FUND PREPU CH5- UNIT 3

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 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 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 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."

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

"What are your dietary needs and preferences?"

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 demonstrating ethnocentrism. Which statement would reflect this concept?

"My Russian heritage is superior to all others."

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 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.

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.

Which scenario is an example of cultural competence in nursing?

Attending a conference for cultural diversity

Which behavior by the nurse is stereotyping?

Avoiding older adult clients because their care is time consuming

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

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.

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 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.

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

Which nursing action displays linguistic competence?

Learning pertinent words and phrases in the client's language

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 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.

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.

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 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.

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

access to care

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 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

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

client

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

client's height.

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

soup, hot tea, and toast

A client 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

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

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 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 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

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.

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

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

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