PrepU - Diversity

Values and beliefs, to a great degree, are culturally determined. In the Puerto Rican culture, what may be inappropriate in a healthcare setting?

Acting casually when greeting another individual

Healthcare facilities that sponsor health-promotion activities only in affluent areas are considered

Another way of thinking about ethnocentrism in nursing is that it can reflect an individual's, a group's, or an agency's cultural blindness

A Chinese client is admitted to the health care facility with blockage in the coronary arteries. The cardiologist advises the client to undergo angioplasty. The client refuses the procedure. Later the nurse discovers that the client believes in naturopathy and is taking herbal extracts to de-clog his coronary arteries. Which of the following suggestions should the nurse give to the client?

Ask the client to opt for herbal therapy and also undergo surgery. The nurse should suggest that the client try both, the surgery as well as the herbal medicine

A 12-year-old African American boy has experienced significant blood loss and may require a blood transfusion. The boy's mother, father, and sisters are currently present at his bedside in the emergency department. How should the nurse direct questions and teaching about his condition and treatment?

Assess who is the dominant member of the family and then address that person

An Asian American male client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client expresses that he does not have pain. What nursing action is most appropriate?

Assessing for non-verbal expressions of pain The nurse should be aware that in Asian American culture, men tend to control their emotions and expressions of physical discomfort. The nurse should not believe the client when he says that he does not have pain because, after surgery, pain is likely to be there

A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

Belief system that guides behavior. Culture is a belief system that the members of the culture hold, to varying degrees, consciously or unconsciously, as absolute truth. That belief system guides everyday behavior and makes it routine

The nurse is performing a nutrition assessment of a patient from the Middle East. What may the nurse expect as a traditional breakfast consumed by a patient from the Middle East?

Cheese and olives

A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of which of the following as a characteristic?

Common and observable expressions of culture

The nurse is obtaining a health history from a patient of Puerto Rican descent. Which of the following is most likely to be a health problem that has a cultural connection for this patient?

Common health problems that may affect the Puerto Rican population include lactose enzyme deficiency and parasitic diseases

Despite the presence of a large cohort of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility recognize this as an example of?

Cultural blindness is characterized by ignoring cultural differences or considerations and proceeding as if they do not exist. This phenomenon may underlie the failure to incorporate cultural considerations into dietary choices

The inability of a person to recognize his or her own values, beliefs, and practices and those of others because of strong ethnocentric tendencies is termed what?

Cultural blindness occurs when one ignores differences and proceeds as though they do not exist, resulting in bias and stereotyping

A nurse is caring for an elderly woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?

Establishing effective communication. Establishment of an environment of culturally competent care and respect begins with effective communication, maintaining eye contact at all times is incorrect because not all cultures are comfortable with eye contact

When a home-bound patient expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the patient is expressing her

Ethnicity or ethnic identity refers to self-conscious, past-oriented form of identity based on a notion of shared cultural and perhaps ancestral heritage, and current position in larger society

A patient 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

Ethnocentrism is a way of looking at the world through a personal lens that has been influenced by personality, genetics, family/relationships, and MEDIA

You are caring for a patient who speaks a language other than English and are using an interpreter to communicate. What would be the best way to choose an interpreter for this patient?

Interpreter should understand the healthcare system

When providing care on an Indian reservation, Nurse K. has prioritized assessments for type 2 diabetes mellitus and fetal alcohol syndrome when working with residents of the reservation. How should Nurse K.'s practice be best understood?

Nurse K. is correct in assessing for health problems that have a higher incidence and prevalence among this population

Which of the following groups of individuals may stare at the floor during conversations as a sign of respect?

Some Native Americans stare at the floor during conversations, conveying respect and indicating that the listener is paying close attention to the speaker; indirect eye contact is deemed most acceptable and is sometimes preferred

The patient in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the patient is experiencing? You selected: Shock

The acute experience of not comprehending the culture in which one is situated is called culture shock. This is often experienced by a patient who suddenly finds herself/himself in the subculture of a hospital or healthcare agency.

An 8-year-old African American child is admitted to the pediatric unit for tonsillectomy. On physical examination, the nurse finds that the child has keloid on the hand. What should be the nurse's reaction?

The appearance of keloids on the hands of the child should be considered as normal in African Americans. Keloids are irregular, elevated, thick scars found commonly in dark-skinned clients

A client who has difficulty sleeping expresses to the nurse that watching television may help him to relax and get sleep. The nurse disregards the client's concern and suggests the client have warm milk before going to bed. Which cultural characteristic is the nurse demonstrating?

The nurse disregarding the client's concern is an example of ethnocentrism. Ethnocentric people view one's own culture as the only correct standard by which to view people of other cultures

Upon moving to China, an American college student is experiencing many new feelings that she associates with her placement in a different culture. What are the feelings experienced by this student best described as?

The student is experiencing culture shock, which is defined as the feelings a person experiences when placed in a different culture

Which of the following statements best conveys the relationship between race and ethnicity?

The term "race" is usually used in reference to particular physical characteristics, while ethnicity is an identification with a cultural group that is often based on a common heritage

The focal point of nursing is the nurse-patient interaction. What must nurses consider when conducting the necessary assessment of their patients and significant others?

Their own cultural orientation. Because the nurse-patient interaction is the focal point of nursing, nurses should consider their own cultural orientation when conducting assessments of patients and their families and friends

A nurse in the hospital is caring for a Native American male. What person is most important to include in the care of the client?

Tribal medicine man. Observance of rituals in times of stress and uncertainty helps to restore a sense of control, competence, and familiarity; to that extent, these rituals are a desirable adjunct to nursing care

When providing nursing care to an African American individual, which of the following cultural factors should the nurse consider?

Values and beliefs are often present oriented

A Native American client has been admitted to the health care facility with complaints of profuse diarrhea. What action is appropriate for the nurse while interviewing the client, keeping in mind the client's cultural beliefs?

When interviewing a Native American client, the nurse should not write notes during the interview. Instead, the nurse may make notes of the main points after the interview. Native Americans traditionally preserved their heritage through oral transfer rather than written history, so they may be skeptical of nurses who write down what they say

An Anglo-American client reports to the primary health care facility with symptoms of fever, cough, and running nose. While interviewing the client, which of the following points should the nurse keep in mind?

While interviewing an Anglo-American client, the nurse should "maintain eye contact" because it indicates openness and sincerity

When your patient, who is from a South Asian culture, arrives 25 minutes late to her appointment at your clinic, you recognize this as a sign of which of the following?

in some South Asian cultures, being late is considered a sign of RESPECT. It may be useful to note this in the client's file and take it into account when scheduling future appointments

An Arab client has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client?

should avoid maintaining eye contact with the client. In Arab culture, maintaining eye contact is sexually suggestive; if the nurse does so during the interview, it may give the wrong message to the client. However, the nurse may give a light handshake or ask about the client's personal life and medical history during the interview

An Asian American client is scheduled for discharge after being diagnosed with type 1 diabetes mellitus. Before leaving the health care facility the nurse demonstrates the technique of self-administration of insulin injection and explains the importance of the daily use of insulin in controlling blood sugar levels. What should the nurse conclude if the client continues to stare blankly?

the client disapproves of the treatment. It may indicate that the client disapproves of the procedure but, due to cultural practices, does not openly verbalize his disapproval. Asian Americans may not openly disagree with authority figures, such as physicians and nurses, because of their respect for harmony