Unit 6 culture
The nurse is discussing a newly diagnosed cancer with a patient when the patient comments that the cancer was "God's will." The nurse documents that the client ascribes to which type of world view/perspective related to the cause of illness? Spiritual chakra Holistic-naturalistic Biomedical-scientific Magico-religious
Magico-religious
The mother of a Black newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response? "These areas are normal and should disappear by early childhood." "It will be best if you have these areas treated with laser surgery." "These spots will normally fade in about 2 weeks." "This discoloration occurs in some infants and is usually permanent."
These areas are normal and should disappear by early childhood."
The nurse is caring for a client who expresses the belief that her illness (cellulitis) is a result of bacteria that has caused an infection. To which of the following views of disease/illness does this client allude? Naturalistic and/or holistic Magico-religious Biomedical and/or scientific Modernistic and/or physician oriented
Biomedical and/or scientific
Anglo-Americans typically hold the cultural belief that someone maintaining eye-to-eye contact is usually trustworthy. Other cultures may hold different beliefs about maintaining eye contact. A nurse who believes a client may be offended by direct eye contact should: ask the client if the action is offensive. not engage in eye-to-eye contact. not engage in eye-to-eye contact with certain cultures. engage in eye-to-eye contact with all clients to communicate trustworthiness.
ask the client if the action is offensive.
Which term refers to a group that shares characteristics identifying the group as a distinct entity? minority culture subculture race
subculture
The nurse cares for a client who is a member of a different culture from the nurse's. Which question is most important for the nurse to ask to assess the client's beliefs about treatment? "What are your expectations about being in the hospital?" "What do you eat for breakfast?" "How do you feel about being in the hospital?" "What do you believe about health care?"
"What are your expectations about being in the hospital?"
An infant with a diagnosis of pyelonephritis is receiving care on the pediatric unit and the nurse's review of the child's electronic health record reveals that the infant has not received any of her scheduled immunizations. The mother informs the nurse that immunizations are absolutely against her cultural beliefs, and she does not want her child to receive immunizations. In this scenario, what do the mother's views on immunizations represent? Acculturation Cultural blindness A cultural imposition A cultural taboo
A cultural taboo Cultural taboos are activities governed by rules of behavior that a particular cultural group avoids, forbids, or prohibits
Understanding about prana and chakras is central to which type of whole medical system? Ayurveda Naturopathy Shamanism Traditional Chinese medicine
Ayurveda develop a strong body, clear mind, and tranquil spiri
The public health nurse is preparing a presentation about disparities in health care in the community. What key concept(s) will the nurse include? Select all that apply. Information regarding minorities within the community Identifying groups that are disadvantaged within the community Pointing out groups within the community that possess less power Differences in beliefs within a particular culture Ethnic identities within subcultures in the community
Information regarding minorities within the community Identifying groups that are disadvantaged within the community Pointing out groups within the community that possess less power
A nurse is planning the care of a 48-year-old woman who has just received a diagnosis of breast cancer. The client has been explicit about her desire to integrate a variety of complementary therapies into her treatment regimen. What is the nurse's primary responsibility around the use of complementary therapies? To become skilled in administering as many complementary therapies as possible To liaise between practitioners of complementary therapies and the medical team To examine the evidence base underlying each of the client's chosen complementary therapies To assess the client's use of complementary therapies in order to promote safety
To assess the client's use of complementary therapies in order to promote safety
A nurse is assessing the skin of a black client to observe the baseline skin coloring. Which body part of the client would be suitable for the performing of this assessment?
abdomen
Increasingly, dietary supplements are being used to promote health and decrease the severity of illness. The use of dietary supplements demonstrates which CAM? biologically based practice aromatherapy mind-body medicine energy medicine
biologically based practice
St. John's wort is an herbal product for: Depression Anxiety disorder Schizophrenia Cognitive disorders
depression
The nurse caring for several clients on a surgical unit notes that one of the clients is Muslim. The nurse decides to remove all pork from the client's meal tray prior to delivering it to the room. What bestdescribes the nurse's action? Stereotyping Racism Honoring rituals Transcultural nursing
sterotyping
A nurse practitioner uses integrative care in his practice. What does this mean? He uses allopathic medicine to treat all patients. He uses both allopathic medicine and CAM. The nurse uses CAM, a physician-prescribed medication. The nurse provides care for patients of all age groups.
He uses both allopathic medicine and CAM.
The use of alternative therapies in America has: Declined in recent years due to lack of insurance coverage Not been very popular because of mainstream medicine Risen steadily in the last 30 years Always been a very prominent modality in the health care system
Risen steadily in the last 30 years
During his annual physical, a client tells the nurse about a new herbal supplement that will increase physical endurance during marathon training. However, because the supplement is new to the market, the client wants to make sure it is safe to use. What is the best response for the nurse to give the client? "Check the Office of Dietary Supplements website for a fact sheet on this supplement." "Do not use the supplement because it is new to the market." "Contact the supplement manufacturer for proof of its safety." "The FDA regulates the manufacture of herbal supplements."
"Check the Office of Dietary Supplements website for a fact sheet on this supplement."
While performing the initial assessment of an infant, the nurse notes a soiled string of yarn around the infant's neck. Which response from the nurse would facilitate culturally competent care? "I see you have a string tied to your child's neck. Can you explain why you do this?" "I noticed the string around your child's neck. Why do you include this practice in your child's health care?" "I see the sacred string is dirty. In your culture, is it okay that I clean it?" "I noticed a ritual string on your child. Is this a cultural practice to protect the child's health?"
"I see you have a string tied to your child's neck. Can you explain why you do this?"
Nursing students are reviewing information about biological variations among population groups. The students demonstrate understanding of this information when they state: "Girls of European ancestry, on average, reach menarche at a younger age." "Individuals of Asian ancestry do not metabolize alcohol as quickly as individuals of African ancestry do." "Most Caucasian individuals experience lactose intolerance after 5 years of age." "Children of parents of African ancestry typically are smaller than children of Asian ancestry."
"Individuals of Asian ancestry do not metabolize alcohol as quickly as individuals of African ancestry do."
Which of the following nursing actions is an example of using integrative care? A nurse instructs a laboring woman to use breathing exercises and assists with the administration of an epidural for her pain. A nurse monitors the heartbeat of a fetus and charts the height of the mother's fundus on the medical record. A nurse provides music therapy along with relaxation techniques for residents of a long-term facility. A nurse performing a home assessment of an elderly patient recommends a referral to social services.
A nurse instructs a laboring woman to use breathing exercises and assists with the administration of an epidural for her pain.
How can a nurse improve his or her transcultural sensitivity and demonstrate culturally competent nursing care? All of the responses are correct. The nurse can learn to speak a second language. The nurse can become familiar with physical differences among ethnic groups. The nurse can perform a cultural and health beliefs assessment and plan care accordingly.
All of the responses are correct.
The nurse makes a home visit for a client whose 12-year-old child died 4 years ago. The nurse finds the child's room with all belongings still intact. The client also speaks as if the child is still alive. Which action would the nurse take in this situation? Recommend the client to participate in mourning rituals. Encourage the expression of feelings of sadness or resentment. Arrange for individual counseling for the client. Refer the client to a peer-led Internet-based support group for bereaved parents.
Arrange for individual counseling for the client.
Which factor is the most important to consider when caring for clients with limited income? Basic human needs going unmet Limited access to reliable transportation Decreased access to healthcare services Risk for increased incidence of disease
Basic human needs going unmet
Which of the following integrative therapies rely on natural substances such as herbs, diet, and nutritional supplements? Mind-body medicine Biologically based practices Manipulative and body-based practices Energy medicine
Biologically based practices
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 By enhancing the content of community nursing classes By requiring students to care primarily for clients from other ethnic groups By screening applicants according to their cultural competence
By offering multicultural health studies in nursing curricula
The nurse is admitting a client who is a recent immigrant from China and who has a diagnosis of adenocarcinoma. During the client's admission assessment, the client speaks of her beliefs related to health care and indirectly references the yin/yang theory. Based on her cancer diagnosis and her yin/yang beliefs, which meal will the client most likely order for lunch? Chicken noodle soup with crackers, fruit crisp, and hot tea Turkey sandwich, small tossed salad, and iced tea Chef's salad, bread, and water Fruit smoothie and granola bar
Chicken noodle soup with crackers, fruit crisp, and hot tea
A client who believes that a recent bout of diverticulitis is the result of an imbalance affecting chi believes in which medicine system? Chinese medicine ayurvedic medicine Native American medicine allopathic medicine
Chinese medicine
The nurse is preparing a client who is Jehovah's Witness for surgery. The client states, "Please make sure I do not receive a blood transfusion." What policy should the nurse follow to best address the client's concern and needs? Implement standard protocol for patient-centered care to avoid inadvertent transfusion Address client culture needs while providing information and provisions for blood loss and hypovolemic shock. Speak with the provider to create an appropriate plan regarding infusion of blood. Develop a plan of care with the client that addresses cultural practices regarding transfusions.
Develop a plan of care with the client that addresses cultural practices regarding transfusions.
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? Explain to the client that the client is required to make all decisions related to the client's own health care. Document the client's request in the nursing care plan. Bring the client's spouse into the hallway to discuss surgical options for the client. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.
Document the client's request in the nursing care plan.
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? Inform the client that these herbs are likely contraindicated while she is taking medications. Ask the client to bring in the packaging of the herbs for review. Affirm the client's decision to pursue complementary and alternative therapies. Ensure that the client has informed the primary provider about these supplements.
Ensure that the client has informed the primary provider about these supplements.
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 Subgroups Cultural beliefs Health practices Values
Family structure Cultural beliefs Health practices Values
A nurse attempts to integrate complementary and alternative therapies (CAT) into nursing practice. Which of the following are basic principles of CAT? Select all that apply. Illness occurs in either the mind or the body, which are separate entities. Health is the absence of disease. Health is a state characterized by a dynamic balance of mind, body, and spirit. Illness is a manifestation of imbalance or disharmony and is a process. Curing is accomplished by external agents. Healing is a natural, slow process that involves the body, mind, and spirit.
Health is a state characterized by a dynamic balance of mind, body, and spirit. Illness is a manifestation of imbalance or disharmony and is a process. Healing is a natural, slow process that involves the body, mind, and spirit.
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 Chronic obstructive pulmonary disease (COPD) Alzheimer disease
Human immunodeficiency virus (HIV) Cancer Heart disease
The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? Set all interventions to be done at specific times. Maintain flexibility when the client requests interventions at specific times. Have the client set all times for the interventions. Perform interventions at random times during shift.
Maintain flexibility when the client requests interventions at specific times.
Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. Physically impaired Cognitively enhanced Burdensome to family Financially independent Uninterested in intimacy
Physically impaired Burdensome to family Uninterested in intimacy
On the advice of friends, a patient on a palliative care unit has requested acupuncture. What it is the goal of this form of CAT? Restoring a healthy flow of energy along the meridians of the body Reconnecting the patient's body, spirit, and emotions Altering the patient's perception and acceptance of reality Allowing accumulated toxins to be released from the body
Restoring a healthy flow of energy along the meridians of the body
The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Soup, hot tea, and toast Turkey sandwich, milk, and gelatin Chicken salad, water, and a frozen fruit juice bar Fruit salad, apple juice, and pudding
Soup, hot tea, and toast
The nurse determines the need for an interpreter when providing care for a client. What would the nurse do first? Introduce the client to the interpreter upon entering the client's room. Talk with the interpreter before meeting with the client. Use the interpreter as a key informant for preliminary cultural information. Discuss concerns about communicating with the interpreter.
Talk with the interpreter before meeting with the client.
A nurse receives a report for a client who is going to surgery in the morning. The nurse is informed that the client is Jehovah's Witness. What education is needed for this particular client? The client needs to be informed that blood may be given if needed in an emergency situation so informed consent can be obtained. The client should be informed that surgery is not an option because blood will need to be transfused. The client should be informed that he or she can discuss the possible need for blood with a spiritual counselor prior to surgery to make an informed decision. The client needs to have a discussion with the health care team about blood product preferences.
The client needs to have a discussion with the health care team about blood product preferences.
A nurse at a long-term care facility has completed a comprehensive assessment of an 83-year-old woman who has just moved to the facility. The assessment reveals that the new resident has a lactase deficiency. How should the nurse integrate this knowledge into the resident's care? The nurse should ensure that the resident is not given dairy products. The nurse should liaise with the resident's health care provider to ensure that a B-vitamin is prescribed. The nurse should arrange for a vegetarian diet. The resident should be provided with supplementary dietary enzymes for the digestion of fats prior to each meal.
The nurse should ensure that the resident is not given dairy products
The nurse is assigned to care for a patient with a cultural background that is different than the nurse's. Prior to delivering care, what is important for the nurse to do? The nurse should explore his/her own cultural beliefs. Request to be reassigned to a patient with a culture the nurse is familiar with. Be determined to provide care the same way to every patient, regardless of cultural background. Determine what type of dietary restrictions the patient will have.
The nurse should explore his/her own cultural beliefs.
The nurse is aware that an older adult client with chronic obstructive pulmonary disease (COPD) has begun to go to hatha yoga classes and is aware that the client is using this mind-body medicine therapy for a what reason? To become more physically fit To become more accepting of the diagnosis of COPD To improve the ability to breathe To improve agility
To improve the ability to breathe
The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the priority action by the nurse? Make every effort to involve the client and the client's family with the end-of-life care. Understand the client's personal and cultural views regarding death and dying. Arrange for end-of-life care to be provided by personnel familiar with the client's culture. Share the client's concerns regarding the dying process with the interdisciplinary care team.
Understand the client's personal and cultural views regarding death and dying.
A client was recently admitted to the intensive care unit following an acute gastroesophageal bleed. The client's use of the dominant language is limited. When speaking with the client, it is important that the nurse remembers to do what? Select all that apply. Speak directly to the interpreter. Use interpretive services when communicating client instructions for discharge. Use simple sentences. Rephrase a question if the client's response does not match the original inquiry.
Use interpretive services when communicating client instructions for discharge. Use simple sentences. Rephrase a question if the client's response does not match the original inquiry.
A nurse is assigned to care for a client who does not speak the dominant language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be mosteffective in reassuring the client until the interpreter arrives? Using gestures and symbols to communicate with the client Enlisting other healthcare providers to assist with communication Using reassuring body language and making eye contact to assess needs Avoiding going into the client's room until the interpreter arrives
Using reassuring body language and making eye contact to assess needs
Which questions should the nurse include in a cultural assessment? Select all that apply. "What do you think is causing your illness?" "What religion do you belong to?" "What do you do to promote good health?" "Do have a particular name for this illness?" "What do you think about religions other than your own?"
What do you think is causing your illness?" "What religion do you belong to?" "What do you do to promote good health?" "Do have a particular name for this illness?"
The charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what? stereotyping cultural shock ethnocentrism ageism
ageism
The community health nurse is developing a workshop for a group of Native American/First Nation clients. Which topic should the nurse teach? Alcohol use disorder Heart-healthy diets Preventing diabetes Signs of stroke
alcohol use disorder
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? Pharmacokinetics and pharmacodynamics Obtaining accurate vital signs Monitoring food intake Obtaining informed consent
obtaining informed consent
The yin/yang theory of harmony and illness is rooted in the holistic or naturalistic paradigm of health. The nurse is preparing a snack for an Asian patient who has a fever. Which of the following beverages would be appropriate according to the yin/yang theory of harmony? Coffee Orange juice Hot chocolate Tepid tea
orange juice
A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?
racism
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 Stereotyping Cultural assimilation Cultural imposition
cultural blindness
A nurse is caring for a client who suffered a fall while on vacation. He is from another state and has no visitors except his spouse, who seems lonely without any friends or family nearby. The nurse invites the spouse to attend services with her at the nurse's church, which is a denomination different from the spouse's. This could be construed as which of the following? Cultural blindness Acculturation Cultural taboo Cultural imposition
cultural imposistion
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? Acculturation Cultural blindness Cultural imposition Cultural taboos
cultural imposistion
The nurse observes unlicensed staff insisting that he will bathe a female client, including her perineum, even though the client's caregivers request that a female aide perform this task. The nurse realizes that the unlicensed caregiver is exhibiting which characteristic?
cultural imposistion
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. cultural competence. cultural stereotyping. ethnocentrism.
cultural ritual
A patient with a diagnosis of bladder cancer has recently been given a poor prognosis following the results of her latest computed tomography (CT) scan. When speaking with the nurse, the patient has alluded to the harmful role of malicious spirits. Which of the following systems of CAM most highly prioritizes the role of the spirit world? Shamanism Homeopathy Traditional Chinese medicine (TCM) Naturopathy
shaminism
A client is taking valerian, a remedy for anxiety. The nurse understands that this homeopathic remedy is also used as which of the following? Sleep medication Weight loss Memory loss Depression
sleep medication
The nurse asks a client who has recently given birth to begin breastfeeding her baby. However, the client informs the nurse that she cannot breastfeed the baby for a day because she believes that the mother's milk on the first day is not pure. What is the appropriate action for the nurse in this case? educating the mother about the advantages of colostrum and breastfeeding feeding the baby with artificial milk till the mother starts breastfeeding calling the nurse supervisor and informing him or her about the client telling the mother that her beliefs are mere superstitions and of little value
educating the mother about the advantages of colostrum and breastfeeding
The nurse is planning care for a client with a chronic leg ulcer. By including therapeutic touch as an intervention, the nurse is including which alternative therapies? Energy therapy Alternative medical systems Manipulative and body-based methods Biologically based therapy
energy therapy
An 8-year-old client with stunted growth, pallor, and weakness is admitted to the health care facility. On interviewing the mother, the nurse finds that the client is from the Mediterranean region and the symptoms had aggravated when the boy participated in a sports activity. Being aware of the ethnic variations, what action is mostappropriate for the nurse? ensuring that the client is not prescribed fluoroquinolones ensuring that the client does not overexert himself ensuring that the client regularly takes hematinics ensuring that the client takes a well-balanced diet
ensuring that the client is not prescribed fluoroquinolones
After educating a class of nursing students on culture and ethnicity, the instructor determines that the education was successful when the class identifies what as the same as ethnicity? race culture subculture ethnic identity
ethnic identity
Many large cities have neighborhoods where the residents voluntarily group according to familial customs and traditions. What cultural principle is exhibited by these actions? ethnicity race culture acculturation
ethnicity
The nurse is caring for two clients with the same ethnic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences? cultural norms cultural relativity ethnicity ethnocentrism
ethnicity
The yin/yang theory of harmony and illness is rooted in which paradigm of health and illness? Biomedical Holistic Religious Scientific
holistic pg 88 med surg
The nurse is preparing a client for discharge when the client confides a fear of being home alone. Upon further discussion, the nurse learns that the client is "simply afraid of being inside the house" alone and has felt this fear ever since the death of the client's spouse. Which of the following CAM interventions might be beneficial for the client to overcome this fear? hypnosis humor ginseng supplements reflexology
hypnosis
Recently a 40-year-old woman has become interested in alternative therapy as a means to maintain and enhance her state of health. However, she has developed hypertension and will be prescribed an antihypertensive agent. The nurse's health history reveals that the patient eats a balanced diet, swims regularly, and occasionally takes an over-the-counter medication for allergies. A priority assessment for the nurse will be to determine: the amount of dietary fiber in the patient's diet. how much exercise the patient gets daily. if the patient is taking any nutritional supplements. if the patient is taking herbal or botanical medications regularly.
if the patient is taking herbal or botanical medications regularly.
A nurse listens to a tape of humorous stories at least once a week for its therapeutic effect. What system is improved by laughter?
immune system
After interviewing clients in the general medicine physician group, the nurse finds a trend among a certain age demographic that demonstrates a high use of alternative medicine. After further questioning, the nurse finds several reasons why they implement CAM in their lives. Why do some of these clients use CAM? increased instances of chronic conditions increased trust of physicians decreased costs of medical care increased reliance on physician's decision making
increased instances of chronic conditions
A new acute care client, a 57-year-old male, does not speak English. His daughter insists on staying with her father around the clock. While the daughter's offer is appreciated, the nurse also contacts the unit manager to enlist the services of a male interpreter. The interpreter is preferable because the daughter: lacks medical knowledge. is unable to stay at the hospital around the clock. doesn't know her father's wishes. acting as interpreter violates HIPAA rules.
lacks medical knowledge
A nurse has engaged a translator to help in communicating with a client. When asking questions of the client and obtaining answers, the nurse should: look at the client while asking questions and carefully listen to the client's response. record each session to avoid any later confusion or disputes over what was said. take careful notes as the translator speaks. make sure that a family member is present at all times.
look at the client while asking questions and carefully listen to the client's response.
A client insists that one can laugh their way to health. The client devotes 30 minutes per day reading funny stories or jokes and reports having practiced this ritual for 40 years. What type of CAM modality is the client using? mind-body medicine energy medicine biofeedback whole medical systems
mind body medicine
Which culturally related perspective on illness/disease is based on a belief in achieving health by attaining a state of harmony in the body? naturalistic or holistic biomedical or scientific magico-religious homeopathic
naturalistic or holistic
