transcultural final

Which intervention is most culturally congruent when supporting an African American client attempting to determine the feasibility of entering an assisted living care facility?

Identifying facilities in the area that are close to the town's African American neighborhoods.

Which assessment question demonstrates cultural sensitivity regarding a rural, African American client's understanding of a high-risk medical condition?

Will you tell me what it means to be diagnosed with high blood pressure

Health care organizations are expected to be culturally competent. Which service shows the ability to best manage the difference in cultural values and practices

Ability to adapt special diets to meet client cultural dietary needs

Which additional assessment should be conducted when monitoring a darkly pigmented person for cyanosis?

Asking the client to provide the location and date of his or her birth. Response Feedback: Cyanosis is the most difficult clinical sign to observe in darkly pigmented persons. Given that most conditions causing cyanosis also cause decreased oxygenation of the brain, other clinical symptoms, such as changes in the level of consciousness, will be evident in the client's ability to answer such questions. The remaining options do not present changes directly associated with decreased oxygenation.

Which nursing intervention demonstrates one of the strengths of the transcultural nursing Theory of Culture Care Diversity and Universality?

Assessing for stress factors affecting a Haitian client as well as her immediate family.

Which tool used currently by a health care institution to recruit ethnically diverse heath care professionals is supported by current government statics

Assisting Hispanic nurses to acquire permanent citizen status.

Which intervention reflects an understanding of a common negative psychosocial outcome of increased longevity?

Assisting the client to identify social activities he or she is interested in attending

Which nursing activity shows an understanding of the process of culturally competent nursing practice?

Attending two in-service programs yearly on attaining cultural competency.

Which statement will be the basis for determining the target population for a community education program regarding hypertension?

Black females have a higher average systolic blood pressure than White females at every age.

Which nursing intervention demonstrates an understanding of the importance of managing assessment information in a culturally congruent manner?

Client's edema was documented as, "Client reports, 'My legs swell when I spend too much time standing.'"

Which nursing evaluation demonstrates that an African American female client is being monitored for a specific culturally focused health risk?

Current systolic blood pressure has shown a 16-point decrease from baseline.

The nurse is documenting assessment data obtained from an older Hispanic client reporting pain possibly resulting from osteoarthritis. Which notation demonstrates that the nurse implemented culturally congruent assessing techniques

Denies using any type of traditional folk remedies to manage the pain in right hand.

Which client statement provides the nurse with the most reliable assurance that a Hispanic client has access to effective preventive health care?

I take advantage of my doctor's evening office hours

Which statement by the client assures the nurse that the client has made a positive adjustment to middle age?

I've taken up gardening and plan to become a master gardener."

An institution best demonstrates a commitment to the establishment of a harmonious multicultural work environment when

Including that goal into the formal wording of its mission statement.

Which action will best prevent institutional racism in a hospital that provides care to a culturally diversed population?

. Revising institutional polices as discriminatory practices are identified.

Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists

Assessment of woman's ability to function successfully in her role within the family.

What is the primary motivation for an institution to strive to provide culturally competent health care?

The quality of health care will be improved to all of the institution's clients

Which statement by a nurse demonstrates an attempt to minimize personal prejudice in their nursing practice?

When the client's family begin their religious rituals, I get concerned about what I should be doing

Which institutional attitude demonstrates the most effective attempt to minimize a recognized barrier to culturally congruent health care

Willingness to incorporate folk health practices into the client's plan of care.

Which proverb used to describe a patient would suggest that the American nurse views the client as being aggressive and demanding?

he squeaky wheel gets the oil."

Which statement demonstrates the nurse's ability to communicate sincerely and respectfully with a culturally diverse client population?

"I'm always careful to apologize when I'm having difficulty understanding a client

When an older African American woman shares with the nurse that, "It's time to think about retiring," the nurse demonstrates an understanding of a culturally created issue that would be relevant to the client by asking:

"Do you have a pension income that will allow you to retire now?

Which assessment question demonstrates an understanding of the impact that changing female roles have on a culturally diverse family?

"How is your husband adjusting to the fact you are working outside your home?"

Which client response best demonstrates successful coping with the age-related functional loses affecting quality of life being experienced by an African American client?

"I've been using a magnifying glass to read the wonderful novel I got as a gift."

Which statement demonstrates a lack of knowledge concerning the role eye contact plays in various cultures

"It's so important to maintain eye contact with the client while providing discharge teaching.

Which interpersonal behavior would be more prevalently exhibited by a nurse from a collectivist culture?

A Chinese nurse, who is the focus of the unprofessional behavior of another nurse, refusing to report the behavior to the nurse manager.

Which regrettable outcome is the result of racism?

A Hispanic nurse is not considered for a promotion to nurse manager because it is believed that "all Hispanics lack self-discipline.

Which activity would be best supported by the Council on Nursing and Anthropology Association

A multidisciplinary research project on the effects of culture on pain management plans

When applying for certification as a transcultural nurse, which activity best supports the need to possess appropriate specialized knowledge

A portfolio showing completion of educational classes that support culturally congruent nursing

When a newly emigrated Asian male reports symptoms suggestive of possible depression, the nurse sensitive to cultural factors affecting this population would ask:

Are you satisfied with the work you've found here in the United States?

Which intervention will best minimize the negative feelings an older newly immigrated Hispanic client has expressed regarding being admitted to an assisted living facility

Arranging for the client to share a room with another Hispanic client who also speaks Spanish

Which nursing intervention demonstrates an understanding of the cultural preservation when caring for a Hispanic client

Arranging for the client's diet to include the appropriate fever-fighting "cold" foods.

Which nursing intervention demonstrates an avoidance of one of the cited criticisms of current transcultural nursing theories?

Asking the Jewish client whether he or she will need a kosher diet menu.

Which behavior exhibited by a nurse demonstrates a personal commitment to culturally congruent care?

Asking to have the critical care unit's visitation policy to allow nonfamily members visitation rights.

Which nursing action is required when it is determined that a client is self-administering ginseng for back pain?

Assess and document the client's blood pressure

Which intervention demonstrates an institution's willingness to provide a culturally sensitive environment?

Changing the lobby's artwork when its original pieces are identified as lacking in cultural diversity.

Which nursing intervention demonstrates an understanding of an emotion outcome observed in clients immigrating from violent cultural environments?

Counseling the client on anger management techniques

Which intervention demonstrates the implementation of the culturally congruent LEARN mnemonic when assessing an Asian client who reports a skin rash on both hands?

Discussing possible folk remedies that can be used along with the prescribed antibiotic lotion

Which assessment question demonstrates sensitivity to the possible existence of culturally driven maltreatment toward an openly homosexual client whose wounds have become infected due to poor wound care?

Do you believe your wound dressings were changed as frequently as they should have been?"

Which activity will best minimize the risk of allowing discrimination and prejudicial behaviors to impact personal nursing practice

Engaging in regular reflective, cultural self-assessments.

According to Purnell Model for Cultural Competence, what initially indoctrinates an individual to cultural norms

Family

A culturally competent health care organization is one that:

Fosters interplay between organizational, professional, and community cultures.

Which question demonstrates the nurse's appropriate understanding of the value the African American culture places on formal health care for a skin rash?

Have you been putting any lotions or creams on your rash

Which question asked during the assessment process of an American Indian client is directed by currently accurate information regarding that culture's risk for a specific disease

Have you ever been told you have a problem with drinking too much alcohol?

Which intervention demonstrates a health care institution's best attempt at promoting acceptance of expertise among its culturally diverse health care professionals?

Holding educational programming that compares and contrasts American standards of professional health care education to those of other cultures.

Which assessment question shows an understanding of the impact of cultural beliefs and behaviors on a client's demonstration of pain

How can I help you deal with the pain you are experiencing?

Which assessment question will best help the nurse determine how much a Japanese American client's view of health and illness is influenced by his ethnic culture?

How long has your family lived in America

hich question reflects an understanding regarding a middle-aged married woman's emotional willingness to undergo elective surgery?

How many people depend on you for help on a daily basis?"

Which assessment question will provide the nurse with information regarding a Hispanic client's ability to be financially secure after retirement

How many years did you attend a formal school?

A nurse provides care to a vast culturally diverse population. How can the nurse best address the need to provide cultural congruent nursing care

Master the skills required to perform an effective cultural assessment.

Which nursing intervention best shows compliance with offering linguistically appropriate services for a culturally diverse population?

Notifying the client that he or she is entitled to language translation services.

Research supports which of the following institutional policies regarding recruitment of professional nurses?

Offering male nurses paid paternal maternity leave

It is determined that an older, widowed client is a member of a familistic culture. Which intervention is best directed toward communicating effectively with the client

Presenting information related to possible treatment modalities to the entire family.

Which statement exhibits an understanding of the meaning of culturally congruent nursing care

Providing culturally congruent nursing care offers care the client has confidence in.

Which policy will allow a health care institution to achieve cultural competence most effectively?

Recruiting culturally diversed health care providers to staff the institution.

An older Asian client who lives alone has begun to have difficulties cooking and maintaining a safe environment in the apartment she rents. Which intervention will have the most impact on the client's ability to maintain independence

Requesting a social consult to help identify sources who can fund part-time in-home assistance

Which nursing activity has priority when providing culturally congruent care

Self-reflection concerning beliefs associated with the client's culture

A blood glucose screening is most appropriate for which ethnic client?

The Hispanic male

Which organizational attitude demonstrates that the institution's culture is that of the "dynamic hospital" model

The client's cultural folk medicine practices will be respected whenever possible

Which is the basis to support the need for transcultural nursing in a health care setting that serves a multicultural metropolitan community

The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population

What is the basis for assessing the economic status of a culturally diverse client population as a factor affecting the delivery of individualized health care services?

The general health of the members of the lower socioeconomic classes is poor.

Which consideration is the basis for the selection of an interpreter for an older client who has a limited ability to speak and understand English?

The interpreter should ideally be of similar age and of the same gender as the client.

Which cultural fact will be the basic force to manage when assessing a perimenopausal woman of a non-American culture?

The larger the number of females in the client's extended family, the more menopausal symptoms she will report.

Which institutional strategy demonstrates an understanding of the barriers to a harmonious multicultural workplace environment?

Unit managers have the authority to terminate any employee found to be racist.

Which behavior supports the nurse's evaluation that an older client is successfully engaged in "active aging"?

Volunteering at the local elementary school as a classroom helper

Which nursing intervention demonstrates an understanding of the full scope on culturally sensitive nursing care

When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed.

Which community program is designed to meet a recognized health promotion need found among Asian children?

Weekend sport camps

Which is the primary criticism for using standardized printed history forms when assessing the culturally diversed client population

Western medicine's signs and symptoms are not always recognized as such by other cultures

Which question would best assist a nurse in determining the health beliefs of a culturally diverse client who has a history of hypertension

What have you been doing to help control your high blood pressure?"