Ch 10 Cultural Assessment PREPU

A nurse is caring for a female client. The client tells the nurse that in their culture, the husband makes all the decisions. The nurse understands that this is common in some societies that believe in which of the following family structures?

paternalistic

A nurse assesses the spirituality of a client who is terminally ill with pancreatic cancer. Which of the following is the best rationale for this action, from the nurse's perspective?

Identifying possible coping mechanisms

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.

The client states "What does it matter? I have no purpose in this life." This client is questioning what?

Spirituality

Which of the following would be the best indication that a community's police department is inadequate?

A high rate of homicides

The nurse is working in a lakeside community where water sports such as skiing and jet skis are common recreation. What type of community programs might she suggest to promote optimal health in this community?

A program regarding water safety.

A nurse is planning a program to address measures to reduce the leading cause of mortality in children age 1 to 14 years. What topic would best address this cause of death?

Accident prevention

The nurse desires to use a definition of community that includes the characteristics of place and interest. Which definition should the nurse select?

An open social system characterized by people in a place over time who have common goals

An acute care nurse is assessing the community in which the nurse is practicing. In what manner should the nurse complete this assessment?

Assess community resources available to the nurse's clients.

A nurse is beginning a community assessment and needs to access the age and gender characteristics of residents. What data source should the nurse consult?

Census data

The nurse is caring for a married female client who defers to her husband to answer all assessment questions. The nurse understands that it is common in some cultures for the male to hold a dominant role in the relationship. What stage of cultural awareness does the nurse display?

Conscious competence

A nurse is assigned to care for a client who practices a religion different from her own. After reading the client's medical record, the nurse takes time to talk with the client about how to make his hospital stay more comfortable. The nurse admits to the client that she is not familiar with his religion but would like to learn more. The nurse is in which stage of cultural awareness?

Conscious incompetence

A nurse is participating in an educational exercise in which she is conducting a self-examination of her own biases. This activity addresses what construct of cultural competence?

Cultural awareness

The nurse prepares to complete a community assessment. What should the nurse recall as the reason for this assessment?

Determine health-related concerns of community members

A nurse is performing an admission assessment of a client of Asian descent who participates in traditional cultural practices. During the assessment the nurse observes large, round, red marks on the client's back. What action should the nurse take?

Document findings.

A nurse's personal reflection reveals that the nurse tends to see their own culture as the "gold standard" to which all other cultures should aspire. This nurse should create learning goals to address what phenomenon?

Ethnocentrism

A nurse is teaching nursing students how to conduct a spiritual assessment. The nurse determines understanding when a student states which of the following?

General introductory questions should be used to start the spiritual assessment."

When assessing a community, the nurse is reviewing statistics related to adult mortality in clients who are 65 years of age and older. The nurse would assess the community for health programs to address what as the major cause of death in this age group?

Heart disease

A community has experienced an increase in crime over the past several months. The nurse should recognize that this lack of safety may have what effect on residents?

Increased psychosocial stress for residents

Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?

Mediterranean and Africa.

What is an important part of being present with a client?

Listening

To provide a high-quality spiritual assessment, the nurse understands that the focus must be on which of the following?

Objectivity in assessment

A nurse is performing a focused assessment on a newly admitted client. The client recently emigrated from Central America. The client is talking about the evil eye in a partial use of the dominant language. What is the best response of the nurse?

Obtain a translator.

As a novice nurse caring for a client from a different culture, what may the nurse find confusing or upsetting?

Patient's nonverbal communication

A client asks the nurse if there are church services in the hospital because the client attends mass every Sunday. The nurse realizes that this client is demonstrating:

Religion

A nurse is working with a client who does not own an automobile. The nurse understands that clients living in which type of area are most likely to face transportation challenges?

Rural

When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client's culture and personal life experiences.

The nurse is assessing a client's ability to employ coping mechanisms when given a diagnosis of cancer. What type of assessment would be beneficial for the nurse to use?

Spiritual assessment

The hospice nurse is performing a spiritual assessment for a client that is admitted with a diagnosis of lung cancer. What does the nurse understand is the importance of spirituality?

Spirituality can influence health care decisions.

A nurse experienced in doing community assessments realizes that the following is true regarding education?

The higher the community's education level, the healthier the community.

The nursing student is obtaining information regarding the education levels of a community and how it relates to the health status of the individuals. Her data informs her that there is a large population of individuals with a college degree and graduate degrees. How will this affect the health status of the community?

The higher the education levels, the healthier the community.

A nurse has completed a community assessment and is analyzing the availability of agency services. What assessment finding would suggest that agencies provide sufficient services in the community?

There is a combination of several different public agencies and volunteer agencies

A nurse is caring for a client according to the five constructs of the cultural competence process. What will the nurse demonstrate while caring for the client? Select all that apply.

cultural awareness cultural knowledge cultural encounters cultural desire

A nurse is alert for the following community problem that can arise from unclear boundaries?

disruption in services

A nurse determines that a community lacks adequate recreational facilities and organizations. Which community concern would the nurse most likely identify?

injury risk

A client describes themselves as "dumbfounded" that they have been diagnosed with cancer, stating "I had such a clear vision from God that I was negative for cancer. Now I have no idea what I can trust." This client's statement is suggestive of what?

psychosocial/spiritual needs