gero chpt 4

9. The nurse is aware that cultural competence means having the skills to put cultural knowledge to use in all of the following except: a. Assessment c. Intervention b. Communication d. Collaboration

A

The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement? a. Move onto the discussion about medication. b. Ask the older woman how she feels about this topic. c. Instruct the interpreter to repeat the instructions. d. Have the older woman repeat the instructions for clarity.

B

Which health belief system uses treatments to repair a body part? a. Holistic c. Personalistic b. Biomedical d. Magicoreligious

B

Which of the following is most likely to be true about caring for an older African-American patient? a. The patient can expect to find support from his church after discharge. b. During a physical assessment, an examination of the interior of the patient's mouth with adequate light is important. c. The patient may follow hot-cold beliefs. d. African Americans may avoid eye contact when interacting with others.

B

1. The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment. Which question(s) should the nurse ask to follow this model? (Select all that apply.) a. How can we negotiate to solve the problem? b. What treatment can improve your condition? c. Should we try my plan first to see if it helps? d. Can we discuss differences in our plans now? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?

B E F

The nurse plans care for an older African American adult who is from Jamaica and resides in New York City. Which should the nurse include in planning care? a. Attribute his illness to breaking a voodoo. b. Help him improve social relationships. c. Maintain blood pressure below 120/70 mm Hg. d. Review the principles of the magicoreligious system.

C

Which of the following considerations is most likely to be true when working with an interpreter? a. An interpreter is never needed if the nurse speaks the same language as the patient. b. When working with interpreters, the nurse can use technical terms or metaphors. c. A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient. d. The nurse should face the patient rather than the interpreter.

D

Which cultural group is more likely to distrust the health care system than other cultural groups in the United States? a. African Americans c. Mexican Americans b. Chinese Americans d. Lebanese Americans

A

3. Which factor(s) are associated with the provision of culturally competent care? (Select all that apply.) a. Cultural awareness c. Cultural skills b. Cultural knowledge d. Cultural connections

A B

2. A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.) a. Reduced sense of self c. Lowered self-esteem b. Poor nutritional intake d. Decreased memory performance

A C D

10. The health care provider discusses the need for surgery with an older adult and her family. Which information about the older adult's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent? a. Attitudes about caregiving c. Rituals for death and dying b. Process of decision making d. Experience with discomfort

B

2. Which of the following is a true statement about differing health belief systems? a.Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles. b.In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals. c.Ayurvedic medicine is another name for traditional Chinese medicine. d.The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.

B

An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed. Which intervention should the nurse use to promote and maintain his health? a. Have the health care provider speak to him. b. Use principles of the holistic health system. c. Ask about his perceptions and treatment ideas. d. Consult with a practitioner of Chinese medicine.

C

1. Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds? a.The fact that a nurse is white has no bearing on the nurse's ability to care for minority patients or patients of color. b.An encyclopedic accumulation of details of a particular culture is the best preparation for caring for persons from that culture. c.A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as the nurse who works in California. d.Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity.

D

13. An older individual from which culture is likely to receive more respect than a younger person in the same community? a. Canadian c. German b. Anglo-Saxon d. African American

D

7. Which action should the nurse take when addressing older adults? a. Speak in an exaggerated pitch. b. Use a lower quality of speech. c. Use endearing terms such as "Honey." d. Speak clearly.

D

A resident in a nursing home insists that a priest hear his confession. The resident is very anxious, and the nursing home does not have a Roman Catholic chaplain. Which intervention should the nurse implement? a. An Episcopal priest is coming to visit the home this evening. Arrange an appointment with her for the resident. b. Report the resident's change in behavior in detail so that the attending physician can appropriately prescribe medication. c. Refer the resident to the staff psychologist to address the underlying cause of the patient's anxiety. d. Look in the local telephone book for a Roman Catholic Church, and ask the priest to visit the resident.

D