CH. 11 Assessing CULTURE 3060 Health Assessment

Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country." A bias is based on the practice of applying one's own cultural beliefs and values when interpreting and judging the value of something. A prejudice is disapproving or negative attitude that is not rooted in fact or accurate information. Stereotyping involves a uniform image of one group that is believed by another group or a fixed, overgeneralized belief about a particular group.

A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover?

A FOCUS ON MAINTAINING BALANCE BT YIN AND YANG A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover?

A community health nurse is conducting a community assessment on an inner city neighborhood. The assessment reveals predominantly young single parents, higher than expected birth with higher infant mortality, affordable public transportation, several small convenience stores in a 5-mile radius, one grocery store within a 20-mile radius, several small health clinics within a 10-mile radius, and major medical centers within a 20-mile radius

A community health nurse is conducting a community assessment on an inner city neighborhood. The assessment reveals predominantly young single parents, higher than expected birth with higher infant mortality, affordable public transportation, several small convenience stores in a 5-mile radius, one grocery store within a 20-mile radius, several small health clinics within a 10-mile radius, and major medical centers within a 20-mile radius

The nurse is caring for a client who is from another country, and states to the charge nurse, "I just don't know if the client really understands what I am saying, and I am not understanding the client either, even though he speaks English." What stage of cultural awareness is the nurse experiencing?

CONSCIOUS INCOMPETENCE Conscious incompetence is the awareness that one lacks knowledge about another culture; aware that cultural differences exist but not knowing what they are or how to communicate effectively with clients from different cultures.

A nurse is assessing a client from India who complains of panic, sexual dysfunction, fatigue, weakness, and loss of appetite. Which culture-bound syndrome should the nurse suspect in this client?

DHAT Dhat is a culture-bound syndrome of India and includes symptoms of panic, sexual complaints, fatigue, weakness, loss of appetite, guilt, and sexual dysfunction with no physical findings. Latah is a culture-bound syndrome of Malaysia that occurs after a traumatic episode or surprise. Symptoms include an exaggerated startle response (usually in women), screaming, cursing, dancing, hysterical laughter, imitation of people, and hyper-suggestibility. Wind illness is a culture-bound syndrome of Asia that features symptoms including fear of wind or cold exposure causing a loss of yang energy. Koro is a culture-bound syndrome of Malaysia and Southeast Asia that features a fear that genitalia will retract into the body, possibly leading to death.

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 FINDING Cupping is a traditional healing practice used in Asian societies, and it often leaves large, red marks. The nurse would document the findings. There is no reason to ask the client's spouse to leave the room or report abuse to the supervisor because these marks are normal in the client's culture. The nurse does not have to notify the health care provider, because these are not abnormal findings. P. 201

A new graduate is caring for a client of Mexican descent and is overheard telling a coworker that she does not like caring for that particular client because she is so different. She further states that the client believes "crazy" things, eats "weird" things and dresses "funny." The nurse is exhibiting which of the following?

ETHNOCENTRISM A new graduate is caring for a client of Mexican descent and is overheard telling a coworker that she does not like caring for that particular client because she is so different. She further states that the client believes "crazy" things, eats "weird" things and dresses "funny." The nurse is exhibiting which of the following?

A new nurse is caring for a group of clients. A charge nurse intervenes when observing which of the following actions by the new nurse?

PERFORMING AN ADMISSIONS ASSESSMENT USING THE CLIENT'S SON AS AN INTERPRETER. The nurse should use a professional interpreter. The client may withhold important information because of not wanting to share certain information with the son. It is normal to address the man of the household in paternalistic structured families. The nurse is being respectful by not making eye contact with the client of Native American/First Nations heritage because making eye contact is seen as disrespectful. People who participate in the Jehovah's Witnesses faith do not believe in receiving blood products.

A nurse documents on the client's assessment form, "skin color appropriate for race". Why is this not an appropriate assessment statement?

RACE IS NOT A PHYSICAL CHARACTERISTIC Race is not a physical characteristic but a socially constructed concept that has meaning to a larger group. Race is a vague, unscientific term that refers to a group of genetically related individuals who share certain physical characteristics. People of the same race to not have the same skin color and tones.

A nurse is conducting a cultural assessment. Which of the following should the nurse include in the assessment? Select all that apply.

VALUES AFFILIATIONS COMMUNICATION A cultural assessment should include the client's values, affiliations (what culture the client self-identifies with, religion), cultural sanctions or restrictions, communication, health-related beliefs and practices, education background, nutrition, and socioeconomic considerations, among other factors. History of mental illness is not generally included in a cultural assessment. A physical assessment assesses physical health; however, a cultural assessment can take place during a physical exam and health history.