Coursepoint Ch 5: Cultural Diveristy

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 you prefer to eat and what your family is bringing you?"

cultural imposition

tendency of some to impose their beliefs, practices, and values on another culture because they believe that their ideas are superior to those of another person or group

culture shock

those feelings, usually negative, a person experiences when placed in a different culture

cultural assimilation

process that occurs when a minority group, living as part of a dominant group within a culture, loses the cultural characteristics that made it different

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 understand the health care system

cultural blindness

the process of ignoring differences in people and proceeding as though the differences do not exist

A client 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 now the client wants to leave. What is the most culturally appropriate response by the charge nurse?

"Would you feel more comfortable with your family with you?"

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change? A) The client states, "I feel like I abandoned my religion." B) The client states, "I am glad that nurse told me what to do." C) The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." D) The client states, "Why isn't blood administration forced on all who need that treatment?"

A) The client states, "I feel like I abandoned my religion."

The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? A) "I need to watch the amount of sugar that I eat." B) "It is important to monitor my blood pressure." C) "Getting a mammogram in my thirties is important." D) "Increasing dairy will improve my bones."

B) "It is important to monitor my blood pressure."

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether 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) Stereotyping B) Cultural conflict C) Cultural imposition D) Culture shock

C) cultural imposition

A nurse is working to develop cultural competence. Which activities would be appropriate for the nurse to engage in when exploring the nurse's own cultural awareness? Select all that apply. Critical reflection Feedback from colleagues Self-assessment Journal article research Client interviews

Critical reflection Feedback from colleagues Self-assessment

A nurse is reading a journal article about culturally competent nursing care. The article begins discussing culture and its unique characteristics. Which characteristics would the nurse expect to be identified? Select all that apply. Culture is innate. Culture is ever-changing. Culture makes sense to its members. Culture is shared through communication. Culture puts a limit on ideas.

Culture is ever-changing. Culture makes sense to its members. Culture is shared through communication.

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: A) race. B) assimilation. C) subculture. D) ethnic identity.

D) ethnic identity

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse?

Discuss with the client the need for assistance during ambulation.

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information?

Enlist the services of a qualified language interpreter

When describing the concept of ethnicity, which statement would be most appropriate to use?

Ethnicity allows people to define themselves and others to define them.

A nurse is attempting to gain insight into a client's cultural beliefs and attitudes. Which methods would the nurse likely use? Select all that apply. Open-ended interviewing Ethnographic interviewing Key informants Short-term observation Use of the client's language

Open-ended interviewing Ethnographic interviewing Key informants Use of the client's language

A nurse is conducting a seminar for a group of nurses about the cultural competency in nursing. When describing culture, which terms would be appropriate for the nurse to use?

Pervasive Holistic Recognizable Ritualistic

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. Physically impaired Cognitively enhanced Burdensome to family Financially independent Uninterested in intimacy

Physically impaired Burdensome to family Uninterested in intimacy

Which is a cultural norm of the health care system?

There is the use of a systematic approach and problem-solving methodology.

stereotyping

assigning characteristics to a group of people without considering specific individuality

ethnocentricism

belief that one's own ideas, beliefs, and practices are best, superior, or most preferred to those of others; using one's cultural norms as the standard to evaluate others' beliefs

A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating?

cultural conflict

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

A) Access to care

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

A) Avoiding older adult clients because their care is time consuming

A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating? A) Cultural conflict B) Cultural assimilation C) Cultural blindness D) Cultural diversity

A) Cultural conflict

Which term is most appropriate for describing a healthcare practitioner who is respectful of the healthcare traditions of other cultures? A) Culturally sensitive B) Culturally appropriate C) Culturally competent D) Culturally impositive

A) Culturally sensitive

Upon moving to another country, a college student is very confused by many local customs. The student is especially bothered by the custom of men and women eating in separate areas and it makes the student angry and resentful of the new culture. What are the feelings experienced by this student? A) Culture shock B) Stereotyping C) Ethnocentrism D) Cultural assimilation

A) Culture shock

The nurse is assessing a client who is unresponsive. To obtain information about the client's culture, the nurse interviews a person who has native knowledge about the client's culture. Which technique is the nurse using? A) Key informant B) Explanatory C) Ethnographic D) Open-ended

A) Key informant

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care? A) Not all members of the same culture act and think alike. B) Culture is relatively static and unchanging. C) Individuals learn culture in a purposeful manner. D) Individuals can easily describe their culture.

A) Not all members of the same culture act and think alike

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) Stereotyping B) Cultural blindness C) Cultural conflict D) Cultural imposition

A) Stereotyping

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? A) The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off.". B) The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." C) The client from France states, "I miss my family back home." D) The client from England states, "I do not understand what all these new medications are for."

A) The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off.".

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

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

When an American client states, "I only want an American doctor," the client is expressing: A) ethnocentrism. B) cultural relativity. C) cultural pervasiveness. D) racism.

A) ethnocentrism

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

B) Client

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

B) Maintain flexibility when the client requests interventions at specific times

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

B) Racism

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

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

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? A) Explain to the client that the client is required to make all decisions related to the client's own health care. B) Document the client's request in the nursing care plan. C) Bring the client's spouse into the hallway to discuss surgical options for the client. D) Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.

B) document the client's request in the nursing care plan

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

C) "My Russian heritage is superior to all others."

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) "People of the same ethnicity share many of the same cultural and social beliefs." C) "Ethnicity can often determine dialect and political interests." D) "Ethnicity and race are the same thing and are affected by cultural practice."

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

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? A) Allow all the visitors into the room. B) Explain to the family that too many visitors will tire the client. C) Insist that only one family member can be in the room at a time. D) Assess the client's beliefs about family support during hospitalization.

D) Assess the client's beliefs about family support during hospitalization

A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating? A) Ethnocentrism B) Cultural diversity C) Stereotyping D) Cultural blindness

D) Cultural blindness

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

D) require an individualized approach by the nurse

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 shock

culture conflict

situation that occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values

A client who immigrated from another coutnry informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of: A) cultural imposition. B) cultural blindness. C) cultural diversity. D) cultural assimilation.

A) cultural imposition

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock? A) "I am very stressed now because I do not understand how things work on this unit." B) "Can someone please give me an orientation to this unit?" C) "The way we do things on the surgical unit are so much better than the procedures of this unit." D) "I was expecting all the clients on the oncology unit to be depressed."

A) "I am very stressed now because I do not understand how things work on this unit."

A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of: A) cultural ritual. B) cultural competence. C) cultural stereotyping. D) ethnocentrism.

A) cultural ritual

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? A)Document the request and make all reasonable efforts to honor it B)Assess the couple's rationale for making the request C)Determine whether the request is based on a valid reason or cultural preference D)Document the request as a knowledge deficit and address the couple's educational needs

A) document the request and make all reasonable efforts to honor it

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? A) "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." B) "We can wait until your spiritual healer arrives and work together to answer these questions." C) "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." D) "These questions need to be answered so we can provide you with the best care."

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

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep 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) "Yes, I agree that you should continue taking saffron for diabetes." D) "Let me inform the health care provider that you are not taking your medicines."

B) "Why don't you take the medicines, too, and benefit from both?"

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

B) Ask the client if a spiritual leader is desired

A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action? A) Let the client ambulate slowly on his or her own when stable. B) Explain the purpose and need for assistance during ambulation. C) Instruct family members to assist in ambulating the client. D) Ambulate the client explaining it is an expected outcome of the treatment. ​​​​​

B) Explain the purpose and need for assistance during ambulation

The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care? A) Explaining the biomedical culture to the client. B) Implementing a standardized care plan for the client with lung C) Cancer after explaining the procedure in the client's native language. D) Incorporating the client's need for daily prayer into the nursing care plan. E) Treating all clients the same based on the diagnosis to demonstrate unbiased care.

D) Incorporating the client's need for daily prayer into the nursing care plan.