nurse chapter 9- Culture and Ethnicity and Trans-cultural Nursing

The registered nurse is evaluating the statements of a student nurse after teaching about cultural assessment models. Which statement by the student nurse needs correction? A. "Cultural assessment models are used to stereotype a particular group of patients." B. "Cultural assessment models help to focus on the information relevant to patient's problem." C. "Cultural assessment models can be used to understand a patient's religious beliefs." D. "Cultural assessment models help one to understand the complex factors that influence a patient's cultural world view."

A. "Cultural assessment models are used to stereotype a particular group of patients."

The nurse is explaining the concept of being culturally competent to another nurse. Which are components of cultural competence? A. Cultural awareness B. Cultural knowledge C. Cultural skills D. Cultural encounters E. Cultural desire F. Cultural difference

A. Cultural awareness B. Cultural knowledge C. Cultural skills D. Cultural encounters E. Cultural desire

While assessing a patient with a psychiatric disorder, the nurse seeks the patient's point of view. Which process of the RESPECT mnemonic is the nurse employing? A. Rapport B. Support C. Empathy D. Explanations

A. Rapport

The nurse is caring for an Islamic patient who is recovering from a motor vehicle accident. The patient is observing Ramadan, the ninth lunar month, in which Muslims fast during daylight for 28 days. The nurse understands that a good diet is important for the patient's wounds to heal. What should the nurse do when planning the patient's diet? A. Reschedule meals. B. Ask the patient's closest kin to ask him not to fast. C. Start enteral tube feedings if the patient refuses to take food orally. D. Respect the cultural beliefs and assure the patient that medical needs will be taken care of. E. Try to convince the patient not to fast, because it will affect recovery.

A. Reschedule meals. D. Respect the cultural beliefs and assure the patient that medical needs will be taken care of.

Which questions should the nurse ask a patient to assess bicultural ecology and health risks while performing cultural assessment? A. "What do you do for a living?" B. "What is the cause your illness?" C. "Have you had this illness before?" D. "What other illnesses do you have?" E. "What do you do to keep yourself well?" F. "How do you treat this illness at home?"

B. "What is the cause your illness?" D. "What other illnesses do you have?" F. "How do you treat this illness at home?"

The nurse is assessing patients from different cultural backgrounds. Which actions should the nurse perform to obtain a systematic cultural assessment? A. Overlook the patient's beliefs about health care. B. Establish trusting relations with the patient. C. Obtain information by asking open-ended questions. D. Gather area demographic information from census data. E. Obtain information about economic backgrounds.

B. Establish trusting relations with the patient. C. Obtain information by asking open-ended questions. D. Gather area demographic information from census data.

The nurse attends to an Asian male patient at a clinic, who is joined by his family. The nurse is developing a transcultural care plan that identifies both with the patient's native and American culture. Which nursing actions are required for providing culturally congruent care? A. Ignore cross-cultural learning. B. Obtain the patient's health beliefs. C. Self-examine the nurse's own culture. D. Assess cultural and biophysical factors that influence treatments. E. Work in the patient's culture and practice nursing within those cultural limitations.

B. Obtain the patient's health beliefs. C. Self-examine the nurse's own culture. D. Assess cultural and biophysical factors that influence treatments.

The nurse finds that a patient has not understood the health education provided on personal hygiene. How does the nurse ensure that the patient understands the teachings? A. The nurse provides reading material on personal hygiene. B. The nurse clarifies the information and requests a teach back. C. The nurse provides a video demonstration of personal hygiene. D. The nurse requests that a family member help the patient understand.

B. The nurse clarifies the information and requests a teach back.

The nurse is conducting a health interview for a patient. Which assessment question is an example of an open-ended question? A. "Did you have this problem before?" B. "What do you think caused your illness?" C. "How do you want us to help you with your problem?" D. "How different is this problem from the one you had previously?" E. "Is there someone with whom you want us to talk about your care?"

C. "How do you want us to help you with your problem?" D. "How different is this problem from the one you had previously?"

The nurse has to examine a patient and administer an intravenous medication that is not a life-saving drug. The patient is a devout Muslim. When the nurse goes to administer the medication the nurse finds that patient is getting ready for namaz (prayers). The nurse understands that the patient prays at certain times, as specified in his culture. What should the nurse do in this scenario? A. Administer the drug while the patient prays. B. Ask the patient to pray after the medication is administered. C. Allow the patient to pray and come back later to administer the medication. D. Tell the patient that the nurse has other patients to look after and cannot come later.

C. Allow the patient to pray and come back later to administer the medication.

Under supervision of the registered nurse, a nursing student is caring for a patient from different cultural background. Which action performed by the student nurse indicates the need for further teaching on transcultural nursing? A. Asking the patient open-ended questions B. Advocating for the patient considering his or her world view C. Offering generalized opinions during the assessment of the patient's world view D. Speaking to the patient's family members about the cultural aspects

C. Offering generalized opinions during the assessment of the patient's world view

The nurse wants to assess health literacy in a group of patients. Which measure does the nurse use to evaluate word recognition? A. Calm-Listen, Affirm, Respond, Add (C-LARA) B. Test of Functional Health Literacy in Adults (TOFHLA) C. Rapid Estimate of Adult literacy in Medicine (REALM) D. Culturally and Linguistically Appropriate Standards (CLAS)

C. Rapid Estimate of Adult literacy in Medicine (REALM)

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

D. Acquiring specific knowledge, skills, and attitudes

The nurse is assessing a patient by asking, "How does this problem affect you and how has it affected your life and your family"? Which type of nursing assessment question is the nurse asking? A. Ethnohistory B. Socio economic status C. Caring beliefs and practices D. Bicultural ecology and health risks

D. Bicultural ecology and health risks

A patient with mouth cancer is advised to undergo radiation therapy. However, the patient refuses to do so. The primary health care provider gives the patient and family other treatment options. Which step of the LEARN mnemonic is the primary health care provider performing? A. Listen B. Explain C. Negotiate D. Recommend

D. Recommend