Ch. 5: Cultural Diversity (NUR 111-nursing fundamentals book)
A) health disparities.
Persistent gaps between the health status of minorities and non-minorities are defined as: A) health disparities. B) ethnocentrism. C) racism. D) cultural relativity.
D) cultural imposition.
A client from Pakistan informs the nurse of his cultural dietary requests. The nurse responds to the special dietary needs by stating, "You are now living in the United States, and you should try to start eating those foods common to an American diet." This inappropriate response is an example of: A) cultural assimilation. B) cultural blindness. C) cultural diversity. D) cultural imposition.
stereotyping
= a fixed attitude or preconceived idea that all people share a common characteristic
ageism
= a negative attitude towards older adults
cultural shock
= bewilderment when exposed to a new culture
ethnocentrism
= the belief that one's culture is better than others
B) "We can wait for your healer to come & then work together to answer these questions."
A client is admitted to the hospital and the nurse is attempting to complete an admission assessment. The client reports that her spiritual healer will be coming in soon and is upset by the admission questions. What is the most appropriate response by the nurse? A) "We can wait for your healer, but they can't do anything to provide care in a traditional care environment." B) "We can wait for your healer to come & then work together to answer these questions." C) "When your spiritual healer gets here, please have her complete this admission information." D) "These questions are important & must be answered now."
B) Cultural imposition
A client is admitted with end stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse if an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed? A) Culture shock B) Cultural imposition C) Stereotyping D) Cultural conflict
C) "Ethnicity is a social category that is being used to replace racial categories."
A client is completing a health history form and asks the nurse, "Why does this ask for my ethnicity instead of my race?" What is the appropriate nursing response? A) "Race & ethniticty are the same thing." B) "Race is based on physical characteritics, & ethnicity is specific to where you live." C) "Ethnicity is a social category that is being used to replace racial categories." D) "Ethnicity is a sense of identity with a collective cultural group."
A) The nurse should avoid using medical terminology.
A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. Keeping in mind that the client is a Latino, how should the nurse conduct the interview? A) The nurse should avoid using medical terminology. B) The nurse should sit at a substantial distance from the client. C) The nurse should ask the client to express himself emotionally. D) The nurse should ask closed-ended questions.
C) The client may not report pain.
A female Asian client is admitted to the emergency department with a fractured femur. What cultural factor might affect nursing care? A) A male provider may not be allowed. B) The illness may be perceived as a sign of punishment. C) The client may not report pain. D) The client may overreact to any procedure.
A) The client does not have running water
A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with her in a one-bedroom apartment. Which of the following is a primary nursing concern? A) The cient does not have running water B) The client has no hope for the future C) The client receives government assistance D) The client does not have air-conditioning
D) Stereotyping
A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation? A) Cultural blindness B) Cultural imposition C) Cultural conflict D) Stereotyping
C) "What are your dietary needs and preferences?"
A nurse is admitting a client to the unit. Which cultural question is most appropriate? A) "Do you have food restrictions?" B) "Will you be making requests for special food based on your religion?" C) "What are your dietary needs and preferences?" D) "Will you be able to eat the normal food provided?"
B) less power E) health disparities
A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would most likely experience which effect? Select all that apply. A) improved access to care B) less power C) greater advantages D) increased economic privileges E) health disparities
C) Material
A nurse is assessing a client's culture. Which aspect would be the easiest for the nurse to recognize? A) Attitudes B) Values C) Material D) Beliefs
C) cultural ritual.
A nurse is caring for a 55-year-old man from Thailand. He has bacterial pneumonia and a temperature of 104°F (40.0°C); yesterday his temperature was 102°F (38.9°C). The physician on call prescribes cool compresses for the client to help lower his fever. However, the client insists that the nurse bring him warm blankets because they will help him recover more quickly. The nurse recognizes that the client's request is an example of: A) ethnocentrism. B) cultural stereotyping. C) cultural ritual. D) cultural competence.
D) The nurse uses a low tone of voice when explaining the care plan to the patient.
A nurse is caring for a female Native American patient who is receiving chemotherapy for breast cancer. Which nursing action is the best example of providing culturally sensitive care for this patient? A) The nurse makes direct eye contact when examining the patient. B) The nurse does not include the family in the nursing care plan. C) The nurse provides materials for the patient to take notes about the care plan. D) The nurse uses a low tone of voice when explaining the care plan to the patient.
D) "Do you use any medicinal plants or minerals?"
A nurse is caring for a female patient of Hawaiian descent. Which interview question would be appropriate based on the cultural beliefs of Hawaiians? A) "Do you ever use fad diets to lose weight?" B) "Do you base your diet on eating a balance of hot & cold foods." C) "Do you have a preference for the gender of the nurse caring for you?" D) "Do you use any medicinal plants or minerals?"
A) Explain the purpose and need for assistance during ambulation.
A nurse is caring for a postoperative Asian American client after knee arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action? A) Explain the purpose and need for assistance during ambulation. B) Let the client ambulate slowly on his own when he is stable. C) Instruct family members to ambulate the client. D) Ambulate the client without answering his questions.
A) The nurse makes an appointment to meet with the patient and his spiritualist.
A nurse is caring for an African American male patient who is diagnosed with hypertension. Which nursing action is considered culturally competent care based on the beliefs/practices of patients of African American culture? A) The nurse makes an appointment to meet with the patient and his spiritualist. B) The nurse offers the patient a Halal diet free of alcohol and pork. C) The nurse assesses the patient's diet for salt related to the heavy use of soy sauce. D) The nurse uses declarative sentences instead of direct questioning during the patient interview.
C) Client
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? A) Health care provider B) Older family member C) Client D) Nurse
C) Ask the client how she wants to be treated based on her values and beliefs.
A nurse is providing care to a client from a different culture. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate? A) Ask another nurse to take over the client's care. B) Look up the client's culture online and try to figure out methods to relate. C) Ask the client how she wants to be treated based on her values and beliefs. D) Look up the standards issued by the Office of Minority Health to help in the provision of care.
B) Speak to the client rather than the interpreter. E) Use simple sentences to convey the verbal message.
A nurse is working with an interpreter to communicate with a client who speaks very little English. Which action would be most appropriate for the nurse to take? Select all that apply. A) Use metaphors when asking questions to further understanding. B) Speak to the client rather than the interpreter. C) Talk quickly to ensure that the full message is sent. D) Rephrase a question using different words if the answer is inappropriate. E) Use simple sentences to convey the verbal message.
B) Cultural imposition
A parent informs the nurse that immunizations are against her cultural and religious beliefs and she does not want her child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that she had all of her children vaccinated. What is the nurse's behavior an example of? A) Cultural blindness B) Cultural imposition C) Stereotyping D) Cultural conflict
C) "Would you feel more comfortable with your family with you?"
An Appalachian male has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset and the client wants to leave. What is the most appropriate cultural response by the charge nurse? A) "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." B) "Why do you think you need to leave?" C) "Would you feel more comfortable with your family with you?" D) "Sometimes family can cause stress and we try to maintain a stress-free care environment?"
B) "Why don't you take the medicines, too, and benefit from both?"
An Asian American client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had his prescribed medicines. The client believes that eating saffron will keep his blood sugar under control. What is the most appropriate response by the nurse? A) "Saffron does not have any effect on blood sugar level." B) "Why don't you take the medicines, too, and benefit from both?" C) "Let me inform the physician that you are not taking your medicines." D) "Yes, I agree that you should continue taking saffron for diabetes."
D) Nonverbal expressions of pain
An Asian client is admitted to the unit. What cultural assessment might the nurse anticipate? A) Excessive verbal reports of extreme pain B) Refusal of pain medication C) Loud, aggressive response to pain D) Nonverbal expressions of pain
D) stereotyping
During report for a 42-year-old Hispanic client who is 10 hours post-operative from an appendectomy, the day shift nurse states, "The client states the pain is 10 on a 0 (no pain) to 10 (severe pain) scale, but you know how those people exaggerate their pain." What would best describe the nurses's action? A) ageism B) cultural shock C) ethnocentrism D) stereotyping
C) client's height.
The ANA states that nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: A) developmental level. B) available technology. C) client's height. D) individual values.
B) "Collecting this info allows us to develop a personalized plan of care to meet your needs."
The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond? A) "understanding your background will prevent us from doing anythign to offend you." B) "Collecting this info allows us to develop a personalized plan of care to meet your needs." C) "Insurance companies requires us to ask all clients." D) "We require the info for identification purposes."
C) stereotyping
The labor and delivery nurse is getting report from the previous shift. The nurse is told that the client who is Asian did not ask for pain medication because "her people can handle pain." The nurse understands that this an example of what? A) ethnocentrism B) ageism C) stereotyping D) cultural shock
D) using faith healing
The nurse is caring for a Haitian client. Which health belief system does the nurse anticipate? A) embracing the hot/cold theory B) observing the yin/yang theory C) living in congruence with Mother Earth D) using faith healing
A) soup, hot tea, & toast
The nurse is caring for a client who is Hispanic and admitted with an upper respiratory infection. The client tells the nurse that they follow the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this data? A) soup, hot tea, & toast B) fruit salad, apple juice, & pudding C) chicken salad, water, & frozen fruit juice bar D) turkey sandwich, milk, & gelatin
B) The client belongs to a culture where touch is common
The nurse is caring for a client who is Mexican-American and will often hold the nurse's hand when the nurse is at the client's bedside. What should the nurse understand about the client's behavior? A) The client is asking the nursing for help B) The client belongs to a culture where touch is common C) The client is trying to control the nurse D) The cient is afraid of being alone
D) Understand the client's personal and cultural views regarding death and dying.
The nurse is caring for a client who is terminally ill and recently immigrated to the United States. 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? A) Arrange for end-of-life care to be provided by personnel familiar with the client's culture. B) Share the client's concerns regarding the dying process with the interdisciplinary care team. C) Make every effort to involve the client and the client's family with the end-of-life care. D) Understand the client's personal and cultural views regarding death and dying.
B) The interpreter should understand the health care systsem
The nurse is caring for a client who speaks a language other than English and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client? A) The interpreter should speak in a loud voice B) The interpreter should understand the health care systsem C) The interpreter should always make direct eye contact D) The interpreter should conduct the conversation quickly to avoid misinterpretation
A) "Let me check with the doctor to make sure it is okay with your medicines."
The nurse is caring for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to the client's request for herbal tea? A) "Let me check with the doctor to make sure it is okay with your medicines." B) "We do not allow our clients to drink herbal tea." C) "Why in the world would you want to drink that stuff?" D) "If you prefer to drink that, then ask your family to bring you the herbal tea."
D) Ask the client if a spiritual leader is desired.
The nurse is caring for a terminally ill client who is from Mexico. Which nursing intervention regarding spiritual care is appropriate? A) Inquire if the client desires the Sacrament of the Sick. B) Call a Roman Catholic priest to visit the client. C) Do nothing unless the client requests spiritual assistance. D) Ask the client if a spiritual leader is desired.
A) Verbally confirm what the client states and take notes after the interview.
The nurse is collecting the health history of a client who is Native American. Which is the first action the nurse should implement? A) Verbally confirm what the client states and take notes after the interview. B) Provide the client with a questionnaire to fill out. C) While the client is answering questions, write down everything that is said. D) Include any family members during the interview.
C) yogurt
The nurse is teaching about sources of calcium for a client who is Asian and newly diagnosed with lactose intolerance. The client would require further teaching if which food is chosen? A) egg yolks B) prunes C) yogurt D)green, leafy vegetables
B) "Ethnicity and race are the same thing and are affected by cultural practice."
The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? A) "Ethnicity begins at birth or through adoption of characteristics." B) "Ethnicity and race are the same thing and are affected by cultural practice." C) "Ethnicity can often determine dialect and political interests." D) "People of the same ethnicity share many of the same cultural and social beliefs."
A) "Diversity demonstrates differences among groups of people."
The nursing instructor is teaching a nursing student about the definition of diversity. Which teaching will the nursing instructor include? A) "Diversity demonstrates differences among groups of people." B) "Diversity includes language, communication style, religion, art, music, and clothing." C) "Diversity is reflective of the values, beliefs, and practice of a particular group." D) "Diversity has been learned from birth and is shared by members of a group."
E) "Italians are best at everything."
The staff nurse overhears the charge nurse talking to the unlicensed assistant personal (UAP). Which statement made by the charge nurse is an example of ethnocentrism? A) "Hispanics are usually lazy." B) "People who are Irish are usually alcoholics." D) "Asian people are bad drivers." E) "Italians are best at everything."
A) ethnocentrism.
The use of one's own culture as a cultural standard is known as: A) ethnocentrism. B) ritualism. C) culture. D) cultural relativity.
D) Access to care
What is the priority assessment for the nurse when developing a plan of care for a client from a poverty culture? A) Access to financial assistance B) Access to health insurance C) Access to affordable housing D) Access to care
D) Assessment of eye contact, personal space, and social taboos
When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? A) Assessment of racial identification and cultural affiliation B) Assessment of income level to determine poverty status C) Assessment of religious beliefs and prayer schedules D) Assessment of eye contact, personal space, and social taboos
A) Language D) Shared beliefs of origin E) Religious beliefs
When providing care to a client, the nurse refers to the client's ethnic group. Which aspect would the nurse include as pertaining to this concept? Select all that apply. A) Language B) Eye shape C) Skin color D) Shared beliefs of origin E) Religious beliefs
A) Ethnicity
When reviewing the chart of an elderly client, the nurse notes that the client identifies herself as Hispanic American. The nurse realizes the client is referring to which factor? A) Ethnicity B) Ethnocentrism C) Race D) Values
D) Ask the client about his personal space preferences.
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate cultural response? A) Ask the client why he is backing away. B) Move closer to the client. C) Back away from the client. D) Ask the client about his personal space preferences.
C) "Good morning, Mr. Smith. I am your nurse, John."
Which nursing intervention reflects culturally appropriate care when addressing an African American client? A) "I see you are here because you have a sinus infection." B) "Thank you for coming to the clinic today." C) "Good morning, Mr. Smith. I am your nurse, John." D) "You can sit in this chair, Sally."
D) It is important to be on time for your health care appointment.
Which teaching statement best exemplifies cultural competence in relation to time? A) It is a sign of respect to be late for your health care appointments. B) It is important to arrive within 20 minutes of your scheduled appointment time. C) It is important to be future oriented when considering your appointment time. D) It is important to be on time for your health care appointment.
B) Administering antibiotics to a child whose parents do not believe in Western medicine
Which of the following behaviors by the nurse demonstrates cultural blindness? A) Administering pain medication when a client shows nonverbal indicators of pain B) Administering antibiotics to a child whose parents do not believe in Western medicine C) Explaining to the client that using acupuncture to treat labor pain is ridiculous D) Convincing a client that traditional medicine is more effective than alternative therapy
A) Avoiding clients who are elderly because their care is time consuming.
Which of the following behaviors by the nurse is stereotyping? A) Avoiding clients who are elderly because their care is time consuming. B) Openly ridiculing the practice of acupuncture. C) Explaining to tohers that Western medicine is always superior. D) Grouping care assignments to allow amply time to care for complex clients
A) There is the use of a systematic approach and problem-solving methodology.
Which of the following is a cultural norm of the health care system? A) There is the use of a systematic approach and problem-solving methodology. B) There is a tolerance of tardiness, disorderliness, and disorganization. C) The omnipotence of technology is yet to be recognized. D) There is high flexibility in certain procedures attending birth and death.
D) Attending a conference for cultural diversity
Which of the following is an example of cultural competence in nursing? A) Assessing the rate at which an illness causes death in a culture B) Attending a conference for cultural diversity C) Attending one's own church D) Attending a conference for cultural diversity
D) Learning pertinent words and phrases in the client's language
Which of the following nursing actions displays linguistic competence? A) Repeating English statements to a client who speaks Spanish B) Speaking loudly to a client who speaks no English C) Asking a family member to translate for a Spanish-speaking client D) Learning pertinent words and phrases in the client's language
D) "If a client needs to yell in pain, that is their right."
Which of the following statements by the nurse is a culturally appropriate reaction to a client's perception of pain? A) "Asian clients have a high pain tolerance." B) "Males tend to overreact to pain for sympathy." C) "Some procedures hurt more and should have more pain reaction." D) "If a client needs to yell in pain, that is their right."
B) "What do you think is causing your illness?" C) "What do you do to promote good health?" D) "Do have a particular name for this illness?" E) "What religion do you belong to?"
Which question should the nurse include in a cultural assessment? Select all that apply. A) "What do you think about religions other than yours?" B) "What do you think is causing your illness?" C) "What do you do to promote good health?" D) "Do have a particular name for this illness?" E) "What religion do you belong to?"
C) Race denotes physical characteristics while ethnicity is rooted in a common heritage
Which statement best conveys the relationship between race and ethnicity? A) Race & ethnicity are both culturally determined concepts B) Race is based on an individual's cultural history & is independent of ethnicity C) Race denotes physical characteristics while ethnicity is rooted in a common heritage D) Race & ethnicity can be considered to be synonymous in the cocntext of health care
C) burdensome to family D) uninterested in intimacy E) physically impaired
Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? (Select all that apply.) A) cognitively enhanced B) financially independent C) burdensome to family D) uninterested in intimacy E) physically impaired
The hot/cold theory of disease means what?
that the client needs to treat cold diseases with hot food and hot diseases with cold food.