Culture & diversity.

The wife of a client asks the nurse if she could bring in a cream from home to apply to her husband's skin. She says, "Whenever anyone gets sick we always use this cream." The nurse interprets this as: subculture. ritual. stereotyping. ethnocentrism.

ritual

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered? A)Expected B)A ritual C)Necessary D)A birth rite

ritual.

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study? A)Food B)Cold air C)Impurities in water D)Witchcraft

witchcraft

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

"What are your dietary needs and preferences?"

The unlicensed assistive personnel (UAP) reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond? -"What type of food did your family prepare for you, and does it have special meaning?" - "I will need to get permission from your physician for you to eat the food your family brought in." -"Do you understand that you are on a strict diet and any variation can cause you harm?" -"You can only eat the food that we serve you."

"What type of food did your family prepare for you, and does it have special meaning?"

A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices? A) A Hasidic Jewish man listens intently to a male physician, making direct eye contact with him, but refuses to make eye contact with a female nursing student. Assumption: Jewish men consider women inferior to men. B) A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. C) A black man rolls his eyes when asked how he copes with stress in the workplace. Assumption: He may feel he has already answered this question and has become impatient. D) A Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation.

B) A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.

A nurse is developing a care plan for a Hispanic client who has diabetes. What cultural intervention is most appropriate? A)Spiritual counseling, as illness is often intertwined with belief in Allah B)Direct teaching to the client's wife, as she will be directing the care at home C)Provision of all teaching materials in writing D)Dietary counseling, as Hispanic diets are often high in carbohydrates

Dietary counseling, as Hispanic diets are often high in carbohydrates.

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response? Say nothing and ignore the comment. Agree and state, "Yes, I've noticed the same thing." Report the colleague to the nurse manager. Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

The staff nurse overhears the charge nurse talking to the unlicensed assistant personal (UAP). Which statement made by the charge nurse is an example of ethnocentrism? "People who are Irish are usually alcoholics." "Asian people are bad drivers." "Italians are best at everything." "Hispanics are usually lazy."

" Italians are best at everything."

The nurse is caring for a client of Asian descent and is post-operative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond? "Can you describe what you are feeling when you try to move?" "You need to get up and walk to prevent complications." "I will come back later and help you get up." "Would like to wait until your family arrives to get out of bed?"

"Can you describe what you are feeling when you try to move?"

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

32-year old white woman

A nurse is caring for a Native American/First Nations woman who is receiving chemotherapy for breast cancer. Which nursing action is the best example of providing culturally sensitive care? The nurse provides materials for the client to take notes about the care plan. The nurse uses a low tone of voice when explaining the care plan to the client. The nurse makes direct eye contact when examining the client. The nurse does not include the family in the nursing care plan.

The nurse uses a low tone of voice when explaining the care plan to the client.

The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the priority action by the nurse? Arrange for end-of-life care to be provided by personnel familiar with the client's culture. -Make every effort to involve the client and the client's family with the end-of-life care. -Share the client's concerns regarding the dying process with the interdisciplinary care team. -Understand the client's personal and cultural views regarding death and dying.

Understand the client's personal and cultural views regarding death and dying.

The nurse is caring for a client who is of Mexican decent and will often hold the nurse's hand when the nurse is at the client's bedside. What should the nurse understand about the client's culture? The client is asking the nurse for help. The client belongs to a culture where touch is common. The client is trying to control the nurse. The client is afraid of being alone.

client belongs to a culture where touch is common.

A client originally from Asia believes that her 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)Cultural diversity B)Ethnocentrism C)Stereotyping D)Cultural blindness

cultural blindness.

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

document the clients requests in the nursing care plan.

When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: A)Assimilation B)Race C)Ethnic identity D)Subculture

ethnic identity.

Which teaching statement best exemplifies cultural competence in relation to time for the American culture? A)It is a sign of respect to be late for your health care appointments. B)It is important to be future-oriented when considering your appointment time. C)It is important to be on time for your health care appointment. D)It is important to arrive within 20 minutes of your scheduled appointment time.

its important to be on time for your healthcare appointment.

The new nurse is caring for a client of Asian descent. What should the nurse expect when caring for this client? This client will require the nurse to keep an arm's length distance. Maintain eye contact when communicating. This client will touch the nurse during conversations. The nurse should sit close to the client.

keep an arm's length distance.

A client with Asian heritage is admitted to the unit. What cultural assessment might the nurse anticipate? A)Excessive verbal reports of extreme pain B)Nonverbal expressions of pain C)Loud, aggressive response to pain D)Refusal of pain medication

nonverbal expression of pain.