chapter 5 fundamental

The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse? "Can you tell me what foods you prefer to eat and what your family is bringing you?" "It is ok to eat what your family brought you, as long as we see what it is." "Do you understand the specific diet for your HTN?" "You should consider eating the food provided, which is healthier."

"Can you tell me what foods you prefer to eat and what your family is bringing you?"

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept? "Irish people are all heavy drinkers." "Anybody on welfare is just lazy." "Asians are always the smartest in the class." "My Russian heritage is superior to all others."

"My Russian heritage is superior to all others."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse? "These questions need to be answered so we can provide you with the best care." "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." "We can wait until your spiritual healer arrives and work together to answer these questions." "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions."

"We can wait until your spiritual healer arrives and work together to answer these questions."

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty? Access to financial assistance Access to health insurance Access to care Access to affordable housing

Access to care

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? Ask the client why he or she is backing away. Ask the client about personal space preferences. Move closer to the client. Back away from the client.

Ask the client about personal space preferences.

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? Ask the client why he or she is backing away. Back away from the client. Ask the client about personal space preferences. Move closer to the client.

Ask the client about personal space preferences.

A nurse is providing care to a client from a culture different from the nurse's own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate? Look up the client's culture online and try to figure out methods to relate. Consult the Office of Minority Health Resource Center to help in the provision of care. Ask another nurse to take over the client's care. Ask the client how the client wants to be treated based on the client's values and beliefs.

Ask the client how the client wants to be treated based on the client's values and beliefs.

Which behavior by the nurse is stereotyping? Grouping care assignments to allow ample time to care for complex clients Explaining to others that Western medicine is always superior Openly ridiculing the practice of acupuncture Avoiding older adult clients because their care is time consuming

Avoiding older adult clients because their care is time consuming

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? Nurse Older family member Client Health care provider

Client

The nurse is caring for a client who does not speak the dominant language. In order to facilitate unencumbered communication with the client, the nurse will take which action(s)? Select all that apply. Review facility policy on communication with clients who do not speak the dominant language. Request that the client's spouse carries out language interpretation at discharge. Ask the client's child, who speaks the dominant language, to explain treatment options to the client. Determine in which language the client communicates effectively. Schedule a certified interpreter when collecting client health history.

Determine in which language the client communicates effectively. Schedule a certified interpreter when collecting client health history. Review facility policy on communication with clients who do not speak the dominant language.

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? Blood pressure assessment Spiritual assessment Language assessment Blood sugar assessment

Language assessment

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? Maintain flexibility when the client requests interventions at specific times. Perform interventions at random times during shift. Have the client set all times for the interventions. Set all interventions to be done at specific times.

Maintain flexibility when the client requests interventions at specific times.

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Turkey sandwich, milk, and gelatin Fruit salad, apple juice, and pudding Soup, hot tea, and toast Chicken salad, water, and a frozen fruit juice bar

Soup, hot tea, and toast

The nurse is assessing a client for pain and suspects that the client's culture may be affecting the pain response. What nonverbal indicator of pain would the nurse expect to observe? The client is holding pressure on the abdomen when speaking. The client requests to take a walk outside. The client is praying with members of the clergy. The client is laughing loudly with family.

The client is holding pressure on the abdomen when speaking.

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? The client's child learned the dominant language as a second language. The client enjoys watching television programs from the home country. The client does not speak the dominant language and requires an interpreter. The client and child cook traditional foods for the family.

The client's child learned the dominant language as a second language.

The nurse is using an interpreter to communicate with a client who speaks a different language. What would be the best way to choose an interpreter for this client? The interpreter should speak in a loud voice. The interpreter should always make direct eye contact. The interpreter should understand the health care system. The interpreter should conduct the conversation quickly to avoid misinterpretation.

The interpreter should understand the health care system.

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice? Ethnocentrism Stereotyping Ethnic identification Racism

Racism

Which area is typically included in a cultural assessment? Employment status Food preferences Ethics Marital status

Food preferences

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? Ask the client if a spiritual leader is desired. Do nothing unless the client requests spiritual assistance. Call a Roman Catholic priest to visit the client. Inquire if the client desires the Sacrament of the Sick.

Ask the client if a spiritual leader is desired.

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? Client Older family member Health care provider Nurse

Client

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture? Cultural imposition Cultural taboos Acculturation Cultural blindness

Cultural imposition

A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse? Cultural blindness Cultural imposition Cultural assimilation Culture shock

Culture shock

Persistent gaps between the health status of minorities and non-minorities are defined as: cultural relativity. health disparities. ethnocentrism. racism.

health disparities.

Which nursing action displays linguistic competence? Speaking loudly to a client who does not speak the dominant language Learning pertinent words and phrases in the client's language Asking a family member to interpret for a client who does not speak the dominant language Repeating statements to a client who speaks only a language different from the nurse

Learning pertinent words and phrases in the client's language

Which nursing action displays linguistic competence? Speaking loudly to a client who does not speak the dominant language Repeating statements to a client who speaks only a language different from the nurse Learning pertinent words and phrases in the client's language Asking a family member to interpret for a client who does not speak the dominant language

Learning pertinent words and phrases in the client's language

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? Call a Roman Catholic priest to visit the client. Inquire if the client desires the Sacrament of the Sick. Do nothing unless the client requests spiritual assistance. Ask the client if a spiritual leader is desired.

Ask the client if a spiritual leader is desired.

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? Cultural conflict Stereotyping Cultural imposition Cultural blindness

Stereotyping

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Japanese. The nurse realizes the client is referring to which ancestral and cultural factor? ethnicity race values ethnocentrism

ethnicity

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Japanese. The nurse realizes the client is referring to which ancestral and cultural factor? ethnocentrism values ethnicity race

ethnicity

The nurse works in an urban hospital and cares for a diverse population of clients. Which action(s) by the nurse demonstrates the delivery of culturally sensitive care to clients? Select all that apply. indicating that the cultural groups should adapt to the Anglo-American culture integrating the client's cultural practices when assisting with the creation of the plan of care asking the client questions regarding health care beliefs related to the client's culture maintaining direct eye contact during conversations with all cultural groups allowing the client to keep a religious necklace on until going into the operating room

integrating the client's cultural practices when assisting with the creation of the plan of care asking the client questions regarding health care beliefs related to the client's culture allowing the client to keep a religious necklace on until going into the operating room

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms: allow nurses to predict a client's response. require an individualized approach by the nurse. can be generalized to anyone of that culture. are fairly consistent across cultural groups.

require an individualized approach by the nurse.

The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse? "It is ok to eat what your family brought you, as long as we see what it is." "Can you tell me what foods you prefer to eat and what your family is bringing you?" "Do you understand the specific diet for your HTN?" "You should consider eating the food provided, which is healthier."

"Can you tell me what foods you prefer to eat and what your family is bringing you?"

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? "Culture can be seen in attitudes and institutions of certain populations." "Culture helps to define identity within specific groups of people." "Culture cannot be influenced, and you are born with your culture." "Language is the primary way that people share their culture."

"Culture cannot be influenced, and you are born with your culture."

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? "Ethnicity begins at birth or through adoption of characteristics." "Ethnicity can often determine dialect and political interests." "People of the same ethnicity share many of the same cultural and social beliefs." "Ethnicity and race are the same thing and are affected by cultural practice."

"Ethnicity and race are the same thing and are affected by cultural practice."

Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain? "Males tend to overreact to pain for sympathy." "Some procedures hurt more and should have more pain reaction." "Asian clients have a high pain tolerance." "If a client needs to yell in pain, that is his or her right."

"If a client needs to yell in pain, that is his or her right."

A nurse is admitting a client to the unit. Which cultural question is most appropriate? "Will you be making requests for special food based on your religion?" "What are your dietary needs and preferences?" "Do you have food restrictions?" "Will you be able to eat the normal food provided?"

"What are your dietary needs and preferences?"

The nurse is taking a client history. With which client is direct eye contact appropriate? 32-year-old white woman 44-year-old woman of Asian descent 55-year-old Native American/First Nations woman 60-year-old woman of Arab descent

32-year-old white woman

Which scenarios are examples of a culturally appropriate nursing intervention? Select all that apply. Asking the client's grandmother, who is the head of the family, to be involved in the plan of care Allowing the client to eat food from home that is consistent with the client's dietary plan Asking the client's ex-husband to be involved in the plan of care Asking for cultural assistance from clergy at the client's request Asking sincerely for the client to explain religious rituals Telling a client that wellness is more important than values

Asking the client's grandmother, who is the head of the family, to be involved in the plan of care Allowing the client to eat food from home that is consistent with the client's dietary plan Asking for cultural assistance from clergy at the client's request Asking sincerely for the client to explain religious rituals

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? Insist that only one family member can be in the room at a time. Assess the client's beliefs about family support during hospitalization. Allow all the visitors into the room. Explain to the family that too many visitors will tire the client.

Assess the client's beliefs about family support during hospitalization.

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? The client may have a very different understanding of health promotion. Health promotion is a concept that is largely exclusive to Western cultures. The nurse should avoid performing health promotion education if this is not a priority in the client's culture. A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development.

The client may have a very different understanding of health promotion.