerations - It may be difficult to convince an asymptomatic patient that he or she is ill. - Special diet considerations are necessary if the patient believes in the hot/cold theory of treating illnesses. -Diet counseling may be necessary at times, because the usual diet of many members is high in starch.

Hawaiian cultural factors

Family - Familial role is important. - Ohana, or extended families, are jointly involved in childrearing. Folk and Traditional Health Care -Kahuna La'au Lapa'au is the ancient Hawaiian medical practitioner. - View patient's illness as part of the whole. - Relationships among the physical, psychological, and spiritual - Emphasis on preventive medicine Values and Beliefs - Aloha: a deep love, respect, and affection between people and the land - Lifestyle more revered than compliance with health care issues - Death seen as part of life and not feared Nursing Considerations - Many Hawaiians may still use folk healing practices and home remedies. - Special consideration given to the extensive family network during hospitalization

A home care nurse is assigned to visit a Hispanic-American client to perform an admission assessment. On the initial meeting with the client, the nurse should plan to incorporate which social custom?

Greet the client with a handshake.

The home care nurse is assigned to visit a Mexican-American client to perform an admission assessment. On initially meeting the client, what should the nurse do?

Greet the client with a handshake.

A nurse is assigned to collect data from a Hispanic-American client during the hospital admission. The nurse should plan to use which communication patterns? Select all that apply.

Greet the client with a handshake. Smile through the admission process. Use affirmative nods during the conversations with the client.

A nurse is assigned to collect data from a Hispanic-American client during the hospital admission. The nurse should plan to use which communication patterns? Select all that apply.

Greet the client with a handshake. Smile through the admission process. Use affirmative nods during the conversations with the client.

The nurse in a health care clinic is preparing to conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the priority?

Identify the food preferences and methods of food preparation for each client.

Race

Identity with a group of people who share a biological ancestor Based on physical characteristics such as skin pigmentation, body stature, facial features and hair texture. Because of the significant blending of physical characteristics through the centuries, race has become harder to define

A nurse is planning meals for clients in a long-term care facility. Which cultural practice should the nurse take into consideration when choosing foods for these clients?

In the Asian and Hispanic culture, diseases and foods are classified as hot or cold, and a proper balance between them promotes wellness.

A White-American client maintains eye contact with the nurse during a conversation regarding the preoperative teaching plan. What is the best interpretation of the client's behavior?

Indicating trustworthiness

A White-American client maintains eye contact with the nurse during a conversation regarding the preoperative teaching plan. What is the best interpretation of the client's behavior?

Indicating trustworthiness.

A nurse is assessing the cultural beliefs of five clients requiring specimen collection for a diagnostic test. Which cultural assessments are correct? Select all that apply.

Insertion of a throat culture swab into the mouth of a Southeast Asian client may be perceived as threatening. Hindus collecting a stool specimen for a Hemoccult screening test need to use the left hand to place the stool onto the Hemoccult card. Self-urine collection performed by a right hand-dominant Muslim client may be collected incorrectly because only a Muslim's left hand can be used for dirty activities.

A nurse is assessing the cultural beliefs of five clients requiring specimen collection for a diagnostic test. Which cultural assessments are correct? Select all that apply.

Insertion of a throat culture swab into the mouth of a Southeast Asian client may be perceived as threatening. Hindus collecting a stool specimen for a Hemoccult screening test need to use the left hand to place the stool onto the Hemoccult card. Self-urine collection performed by a right hand-dominant Muslim client may be collected incorrectly because only a Muslim's left hand can be used for dirty activities.

emic worldview

Insider or native perspective

culture

Integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups

C

It is best for nurses to have a broad understanding of cultural influences on health care because of A. Disability entitlements. B. Requirements of the Health Insurance Portability and Accountability Act (HIPAA). C. Increasing global diversity. D. Litigious society.

Which teaching statement best exemplifies cultural competence in relation to time for the American culture?

It is important to arrive within 20 minutes of your scheduled appointment time.

A nurse is working in an inner city clinic with a heavy population of Hispanic migrant workers. Which nursing assessment is the priority?

LANGUAGE assessment

Which disorders might a nurse screen for in a black man, based on his culture? Select all that apply.

Lactase deficiency Sickle cell anemia Keloid formations

A community health nurse has volunteered to assist in providing health care instruction to a Native American community group. The nurse plans instruction based on the common practices and rituals of this group, knowing that which are characteristics associated with this ethnic group? Select all that apply.

Lactose intolerance is common, Vitamin D deficiency is a concern, Corn is an important component of the diet, & Fried bread and mutton are prepared in lard.

A community health nurse has volunteered to assist in providing health care instruction to a Native American community group. The nurse plans instruction based on the common practices and rituals of this group, knowing that which are characteristics associated with this ethnic group? Select all that apply.

Lactose intolerance is common. Vitamin D deficiency is a concern. Corn is an important component of the diet. Fried bread and mutton are prepared in lard.

cultural knowledge

Learn about the belief system and practices of people in your community and of patients in the area in which you work

The nurse is developing a plan of care for a hospitalized Asian-American client. The nurse should include which measures in the client's plan of care? Select all that apply.

Limit eye contact, Clarify responses to questions, & Maintain physical space with the client.

The nurse is developing a plan of care for a hospitalized Asian-American client. The nurse should include which measures in the client's plan of care? Select all that apply.

Limit eye contact. Clarify responses to questions. Maintain physical space with the client.

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?

Maintain flexibility when the client requests interventions at specific times.

A client of Arab descent 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

The nurse is providing care to a Puerto Rican-American client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the most appropriate nursing action for this client?

Make the necessary arrangements so family members can visit.

A,C,E Consider your own cultural biases and how this affects your nursing care, Understand the need to recognize cultural implications in planning and implementing nursing care, Learn how to utilize cultural assessment tools, Treat patients with dignity and respect, Use sensitivity in providing culturally competent care, Recognize opportunities to provide specific cultural-based nursing care, Evaluate own previous encounters with patients from other cultures and backgrounds.

The nurse uses the acronym CULTURE when working with a diverse population. What elements does the acronym stand for? (Select all that apply.) A. Consider your own cultural biases. B. Evaluate patients' health care literacy. C. Learn to use cultural assessment tools. D. Recognize your own knowledge limits. E. Treat patients with dignity and respect.

The nurse plans to do dietary teaching with an African-American client. The nurse focuses the plan based on which foods that are characteristically consumed by individuals of this culture? Select all that apply.

Pork, Fried Foods, & greens

The nurse is implementing the complementary therapy of therapeutic touch when caring for clients. The nurse should implement which action when performing therapeutic touch?

Position hands 2 to 4 inches from the body.

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 his religion. Past care providers have dismissed the client's concerns as being imaginary. What is the priority nursing diagnosis?

Powerlessness related to the inability to make heath care providers understand his symptoms

The nurse identifies low-risk therapies to a client and should include which therapies in the discussion? Select all that apply.

Prayer Touch Massage Relaxation

The nurse identifies low-risk therapies to a client and should include which therapies in the discussion?

Prayer, touch, massage, & relaxation.

cultural competence

Process in which the health care professional continually strives to achieve the ability and availability to work effectively with individuals, families, and communities

acculturation

Process of adapting to and adopting a new culture

Culture care restructuring or repatterining

Professional actions and decisions that help patients reorder, change, or modify their lifestyles toward new, different or more beneficial health care patterns

Cultural care accommodation

Professional actions and decisions that nurses make on behalf of those in their care to help people of a designated culture achieve a beneficial or satisfying health outcome

Transcultural Nursing

Providing care to clients and families across cultural variations Used interchangeably with cross-cultural, intercultural or multicultural nursing Refers to research-focused practice that focuses on patient-centered culturally competent nursing

The nurse is conducting an admission assessment on an African-American client scheduled for a hernia repair. Which assessment data are of least priority during the initial assessment?

Psychosocial assessment data

The nurse is conducting an admission assessment on an African-American client scheduled for a hernia repair. Which assessment data are of least priority during the initial assessment?

Psychosocial assessment data.

Which statement best conveys the relationship between race and ethnicity?

RACE denotes PHYSICAL characteristics while ETHNICITY is rooted in a common HERITAGE.

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?

Reflecting a cultural value.

A nurse is assigned the care of a client who speaks only Arabic. The nurse does not know the language. What action is appropriate for the nurse in this case?

Request a professional interpreter.

A nurse is providing care to a Hispanic client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the appropriate action?

Request permission to move the client to a private room and allow the family members to visit.

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 consults with a nutritionist regarding the dietary preferences of an Asian-American client. Which food should be included in the dietary plan?

Rice

The nurse consults with a nutritionist regarding the dietary preferences of an Asian-American client. Which food should be included in the dietary plan?

Rice.

The client in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the client is experiencing?

SHOCK

ethnicity

Shared identity related to social and cultural heritage such as values, language, geographical space, and racial characteristics.

The nurse calls the dietary department to obtain a dinner meal for a White-American client who was admitted to the hospital at 4:00 PM. The health care provider prescribed a diet "as tolerated." Considering the practices and preferences of the White-American culture, which food should the nurse request for the meal?

Sirloin steak & potatoes.

The nurse calls the dietary department to obtain a dinner meal for a White-American client who was admitted to the hospital at 4:00 PM. The health care provider prescribed a diet "as tolerated." Considering the practices and preferences of the White-American culture, which food should the nurse request for the meal?

Sirloin steak and potatoes

A client has recently immigrated and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I can't do anything right here." What is the priority nursing diagnosis?

Situational low self-esteem related to culture shock and feelings of fear and incompetence

enculturation

Socialization into one's primary culture as a child

A Hispanic single parent is having difficulty finding employment due to a lack of a car and speaking primarily Spanish. Which factor is a barrier to health care?

Spanish as primary language

B

Spirituality is defined as: A. participating in religious services on a regular basis. B. a personal effort to find meaning and purpose in life. C. the process of being raised within a culture. D. a social group that claims to possess variable traits.

An older client is seen in the clinic for a physical examination. Laboratory studies reveal that the hemoglobin and hematocrit levels are low, indicating the need for further diagnostic studies and a blood transfusion. The client is a Jehovah's Witness and refuses to have a blood transfusion. The nurse should take which most appropriate action?

Support the client's decision not to receive a blood transfusion.

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?

Sweet and sour chicken with rice and vegetables, mixed fruit, juice

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?

Sweet and sour chicken with rice and vegetables, mixed fruit, juice.

The nurse is examining a Hispanic-American child who was brought to the clinic by the mother. Which are appropriate nursing actions? Select all that apply.

Taking the child's temperature Asking questions about the child Obtaining an interpreter if necessary

The nurse is examining a Hispanic-American child who was brought to the clinic by the mother. Which are appropriate nursing actions? Select all that apply.

Taking the child's temperature. Asking questions about the child. Obtaining an interpreter if necessary.

ethnocentrism

Tendency to hold one's own way of life as superior to that of others

The nurse is preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that surgery is necessary. The nurse considers the client's religious preferences in developing the plan of care and should document which information?

The administration of blood and blood products is not allowed.

The younger nurses who seem to adapt easily to the new technology presented are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond?

The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.

A nurse is assisting in developing a postoperative plan of care for a Filipino-American client scheduled for surgery. The nurse should consider which factors when addressing pain? Select all that apply.

The client has a high tolerance to pain & Pain medication needs to be offered on a regular basis as prescribed.

A nurse is assisting in developing a postoperative plan of care for a Filipino-American client scheduled for surgery. The nurse should consider which factors when addressing pain? Select all that apply.

The client has a high tolerance to pain. Pain medication needs to be offered on a regular basis as prescribed.

A Native-American man comes to the clinic for a physical examination. When asked about his mental status, the client acknowledges that he has had visions of his deceased brother and speaks to him when he needs counsel. Which best describes the nurse's assessment of this client behavior?

The client is demonstrating behavior that may be regarded as normal within his culture.

The nurse is bathing a hospitalized Native-American client and notes that the client avoids eye contact during the procedure. The nurse should make which interpretation concerning the client's behavior?

The client is displaying behavior that is a common cultural action.

The nurse is assessing a client for pain and suspects that the client's culture may be affecting the pain response. What nonverbal assessment would the nurse expect?

The client is holding pressure on the abdomen when speaking.

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.

The nurse is reviewing the plan of care with an Asian-American client. The client frequently nods the head during the review. The nurse should interpret this behavior as which indication?

The client may not necessarily agree with the plan.

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?

The client states, "I feel like I abandoned my religion."

A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?

The client's daughter, who is with her, learned the dominant language as her second language.

Culture

The knowledge, belief, art, morals, laws, customs and any other capabilities and habits acquired by humans as members of society

A

The nurse at an outpatient clinic asks a patient who is Chinese American with newly diagnosed hypertension if he is limiting his sodium intake as directed. The patient does not make eye contact with the nurse but nods his head. What should the nurse do next? A. Ask the patient how much salt he is consuming each day B. Discuss the health implications of sodium and hypertension C. Remind the patient that many foods such as soy sauce contain "hidden" sodium D. Suggest some low-sodium dietary alternatives

C

The nurse is triaging a hysterical patient in the emergency room. The patient is crying, has uncontrollable spasms, and is trembling and shouting. It is important to identify the manifestation of illness in order to effectively treat a patient. The nurse identifies this as a culture-bound syndrome called A. Shenjing shaijo. B. Loco de la cabeza. C. Ataque de nervios. D. Neurasthenia.

The nurse is preparing to provide preoperative teaching to a Spanish-speaking client and the client's family. Which nursing action would be most effective for teaching the client?

The nurse secures the assistance of a professional interpreter to communicate with the client

The nurse is preparing to provide preoperative teaching to a Spanish-speaking client and the client's family. Which nursing action would be most effective for teaching the client?

The nurse secures the assistance of a professional interpreter to communicate with the client.

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. Keeping in mind that the client is Latino, how should the nurse conduct the interview?

The nurse should avoid using medical terminology.

A nurse is caring for a Native American/First Nations woman who is receiving chemotherapy for breast cancer. Which nursing action is the best example of providing culturally sensitive care?

The nurse uses a low tone of voice when explaining the care plan to the client.

Which is a cultural norm of the health care system?

There is the use of a systematic approach and problem-solving methodology.

A nurse in the hospital is caring for a Native American/First Nations male. Which statement should best guide the nurse's care?

There may be a role for a tribal medicine man in the client's care.

A nurse is planning to instruct the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse should include which information for this ethnic group? Select all that apply.

They have difficulty adhering to a prescribed diet. They view food as a primary form of socialization. They enjoy food that is rich in color, flavor, and texture.

The nurse is planning to instruct a Hispanic-American client about nutrition and dietary restrictions. What factors should the nurse keep in mind when developing this client's plan of care? Select all that apply.

They view food as a primary form of socialization & Any occasion is seen as a time to celebrate with food.

The nurse is planning to instruct a Hispanic-American client about nutrition and dietary restrictions. What factors should the nurse keep in mind when developing this client's plan of care? Select all that apply.

They view food as a primary form of socialization. Any occasion is seen as a time to celebrate with food.

The new nurse is caring for a client of Asian descent. What should the nurse expect when caring for this client?

This client will require the nurse to keep an arm's length distance.

assimilation

To become absorbed into another culture and adopt its characteristics

D

To enhance their cultural awareness, nursing students need to make an in-depth self-examination of their own: A. Motivation and commitment to caring. B. Social, cultural, and biophysical factors. C. Engagement in cross-cultural interactions. D. Background, recognizing her biases and prejudices.

The nurse is caring for an Eastern Orthodox client. During Lent, the nurse should offer the client which dietary choice?

Tossed green salad

The nurse is caring for an Eastern Orthodox client. During Lent, the nurse should offer the client which dietary choice?

Tossed green salad.

Ethical Dilemma

Two or more clear moral principles apply but support mutually inconsistent courses of action

The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the PRIORITY action by the nurse?

Understand the client's personal and cultural views regarding death and dying.

The nurse develops a plan of care for a Native-American client. The nurse identifies which practices and preferences as characteristic of this ethnic group? Select all that apply.

Use of religion Avoiding eye contact Use of spiritual practices Use of healing practices

The nurse develops a plan of care for a Native-American client. The nurse identifies which practices and preferences as characteristic of this ethnic group? Select all that apply.

Use of religion, Avoiding eye contact, Use of spiritual practices, & Use of healing practices.

Cultural imposition

Using one's own values and customs as an absolute guide in interpreting behaviors. Impose ones cultural beliefs, values and patterns of behavior on a person or people of a different culture

The nurse is planning the menu for an Asian-American client in collaboration with the hospital dietitian. The meal plan is designed to incorporate which food as a usual component of an Asian diet?

Vegetables

The nurse is planning the menu for an Asian-American client in collaboration with the hospital dietitian. The meal plan is designed to incorporate which food as a usual component of an Asian diet?

Vegetables.

The nurse is planning to instruct the Hispanic-American client about nutrition and dietary restrictions. When developing the plan, the nurse is aware that which is a characteristic of this ethnic group?

Views food as a primary form of socialization

A

What is the yin/yang theory of health? A. Health exists when all aspects of the person are in perfect balance. B. Health exists when physical, psychologic, spiritual, and social needs are met. C. Health exists in the absence of illness. D. Health exists when there is optimal functioning.

B

What symptom is greatly influenced by a person's cultural heritage? A. hearing loss B. pain C. breast lump D. food intolerance

A,C,D,E

When considering cultural competence, there are discrete areas that the nurse must develop knowledge of to understand the health care needs of others. These discrete areas include understanding of: (Select all that apply.) A. his or her own heritage. B. cultural and ethnic values. C. the heritage of the nursing profession. D. the heritage of the patient. E. the heritage of the health care system.

B

Which theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage? A. Behavior theory B. Heritage consistency C. Congruence mechanism D. Socialization experience

C

While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following will most likely describe this patient's view of wellness? A. Good is hot. B. Evil is hot. C. The humors must be balanced. D. The phlegm will be replaced with dryness.

The nurse educator asks a student to list the five categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, would indicate an understanding of the five categories of CAM?

Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine

The nurse educator asks a student to list the five categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, would indicate an understanding of the five categories of CAM?

Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine.

A nurse is telling a new mother from Africa that she shouldn't carry her baby in a sling created from a large rectangular cloth. The African woman tells the nurse that everyone in Mozambique carries babies this way. The nurse believes that bassinets are safer for infants. What term best describes what the nurse is doing? a) cultural imposition b) clustering c) cultural competency d) stereotyping

a The nurse is trying to impose her belief that bassinets are preferable to baby slings on the African mother—in spite of the fact that African women have safely carried babies in these slings for years.

Which behavior by the nurse demonstrates cultural blindness?

Administering antibiotics to a child whose parents do not believe in Western medicine

A community health nurse has volunteered to assist in providing health care instructions to a Native-American community group. The nurse plans instructions based on the common practices and rituals of this group, knowing that which are associated characteristics of this ethnic group? Select all that apply.

Alcohol abuse is common, Vitamin D deficiency is a concern, Corn is an important component of the diet, & This group is at increased risk for gallbladder disease.

When communicating with a client who speaks a different language, which best practice should the nurse implement?

Arrange for an interpreter to translate.

A male client refuses to allow the nurse to draw blood for a test because he believes blood is the body's life force and cannot be regenerated. It is likely that this client belongs to which ethnic group?

Asian

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?

Ask the client about personal space preferences.

The nurse is assessing an older adult of Asian decent who immigrated at the age of 3 years. The client speaks the dominant language and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate?

Ask the client about special cultural beliefs or practices.

The nurse is assessing an older adult who immigrated at the age of 3 years. The client speaks the dominant language and lives in a neighborhood with many households from the country of origin. Which action by the nurse is most appropriate?

Ask the client about special cultural beliefs or practices.

A nurse is providing care to a client from a culture different from her own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate?

Ask the client how she wants to be treated based on her values and beliefs.

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate?

Ask the client if a spiritual leader is desired.

The nurse admits a client to the critical care unit to rule out a myocardial infarction (MI). The client has several family members in the waiting room. Which nursing action is most appropriate?

Ask the client their personal beliefs about family support during hospitalization.

A kosher meal is delivered to a Jewish-American client . Which action by the nurse is most appropriate in assisting the client with the meal?

Ask the client to prepare the meal for eating.

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate?

Assessment of eye contact, personal space, and social taboos

A nurse is planning care for a hospitalized male client who is an Orthodox Jew. Which action by the nurse is best for this client?

Assign a male unlicensed assistive personnel (UAP) to help the client with his personal care.

A Muslim client is admitted to the hospital. What cultural considerations might the nurse include in the plan of care? Select all that apply.

Assign care providers of the same sex. Avoid touching clients of the opposite sex. Make accommodations for the prayer needs of the client.

Stereotyping

Assuming that everyone in a particular group is the same.

A client from Malaysia is admitted to the health care facility with reports 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 scenario is an example of cultural competence in nursing?

Attending a conference for cultural diversity

What action should the nurse consider when counseling a client of the Amish tradition?

Avoid using scientific or medical jargon.

When counseling a female Amish client, what should the nurse do?

Avoid using scientific or medical jargon.

Which behavior by the nurse is stereotyping?

Avoiding older adult clients because their care is time consuming

A patient from a nondominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this patient? A) Offer to provide the patient with a back rub B) Measure the pain level with a pain rating scale C) Discuss pain control measures with the physician D) Nothing until the patient asks for pain medication

B

1. Which client should a nurse recognize has the highest risk to develop lead poisoning? A. A Mexican-American adult who does not use traditional Hispanic medicines B. A Mexican-American child who is given azarcon and greta regularly for chronic upset stomach C. A Mexican-American child born to 3rd generation US parents and have no active ties to the Mexican cultrue D. A Mexican-American adult who is skeptical of Western medical techniques and prefers to self-medicate with home remedies

B. A Mexican-American child who is given azarcon and greta regularly for chronic upset stomach

The success of any public health intervention depends on various characteristics to be successful. Which are some of those necessary characteristics? A. Accountability B. Acceptability C. Accessibility D. Availability E. Affordability

B. Acceptability C. Accessibility D. Availability

The use of midwives has played a significant part in helping to improve infant and maternal complications and death, especially in countries where there is a high rate of both complications. Which us a recognized role of a midwife in helping to improve the healthcare services around the world? A. Training family members on how to assist with the childbirth B. Advocating that proper maternity care is available to all populations C. Arranging for safe transportation to the birthing center of the mother D. Understanding the local culture method to be prepared for any potential complication

B. Advocating that proper maternity care is available to all populations

4. The wife of an Arabic patient in your hospital complains to the nurses that her husband is not receiving adequate pain control, but when the nurse asks him he rates his pain as a 2 on a scale of 0-10. The nurse understands that: A. The wife is probably exaggerating her husband's pain B. Arabic patients tend to act stoic in front of healthcare professionals C. Arabic patients do not believe in "western medicine" pain control D. He does not understand your question E. The patient is telling the truth

B. Arabic patients tend to act stoic in front of healthcare professionals

3. When communicating with a client who speaks a different language, which best practice should the nurse implement? A. Speak loudly and slowly B. Arrange for an interpreter to translate C. Speak to the client and family together D. Stand close to the client and speak loudly

B. Arrange for and interpreter to translate

An example of distributive justice related to health care includes: A. Implementing a sliding rate for well-baby visits ar the local family clinic B. Assessing an insurance cohort a $5 copay for generic medication prescriptions C. Requiring a physical exam prior to activation of health insurance coverage D. Providing unlimited access to health promotion services to all possessing insurance coverage

B. Assessing an insurance cohort a $5 copay for generic medication prescriptions

When a culturally diverse client dies, the nurse best demonstrates cultural sensitivity when managing the care of the body by: A. Providing the family with private time with their loved one, prior to the arrival of the mortician B. Assessing the family's expectations regarding how their loved one's body will be handled C. Reading a variety of resources to gain information of cultural death rituals D. Immediately notify the family's religious leader of the client's death

B. Assessing the family's expectations regarding how their loved one's body will be handled

The nurse is aware that the foundations of making a culturally competent ethical decision s which? A. Cultural competence B. Compassion C. Advocady D. Collaboration

B. Compassion

2. A 54 year old Filipino male has been admitted to the hospital for surgery. Surgery went well, and the patient is no longer NPO. He practices a traditional Filipino diet and is requesting a meal. What medication needs to be considered when his wife brings him a meal containing a significant amount of garlic? A. Insulin B. Coumadin C. Digoxin D. Metformin

B. Coumadin

Which statement, made by a nurse caring for a client diagnosed with dementia and a history of falls, best demonstrates the principle of beneficence? A. I need to be sure that this client isnt being oversedated and therefore at risk for falls B. Current research refutes the use of restraints to keep my client safe from falls C. I'd feel great responsibility if this client was hurt because of a fall D. Institution policies are clear about assuring client safety especially from falls

B. Current research refutes the use of restraints to keep my client safe from falls

3. A 72 year old, Filipino male patient is brought into the emergency room by his son. His son tells the nurse that he is experiencing severe abdominal pain. The father seems stoic and is not showing outward signs of pain. How would you asses the patient's pain? A. Since the patient is not showing any obvious signs of pain, assume that he is not in pain B. Do a full abdominal assessment of the patient and assess vital signs C. Give the patient a pain medication as ordered by the provider

B. Do a full abdominal assessment of the patient and assess vital signs

Which intervention is an example of health promotion with a focus on social justice? A. Administering flu vacine at an adult daycare center B. Educating a Hispanic client to the social service programs he or she is qualified for C. Monitoring an elderly clinet who lives alone for possible nutritional deficiencies D. Voluneering to monitor blood pressure at a local food pantry

B. Educating a Hispanic client to the social service programs he or she is qualified for

1. What are the three factors that the Asian American population believe affect your health status? Select all that apply A. Rock B. Fire C. Food D. Water E. Wind

B. Fire D. Water E. Wind

What is the initial step in preparing for a career in international nursing with Asian populations? A. Learning the most common Asian dialects B. Gaining practical experience with the culture through volunteer work among Asian emigrants C. Becoming familiar with the various religions represented among the Asian population D. Traveling to Asia to personally experience the culture

B. Gaining practical experience with the culture through volunteer work among Asian emigrants

Which characteristic is the basis for success in effectively functioning as a nurse in an international setting? A. Demonstrating a deep respect for the culture and people of the host nation B. Having strong communication skills that relate to the establishment of an effective nurse-client relationship C. Identifying with the local population's beliefs and avlues regarding all aspects of like but especially health and healthcare D. Possessing extensive knowledge relted to the host nation and its population

B. Having strong communication skills that relate to the establishment of an effective nurse-client relationship

A nurse is teaching an Appalachian patient who says, "Whatever will be, will be." The nurse understands that which of the following is most accurate about this scenario? A. External feelings of control are related to compliance. B. Internal feelings of control are related to compliance. C. A fatalistic point of view is related to taking preventative health care actions. D. Feelings of internal control are not necessary for compliance.

B. Internal feelings of control are related to compliance.

Which MDG is the basis for advocating for the use of condoms in the third world countries? A. Reducing the world's birth rate B. Minimizing the spread of HIV C. Affecting the incidence of shphillis-induced dementia D. Reducing infant deaths resulting from sexually transmitted diseases

B. Minimizing the spread of HIV

2. A Navajo man is hospitalized with a kidney stone in obvious distress, but is trying to conceal it. When asked to rate his pain, he tells you "It's nothing I can't handle". You have orders to give 4 mg of morphine stat. What do you do? A. Have the physician tell them they have to take the medication B. Offer pain medications and explain it will provide healing C. Withhold medication because they denied any pain D. Give the patient the medication, but tell them it's an herbal supplement

B. Offer pain medications and explain it will provide healing

The nurse plans to use an interpreter when teaching a Spanish-speaking client about diabetes mellitus. The best interpreter for the nurse to select is which of the following? A. A family member who lives with the client. B. One who translates not only the words but the nonverbal messages too. C. One who can translate the words into Spanish. D. One who can translate the words into oral and written format.

B. One who translates not only the words but the nonverbal messages too.

Which statement, made by a nurse caring for a culturally diverse population, regarding spiritual assessments, demonstrates the need for future education? A. I find the beliefs associated with Judaism to be similar to Christianity B. Religion is a private matter and difficult to assess C. I generally have to ask clarifying questions when assessing a client about his or her religion D. An individual can be spiritual but not religious.

B. Religion is a private matter and difficult to assess

Encouraging clients to set up personal items and wear their own sleepwear is means of promoting which of the following? A. Personal Space. B. Self-Identity. C. Visual Space. D. Autonomy.

B. Self-Identity.

A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

belief system that guides behavior

Which factors contribute to the concept of a culture? Select all that apply.

beliefs about health practices styles used for communication language

A nurse is performing nutritional assessments of new residents of a long-term care facility. Which resident would the nurse assess as being at greater risk for having lactose intolerance?

black male

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply.

burdensome to family physically impaired uninterested in intimacy

A nurse is teaching a novice nurse how to provide culturally competent care to patients in a culturally diverse community health clinic. Although all of the following are important to providing culturally competent nursing care, which one is most basic? a) Learning the predominant language of the community b) Obtaining significant information about the community c) Treating each patient at the clinic as an individual d) Recognizing the importance of the patient's family

c In all aspects of nursing, it is important to treat each patient as an individual. This is also true in providing culturally competent care. This basic objective can be accomplished by learning the predominant language in the community, researching the patient's culture, and recognizing the influence of family on the patient's life.

The nurse is caring for a client whose language skills are very limited in the dominant language. Which nursing action is appropriate when communicating with the client?

obtaining a certified interpreter

A nurse is attempting to gain insight into a client's cultural beliefs and attitudes. Which methods would the nurse likely use? Select all that apply.

open-ended interviewing ethnographic interview key informants

Which behaviors demonstrated by the client would the nurse consider as reflection of the client's pride in ethnicity? Select all that apply.

requesting native cuisine listening to folk music and dance asking to wear person unique clothing

cultural blindness

tendency to ignore cultural differences and to proceed as if they did not exist The tendency to judge others based on ones own culture

call, cause, cope, concern

the 4 C's of a cultural assessment

Acculturation

the adoption of the behavior patterns of the surrounding culture

A FEMALE ASIAN client is admitted to the emergency department with a fractured femur. What cultural factor might affect client care?

the client may NOT REPORT PAIN

Which client admitted to the emergency department (ED) might require the nurse to include interventions aimed at addressing CULTURAL SHOCK in the plan of care?

the client who recently immigrated from Mexico who fell from a ladder

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply.

uninterested in intimacy physically impaired burdensome to family

The nurse is caring for a Haitian client. Which health belief system does the nurse anticipate?

using faith healing

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study?

witchcraft

The nurse is teaching about sources of calcium for a client newly diagnosed with lactose intolerance. The client would require further teaching if which food is chosen?

yogurt

Health problems of Hispanics

1) Diabetes 2) lactose intolerance

Health problems of Asians

1) HTN 2) liver cancer 3) lactose intolerance 4) Thalassemia (blood disorder)

Health problems of African Americans

1) Hypertension 2) stroke 3) sickle cell anemia 4) lactose intolerance 5) keloids

Health problems of Whites

1) breast cancer 2) heart disease 3) HTN 4) diabetes 5) obesity

Health problems of Native Americans and Alaska Natives

1) heart disease 2) cirrhosis of liver 3) diabetes 4) fetal alcohol syndrome

A

A home health care nurse is making a first visit to an older African American woman living in an extended family situation. To help establish a trusting relationship, which action by the nurse is best? A. Address the patient by "Ms." or "Mrs." and her last name. B. Assess the patient's time orientation when discussing the future. C. Determine who are all the people living with the patient. D. Include the entire family in group decision processes

cultural diversity

A mixture of different ethnic groups, ideologies,beliefs or traditions An integral component of both health and illness because of the cultural values and beliefs that we learn in our families and communities as well as the need for healthcare providers to understand physiologic characteristics common to certain populations

B

A nurse is caring for a Japanese immigrant who is one day post-op. The patient refuses to take pain medication but is reluctant to get out of bed with physical therapy (PT). Which action by the nurse is best? A. Ask the patient why he or she will not take pain medicine. B. Bring the medicine; explain that it will make PT easier. C. Educate the patient on the benefits of physical therapy. D. Tell the patient that the physician has ordered the medicine.

D

A nurse is working with a Native American child. When the nurse advises the mother to return her child to the clinic in 2 weeks, the woman is vague about her ability to do so. The nurse is annoyed at the mother's apparent lack of concern about her child. What information does the nurse manager share with this nurse? A. Native Americans don't seem to like commitment. B. The mother may seem vague, but she will return in 2 weeks. C. The nurse should notify the social worker about this incident. D. The nurse and the mother have different time orientations.

C

A student nurse understands that avoiding offensive body language is important when working with people from unfamiliar cultures, but does not know what this means. Which suggestion by the nursing faculty member is best? A. Ask if certain behaviors are offensive. B. Imitate other nurses' behaviors. C. Mirror the patient's body language. D. Read about cultural differences.

4. Which of the following factors contribute to the low participation rate of African Americans in hospice programs? Select all that apply A. African Americans are more likely to be mistrustful of the medical system B. African Americans tend to believe hospice hastens death C. African Americans do not believe hospice is bennificial D. African Americans tend to believe God alone determines life or death

A. African Americans are more likely to be mistrustful of the medical system D. African Americans tend to believe God alone determines life or death

4. You are taking care of a 32 year old Mexican man who has suffered severe trauma to his right arm but has refused pain killers and states that his pain is zero. Which of the following are important to remember when taking care of Mexican male patients? Select all that apply A. Mexican men commonly tolerate pain until it becomes extreme B. Mexican Americans tend to perceive pain as a necessary part of life C. Enduring pain is often viewed as a sign of strength D. Mexican men will never accept pain killers for fear of being perceived as weak E. Many hope the pain will just go away

A. Mexican men commonly tolerate pain until it becomes extreme B. Mexican Americans tend to perceive pain as a necessary part of life C. Enduring pain is often viewed as a sign of strength E. Many hope the pain will just go away

Because of the influence of various religions upon individuals, what one group may deem as appropriate; another group will absolutely forbid it. Which may be considered ethical and permitted by one cultural group while another group would consider it unacceptable? A. Organ donation B. Access to medical care C. Autonomy in decision making D.After-death customs E. Encouraging the use of new techniques

A. Organ donation C. Autonomy in decision making

Preparing for a career in global public health nursing requires more than just learning the basic nursing skills. Which can the nurse also do to prepare for a career in global public health and international nursing? A. Studying the history of the area traveling to B. Understanding community development theory C. Locating a mentor from the area where the nurse will be relocating to D. Understanding re-patterning E. Becoming certified in the country where the nurse will be working

A. Studying the history of the area traveling to B. Understanding community development theory D. Understanding re-patterning

When conducting a client's spiritual assessment, the nurse should observe the actions of the client as well as note the client's answers. which would be an indication of the client's possible spiritual and religious beliefs? A. The client's visitors who are not family members B. The type of reading material the client brought to the unit C. The practice of any specific rituals used throughout the day when possible D. The client is quiet and reserved and has no visitors E. The client always wears her hair in braids

A. The client's visitors who are not family members B. The type of reading material the client brought to the unit C. The practice of any specific rituals used throughout the day when possible D. The client is quiet and reserved and has no visitors

The nurse needs to be aware of how the nurse's cultural beliefs may dictate that a certain action is wrong but the culture of the client may believe that particular actions are acceptable, When these disagreements present an ethical dilemma, the nurse must make a decision as to how to proceed. Which must the nurse keep in mind when making the decision of how to proceed? A. The nurse has certain standards to maintain B. the nurse needs to remember to always follow the client's instructions C. There is always a way yo compromise on any situation D. The nurse should consult the ethical committee of the organization to solve any disagreements

A. The nurse has certain standards to maintain

A nurse is preparing to travel to Southeast Asia to work at a local health care clinic in a small town. As the nurse prepares to go, which will be important for the nurse to remember while working in this other culture? A. The nurse will be collaborating with peers B. The nurse will be bringing expert advice to assist the local community C. The nurse will need to spend the first year learning the culture D. The nurse should not expect to learn any new treatment techniques

A. The nurse will be collaborating with peers

The nurse who is caring for a patient with an external locus of control can anticipate which of the following? A. The patient will be more likely to be fatalistic about nature and illness. B. The patient is more likely to feel in control of events the affect him or her. C. The patient will expect to be able to modify behaviors to reach health goals. D. The patient will desire help to control health and illness outcomes.

A. The patient will be more likely to be fatalistic about nature and illness.

When assessing an Asian client, the best way to obtain information is to: A. Use an interesting approach to get information. B. Ask questions through an interpreter. C. Ask family members to answer questions. D. Ask short-answered questions.

A. Use an interesting approach to get information.

Social justice related to healthcare is best demonstrated when: A. a client reporting chest pain is seen immediately by an emergency room physician B. A children's clinic is added to the services provided by the local hospital C. A local OB practice reserves two evenings a week for routine prenatal appointments D. There is a rescheduling fee assessed for giving less than 24 hrs for cancelleld appointments

A. a client reporting chest pain is seen immediately by an emergency room physician

The nurse at an outpatient clinic asks a patient who is Chinese American with newly diagnosed hypertension if he is limiting his sodium intake as directed. The patient does not make eye contact with the nurse but nods his head. What should the nurse do next? a. ask the patient how much salt he is consuming each day b. discuss the health implications of sodium and HTN c. remind the patient that many foods such as soy sauce may contain "hidden" sodium d. suggest some low-sodium dietary alternatives

A. ask the patient how much salt he is consuming each day

When action is taken on one's prejudices: a. discrimination occurs b. delivery of culturally congruent care is ensured c. effective intercultural communication develops d. sufficient comparative knowledge of diverse groups is obtained

A. discrimination occurs

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?

Access to care

Cultural taboos

Activities or behaviors that are avoided or prohibited by a particular cultural group

A hospice nurse recognizes that the client is closer to death and prepares to follow through on the care plan that was already developed. As this has already been discussed with the family, the nurse is prepared to take the appropriate steps to support the family during this difficult time. What is that most appropriate question for the nurse to ask? A. Is it okay if I move this string of beads to the table so it's not in the way? B. Who would you like me to call when it appears death is imminent? C. Would you like me to explain the proper way to clean the body after death? D. Would you like me to tell you if any new method becomes available to help your loved one live longer?

B. Who would you like me to call when it appears death is imminent?

A 46-year old woman from Bosnia came to the U.S. 6 years ago. Although she did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now. This woman has experienced assimilation into the culture of the U.S. because she: a. chose to be bicultural b. adapted to and adopted the American culture c. had an extremely negative experience with the American culture d. gave up part of her ethnic identity in favor of the American culture

B. adapted to and adopted the American culture

Which of the following best represents the dominant values in American society on individual autonomy and self-determination? a. physician orders b. advance directive c. durable power of attorney d. court-appointed guardian

B. advance directive

2. What meal would be appropriate for an Islamic and Arabic individual who is low in iron? A. spaghetti and meatballs B. chicken, spinach salad, and juice C. cheese pizza and soda D. oatmeal, apple, and milk E. BLT with side salad

B. chicken, spinach salad, and juice

During their clinical post-conference meeting, several nursing students were discussing their patients with their instructor. One student from a middle-class family shared that her patient was homeless. This is an example of caring for a patient from a different: a. ethnicity b. culture c. heritage d. religion

B. culture

Cultural self-awareness

Become aware of the role of cultural influences in your own life

Culture conflict

Becoming aware of cultural differences, feel threatened and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values

A

Before determining whether cultural practices are helpful, harmful, or neutral, nurses must first understand: A. the logic of the traditional belief systems. B. the beliefs of the patient's family. C. their personal belief models. D. the risk of disease in the patient's ethnic group.

Ethnocentrism

Belief in the superiority of one's nation or ethnic group.

The nurse understands that which statement regarding herbal and health therapies is correct?

Black cohosh produces estrogen-like effects.

A nurse is planning the menu for a Chinese-American client. Which foods should the nurse plan to include in the dietary plan? Select all that apply.

Broccoli Green beans

A nurse is planning the menu for a Chinese-American client. Which foods should the nurse plan to include in the dietary plan? Select all that apply.

Broccoli & green beans.

1. You are caring for a client who is Navajo and in the end stages of life. The client passes and the client's family insists that no one can handle or cleanse the body except for the chosen family members and the preparation must be done as soon as possible. As a nurse who understands cultural compliance, what should your response be? A. Sorry, but our hospital's policy requires us to prepare the body B. Of course! We encourage this type of thing at our hospital C. I just need to do documentation and obtain a death certificate from your healthcare provider D. Yes, you may preserve your family member. Sorry for your loss and if you need any help please let me know

C. I just need to do documentation and obtain a death certificate from your healthcare provider

As the international nursing community grows, there are specific goals in mind to be accomplished by the nurses as they travel to different regions to assist with healthcare, especially in areas where healthcare is not as readily available as it is in other areas. Which is considered a goal to be achieved by the Global Health team? A. Establishing training programs B. Determining affordability to the local community C. Maintaining sustainability D. Developing modern testing facilities

C. Maintaining sustainability

Which intervention demonstrates that a nurse requires additional education regarding the support of a client's spiritual health? A. Scheduling home visits to avoid interfering with the client's daily prayer times. B. Following up on the client's request to be visited by the hospital's Chaplin. C. Offering to add the client to the nurse's prayer list. D. Asking the Catholic client whether he or she wants breakfast delivered after his or her visit from the priest

C. Offering to add the client to the nurse's prayer list

When a Navajo Indian client dies, it is important for the nurse to recognize that the family will be: A. Insistent that the body be wrapped in a new blanket. B. Bringing burial clothing, which the body will be dressed in. C. Reluctant to touch the body because of a belief in evil spirits. D. Adore the body with expensive jewelry and coins

C. Reluctant to touch the body because of a belief in evil spirits

1. You have a patient who has been diagnosed with terminal brain cancer. You notice the family bringing in Catholic medallions and icons to put around the patient as they are dying. What would be the nurse's reaction? Select all that apply A. Tell the family not to clutter the room because it needs to be clear to provide care for the patient B. Add your own religious icons to show support for the family C. Respect the family's beliefs and do not disturb the icons and medallions D. Assess the family's religious needs on admit determining the need for clergy

C. Respect the family's beliefs and do not disturb the icons and medallions D. Assess the family's religious needs on admit determining the need for clergy

In teaching a patient with present time orientation, the nurse should consider which of the following? A. Result in taking medication in a timely manner. B. Result in adherence to a preventive health regimen. C. Result in the patient's attending to other events that are happening rather than focusing on times medication should be taken. D. Influence actions related to future benefit.

C. Result in the patient's attending to other events that are happening rather than focusing on times medication should be taken.

Which is an example of multilateral healthcare aid? A. Donations of clothing provided by American schoolchildren are sent to Asian schoolchildren B. Transporting children in need of faster care across state lines to facilitate appropriate placements C. Sending the hospital ship HOPE to japan to provide post earthquake health care D. Dispatching the NationalGuard to dispense food and water to survivors of a major flood

C. Sending the hospital ship HOPE to japan to provide post earthquake health care

Which intervention is in accordance with the program priorities of the international committee of the Red Cross (ICRC)? A. Educating subsistent farmers in the newest agricultural techniques B. Providing HIV educational materials C. Supporting refugee camps in countries experiencing civil war D. Opening daycare centers for children of single parent households

C. Supporting refugee camps in countries experiencing civil war

Which statement, made by a nurse caring for a client diagnosis with an aggressive form of cancer, best demonstrates the principle of veracity? A. Kowing the truth will help the client decide on the right form of treatment for this cancer B. It may be hard, but the client deserves hearing the truth about cancer C. The client is aware of the risks of taking the experimental chemotherapy medication D. Cancer is scary disease that many dont want to know much about

C. The client is aware of the risks of taking the experimental chemotherapy medication

Which is the primary outcome of the indiscriminate use of the emergency department by the uninsured members of the community? A. The resources of the emergency medicine unit will be prematurely used up B. Those individuals will experience long waits for neeeded treatment C. The ill postpone treatment that results in the lack of early treatment interventions D. Emergency department personel are forced to address nonemergency health issues

C. The ill postpone treatment that results in the lack of early treatment interventions

When planning care for the patient who is a Jehovah's Witness and may need blood in an upcoming surgery, the nurse should be aware of which of the following? A. The patient will not accept whole blood. B. The patient will not accept pre-deposited autologous blood. C. The patient may accept autologous blood through induced hemodilution. D. The patient will accept wound-aspirated blood that has been filtered.

C. The patient may accept autologous blood through induced hemodilution.

4. A nurse is caring for a Navajo client who is hospitalized due to pneumonia. Based on their culture, which of the following is believed to be the cause of the illness? A. Not wearing their jacket when it was cold outside B. Someone has cast a spell on them C. They have a spiritual imbalance D. They ate impure meat

C. They have a spiritual imbalance

The nurse is conducting a spiritual needs assessment in an effort to create a nursing care plan for a client. The nurse recognizes that which questions will assist the nurse in understanding this client's religion? A. How will this illness affect your life goals? B. Why do you think you are here on earth? C. What do you believe your punishment will be if you do something wrong? D. Do you think your life has any value?

C. What do you believe your punishment will be if you do something wrong?

4. A 65 year old Filipino man diagnosed with Type 2 Diabetes Mellitus is being discharged home. The nurse provided discharge instructions regarding ways to best manage his blood glucose level. After providing education which statement made by the patient indicates that teaching was successful? A. I will eat foods that are processed and high in fat before checking my blood glucose level B. I plan to workout at least twice a week whenever it fits best in my schedule C. When I am shopping for groceries, I will make sure to buy foods that are high in protein, omega fat, complex carbs, and fiber

C. When I am shopping for groceries, I will make sure to buy foods that are high in protein, omega fat, complex carbs, and fiber

A female Jamaican immigrant has been late to her last two clinic visits, which in turn has to be rescheduled. The best action that the nurse could take to prevent the patient from being late to her next appointment is: a. give her a copy of the city bus schedule b. call her the day before her appointment as a reminder to be on time c. explore what has prevented her from being at the clinic in time for her appointment d. refer her to a clinic that is closer to home

C. explore what has prevented her from being at the clinic in time for her appointment

A nursing student is doing a community health rotation in an inner-city public health department. The student investigates sociodemographic and health data of the people served by the health department, and detects disparities in health outcomes between the rich and the poor. This is an example of a(n): a. illness attributed to natural and biological forces b. creation of the student's interpretation and descriptions of the data c. influence of socioeconomic factors in morbidity and mortality d. combination of naturalistic, religious, and supernatural modalities

C. influence of socioeconomic factors in morbidity and mortality

3. Your Arab American patient has just been admitted and you are asking them personal questions. They are not responding. What is most likely the reason that they are not cooperating? A. they need to take their medication B. language barrier C. there is no personal relationship with HCP D. they haven't eaten all day E. they need family present

C. there is no personal relationship with HCP

The nurse notes that the client whose religion is Orthodox Judaism has received a cheeseburger with fries and skim milk as a beverage. Considering this finding, what is the best nursing action?

Call the dietary department and ask for a replacement meal tray.

culturally congruent care

Care that fits people's valued life patterns and sets of meanings generated from the people themselves. Sometimes this differs from the professionals' perspective on care.

The nurse develops a plan of care for a White-American client. The nurse considers the practices and preferences of the culture when planning the care, knowing that which are characteristics associated with this ethnic group? Select all that apply.

Community social organizations are important, Health often is viewed as an absence of disease or illness, The client will appear stoic when expressing physical concerns, & Members usually rely primarily on the modern Western health care delivery system.

The nurse develops a plan of care for a White-American client. The nurse considers the practices and preferences of the culture when planning the care, knowing that which are characteristics associated with this ethnic group? Select all that apply.

Community social organizations are important. Health often is viewed as an absence of disease or illness. The client will appear stoic when expressing physical concerns. Members usually rely primarily on the modern Western health care delivery system.

The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse?

Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

Native American cultural factors

Family - Families are large and extended. -Grandparents are official and symbolic leaders and decision makers. - A child's namesake may become the equivalent to another parent to the child. Folk and Traditional Health Care - Medicine men (shaman) are heavily used. - Heavy use of herbs and psychological treatments, ceremonies, fasting, meditation, heat, and massages Values and Beliefs - Present oriented. Taught to live in the present and not to be concerned about the future. This time consciousness emphasizes finishing current business before doing something else. - High respect for age - Great value is placed on working together and sharing resources. - Some Native Americans practice the Peyotist religion, in which the consumption of peyote, an intoxicating drug derived from mescal cacti, is part of the service. Peyote is legal if used for this purpose. It is classified as a hallucinogenic drug. Nursing Considerations - The family is expected to be part of the nursing care plan. - Note taking often is taboo. It is considered an insult to the speaker because the listener is not paying full attention to the conversation. Good memory skills often are required by the nurse. - Indirect eye contact is acceptable and sometimes preferred. - A low tone of voice often is considered respectful.

Appalachian cultural factors

Family - intense interpersonal relations -family is cohesive and several generations often live close to each other - elderly are respected as providers -tend to live in rural isolated areas Folk and Traditional Health Care - "Granny" woman, or folk healer, provides care and may be consulted even if receiving traditional care - Various herbs, such as foxglove and yellow root, are used for common illnesses such as malaise, chest discomfort, heart problems, and upper respiratory infections. Values and Beliefs - independence and self-determination - isolation is accepted as a way of life Nursing Considerations - treat each person with regard for personal dignity - allow family members to remain with patient as support system

African American cultural factors

Family -Close and supportive extended-family relationships -Strong kinship ties with nonblood relatives from church or organizational and social groups -Family unity, loyalty, and cooperation are important. -Usually matriarchal Folk and Traditional Health Care -Varies extensively and may include spiritualists, herb doctors, root doctors, conjurers, skilled elder family members, voodoo, faith healing Values and Beliefs -Present oriented -Members of the African American clergy are highly respected -Frequently highly religious Nursing Considerations -Many African American families may still use various folk healing practices and home remedies for treating particular illnesses. -Special care may be necessary for the hair and skin. -Special consideration should be given to the sometimes extensive and frequently informal support networks of patients (e.g., religious and community group members who offer assistance in a time of need).

White cultural factors

Family -Nuclear family is highly valued. - Elderly family members may live in a long-term care facility when they can no longer care for themselves. Folk and Traditional Health Care -Self-diagnosis of illnesses -Use of over-the-counter drugs (especially vitamins and analgesics) -Dieting (especially fad diets) -Extensive use of exercise and exercise facilities Values and Beliefs -Youth is valued over age -Cleanliness -Orderliness -Attractiveness -Individualism -Achievement -Punctuality Nursing Considerations -Careful assessment of client's use of over-the-counter medications (observe for signs and symptoms of toxic medication levels, especially fat-soluble vitamins) -Nutritional assessments of dietary habits

Muslim cultural factors

Family -The family forms the basic building block of Muslim society. The man is considered the head of the family. Folk and Traditional Health Care - Preventive health care strategies in Muslim experience include personal hygiene, dietary measures such as the restriction in eating specific ingredients (such as pork and its byproducts, and drinking alcohol), and the avoidance of addictive habits such as smoking tobacco or overconsumption of food. Values and Beliefs - Belief that there is no God but Allah and that Muhammad is his messenger.. - Belief that Allah will determine when they die; Nursing Considerations - Respect the modesty needs of both men and women: special clothing or draping may be necessary, assign health care providers of the same sex, avoid touching patients of the opposite sex, and limit eye contact. - Make accommodations for prayer needs. - Offer a halal diet free of alcohol and pork or pork products; make sure medications are alcohol- and pork-free.

Asian cultural factors

Family -welfare of family is valued above the person -extended families common -person's ancestors are respected -sharing among family members is expected Folk and Traditional Health Care - Theoretical basis is in Taoism, which seeks a balance in all things - proper balance of yin (feminine, negative, dark, cold) and yang (masculine, positive, light, warm) -diseases and foods are classified as hot or cold and a proper balance between them will promote wellness Values and Beliefs - strong sense of self-respect and self-control - high respect for age - respect for authority - respect for hard work Nursing Considerations - may be upset by drawing of blood for lab tests - may refuse surgery - seldom complain - dietary considerations if the pt is on a salt-restricted diet as many Asian foods have high salt content

A nurse is providing care to a medically compromised client with limited ability to speak the dominant language. To obtain information about the client's culture, who would be appropriate for the nurse to use as a key informant? Select all that apply.

Family, interpreters, client's religious contact, friends

An Asian American client is experiencing a fever. The nurse recognizes that the client is likely to self-treat the disorder, using which method?

Foods considered to be yin.

The nurse is developing a postoperative plan of care for a 40-year-old Filipino man scheduled for an appendectomy. What is the primary nursing action to include in the client's plan of care?

For the first postoperative day, offer pain medication on a regular basis as prescribed.

The nurse is reviewing the diets for a group of assigned patients. The nurse notes that a client requires an alternate meal choice if pork is being served. What cultural group would require an alternative meal choice?

Muslim

A client with Asian heritage is admitted to the unit. What cultural assessment might the nurse anticipate?

Nonverbal expressions of pain

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care?

Not all members of the same culture act and think alike.

The nurse is caring for a client of ASIAN descent. The client is postoperative 3 days from CABG. The client has a prescription to ambulate. What is the best action by the nurse?

Obtain a prescription for physical therapy consult to ambulate the client.

The nurse is caring for a Chinese client who is in labor. The client is exhibiting facial grimacing and appears to be in pain. When the nurse offers the client an analgesic, the client refuses. The nurse should take which initial action?

Offer an analgesic again.

etic worldview

Outsider's perspective

A nurse at a health care clinic is preparing to examine a Hispanic child who was brought to the clinic by the mother. During assessment of the child, the nurse should avoid which action?

Overly admiring the child

A nurse at a health care clinic is preparing to examine a Hispanic child who was brought to the clinic by the mother. During assessment of the child, the nurse should avoid which action?

Overly admiring the child.

The nurse plans to do dietary teaching with an African-American client. The nurse focuses the plan based on which foods that are characteristically consumed by individuals of this culture? Select all that apply

Pork Greens Fried foods

The nurse practitioner sees patients in a community clinic that is located in a predominately White neighborhood. After performing assessments on the majority of the patients visiting the clinic, the nurse notes that many of the minority groups living within the neighborhood have lost the cultural characteristics that made them different. What is the term for this process? a) cultural assimilation b) cultural imposition c) culture shock d) ethnocentrism

a When minority groups live within a dominant group, many members lose the cultural characteristics that once made them different in a process called assimilation. Cultural imposition occurs when one person believes that everyone should conform to his or her own belief system. Culture shock occurs when a person is placed in a different culture perceived as strange, and ethnocentrism is the belief that the ideas, beliefs, and practices of one's own cultural group are best, superior, or most preferred to those of other groups.

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 Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?

a ritual

In order to provide culturally competent care, nurses must be alert to factors inhibiting sensitivity to diversity in the health care system, including cultural imposition. Which examples exemplify cultural imposition? Select all that apply. a) A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily. b) A nurse treats all patients the same whether or not they come from a different culture. c) A nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special tray of their favorite foods. d)A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence. e) A nurse directs interview questions to an elderly patient's daughter even though the patient is capable of answering them. f) A nurse refuses to care for a married gay man who is HIV positive because she is against same-sex marriage.

a, d Cultural imposition occurs when a hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily and when a Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence. Cultural blindness occurs when a nurse treats all patients the same whether or not they come from a different culture. Cultural conflict occurs when a nurse ridicules a patient by telling another nurse that Jewish diet restrictions are just a way for Jewish patients to get a special tray of their favorite foods. When a nurse refuses to respect an elderly person's ability to speak for oneself, or if the nurse refuses to treat a patient based on that patient's sexual orientation, the nurse is engaging in stereotyping.

A nurse caring for culturally diverse patients in a physician's office is aware that patients of certain cultures are more prone to specific disease states than the general population.which patients would the nurse screen for diabetes mellitus based on the patient's race? Select all that apply. a) A Native American patient b) An African American patient c) A Pacific Island patient d) An Asian patient e) A White patient f) A Hispanic patient

a, e, f Native Americans, Hispanics, and Whites are more prone to developing diabetes mellitus. African Americans are prone to hypertension, stroke, sickle cell anemia, lactose intolerance, and keloids. Asians and Pacific Islanders are prone to hypertension, liver cancer, thalassemia, and lactose intolerance.

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?

access to care

ethical distress

acting in a manner that is contrary to personal and professional values When the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action

The charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what?

ageism

biculturalism

an individual identifies equally with two or more cultures

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

asks an open-ended, general question

When providing culturally competent care to clients, a nurse understands that cultural competence involves which characteristics? Select all that apply.

awareness of one's own influences on responses knowledge of influences on the clients' beliefs a commitment to promoting health equity

A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish and the nurse speaks only English. What should the nurse do? a) Use short words and talk more loudly b) Ask an interpreter for help c) Explain why care can't be provided d) Provide instructions in writing

b Many agencies have a qualified interpreter who understands the health care system and can reliably provide assistance.

A nurse is providing nutritional counseling to culturally diverse patients with dietary restrictions. Which statement accurately describes a dietary concern based on a specific culture? a) Many Native Americans follow a diet that is alcohol- and pork-free. b) Many White Americans have a diet that is high in starch. c) Asians often eat a diet that is high in salt. d) Muslims may have special diets based on the hot/cold theory of treating illness.

c The Asian diet is often high in salt due to cooking with soy sauce. Many Muslims follow a halal diet that is free of alcohol, pork, and pork products. Hispanics often have a diet that is high in starch. Hispanics also may practice the hot/cold theory of treating illness and require a special diet.

A nurse is interviewing a newly admitted patient. Which question would be considered culturally sensitive? a) "Do you think you will be able to eat the food we have here?" b) "Do you understand that we can't prepare special meals?" c) "What types of food do you eat for meals?" d) "Why can't you just eat our food while you are here?"

c asking patients what types of food they eat for meals is culturally sensitive

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?

client

The emergency department (ED) nurse is caring for a client who recently immigrated from CHINA and was injured in a motor vehicle collision (MVC). The nurse should implement interventions aimed at addressing which issue?

cultural shock

A nurse is caring for a 79-year-old Appalachian woman who was placed in a long-term care facility by her son, who is no longer able to care for her. She appears disoriented and reports being bothered by the "bright lights and constant activity." The nurse appropriately documents what condition in the chart?

culture shock

A nurse states, "That woman is 78 years old—too old to learn how to change a dressing." What is the nurse demonstrating? a) cultural imposition b) clustering c) cultural competency d) stereotyping

d stereotyping is assuming that all members of a group are alike

Nurses caring for patients in health care facilities need to provide culturally competent care to an increasingly diverse population. Which statements accurately describe a characteristic of cultural diversity that exists in the United States? Select all that apply. The United States has become less inclusive of same-sex couples. Cultural diversity is limited to people of varying cultures and races. Cultural diversity is separate and distinct from health and illness. Individuals may be members of multiple cultural groups at one time Culture guides what is acceptable behavior for people in a specific group. Cultural practices may evolve over time but mainly remain constant.

d, e, f Each individual may be a member of multiple cultural, ethnic, and racial groups at one time. Culture guides what is acceptable behavior for people in a specific group. Cultural practices and beliefs may evolve over time, but they mainly remain constant as long as they satisfy a group's needs. The United States has become more inclusive of same-sex couples. The definition of cultural diversity includes, but is not limited to, people of varying cultures, racial and ethnic origin, religion, language, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, and geographic location. Cultural diversity, including culture, ethnicity, and race, is an integral component of both health and illness.

When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

ethnic identity

When a client states, "I only want a WHITE DOCTOR," the client is expressing cultural:

ethnocentrism

What factor threatens to increase the number of people who are living at poverty level?

feminization of poverty

Which area is typically included in a cultural assessment?

food preferences

Nursing students are socialized into the:

health care culture.

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply.

health disparities less power

The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?

"Can you tell me what foods you prefer to eat and what your family is bringing you?"

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?

"Culture cannot be influenced, and you are born with your culture."

The nurse is teaching a black client about common health conditions. What statement by the client most directly address a health problem with an increased incidence in this population group?

"It is important to monitor my blood pressure."

The staff nurse overhears the charge nurse talking to the unlicensed assistant personal (UAP). Which statement made by the charge nurse is an example of ethnocentrism?

"Italians are best at everything."

A nurse is admitting a client to the unit. Which cultural question is most appropriate?

"What are your dietary needs and preferences?"

A pregnant patient from nondominant culture arrives for a prenatal examination is escorted to an examination room. When asked to remove clothing and wear an examination gown, the patient hesitates. What should the nurse do to ensure cultural sensitivity in preparation for the examination? A) Leave the room. B) Stay in the room. C) Assist with clothing removal. D) Stand the distance of business space from the patient.

A

During an assessment, a pregnant patient tells the nurse that "white foods" are not consumed in the patient's culture. What should the nurse do first after learning this information? A) Ask the patient to define "white foods." B) Document that "white foods" are not eaten. C) Explain that "white foods" have nutrients needed for pregnancy. D) Discuss reasons why "white foods" are avoided in the patient's culture.

A

The husband of a patient in active labor asks the nurse to phone him when the baby is delivered because he needs to go to work. Which nursing response respects the husband's culture? A) Ask if he knows that he can stay with his wife during labor. B) Tell him that all fathers now stay with their wives during labor. C) Tell him he is missing out on the opportunity of a lifetime by leaving. D) Insist he stay with his wife during labor because she will need his support.

A

The nurse is preparing to assess a pregnant patient who is a member of a non-English-speaking culture. Which areas should the nurse assess to address cultural diversity? (Select all that apply.) A) Pain B) Time C) Touch D) Environment E) Communication

A B C E

B

A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now. This woman has experienced assimilation into the culture of the United States because she: A. Chose to be bicultural. B. Adapted to and adopted the American culture. C. Had an extremely negative experience with the American culture. D. Gave up part of her ethnic identity in favor of the American culture

D

A 6-month-old child from Guatemala was adopted by an American family in Indiana. The child's socialization into the American midwestern culture is best described as: A. Assimilation. B. Acculturation. C. Biculturalism. D. Enculturation.

A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices?

A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.

A

A community health nurse is making a healthy baby visit to a new mother who recently emigrated to the United States from Ghana. When discussing contraceptives with the new mom, the mother states that she won't have to worry about getting pregnant for the time being. The nurse understands that the mom most likely made this statement because: A. She won't resume sexual relations until her baby is weaned. B. She is taking the medroxyprogesterone (Depo-Provera) shot. C. Her husband was recently deployed to Afghanistan. D. She has access to free condoms from the clinic.

C

A female Jamaican immigrant has been late to her last two clinic visits, which in turn had to be rescheduled. The best action that the nurse could take to prevent the patient from being late to her next appointment is: A. Give her a copy of the city bus schedule. B. Call her the day before her appointment as a reminder to be on time. C. Explore what has prevented her from being at the clinic in time for her appointment. D. Refer her to a clinic that is closer to her home.

C

A nursing student is doing a community health rotation in an inner-city public health department. The student investigates sociodemographic and health data of the people served by the health department, and detects disparities in health outcomes between the rich and poor. This is an example of a(n): A. Illness attributed to natural and biological forces. B. Creation of the student's interpretation and descriptions of the data. C. Influence of socioeconomic factors in morbidity and mortality. D. Combination of naturalistic, religious, and supernatural modalities.

C

A nursing student is taking postoperative vital signs in the postanesthesia care unit. She knows that some ethnic groups are more prone to genetic disorders. Which of the following patients is most at risk for developing malignant hypertension? A. Ashkenazi Jew B. Chinese American C. African American D. Filipino

D

A powerful determinant of one's identity is A. Biculturalism. B. Race. C. Assimilation. D. Ethnicity.

C

A registered nurse is admitting a patient of French heritage to the hospital. Which question asked by the nurse indicates that the nurse is stereotyping the patient? A. "What are your dietary preferences?" B. "What time do you typically go to bed?" C. "Do you bathe and use deodorant more than one time a week?" D. "Do you have any health issues that we should know about?"

A young patient tells the nurse that it is taboo to date before the age of 18 years. How should the nurse interpret this patient's statement? A) Everyone dates before the age of 18 years. B) Dating before the age of 18 years is not permitted. C) Dating before the age of 18 years can be done with permission. D) Dating before the age of 18 years is permitted in large groups only.

B

The nurse is visiting a patient from a nondominant culture that was recently discharged from the hospital for complications of pregnancy. Which outcome of care would be appropriate for this patient? A) The patient will return to normal activities of daily living. B) The patient will understand signs of the complication developing again. C) The patient will consult with cultural healers to ensure the complication does not occur again. D) The patient will follow medical advice and keep all scheduled appointments for continued care.

B

The nurse suspects that an adolescent patient from the inner city stereotypes other people. Which statement did the patient make that caused the nurse to come to this conclusion? A) "Kids who study are just nerds." B) "All people who live in the suburbs drive big cars." C) "City people are smarter than those who live in the suburbs." D) "I stay away from people who live downtown because they look funny."

B

A pregnant patient from a nondominant culture arrives 2 hours late for a scheduled sonogram. What does this patient's behavior indicate to the nurse? A) The patient is confused. B) The patient does not wear a wrist watch. C) Time orientation may be different for the patient's culture. D) The patient's culture may focus on the past and not the future.

C

A pregnant patient from a nondominant culture explains that milk and dairy products cannot be consumed for 2 months during the pregnancy because of the need to fast for her religion. Which response should the nurse make after learning this information? A) "I'm sure that you don't need to follow this while you are pregnant." B) "Avoiding milk and dairy products for 2 months will harm the fetus." C) "There are other food sources where you can obtain the nutrients that are in milk." D) "You must have a great deal of will power to avoid milk and dairy products for 2 months."

C

Which nursing action supports a 2020 National Health Goal that addresses cultural diversity? A) Focusing on actions to enhance disease prevention B) Reviewing actions to prevent accidents in the home environment C) Discussing breastfeeding with a pregnant patient who is Hispanic D) Analyzing the patient's compliance with health promotion activities

C

A client is admitted with end stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse if 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?

Cultural imposition

D

Culture strongly influences pain expression and need for pain medication. However, cultural pain is: A. Not expressed verbally or physically. B. Expressed only to others from a similar culture. C. Usually more intense than physical pain. D. Suffered by a patient whose valued way of life is disregarded by practitioners.

The nurse is beginning an assessment with a pregnant patient from a non-English-speaking culture. The interpreter is having difficulty understanding what the patient is trying to say and the patient is becoming frustrated. Which nursing diagnosis would be the most appropriate for this situation? A) Fear B) Anxiety C) Powerlessness D) Impaired verbal communication

D

The nurse teaches a pregnant patient from a nondominant culture that the health care provider wants the patient to rest for several hours every afternoon. Which patient statement indicates that teaching has been effective? A) "I need to go to sleep a few hours earlier every night." B) "I can stay in bed for a few more hours every morning." C) "I can lie down before lunch and then again right after dinner." D) "I need to lie down after lunch and not get up until it's time to prepare dinner."

D

Which question should the nurse ask when assessing the sociocultural aspects of a patient's family? A) Citizenship B) Occupation C) Education level D) Family structure

D

B

During their clinical post-conference meeting, several nursing students were discussing their patients with their instructor. One student from a middle-class family shared that her patient was homeless. This is an example of caring for a patient from a different: A. Ethnicity. B. Culture. C. Heritage. D. Religion.

C

Each culture has its own healers who usually: A. speak at least two languages. B. own and operate specialty community clinics. C. cost less than traditional or biomedical providers. D. recommend folk practices that are dangerous.

Which nursing action displays linguistic competence?

Learning pertinent words and phrases in the client's language

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse?

Leave the room and return when the shaman is finished.

C

On the basis of median age: A. the non-Hispanic white population tends to be younger. B. the Hispanic population tends to be older. C. the Asian population tends to be younger. D. minorities tend to be older than non-Hispanic white populations.

A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern?

The client does not have running water.

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?

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

A

When action is taken on one's prejudices: A. Discrimination occurs. B. Delivery of culturally congruent care is ensured. C. Effective intercultural communication develops. D. Sufficient comparative knowledge of diverse groups is obtained.

A,B,C

When interviewing a Native American patient on admission to the hospital emergency department, which questions are appropriate for the nurse to ask? (Select all that apply.) A. Do you use any folk remedies? B. Do you have a family physician? C. Do you use a Shaman? D. Does your family have a history of alcohol abuse?

B

When providing nutritional education for a Mexican-American patient with newly diagnosed hypertension, the nurse notes that the patient is nodding "yes" to everything that is being said. With a better understanding of cultural interdependence, a nurse should immediately A. Write everything down for the patient to refer to later. B. Prompt the patient further to elicit additional questions or concerns. C. Call the recognized elder for this patient. D. Call the patient's oldest male relative for help with decision making.

B

Which of the following best represents the dominant values in American society on individual autonomy and self-determination? A. Physician orders B. Advance directive C. Durable power of attorney D. Court-appointed guardian

D

Which of the following is required in the delivery of culturally congruent care? A. Learning about vast cultures B. Motivation and commitment to caring C. Influencing treatment and care of patients D. Acquiring specific knowledge, skills, and attitudes

A

Which of the following is true regarding language barriers and health care? A. There are laws addressing language barriers and health care. B. Limited English proficiency is associated with a higher quality of care. C. English proficiency is associated with a lower quality of care. D. Patients with language barriers have a decreased risk of nonadherence to medication regimens.

B

You are working with a patient who has undergone transgender transformation to become a male. Western cultural masculine attributes to emphasize include A. Harmonious relationships, modesty, and caretaking. B. Achievement, material success, and recognition. C. Fitness, fidelity, and stamina. D. Generosity, sportsmanship, and leadership.

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for:

client's height.

A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating?

cultural blindness

A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating?

cultural conflict

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

The emergency department (ED) nurse is caring for a client injured in a motor vehicle collision (MVC). The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue?

cultural shock

The nurse is caring for two clients with the same ethnic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences?

ethnicity

When a white client states, "I only want a white doctor," the client is expressing cultural:

ethnocentrism

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

health disparities

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply.

health disparities less power health disparities

A nurse is working in a clinic with a high population of overseas workers. Which nursing assessment is the priority?

language assessment

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the:

media.

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

racism

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

require an individualized approach by the nurse.

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value?

skin color

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 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

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

stereotyping