Chapter 11

A nurse is assessing a Navajo client, who has presented to the health clinic with complaints of feeling endangered, confusion, bad dreams, and hallucinations. Which culture-bound syndrome should the nurse suspect in this client?

Ghost Sickness

When culture is defined as a system, what components would be included? (Mark all that apply.)

How we view the world How we behave in relation to other people Shared ideas, rules, and meanings

What actions should the nurse take to become culturally competent? (Select all that apply.)

Seek cultural encounters. Be aware of cultural differences. Learn about different cultures. Become skilled with different cultures.

When the nurse asks the client for the reason for coming to the health clinic, the client responds by saying, "bad blood." The nurse recognizes that the client is most likely referring to which of the following?

Sexually transmitted infection

From a critical cultural perspective, culture refers to which of the following?

A dynamic process enacted between people and their families

A nursing instructor realizes that a student needs further instruction on giving culturally competent care when the student states which of the following?

"I should use my own culture as the standard for all other cultures."

Which statement by the nurse demonstrates a cultural bias?

American healthcare is really so much better than that provided by any other country.

When studying Campinha-Bacote's model of cultural competency in the delivery of health care, you learn that cultural desire is viewed as the motivation for the nurse to want to do what? (Mark all that apply.)

Become culturally skillful Become culturally knowledgeable Seek cultural encounters

A new nurse asks her preceptor if the new baby she is caring for is breast- or bottle-feeding. The preceptor tells the new nurse that the mother is Hispanic and to give the baby a bottle because Hispanics do both until the mother's milk comes in. This is an example of:

STEREOTYPING

What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds?

Develop a cultural habit and build effective relationships

The nurse is caring for an adult client who is refusing pain medication after an open kidney surgery. What would the nurse include in the client's cultural assessment to understand this client's actions?

Pain Assessment

An elderly client is touring the United States and has a heart attack. When admitting this client to the coronary care unit, what would be important to note in the family history?

The decision makers for the family

The nurse is educating a client from another country about the medications they will be taking. The client continually interrupts the nurse during the conversation. When the nurse considers the many ways cultural differences can affect communication, how should the nurse interpret the client's interruptions?

The patient is deeply engaged in the conversation.

A patient from the Middle East has been referred to the mental-health clinic believes that he is possessed by a spirit and has been for many years. The patient has been withdrawn and is not eating. What does the nurse understand that this patient may be experiencing?

Zar

A client comes into the clinic accompanied by her son. He explains that his mother has "not been feeling well". The nurse observes scars that resemble cigarette burns. What is the nurses best intervention for this assessment finding?

ask the patient if she has had moxibustion.

Concerning the RESPECT model of cross-cultural communication, which intervention on the part of the nurse demonstrates attention to the development of the nurse-client relationship?

avoiding making assumptions about the client's expectations and needs

A client from a non-English speaking culture is experiencing a health problem. What should the nurse do to ensure that communication with this client is culturally appropriate?

be respectful of the client's culture

The nurse spends a day off in a part of a non-English speaking community in order to learn more about the culture to improve interactions when providing client care. What cultural activity is this nurse demonstrating?

desire

The nurse knows that nonverbal communication can be difficult to interpret among of people of different cultures because of the many variations. These variations include which of the following? (Select all that apply.)

patterns of space eye contact hand gestures touch

A nursing instructor asks students to list culturally based characteristics. The students should include which of the following? (Select all that apply.)

touch eye contact time diet