Transcultural Nursing Exam 1

Which intervention associated with culturally directed infant attachment practices will best support autonomy in a 3-year-old child? A) Rocking the child to sleep. B) Giving the child finger foods for lunch. C) Taking the child for walks in the park. D) Reading to the child as part of the bedtime ritual

B

Which nursing intervention best shows compliance with offering linguistically appropriate services for a culturally diverse population? A) Speaking to the client in a culturally appropriate dialect. B) Notifying the client that he or she is entitled to language translation services. C) Identifying a family member to act as interpreter. D) Using nonverbal communication techniques whenever possible.

B

Dr Leninger contributions to transcultural nursing

cultural preservation or maintenance, cultural care accomodation or negotiation, and cultural care repatterning or restructuring.

The nurse is assessing a 5-month-old American Indian infant whose culture includes the use of a cradleboard. Which physical complication should the nurse be alert to regarding this child? A) Hip dysplasia B) Anterior skull flattening C) Abduction of the knees D) Hyperflexion of the ankles

A

Which activity would be best supported by the Council on Nursing and Anthropology Association? A) A multidisciplinary research project on the effects of culture on pain management plans. B) Revising facility visitation policies to support cultures in which family members remain with the client. C) Organizing a rally to raise awareness of the need for a local free clinic to serve cultural diverse families. D) Providing staff education regarding the dietary traditions of both the local Jewish and Arab populations.

A

Which assessment question demonstrates an understanding of the impact that changing female roles have on a culturally diverse family? A) "How is your husband adjusting to the fact you are working outside your home?" B) "Are your children experiencing any problems now that you are working in town?" C) "Are you still able to interact with other females now that you have a job in town?" D) "Has the extra income you are now earning made a positive impact on your finances?"

A

Which assessment question demonstrates cultural sensitivity regarding a rural, African American client's understanding of a high-risk medical condition? A) "Will you tell me what it means to be diagnosed with high blood pressure?" B) "Can you explain why you are taking medication for depression?" C) "What kind of female problems are you experiencing?" D) "How has having sugar problems affected your life?"

A

Which intervention is essential to the delivery of culturally congruent care for a pregnant woman? A) A thorough cultural assessment. B) A therapeutic nurse-client relationship. C) Nursing staff who are culturally sensitive D) Identification of the woman's health belief system.

A

Which nursing activity shows an understanding of the process of culturally competent nursing practice? A) Attending two in-service programs yearly on attaining cultural competency. B) Including cultural assessment questions in an admission interview. C) Providing a non-English-speaking client with information written in his native language. D) Encouraging the facility to provide access to language translators

A

Which nursing intervention demonstrates an avoidance of one of the cited criticisms of current transcultural nursing theories? A) Asking the Jewish client whether he or she will need a kosher diet menu. B) Making sure that a Catholic client's rosary beads are always within easy reach. C) Encouraging a German World War II veteran to talk about his military experiences. D) Suggesting that an obese Irish American minimize consumption of beer and potatoes.

A

Which nursing intervention demonstrates an understanding of the full scope on culturally sensitive nursing care? A) When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed. B) When assessing a recently immigrated Hispanic's ability to both speak and read the English language when preparing discharge teaching. C) Including both Eastern traditional folk treatments and Western medical therapies into the care plan of a Chinese patient. D) Directing a discussion concerning treatment options for an Arab female toward the family's elder male members.

A

Which outcome is a common result of unintended pregnancies? A) Preterm labor B) Uterine hemorrhage C) Skeletal deformities D) Cardiac malformations

A

Which pregnant woman would be most accepting of her baby's father being viewed as an observer during the birth process? A) An American giving birth for the first time. B) An Asian whose first delivery required surgical intervention. C) A Hispanic whose first birth was attended to by a midwife. D) A Swede whose has experienced two previous stillbirths

A

Which question demonstrates the nurse's appropriate understanding of the value the African American culture places on formal health care for a skin rash? A) "Have you been putting any lotions or creams on your rash?" B) "Do you have insurance to cover the cost of the prescribed lotion?" C) "Do you understand how important it is to use the medication as it is ordered?" D) "Will you have any difficulty getting to the pharmacy to have this prescription filled?"

A

Which situation is especially prevalent in culturally diverse children being raised in one-parent families and so should be assessed for? A) Poverty level existence B) Childhood diabetes C) Gang membership D) Depression

A

Which statement demonstrates a lack of knowledge concerning the role eye contact plays in various cultures? A) "It's so important to maintain eye contact with the client while providing discharge teaching." B) "Eye contact can be a difficult nonverbal communication to interpret from a cultural standpoint." C) "I never assume a client's interest in our conversation on the basis of his or her willingness to maintain eye contact." D) "Many cultures are reluctant to maintain eye contact with nonfamily members."

A

1. Health care organizations are expected to be culturally competent. Which service shows the ability to best manage the difference in cultural values and practices? A) Attempting to assign clients of like cultures as roommates. B) Ability to adapt special diets to meet client cultural dietary needs. C) Educating each client to the use of a unit chapel for cultural rituals. D) Arranging client care to support the cultural need for family involvement.

B

A nurse provides care to a vast culturally diversed population. How can the nurse best address the need to provide cultural congruent nursing care? A) Regularly self-reflecting on personal biases and prejudices. B) Master the skills required to perform an effective cultural assessment. C) Regularly attend culture awareness in-service programming D) Immersion into the cultures presented by the client population.

B

According to Purnell Model for Cultural Competence, what initially indoctrinates an individual to cultural norms? A) Genetics B) Family C) Community D) Peers

B

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? A) Directing the assessment questions toward the client's female family members. B) Presenting information related to possible treatment modalities to the entire family. C) Arranging for all information materials to be written in the client's preferred dialect. D) Confirm the client's wishes about treatment through her oldest son.

B

What intervention will best facilitate sleep for a 3-year-old African American who is hospitalized with bronchitis? A) Offering the child a high carbohydrate bedtime snack. B) Making it possible for a parent to sleep in the child's bed. C) Playing the television on a low volume until the child falls asleep. D) Encouraging the parents to bring the child's favorite toy to the hospital.

B

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: A) "Are you planning to live with your children after you retire?" B) "Do you have a pension income that will allow you to retire now?" C) "Do you think your health will allow you to enjoy your retirement years?" D) "How do you really feel about retiring and changing your life so dramatically?"

B

Which assessment question demonstrates an understanding of the most common prenatal concern reported by pregnant lesbian women? A) "Were you and your partner tested for possible HIV/AIDS?" B) "Do you feel you are receiving appropriate and effective prenatal care?" C) "Will you be prepared to manage the stressors of being a lesbian mother?" D) "Are you experiencing any financial problems related to paying for prenatal care?"

B

Which cultural value should be the basis for nutritional information given to the Hispanic mother of a newborn? A) Milk is used to supplement breast milk without recognizing the potential of triggering a milk allergy. B) Fat babies are considered healthy because there is little understanding of the health risks involved. C) Hispanic families believe in early introduction of solid foods without realizing the risk of infant choking. D) There is a high risk for the development of gastritis in Hispanic child who were formula fed as infants.

B

Which nursing intervention demonstrates an understanding of an emotion outcome observed in clients immigrating from violent cultural environments? A) Assessing for suicidal ideations. B) Counseling the client on anger management techniques. C) Providing medication education on tricyclic antidepressants. D) Assessing the client for physical damage resulting from ritualized behaviors.

B

Which outcome demonstrates the successful implementation of culturally congruent care for a pregnant client whose culture holds holistic health beliefs? A) The infant's father cut the umbilical cord. B) The mother sipped on an herbal tea to maintain hydration during the labor. C) Labor pain was successfully managed with nonpharmacologic interventions. D) Family members remained with the mother and infant during the entire hospitalization.

B

Which question has particular importance when interviewing a young Amish couple when their infant is hospitalized with a cardiac problem? A) "Will you need any special accommodation while here with your child?" B) "Is there anyone besides you who will be involved in making medical decisions for your child?" C) "Are you prepared to allow your child to receive blood or blood products if that becomes necessary?" D) "Does your culture allow for invasive medical procedures in treating your child's cardiac condition?"

B

Which statement by the client assures the nurse that the client has made a positive adjustment to middle age? A) "My job is secure and I will continue to work until I decide to quit." B) "I've taken up gardening and plan to become a master gardener." C) "We hope our children will move closer to us so we can watch our grandchildren grow." D) "My hope is that I keep my health and don't become a burden to my family and friends."

B

Which statement demonstrates the nurse's ability to communicate sincerely and respectfully with a culturally diverse client population? A) "I find clients of other cultures to be so interesting to talk to." B) "I'm always careful to apologize when I'm having difficulty understanding a client." C) "Limited English speaking clients can be severely stressed by the language barrier." D) "My assessment interviews with limited English speaking clients focus on just the basics."

B

When a mother seems reluctant to breastfeed her ill infant, the culturally sensitive nurse asks: A) "Can I help by providing you with privacy?" B) "Will you be willing to give your infant some formula?" C) "Are you afraid your baby will become nauseous and vomit?" D) "Is there some reason you aren't willing to nurse your baby?"

C

Which activity is evidence that the woman who is giving up her infant for adoption has received appropriate, specialized postnatal care? A) The infant is discussed only when the biological mother initiates the conversation. B) The biological mother is involved in the infant's care only when she requests to be. C) The biological mother is discharged with several mementos of her baby's birth. D) The infant's health care issues are discussed with the adoptive mother.

C

Which activity will best minimize the risk of allowing discrimination and prejudicial behaviors to impact personal nursing practice? A) Asking the client to explain his or her cultural specific beliefs and practices. B) Observing and mimicking the practice of a nurse who is viewed as being culturally sensitive. C) Engaging in regular reflective, cultural self-assessments. D) Asking culturally diverse clients to evaluate the care being provided.

C

Which assessment question will best provide the nurse with an understanding of how childbirth is viewed by an African-based culture? A) "Does your culture utilize folk healers and natural remedies to manage labor?" B) "Can you share with me the concerns you have about your pregnancy and labor?" C) "Will you describe for me the care you would expect to receive if you were giving birth in your homeland?" D) "Are you comfortable with the type of prenatal and labor care provided to all pregnant women who give birth at this hospital?"

C

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? A) Younger adults are generally more understanding of American jargon and so can translate it better. B) Family members are generally considered good interpreters since they share the same dialect. C) The interpreter should ideally be of similar age and of the same gender as the client. D) The client should be allowed to select the interpreter as a means of maintaining autonomy.

C

Which cultural fact will be the basic force to manage when assessing a perimenopausal woman of a non-American culture? A) The longer an emigrate has lived in the United States, the more likely she is to report menopausal symptoms. B) The larger the family group residing together, the fewer menopausal symptoms the emigrate woman will report. C) The larger the number of females in the client's extended family, the more menopausal symptoms she will report. D) The reported symptoms related to menopause are more severe if the client is from a patriarchal run culture

C

Which disorder is viewed as a biological variation that accounts for an increased incidence of both maternal and infant morbidity in Native American Indian population? A) Aortic stenosis B) Spina bifida C) Diabetes mellitus D) Multiple sclerosis

C

Which intervention is appropriate for the treatment of a child for symptoms generally associated with the act of "casting the evil eye"? A) Feeding the child bananas and rice cereal. B) Monitoring the child's apical heart rate hourly. C) Introducing fluids to the child every hour while awake. D) Frequent suctioning of the child's upper respiratory tract.

C

Which intervention will have the greatest impact on providing culturally congruent nursing care to a Hispanic child whose parents speak only minimal English? A) Requesting that the child's physician be fluent in the parents' dialect. B) Providing the services of a translator who is familiar with the Spanish language. C) Assigning a nurse to the family who is able to communicate in the parents' dialect. D) Assuring that all information is provided in the written form using the parents' dialect.

C

Which is the basis to support the need for transcultural nursing in a health care setting that serves a multicultural metropolitan community? A) The nursing responsibility to provide nursing care for each patient that demonstrates respect and acceptance. B) The ever-expanding numbers of immigrants entering the United States requiring physical and mental health care. C) The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population. D) The varying economic and social backgrounds represented in the population present unique barriers to health care delivery.

C

Which nursing activity has priority when providing culturally congruent care? A) Identifying the client's health care expectations. B) Assessing the client's ability to communicate effectively with staff. C) Self-reflection concerning beliefs associated with the client's culture. D) Evaluating the facility's ability to meet the client's cultural needs.

C

Which nursing evaluation demonstrates that an African American female client is being monitored for a specific culturally focused health risk? A) Client denies any epigastric pain since beginning antacid medication therapy. B) Balance has improved since beginning muscle strengthening physical therapy. C) Current systolic blood pressure has shown a 16-point decrease from baseline. D) Incidence of annual respiratory infections has decreased from 4 to 2.

C

Which nursing intervention demonstrates one of the strengths of the transcultural nursing Theory of Culture Care Diversity and Universality? A) Planning treatments around the praying schedule of a Muslim client. B) Encouraging a Chinese client to explain the concept of "Ying and Yang." C) Assessing for stress factors affecting a Haitian client as well as her immediate family. D) Evaluating the reading comprehension of a client for whom English is a second language.

C

Which question reflects an understanding regarding a middle-aged married woman's emotional willingness to undergo elective surgery? A) "Do you have sick leave where you work?" B) "Will your family be able to help you while you recover?" C) "How many people depend on you for help on a daily basis?" D) "Can your family manage financially while you recover from your surgery?

C

Which statement exhibits an understanding of the meaning of culturally congruentnursing care? A) "Care that is culturally congruent is a client right of all ethnically diverse individuals." B) "I have a nursing responsibility to always provide culturally congruent nursing care." C) "Providing culturally congruent nursing care offers care the client has confidence in." D) "Outcomes are so much better when the care is delivered in a culturally congruent manner."

C

When a newly emigrated Asian male reports symptoms suggestive of possible depression, the nurse sensitive to cultural factors affecting this population would ask: A) "Do you think about returning to your home country?" B) "Have you been able to identify a group of fellow Asians?" C) "Have your children adjusted well to their new environment?" D) "Are you satisfied with the work you've found here in the United States?"

D

When applying for certification as a transcultural nurse, which activity best supports the need to possess appropriate specialized knowledge? A) Membership in two nursing orientations whose focus is transcultural nursing care. B) Letters of reference from facility administration supporting the awarding of the certification. C) Documentation proofing a work history in facilities that serve a cultural diverse population. D) A portfolio showing completion of educational classes that support culturally congruent nursing.

D

Which activity is vital to the survival of cultural values and customs? A) Having affluent members of the culture support poorer members. B) Electing representatives of the culture to governmental positions. C) Sponsoring cultural events to be attended by the general population. D) Providing the younger generations with opportunities to show cultural pride

D

Which assessment question shows an understanding of the impact of cultural beliefs and behaviors on a client's demonstration of pain? A) "Can you describe the pain you are experiencing for me?" B) "Do you understand the long-term effects of chronic pain?" C) "Have you ever taken medication to help control your pain?" D) "How can I help you deal with the pain you are experiencing?"

D

Which behavior would demonstrate appropriate family functioning? A) The father of an Italian woman being present during the delivery. B) An American woman being coached through labor by her sister. C) The husband of an Arabic woman cutting the infant's umbilical cord. D) An African American woman being supported during labor by her grandmother

D

Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists? A) Nursing interventions planned on the basis of age and developmental norms. B) Evaluation of the understanding of risk factors based on cognitive function. C) Implementation of nursing care, respectful of the individual's economic status. D) Assessment of woman's ability to function successfully in her role within the family.

D

Which viewpoint, regarding birth control, would be supportive of the cultural beliefs of a Mormon woman? A) Mormons love children and strive for large families. B) The Mormon family avoids birth control until a son is born. C) Birth control is viewed as a sin by the Mormon's religious teachings. D) Each Mormon couple has a religious responsibility to parent a large family.

D