Nursing Fundamental LEC chapter 5

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? A) "What type of food did your family prepare for you, and does it have special meaning?" B)"You can only eat the food that we serve you." C)"Do you understand that you are on a strict diet and any variation can cause you harm?" D)"I will need to get permission from your health care provider for you to eat the food your family brought in."

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

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? A) "Would you feel more comfortable with your family with you?" B) "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." C) "Sometimes family can cause stress, and we try to maintain a stress-free care environment." D) "Why do you think you need to leave?"

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

Which behavior by the nurse is stereotyping? A) Avoiding older adult clients because their care is time consuming B) Openly ridiculing the practice of acupuncture C) Explaining to others that Western medicine is always superior D) Grouping care assignments to allow ample time to care for complex clients

A) Avoiding older adult clients because their care is time consuming

Which nursing action displays linguistic competence? A) Learning pertinent words and phrases in the client's language B) Speaking loudly to a client who does not speak the dominant language C) Repeating statements to a client who speaks only a language different from the nurse D) Asking a family member to interpret for a client who does not speak the dominant language

A) Learning pertinent words and phrases in the client's language

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? A)The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit. B)The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist. C)The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately. D)The charge nurse should recognize that this is cultural imposition and the younger nurses are forcing new technology on the older nurses.

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

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? A) The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off." B) The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." C)The client from France states, "I miss my family back home." D) The client from England states, "I do not understand what all these new medications are for."

A) The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."

The nurse is preparing the discharge plan for a new mother and her newborn son. Which new teaching should the nurse ensure is included after noting the family is Jewish? A) care following the scheduled circumcision B) proper breastfeeding techniques C) when to schedule the next follow-up appointment D)the proper sleeping position for the newborn

A) care following the scheduled circumcision

The nursing instructor is leading a class discussion concerning the challenges of providing optimal care to any client who speaks a different language. The instructor determines the session is successful when the students correctly choose which as an appropriate reason(s) to always request a certified interpreter? Select all that apply. A) avoid a civil rights violation B) to avoid breaking confidentiality C) potential for modifying information D) misunderstanding of medical terminology E) a requirement of insurance companies

A)avoid a civil rights violation B)to avoid breaking confidentiality C) potential for modifying information D) misunderstanding of medical terminology

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? A) "Culture helps to define identity within specific groups of people." B) "Culture cannot be influenced, and you are born with your culture." C) "Language is the primary way that people share their culture." D) "Culture can be seen in attitudes and institutions of certain populations."

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

A nurse is researching information about the different cultures of the population served by the facility. Which aspects of culture would be important for the nurse to keep in mind when learning about them? Select all that apply. A) Characteristics apply more to an individual than a group. B) Language is a means for communicating culture. C) Culture is something a child is born with. D) Culture includes explicit beliefs and attitudes. E) Culture facilitates self-worth and self-esteem.

B) Language is a means for communicating culture E)Culture facilitates self-worth and self-esteem.

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? A) The client does not speak the dominant language and requires an interpreter. B) The client's child learned the dominant language as a second language. C) The client and child cook traditional foods for the family. D) The client enjoys watching television programs from the home country.

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

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? A) A subculture B) A subgroup C) A minority D) A majority

C) A minority

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? A) Use simple words with simple actions. B) Write out all questions using appropriate medical terms. C) Conduct the health history utilizing a telephonic interpreter (over- the-phone translation) D) If the client does not answer, repeat the question again using a louder tone.

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

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: A) race B) assimilation C) subculture D) ethnic identity

D) ethnic identity

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? A) "What type of food did your family prepare for you, and does it have special meaning?" B) "You can only eat the food that we serve you." C) "Do you understand that you are on a strict diet and any variation can cause you harm?" E) "I will need to get permission from your health care provider for you to eat the food your family brought in."

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