ECPI 2020 NUR164 CHAPTER 5 CULTURAL DIVERSITY

Cultural blindness

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?

"Ethnicity and race are the same thing and are affected by cultural practice."

The nurse just attended a seminar on cultural diversity. wWhich statement by the nurse would require further education?

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

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

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

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

-Uniforms worn based on place of employment -Language or medical terminology used to communicate -Legal authorization to provide health care to others

What are characteristics of nurses that make them a subculture? Select all that apply.

ethnocentrism.

When an American client states, "I only want an American doctor," the client is expressing:

Assessment of eye contact, personal space, and social taboos

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

-Language -Religious beliefs -Shared beliefs of origin

When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply.

Formal and informal experiences

How is culture learned by each new generation?

The client may have a very different understanding of health promotion.

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?

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

It is important to be on time for your health care appointment.

client's height.

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

Healthcare culture

Nurses are socialized into the :

health disparities.

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

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

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?

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

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

Press on the pigmented area and observe the toddler's reaction.

The nurse is assessing a toddler and notes dark blue spots on the infant's thigh and arms. What action should the nurse take?

Culture shock

Upon moving to another country, a college student is very confused by many local customs. He is angry and resentful of the new culture. What are the especially bothered by the custom of men and women eating in separate areas and it makes him feelings experienced by this student?

Access to care

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

Attending a conference for cultural diversity

Which scenario is an example of cultural competence in nursing?

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

Which statement best conveys the relationship between race and ethnicity?

"That client needs to learn that pain is best managed with traditional medications like morphine."

Which statement by the nurse demonstrates ethnocentrism?

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

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

"Ethnicity and race are the same thing and are affected by cultural practice."

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

"Would you feel more comfortable with your family with you?"

A client has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset, and now the client wants to leave. What is the most culturally appropriate response by the charge nurse?

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

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 cant do anything right here" what is the priority nursing diagnosis?

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

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

cultural ritual.

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:

Client

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

-Pervasive -Holistic -Recognizable -Ritualistic

A nurse is conducting a seminar for a group of nurses about the cultural competency in nursing. When describing culture, which terms would be appropriate for the nurse to use? Select all that apply.

Ask an open-ended, general question

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

"My Russian heritage is superior to all others."

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

Enlist the services of a qualified language interpreter

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information?

Language assessment

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority?

require an individualized approach by the nurse.

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

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

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

cultural imposition.

A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that the nurse had all of the nurse's own children vaccinated. The nurse's behavior an example of:

"It is important to monitor my blood pressure."

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

Biological

The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics?

Incorporating the client's need for daily prayer into the nursing care plan.

The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care?

Maintain flexibility when the client requests interventions at specific times.

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

"You sound upset. Would like you to talk about it?"

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

Cultural blindness

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

Explain the purpose and need for assistance during ambulation

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

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

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

Cultural imposition

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

Learn from the mistake and do not repeat it.

While caring for a client from a culture different from the nurse's, the nurse inadvertently offends the client. What is the best action by the nurse?

Culture shock

Question A nurse is caring for a 79-year-old client who is new to a long-term care facility. Previously, the client lived in a rural community in a household consisting of the client and an adult child. The child is no longer able to care for the client. The client appears disoriented and reports being bothered by the "bright lights and constant activity." The nurse appropriately documents what condition in the chart?

"Why don't you take the medicines, too, and benefit from both?"

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse?

Cultural imposition

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client aks the nurse whether an acupuncturist can come to the hospital to help manage the pain, the nurse states" you wont need accupuncture, we have pain medications." Which chracteristic has the nurse displayed?

cultural imposition.

A client who immigrated from another country informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of:

Document the request and make all reasonable efforts to honor it

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan?

A minority

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

Stereotyping

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?

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

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?

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

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?

-Conducting an assessment -Developing client outcomes -Providing client education

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

"What are your dietary needs and preferences?"

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

-Less power -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.

Cultural conflict

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?

Culture shock

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

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

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?

Stereotyping

The labor and delivery nurse is getting report from the previous shift regarding a client with Asian heritage. The nurse is told that the client did not ask for pain medication because "Asian people can handle pain." The nurse receiving report understands that this an example of what?

Assess the client's beliefs about family support during hospitalization.

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

Soup, hot tea, and toast

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?

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

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

Ask the client if a spiritual leader is desired.

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

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

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?

Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions.

The nurse is providing discharge teaching for a client who is from a different culture. The nurse notes that the client will look away from the nurse and does not maintain eye contact. What would be the most appropriate action by the nurse, with regard to culturally competent care?

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

The younger nurses on a unit, 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?

Language Religious beliefs Shared beliefs of origin

When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply.

Ethnicity

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Asian. The nurse realizes the client is referring to which ancestral and cultural factor?

Ask the client about personal space preferences.

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

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

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

Food preferences

Which area is typically included in a cultural assessment?

-Manner of dress -Language used -Rituals

Which aspects of nursing make it recognizable as a subculture? Select all that apply.

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

Which is a cultural norm of the health care system?

Learning pertinent words and phrases in the client's language

Which nursing action displays linguistic competence?

-Use the facility telephonic interpreting system. -Have a bilingual nurse assist with the health history. -Request assistance from a certified interpreter.

Which nursing actions are appropriate when collecting a health history for a client whose primary language differs from the dominant language? Select all that apply.

Incorporating the client's request for complementary treatment therapy

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?

-"What do you think is causing your illness?" -"What religion do you belong to?" -"What do you do to promote good health?" -"Do have a particular name for this illness?"

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

-Physically impaired -Burdensome to family -Uninterested in intimacy

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

It is important to be on time for your health care appointment.

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

Ask the client how the client wants to be treated based on the client's values and beliefs.

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