NURS 146 Ch.11

Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

When performing a cultural assessment, an important point to remember would be

that definitions of family differ

A nursing instructor is teaching students about communication in different cultures. When discussing the meaning of hand gestures and body language in different cultures, the nurse realizes that further instruction is necessary when a student makes which statement?

"I can make a circle with my thumb and forefinger and people of all cultures know it means OK."

Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?

"I need to understand the client's cultural background to best interpret the client's needs."

A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?

Assessing if the client speaks and understands English

A nurse assesses a 4-year-old boy who experiences gas, a stomachache, and diarrhea after consuming lactose products. The nurse recognizes the data as what type of biological variation?

Biochemical

Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?

Conduct a cultural assessment to better understand the client's perception of pain and illness.

The nurse is caring for a married female client who defers to her husband to answer all assessment questions. The nurse understands that it is common in some cultures for the male to hold a dominant role in the relationship. What stage of cultural awareness does the nurse display?

Conscious competence

The nurse is caring for a client who is from another country, and states to the charge nurse, "I just don't know if the client really understands what I am saying, and I am not understanding the client either, even though he speaks English." What stage of cultural awareness is the nurse experiencing?

Conscious incompetence

A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?

Cultural desire

A Navajo Native American client states having "bad dreams, and feelings of confusion and danger." The nurse notes the client's mother died one month ago. What would the nurse do next?

Document this as ghost sickness.

The nurse is assessing a client and notices that when being asked questions, the client does not make eye contact. The nurse should include what in the plan of care?

Minimal eye contact due to culture

As a novice nurse caring for a client from a different culture, what may the nurse find confusing or upsetting?

Patient's nonverbal communication

When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client's culture and personal life experiences.

What must occur before a client will be willing to teach the nurse about her culture?

The nurse needs to establish rapport and trust

A male nurse is caring for an elderly woman who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the client, she refuses to allow it. The best explanation for her actions would be which of the following?

cultural differences

The culturally competent nurse knows that culture includes among its elements the following things: (Check all that apply.)

community religion family structure family function spirituality

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.

A client has been admitted to a medical floor with a diagnosis of pneumonia. Upon admission, the client is talkative and friendly to the nurse. When the nurse approaches the bed to listen to the client's lung sounds, the client becomes quiet and starts to pull away. The nurse understands that this reaction is most likely related to the client's perception of what?

space