Cultural Awareness and Health Practices Chapter 5 NCLEX

Milk Thistle

*antioxidant *stimulates production of new liver cells *reduces liver inflammation *used for liver and gallbladder disease

Dehydroepiandrosterone (DHEA)

*converts to androgens and estrogen *slows effects of aging *used for erectile dysfunction

Amish health risks

*in general, they have fewer risks for disease because of their lifestyle (manual labor, diet, rare use of tobacco/alcohol) *genetic disorders are a risk because of intermarriage *nonimmunization *sexual abuse of women

Amish health and illness

*most will need church (bishop and community) permission to be hospitalized as the community will come together to pay the costs *most likely will not have health insurance *barriers to modern health care include distance, lack of transportation, cost, and language (scientific jargon is not often understood)

African Americans Communication

*standard English *head nodding doesn't always mean agreement *prolonged eye contact may be viewed negatively *non-verbal communication may be important *personal questions on initial contact viewed as intrusive

Amish communication

*usually speak a German dialect (Pennsylvania Dutch) *German used during worship *English learned in school

Amish Social Roles

*women are not allowed to hold positions of power in the congregation *roles for women are considered equally important to those of men, but are very unequal in terms of authority *family life has a patriarchal structure *marriage outside of the faith is not usually allowed; unmarried women remain under the authority of their fathers

Eastern Orthodox dietary preferences

- During lent, all animals products are forbidden -Fasting occurs during advent - Exceptions in fasting include illness, pregnancy and children

Amish religion and end of life care

- Funerals at home w/o eulogy, or any decorations - women usually buried in wedding dress - believed to live on after death, with either eternal reward in heaven or punishment in hell

Judaism end of life care

- If client is put on life support they should remain on it until death -Dying person should not be left alone (rabbi is desiered) -Autopsy and cremation are usually not allowed

Amish time orientation and personal space preferences

- Members generally remain separate from other communities, physically and socially -Often work as farmers, builders, quilters, and homemakers

Islam end of life care

- Same sex should handle body. - could face mecca (West or southwest) - head should be elevated above body - stopping medical treatment is against the will of Allah - grief may be experienced through slapping or hitting body

Buddhism end of life care

- Shrine of buddha is placed in clients room - time for meditation at shrine should be respected - client may refuse medication that altar awareness like opioids -After death, a monk may recite prayers for one hour

Hispanic and latino american communication

- Verbally expressive, yet confidentiality is important -Dramatic body language

Buddihism Dietart preferences

- alcohol is prohibited -some eat fish and some avoid only beed -many are lacto-ovo vegetarians

Hinduism end of life care

- ritual include tying a thread around the neck or wrist of the dying person, sprinkling special water and putting leaf of basil on tounge. - after death thread is not removed and patients body isnt washed -

Judaism dietary preference

-Adhere to kosher laws meats allowed include animals that are vegetable eaters, cloven hoofed animals (deer, cattle, goats, sheep) and animals that are ritually slaughterd. Fish that have scales/fins are allowed Any combination of meat and milk is prohibited; fish and milk are not eaten together During Yom Kippur, 24 fasting During passover, only unleavened bread is eaten

Asian American Social roles

-Devoted to tradition -large extended family -loyalty and honor are vauled - Family is structured and hierarchical -Men have power & authority and women are expected to be obedient - Education is important

African American Social Roles

-Large extended family; older adults are respected - Many households may be headed by a single parent women -Religious beliefs and church affiliation are sources of strength

Hispanic and Latino Social roles

-Nuclear family is basic unit, large extended family - Men usually decision makers and wage earners -Women usually are caretakers/homemakers -Usually catholic & usually have strong church affiliations

Catholic and orthodox religion and End of life care

-Priest anoints the sick - other sacraments before death include reconciliation and holy communication

African American Health Risk

-Sickle cell anemia -Hypertension -Heart disease - Cancer - Lactose intolerance -Diabetes Mellitus -Obesity

Asian American health and illness

-Yin and Yang - healthy body may be viewed as a gift from ancestors -Illness viewed as an imbalance of yin and yang -Food preference include raw fish, rice and vegetables

Hinduism dietary preferences

-many vegetarians -fasting rituals vary -children not allowed to participate in fasting

The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During this teaching session, the client continuously turns away from the nurse. The nurse should implement which best action? 1) Continue with the instructions, verifying client understanding 2) Walk around the client so that the nurse constantly faces the client 3)Give the client a dietary booklet and return later to continue with the instructions 4) Tell the client about the importance of the instructions for the maintenance of health care

1) Continue with the instructions, verifying client understanding

A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on clients statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? Select all that apply? 1) Ensures that a close kin stays with the client 2) Makes a referral for a catholic priest to visit the client 3)Remove the crucifix from the wall in the clients room 4) Administers the sacrament of the sick of the client if death is imminent 5) Offers to provide a means for praying the rosary if the client wishes 6) Reminds the dietary department that meals served on Fridays during lent do not contain meat

1) Ensures that a close kin stays with the client 2) Makes a referral for catholic priest to vist the client 5)Offers to provide a mean for praying the rosary if the client wishes

Which clients have a high risk of obesity and diabetes mellitus? Select all that apply? 1) Latino American man 2) Native American Man 3) Asian American women 4) Hispanic American Man 5)African american women

1) Latino American man 2) Native American Man 4) Hispanic American Man 5) African American Women

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior? 1) Reflecting a cultural value 2)An acceptance of the treatment 3) Client agreement to the required procedures 4) Client understanding of the preoperative procedures

1) Reflecting a cultural value

Amish health risks

1. Genetic disorders because of inbreeding. 2. Nonimmunization. 3. Sexual abuse of women.

The nurse educator is providing in service education to the nursing staff regarding trans-cultural nursing care; a staff member asks for the nurse educator to provide an example of the concept of acculturation. The nurse educator should make which most appropriate response? 1) "A group of individuals identifying as a part of the Iroquois tribe among American Native" 2) A person who moves from China to the United States and learns about and adapts to the culture in the U.S" 3) A group of individuals living in the Azores that identify autonomously but are a part of the larger population of Portugal." 4)" A person who has grow up in the Philippines and chooses to stay there because of the sense of belonging to his or her cultural"

2) " A person who moves from China to the United States and learns about and adapts to the culture in the U.S"

When the communicating with a client who speaks a different language, which best practice should the nurse implement? 1) Speak loudly and slowly 2)Arrange for an interpreter to translate 3) Speak to the client and family together 4) Stand close to the client and speak loudly

2) Arrange for an interpreter to translate

Which is the best nursing intervention regarding complementary and alternative medicine? 1) Advising the client about "good" versus "bad" therapies 2) Discouraging the client from using any alternative therapies 3) Educating the client about therapies that he or she is using or is interested in using 4)Identifying herbal remedies that the client should request from the health care provider

3) Educating the client about therapies that he or she is using or interested in using

An anti-hypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that he would like to take an herbal substance to help lower his blood pressure. The nurse should take what action? 1) Advise the client to read the labels of herbal therapies closely . 2) Tell the client that herbal substances are not safe and should never be used. 3) Encourage the client to discuss the use of an herbal substance with the health care provider 4) Tell the client that if he takes the herbal substance he will need to have his blood pressure check frequently

3) Encourage the client to discuss the use of an herbal substance with the health care provider

An Asian American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method? 1) Prayer 2) Magnetic food therapy 3) Foods considered to be yin 4)Food considered to be yang

3) Foods considered to be yin

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet? 1) Pork roast, rice, vegetables, mixed fruit, milk 2) Crab salad on a croissant, vegetables with dip, potato salad, milk 3) Sweet and sour chicken with rice and vegetables, mixed fruit, juice 4) Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea

3) Sweet sour chicken with rice and vegetables, mixed fruit, juice

The nurse is preparing a plan of care for a client, and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made? 1) I cannot have surgery 2) I cannot have any medicine 3) I believe the soul lives on after death 4) I cannot have any foods containing or prepared with blood

4) I cannot have any foods containing or prepared with blood

The nurse educator asks a student to list the main categories of complementary and alternative medicine (CAM),developed by the national center complementary and alternative medicine. Which statement , if made by the nursing student, indicates a need for further teaching regarding CAM categories? 1) "CAM includes biologically based practices" 2) "Whole medical systems are a component of CAM" 3) Mind-Body medicine is part of the CAM approach" 4) Magnetic therapy and massage therapy are a focus of CAM"

4) Magnetic therapy and massage therapy are a focus of CAM

Melatonin

A hormone that regulates sleep;Used for Insomnia

Native American Health risks

Alcohol Abuse, Obesity, Heart Disease, DM, TB, Arthritis, Lactose Intolerance, Gallbladder Disease

Pentecostal dietary preference

Alcohol is usually prohibited. Members avoid consumption of anything to which blood has been added. Some individuals avoid pork.

Mormon dietary preferences

Alcohol, coffee, and tea usually prohibited Consumption of meat is limited 1st Sunday of the month is optional for fasting

Glucosamine

Amino acid that assists in the synthesis of cartilage

St. Johns wart

Antibacterial, antiviral, antidepressant

GInger

Antiemetic; used for nausea and vomiting

Saw Palmetto

Antiestrogen activity; used for urinary tract infections and benign prostatic hypertrophy

Ginkgo Biloba

Antioxidant; used to improve memory

Garlic

Antioxidant; used to lower cholesterol levels

chamomile

Antispasmodic and anti-inflammatory; produces mild sedative effect

peppermint oil

Antispasmodic; used for irritable bowel syndrome

Jehovah witnesses dietary preference

Any foods to which blood has been added are prohibited They can eat animal flesh that has been drained

Ginseng

Increases physical endurance and stamina; used for stress and fatigue

Islam dietary preferences

Pork, birds of prey, alcohol, and any meat product not ritually slaughtered are prohibited -During month of ramadan, fasting occurs during the day

Black Cohosh

Produces estrogen-like effects

Seventh Day Adventists dietary preference

alcohol and caffeinated beverages are usually prohibited lacto-ovo vegetarians Overeating is prohibited; 5-6 hours between meals w.o snacks is practiced

Aloe

antiinflammatory and antimicrobial effect; accelerates wound healing

White American Health Risks

cancer heart disease diabetes mellitus obesity hypertension thalassemia

Yin foods are __ and yang foods are __.

cold/hot One eats cold foods when they have a hot illness, and eat hot foods when they have cold illness

The Amish permit organ donation with the exception of the

heart (soul of the body)

Asian american health risks

hypertension Heart disease Cancer lactose intolerance thalassemia

Hispanic and Latino Health risks

hypertension heart disease diabetes mellitus obesity lactose intolerance parasites

Amish

known for simple living, plain dress, and reluctance to adopt modern convenience and can be considered a distinct ethnic group

Jehovah's witness religion and end of life care

not allowed to receive a blood transfusion believe soul cannot live after the body has died

Asian American communication

silence is valued - eye contact may be considered inappropriate or disrespectful -Criticism or disagreement is not expressed verbally - Head nodding does not always mean agreement -The word "no" may be interpreted as disrespectful

Amish Interventions

speak to both husband/wife or if women is unmarried to her father regarding health issues - Instructions must be clear and simples -teaching should be focused on health implications associated with nonimmunization, intermarriage, and sexual abuse

Echinacea

stimulates immune system

roman Catholicism dietary preference

they avoid meat on ash Wednesday & Fridays of lent optional fasting during lent season

Valerian

used to treat nervous disorders such as anxiety, restlessness, and insomnia