Taylor PrepU Ch. 5
The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond?
"Can you describe what you are feeling when you try to move?"
The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?
"Can you tell me what foods you prefer to eat and what your family is bringing you?"
A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices?
A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.
Which definition of culture is most accurate?
A belief system that guides behavior
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse?
Discuss with the client the need for assistance during ambulation.
The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response?
Document the client's request in the nursing care plan.
When an American client states, "I only want an American doctor," the client is expressing:
ethnocentrism.
Persistent gaps between the health status of minorities and non-minorities are defined as:
health disparities.
A client 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:
media
A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms:
require an individualized approach by the nurse.
When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
ethnic identity.
The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?
"Culture cannot be influenced, and you are born with your culture."
The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education?
"Ethnicity and race are the same thing and are affected by cultural practice."
Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain?
"If a client needs to yell in pain, that is his or her right."
The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group?
"It is important to monitor my blood pressure."
The staff nurse overhears the charge nurse, who is of Italian heritage, talking to the unlicensed assistive personnel. Which statement made by the charge nurse is an example of ethnocentrism?
"Italians are best at everything."
A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?
"My Russian heritage is superior to all others."
The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse?
"We can wait until your spiritual healer arrives and work together to answer these questions."
A nurse is admitting a client to the unit. Which cultural question is most appropriate?
"What are your dietary needs and preferences?"
A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate?
"What type of food do you eat at home?
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?
"Would you feel more comfortable with your family with you?"
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 minority
What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?
Access to care
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?
Ask the client about personal space preferences.
The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate?
Ask the client if a spiritual leader is desired.
The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate?
Assess the client's beliefs about family support during hospitalization.
When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate?
Assessment of eye contact, personal space, and social taboos
Which behavior by the nurse is stereotyping?
Avoiding older adult clients because their care is time consuming
A new resident in a long-term care facility who was having difficulty adapting to the routine has begun participating in activities on a daily basis. Which stage of culture shock is this resident displaying?
Beginning resolution
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?
Client
A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating?
Cultural conflict
A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed?
Cultural imposition
A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse?
Culture shock
The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue?
Culture shock
A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply.
Health disparities Less power
When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply.
Language Religious beliefs Shared beliefs of origin
A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority?
Language assessment
Which nursing action displays linguistic competence?
Learning pertinent words and phrases in the client's language
The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse?
Leave the room and return when the shaman is finished.
The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?
Maintain flexibility when the client requests interventions at specific times.
Which aspects of nursing make it recognizable as a subculture? Select all that apply.
Manner of dress Language used Rituals
A nurse is assessing a client's culture. Which aspect would be the easiest for the nurse to recognize?
Material
A nurse is providing care to a client and has enlisted the help of a trained interpreter to assist in communicating with the client. Which action would the nurse do first?
Meet with the interpreter alone before a combined meeting with the client.
A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care?
Not all members of the same culture act and think alike.
A Native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What is the priority nursing diagnosis?
Powerlessness related to the inability to make heathcare providers understand the client's symptoms
A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?
Racism
Which behaviors demonstrated by the client would the nurse consider reflections of the client's pride in ethnicity? Select all that apply.
Requesting native cuisine Listening to folk music and dance Asking to wear unique clothing
A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?
Stereotyping
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?
The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.
A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern?
The client does not have running water.
A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?
The client states, "I feel like I abandoned my religion."
A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?
The client's child learned the dominant language as a second language.
What are characteristics of nurses that make them a subculture? Select all that apply.
Uniforms worn based on place of employment Language or medical terminology used to communicate Legal authorization to provide health care to others
Which scenario is an example of cultural competence in nursing?
Which scenario is an example of cultural competence in nursing?
The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study?
Witchcraft
A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of:
cultural ritual.
