(7) ch 15

The nurse is teaching a clinic patient about hypertension. Which statement by the patient suggests that he is present-oriented?

"I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult."

A patient who had surgery 8 hours ago has not voided. The physician has prescribed that an indwelling urinary catheter be inserted. Which of the following statements should the nurse use to describe the procedure to the patient? "I need to:

"Insert a tube into your bladder to drain the urine because you haven't urinated since surgery"

The nursing student tells her instructor, "My patient is Jewish and when I tried to teach her about her antihypertensive medication she said, 'I'd rather eat chicken soup than take those medications.'" What is the most appropriate response by the instructor?

"This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup."

As a nursing student and nurse, you will encounter many patients from diverse cultures. When caring for a culturally diverse patient, what initial question can you ask your patient that will best assist you to improve your cultural competency?

"What matters most to you about your illness and treatment?"

The nurse is beginning her assessment on a 35-year-old woman. The patient appears to be of Asian descent. As part of the nurse's cultural assessment, what question is most appropriate for the nurse to ask pertaining to race prior to documenting the patient's race?

"What race do you identify with and what name do you call it?"

Which statement(s) is/are most true about the concept of acculturation?

A person who accepts both his own culture and a new culture and adopts elements of each has been acculturated. & It is theorized that it can take years and even generations for an immigrant group to acculturate. & Acculturation is the outgrowth of a minority group's need to survive and flourish in a new culture.

Which statement(s) is/are most accurate regarding values and beliefs? Select all that apply.

A value is a standard or principle that has meaning and worth to an individual. & A belief is something one accepts as true.

A patient of Japanese heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of Pain related to reluctance to take medication secondary to cultural beliefs. If the cultural archetype is true for this particular patient, this probably means that the patient views pain as:

A virtue and a matter of family honor

A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?

Acupuncture

Which of the following is considered a "practice" (as opposed to a belief or value)?

Always drinking water after exercise

Which statement(s) about culture is/are true? Select all that apply.

Culture exists on both material and nonmaterial levels. & Cultural customs change over time at different rates. & Culture is learned through life experiences shared by other members of the culture.

The nurse is caring for a patient of Japanese heritage who refuses opioid pain medication despite the nurse's explaining its importance in the healing process. Which intervention(s) by the nurse is/are appropriate for this patient? Select all that apply.

Document in the record that the patient does not want to take opioids. & Use nonpharmacological measures to help control the patient's pain.

A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident. When assessing this patient, the nurse must consider that he may possess which view of pain? He may:

Endure pain longer and report it less frequently than some patients do

A Spanish-speaking patient in the hospital is getting ready surgery and needs to sign the surgical consent form. Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient. The healthcare organization is required to do which of the following?

Ensure adequate resources to comply with informed consent requirements

Which of the following statements about race and ethnicity is/are true? Select all that apply.

Ethnicity refers to groups whose members share a common and social heritage that is transmitted to the next generation. & Race primarily reflects biology and refers to grouping of people based on biological similarities.

At a clinical post conference, a nursing student states, "I had a Chinese patient today and while I understand some of her cultural practices, she needs to understand that she is in the United States now and should follow our practices because we use scientific evidence." Which cultural barrier is the student demonstrating?

Ethnocentrism

Vulnerable populations are those most likely to develop health problems and experience poorer outcomes because of limited access to care and a wide variety of other stressors. Therefore, when caring for a patient from a vulnerable group, it is most important for the nurse to focus on:

Identifying the patient's strengths and resources

The nurse is caring for a patient who emigrated from Puerto Rico. She can best care for this patient by learning about the:

Patient's individual cultural beliefs

The nurse is caring for a Native American in a rural rehabilitation facility. The nurse notices that the patient has eaten very little since his admission 10 days ago. When she asks the patient about his eating, he states, "I can't eat any of this food. It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission. Based on this scenario, what is/are the most appropriate nursing diagnosis(es) for this patient? Select all that apply.

Possible Knowledge deficit related to disease process & Imbalanced nutrition: less than body requirement related to cultural dietary practices

What are some strategies a new nurse can use to develop skills in achieving cultural competence? Select all that apply.

Read the literature and study nursing theories and principles pertaining to culture & Take advantage of as many opportunities as possible to interact with persons from diverse cultures

The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care?

Scheduling a visit from the local shaman

An elderly patient tells the charge nurse that she wants another nurse to take care of her. When the charge nurse questions the patient, she states, "I don't want a man taking care of me." Which cultural barrier is this patient exhibiting?

Sexism

Which statement is most reflective of Madeleine Leininger's theory of cultural care?

The goal of her theory is to guide research that will assist nurses to provide culturally congruent care.

What are common beliefs and practices associated with the North American (Western) professional healthcare system? Select all that apply.

Values emphasize individualism and self-reliance. & Health is defined as absence or minimization of disease. & Reliance is on the biomedical system.