PrepU Module 3 Exam NU426

The future of transcultural nursing care lies in finding ways to promote cultural competence in nursing students. How can this goal be best accomplished?

By offering multicultural health studies in nursing curricula

A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?

Administration of pneumococcal vaccine to vulnerable individuals

A team of community health nurses has partnered with the staff at a youth drop-in center to address some of the nutritional needs of adolescents. Which situation most often occurs during the adolescent years?

Lifelong eating habits are acquired

A nurse who provides care on a busy medical unit is aware that his own beliefs do not always coincide with the beliefs of clients from some cultural backgrounds. What aspects of client care are most likely to be influenced by diverse cultural perspectives?

Obtaining informed consent

Which of the following concepts characterizes transcultural nursing?

Planning care compatible with the client's health belief system

The certified nurse practitioner planning discharge for a patient with congestive heart failure (CHF) wants to prevent readmission to the hospital within 30 days. Which method involves recent advances in health care monitoring capabilities?

Planning to monitor the patient at home using the Internet, Web cam, and cellular phone

A female client has been prescribed a course of antibiotics for the treatment of a UTI. When providing health education for the client, the nurse should address what topic?

The risk of developing a vaginal yeast infection as a consequence of antibiotic therapy.

When caring for a client who predominantly identifies with another culture than the nurse, how can the nurse best demonstrate an awareness of culturally congruent care?

Establish effective communication

Which of the following is the belief that one's values and beliefs are superior to others?

Ethnocentrism

The nurse is performing a cultural nursing assessment of a newly admitted client. What should the nurse include in the assessment? Select all that apply.

Family structure Cultural beliefs Health practices Values

The nurse observes that the client does not make eye contact, even when the nurse is providing education. The nurse responds appropriately to this behavior by doing which of the following?

Being aware that eye contact may be culturally determined

A 54-year-old client of African descent has presented for a follow-up appointment shortly after being diagnosed with hypertension and being placed on an angiotensin-converting enzyme (ACE) inhibitor. The nurse takes the patient's vital signs at the beginning of the appointment and obtains a blood pressure of 177/96 mm Hg. What factor should the nurse consider in light of the client's sustained high blood pressure?

Biologic variations may be influencing the effectiveness of the medication.

Several residents of a long-term care facility have developed signs and symptoms of viral conjunctivitis. What is the most appropriate action of the nurse who oversees care in the facility?

Isolate affected residents from residents who have not developed conjunctivitis.

Which perspective of illness believes that narrowing of the carotid arteries can cause a stroke?

Biomedic

The nurse is caring for a client who lives with chronic pain. During the initial health interview, the client tells the nurse that she has begun a regimen of herbal remedies in order to control her pain. What is the nurse's priority action?

Ensure that the client has informed the primary provider about these supplements

A client has been on the unit for 3 weeks receiving treatment for bacterial meningitis. The client is being discharged, and the nurse is discussing the disease process and future prevention. As part of teaching, the nurse must:

respect the client's belief and cause of illness

A nurse is taking a history. The client has limited English proficiency. When communicating with this client the nurse should:

speak slowly (not loudly), use simple words and short sentences, and avoid jargon.

The nurse is caring for a client scheduled for an emergency cardiac catheterization. The transport team arrives to take the client to the catheterization laboratory at the same time a group of men arrive to see the client. The client explains to the nurse that these men are the elders from church who have come to perform a "laying on of hands" to help the client have a cardiac catheterization safely. The best response by the nurse is which of the following?

"I will wait outside of your room with the transport team; let us know when you are finished."

The nurse is caring for an elderly client who has a large unhealed sacral wound. The client is thin and malnourished. The client informs the nurse that today, (the client) must fast due to religious reasons. The nurse is aware that the client requires good nutrition and extra protein to heal. Which of the following would be the best way for the nurse to respond to the client?

"In order for your wound to heal, you need to eat, but I will respect your decision."

A child with a bleeding head injury was admitted to the emergency room. The nurse demonstrates cultural awareness to the parents if the nurse states which of the following?

"May I touch your son's head to look for cuts and bumps?"

The nurse is caring for a client who identifies as Native American/First Nations. The client arrives at the clinic for treatment related to type 2 diabetes. Which question would best provide information about the role of food in the client's cultural practices and identify how the client's food preferences could be related to the current condition?

"Tell me about foods that you eat and how you feel they influence managing your diabetes."

The nurse caring for a Hispanic client is performing a cultural assessment. Which of the following statements or questions avoids stereotyping?

"Tell me about your cultural preferences."

The nurse is caring for a client who is in contact isolation for an infection. The client informs the nurse that a shaman will be coming to visit and asks for privacy during that time. The most appropriate response from the nurse will be which of the following?

"When the shaman arrives I will help him with the personal protective equipment he will need."

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by European American people. How would the nurse characterize the Hispanic people in this community?

A mintority

A nurse is caring for clients from various cultural backgrounds. The care involved occasionally requires close physical contact. Which of the following are concepts for the nurse to consider interacting with diverse cultural clients? Choose all that apply.

A wheelchair is considered part of the person in it. Sitting too close may be threatening to a client. Sitting too far away may signal disinterest to a client.

The nurse has just taken report on a newly admitted client who is a 15-year-old girl who is a recent immigrant. When planning interventions for this client, the nurse knows the interventions must be which of the following? Select all that apply.

Appropriate to the client's culture Ethical Appropriate to the client's age

A nurse practitioner working in a dermatology clinic finds an open lesion on a client who is being assessed. What should the nurse do next?

Assess the characteristics of the lesion.

When would be the best time to begin discharge planning for a patient who will require assistance in the home after leaving the acute care facility?

At the time of the patient's admission to the hospital

A nurse is helping to plan the long-range goals of a public health organization. When planning to accommodate changes in demographics, what phenomenon should the nurse address?

Average life expectancy is higher than it has ever been

The nurse is caring for a client who is a recent immigrant. Which of the following variables should the nurse prioritize when performing an assessment of the client's cultural beliefs?

Client's communication style

A 20-year-old client newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate educational interventions and considering variables that will affect the client's learning, the nurse should prioritize what factor?

Client's culture

It is important for the nurse to acknowledge cultural differences that may influence the delivery of health care. In order to do this, the nurse must do which of the following?

Confront the nurse's own bias and influence of his or her culture

A parent informs the nurse that immunizations are contrary to her religious beliefs, and she does not want her child to receive them. The nurse proceeds to inform the parent that the child will be in grave danger of illness all her life and will not be allowed to start school unless she is immunized. The nurse also informs the parent that she had all of her own children vaccinated with no adverse effects. The nurse's behavior is an example of what?

Cultural imposition

A community health nurse is focusing current health promotion efforts on diseases that are disproportionately represented among ethnic and racial minorities. Which of the following diseases should the nurse likely address? Select all that apply.

Human immunodeficiency virus (HIV) Cancer Heart disease

The nurse is planning an educational in-service for nursing colleagues with the goal of fostering culturally competent care. What outcome should the nurse prioritize when planning this education?

Participants will acknowledge and adapt to diversity among their colleagues.

The nurse is completing a cultural heritage assessment. Which items will be included in this portion of the health assessment? Select all that apply.

Religion Participation in religious traditions Celebration of holidays Use of alternative therapies

Computed tomography of a 72-year-old client reveals lung cancer with metastasis to the liver. The client's adult child has been adamant that any "bad news" be withheld from the client to protect the client from stress, stating that this is a priority in their family's culture. How should the nurse and the other members of the care team best respond?

Speak with the child to explore the rationale and attempt to reach a consensus.

The belief that clients with the same skin color belong to a similar social group is an example of which of the following?

Stereotyping

Which of the following refers to a group that shares characteristics identifying the group as a distinct entity?

Subculture

During an orientation class, the medical unit's nursing educator is presenting education on transcultural nursing to a group of newly licensed nurses. What should the staff educator identify as the underlying focus of transcultural nursing?

To provide culture-specific and culture-universal care