Coursepoint Chapter 5 Questions (Cultural Diversity)
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? 1) Soup, hot tea, and toast 2) Turkey sandwich, milk, and gelatin 3)Chicken salad, water, and a frozen fruit juice bar 4) Fruit salad, apple juice, and pudding
1) Soup, hot tea, and toast The client believes in the hot/cold theory of disease, so the client needs to treat cold diseases with hot food and hot diseases with cold food. The most appropriate choice would be soup, hot tea, and toast. The other options are all cold foods, which the client would not use to treat a cold disease such as an upper respiratory infection.
In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? 1) The client may have a very different understanding of health promotion. 2) Health promotion is a concept that is largely exclusive to Western cultures. 3) A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development. 4) The nurse should avoid performing health promotion education if this is not a priority in the client's culture.
1) The client may have a very different understanding of health promotion. As a component of cultural assessment, the nurse should seek to understand the cultural lens through which the client may understand health promotion. Health promotion is not a concept exclusive to Western cultures, though it may be considered differently among non-Western cultures. Even if health promotion is not a priority in a client's culture, the nurse should still address issues related to health promotion in a respectful and relevant manner. Health promotion is not directly linked to socioeconomic development levels.
The nurse cares for a client who is a member of a different culture from the nurse's. Which question is most important for the nurse to ask to assess the client's beliefs about treatment? 1) "What are your expectations about being in the hospital?" 2) "What do you eat for breakfast?" 3) "How do you feel about being in the hospital?" 4) "What do you believe about health care?"
1) What are your expectations about being in the hospital?" Culture is defined in many ways, but at the broadest level, it can be understood to be a shared system of beliefs, values, and behavioral expectations that provide a social structure for daily living. It is important for the nurse to realize that people are individuals who may or may not ascribe to the norms of his or her culture. Asking what the client's expectations for treatment are specifically assessed beliefs. The client may not eat a diet from his/her culture.
The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond? 1) "You need to get up and walk to prevent complications." 2) "Can you describe what you are feeling when you try to move?" 3) "I will come back later and help you get up." 4) "Would like to wait until your family arrives to get out of bed?"
2) "Can you describe what you are feeling when you try to move?" The client who is hesitant to move and get out of bed may be expecting pain. Some clients, however, my control their emotions and expressions of physical discomfort in front of strangers. Telling the client to get up and walk to prevent complications is important, but the nurse needs to assess why the client is hesitating to get up. Leaving the client or waiting for the family does not address the reason why the client is hesitant to get up.
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? 1) "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." 2) "We can wait until your spiritual healer arrives and work together to answer these questions." 3) "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." 4) "These questions need to be answered so we can provide you with the best care."
2) "We can wait until your spiritual healer arrives and work together to answer these questions." The culturally sensitive nurse understands that some cultures rely on a spiritual healer to restore harmony and health. If the client requests the spiritual healer to be present, the nurse should respect the client's beliefs and decisions. Leaving the questionnaire with the client is not acceptable because the nurse needs to make sure the questionnaire is completed with the client. Telling the client that he or she is the only one who can fill out the questionnaire is not necessary and rude. Telling the client that the questions need to be answered so the health care team can provide the best care is important, but recognizing and supporting the client and his or her beliefs is the priority.
A nurse is admitting a client to the unit. Which cultural question is most appropriate? 1) "Will you be able to eat the normal food provided?" 2) "What are your dietary needs and preferences?" 3) "Do you have food restrictions?" 4) "Will you be making requests for special food based on your religion?"
2) "What are your dietary needs and preferences?" By asking about dietary needs and preferences, the nurse can gain insight into religious and cultural dietary practices. Asking about "normal" foods assumes that a cultural dietary request is abnormal. The other options will produce limited insight and imply that a cultural dietary need is a restriction or hindrance.
The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? 1) Inquire if the client desires the Sacrament of the Sick. 2) Ask the client if a spiritual leader is desired. 3) Do nothing unless the client requests spiritual assistance. 4) Call a Roman Catholic priest to visit the client.
2) Ask the client if a spiritual leader is desired. The appropriate response is to ask the client if a spiritual leader is desired, which is observant of the client's preferences. The nurse should not generalize that a Latino client is Roman Catholic, nor should the nurse refrain from inquiring about spiritual needs.
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? 1) Let the client ambulate slowly on his or her own when stable. 2) Explain the purpose and need for assistance during ambulation. 3) Instruct family members to assist in ambulating the client. 4) Ambulate the client explaining it is an expected outcome of their treatment.
2) Explain the purpose and need for assistance during ambulation. The nurse should explain the purpose of ambulation and the need for assistance while ambulating to the client. This would relieve the client's anxiety associated with physical closeness. However, the client won't be able to ambulate without assistance. Even though the nurse can instruct a family member to ambulate the client, this is not an appropriate action. Ambulating the client without recognizing the cultural difference is nontherapeutic, as the nurse would be not be performing culturally competent care by not acknowledging cultural practice.
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? 1) Explain to the client that the client is required to make all decisions related to the client's own health care. 2) Document the client's request in the nursing care plan. 3) Bring the client's spouse into the hallway to discuss surgical options for the client. 4) Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.
2)Document the client's request in the nursing care plan. A culturally sensitive nurse is one who respects a client's requests while ensuring that the requests reflect safe medical practice. This client's request does not interfere with client safety. Thus, the request should be respected and communicated through documentation to other healthcare personnel. Telling the client that the client must make all health care decisions does not address the client's request. There is no need to move to the hallway to discuss the client's care with the client's spouse, and this would likely be offensive.
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? 1) Document the request and make all reasonable efforts to honor it 2) Assess the couple's rationale for making the request 3) Determine whether the request is based on a valid reason or cultural preference 4) Document the request as a knowledge deficit and address the couple's educational needs
4) Document the request and make all reasonable efforts to honor it Although cultural assessment in a tactful and respectful manner is likely appropriate in this situation, the care team's guiding principle and obligation should be to accommodate and respect the couple's request. It would be inappropriate for the care team to attempt to convince the couple to change their minds or assume that it is a personal preference. The nurse would not teach the couple that male nurses on the unit are empathetic, as having female nurses is the client's preference.
