Culture

A nurse is caring for a client in labor on a labor and delivery unit. The client arrives with a birth plan that includes some practices that the nurse has never heard of before and the nurse feels like some of them are strange and unusual. Which is the nurse's best response? "Why would you choose to do this? It doesn't sound safe." "Unfortunately, we don't provide that service here." "That's weird. I've never heard of that before; I'll see what we can do." "Can you tell me more about this practice?"

"Can you tell me more about this practice?"

Click to highlight the findings that require follow-up.

-calling my partner 'hun' and 'girl' and "she/her." -they are nonbinary and their pronouns are "they/them," the last nurse rolled their eyes and made a weird face. -It makes us feel like no one really sees us for who we are or cares about us as people.

A nurse cares for a client newly diagnosed with diabetes mellitus type 2. Which questions should the nurse ask to assess cultural factors that may be relevant to managing this client's new diagnosis? Select all that apply. "What preferred pronoun would you like us to use for you?" "Are you using any specific herbs, substances, or other healing practices already at home?" "Has anyone else in your family been diagnosed with diabetes?" "Do you understand that you have been diagnosed with a chronic disease?" "How much do you exercise each day?" "What kinds of foods do you serve for dinner?" "Would you like someone else to come into the room as we discuss your treatment options?"

-"What preferred pronoun would you like us to use for you?" -"Are you using any specific herbs, substances, or other healing practices already at home?" -"What kinds of foods do you serve for dinner?" -"Would you like someone else to come into the room as we discuss your treatment options?"

Knowing the client has emphasized following the Hindu faith, what questions should the nurse ask of the family to promote a greater understanding of how to prepare for the client's death? Select all that apply. "Would you like us to keep the door open or closed for your family member?" "Would you like us to plan to administer pain medication for comfort?" "What information should I know to provide quality care to your family member at this time?" "Do you prefer that the nurses not come into the room unless you put on the call light?"​ "What direction would you like us to place the bed?"

-"Would you like us to keep the door open or closed for your family member?" -"Would you like us to plan to administer pain medication for comfort?" -"What information should I know to provide quality care to your family member at this time?" -"What direction would you like us to place the bed?"

The client states to the nurse, "I will be fasting soon for religious purposes, so I won't be able to follow this plan during that time." Which responses by the nurse are appropriate? Select all that apply. "You will need to monitor your blood glucose closely while you are fasting." "Drink nutritional shakes during the fasting period so that your blood sugar levels are maintained." "You can stop taking your medication while fasting and begin taking it again as prescribed later." "We will need you to come into the hospital during the fasting period to monitor you more closely." "Are there any exemptions within your religion related to your diagnosis?" "You will not be able to fast with this disease. It is too dangerous for you." "Tell me more about your fasting practices, so we can determine the best way to manage your disease." "You may be at higher risk for hypoglycemia while you

-"You will need to monitor your blood glucose closely while you are fasting." -"Are there any exemptions within your religion related to your diagnosis?" -"Tell me more about your fasting practices, so we can determine the best way to manage your disease." -"You may be at higher risk for hypoglycemia while you are fasting. Let's discuss the symptoms of hypoglycemia."

Highlight the most critical section of the birth plan that the nurse will need to work with the client to revise while also maintaining cultural sensitivity.

-Burn lightly scented candles for aromatherapy​

What cues stand out to the nurse indicating cultural issues impacting the family's understanding or acceptance of the client's schizophrenia diagnosis? Select all that apply. Caregivers' denial that the teen is ill Client encouraged to move out of the house Interaction with a traditional healer Statement that the client lacks self-control Client's claim of being "king of the world" Lack of recent contact with the client Report of client being a "nervous child"

-Caregivers' denial that the teen is ill -Client encouraged to move out of the house -Statement that the client lacks self-control -Lack of recent contact with the client -Report of client being a "nervous child"

A nurse cares for a client who states they are a Jehovah's Witness. The client has been prescribed a blood transfusion following a motor vehicle accident. Which actions by the nurse are appropriate? Select all that apply. Report the client's religious beliefs to the provider. Obtain consent for the prescription from the client's family member. Discuss the provider prescription with the client. Request a fluid bolus from the provider instead of the blood transfusion. Initiate a do-not-resuscitate status on the client. Ask the provider to prescribe intravenous iron. Ask the client if they consent to receive the blood transfusion. Explain that the blood is necessary for survival.

-Discuss the provider prescription with the client -Ask the client if they consent to receive the blood transfusion

A nurse is precepting a new graduate nurse to the medical-surgical floor. The nurses care for a client who is Somali speaking. The preceptor recognizes which actions by the new graduate nurse are not culturally sensitive? Select all that apply. Asking the client what language is spoken at home Giving the client directions to a Somali clinic Speaking loudly with exaggerated mouthing Obtaining an interpreter when English is not the client's primary language Asking the client about the ability to read and write in English

-Giving the client directions to a Somali clinic -Speaking loudly with exaggerated mouthing

Complete the sentences using the options below.​ ​The nurse should ask the client: _______? The nurse should explain that ______. The nurse should educate the client to _____. The nurse can _______ if desired.

-How do you describe your health right now? -anxiety is a biological disorder of the brain -some non-pharmacological approaches that are available to help with anxiety management -have the caregivers attend a follow-up appointment to ask the provider questions

The nurse is providing discharge instructions to the client. What actions should the nurse take? Select all that apply. Apologize profusely any time the incorrect pronoun is used. Remind the client and the client's partner about the importance of not upsetting the nursing staff. Offer chaplain services if the client is interested. Ask the client and partner if they have any questions. Discuss any potential barriers after discharge. Tell the client and partner that "they/them" is not an acceptable pronoun.

-Offer chaplain services if the client is interested. -Ask the client and partner if they have any questions. -Discuss any potential barriers after discharge.

Complete the following sentence by choosing from the list of options.​ The nurse should ____ because of the _____.

-ask the client if the spouse can be reached by phone -client's cultural preferences for involving the spouse in the decision-making process

Complete the sentence with the best responses.​ When beginning conversations with the client, the nurse should make eye contact with ____ and utilize ______.

-the client -simple terminology

A nurse cares for clients of various cultural backgrounds. Select which actions by the nurse demonstrate cultural sensitivity and which do not demonstrate cultural sensitivity.

Culturally Sensitive --> -Recognize that cultural attitudes towards a body mass index may not match a healthcare provider's ideal. -Provide a visual aid of food if a language barrier is present. -Consider that some religions require fasting from certain foods during specific times. Not culturally sensitive --> -Reinforce teaching that adhering to a certain cultural diet can lead to illness. -Remind clients that co-sleeping is dangerous and should not be done. -Compliment the client on how good their use of the English language is despite it being a second language. -Create a set schedule of times for nursing assessments and do not deviate from the schedule.

For each finding, click to specify if it indicates that the client and client partner's situation has improved or declined. The client and partner remain quiet and withdrawn. The client's partner asks questions about discharge care. The client and partner decide to leave prior to initiating treatment. The client's partner interacts with staff more frequently. The client requests extra teaching sessions with their partner and nurse. The client states they feel more comfortable with other staff.

Improved --> -The client's partner asks questions about discharge care. -The client's partner interacts with staff more frequently. -The client requests extra teaching sessions with their partner and nurse. -The client states they feel more comfortable with other staff. Declined --> -The client and partner remain quiet and withdrawn. -The client and partner decide to leave prior to initiating treatment.

For each potential nursing intervention, click to specify whether the intervention is indicated or not indicated for the care of the client. Assess self for any potential bias Recommend client call the Board of Nursing Report the last nurse to the director of nursing immediately Make a note identifying client's and partner's correct pronouns in the chart Establish trust using therapeutic communication During hand-off nursing report, avoid client's partner to avoid improper use of pronouns

Indicated --> -Assess self for any potential bias -Make a note identifying client's and partner's correct pronouns in the chart -Establish trust using therapeutic communication Not indicated --> -Recommend client calling the Board of Nursing -Report the last nurse to the director of nursing immediately -During hand-off nursing report, avoid client's partner to avoid improper use of pronouns

For each assessment finding in the charts, click to specify if the finding is consistent with nontherapeutic communication, culture, or ethnicity.

Nontherapeutic communication --> -rolling eyes and facial expressions Culture --> -Religion: Christian -Marital status: Lives at home with partner Alex -Language: English -Gender roles and gender identity Ethnicity--> -Race: Black

A nurse is caring for a group of clients from several different cultures. Select the actions that are culturally sensitive and the actions which are not culturally sensitive. Reinforce the importance of eating food on a plate even if the client does not like it. Remind the client that fasting is not acceptable due to their medical condition. Assign female nurses and unlicensed assistive personnel to clients who request no male care providers. Discuss with the client the benefit of using professional interpreters instead of family members. Create a nursing care schedule around the client's specific prayer times.

Not culturally sensitive --> -Reinforce the importance of eating food on a plate even if the client does not like it. -Remind the client that fasting is not acceptable due to their medical condition. Culturally sensitive --> -Assign female nurses and unlicensed assistive personnel to clients who request no male care providers. -Discuss with the client the benefit of using professional interpreters instead of family members. -Create a nursing care schedule around the client's specific prayer times.

A nurse is providing discharge education to the client while providing culturally sensitive care by doing which of the following? Questioning the client's beliefs to challenge critical thinking Respecting the client's values and beliefs Memorizing facts about the client's culture Comparing clients to identify similar cultural practices

Respecting the client's values and beliefs

Complete the sentence by choosing from the list of options. ​ The client is at highest risk for developing ______ due to ______.

noncompliance lack of trust