NCLEX Foundations ~ Culture

Which is the best nursing intervention regarding complementary and alternative medicine?

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

The nurse in a health care clinic is preparing to conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the priority?

Identify the food preferences and methods of food preparation for each client.

The prenatal clinic nurse is performing an assessment on a culturally diverse client. Besides conversational style, what are some of the most important cultural and communication considerations the nurse must be aware of? Select all that apply.

Time orientation Personal space Eye contact Touch

The nurse is explaining a preoperative teaching plan to an English-speaking client. What are some other aspects of verbal communication? Select all that apply.

Timing. Volume. Voice tone. Eye contact. Ability to share thoughts and feelings.

The nurse manager is giving a staff in-service on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply.

"Assessment of a client's preferred learning approach is essential to facilitate the learning process." "It is important to have an accurate translator when the nurse and client do not speak the same language." "The population served will determine the culturally sensitive resources to use for teaching."

The nurse is annoyed by a healthy Hispanic American client who had minor abdominal surgery 2 days ago. The client claims he cannot get out of bed by himself, and the nurse lectures the client and tells him to try to be tough. What type of cultural behavior is this called?

Cultural imposition

The charge nurse is educating a new nurse on culturally competent communication techniques. Which response(s) made by the new nurse indicates a need for follow-up? Select all that apply.

"I should use a language interpreter for all culturally diverse groups." "I should recognize my own biases and address known stereotypes with the client."

The nurse educator asks a student to list the 5 main categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, indicates a need for further teaching regarding CAM categories?

"Magnetic therapy and massage therapy are a focus of CAM."

When communicating with a client who speaks a different language, which best practice should the nurse implement?

Arrange for an interpreter to translate.

An antihypertensive 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 which action?

Encourage the client to discuss the use of an herbal substance with the primary health care provider (PHCP).

What elements are essential for the nurse to address to be able to deliver culturally competent care? Select all that apply.

Having knowledge of various racial and ethnic groups. Acknowledge personal misconceptions of various ethnic groups. Recognizing that subcultures exist and not every characteristic of the cultural group is present. Assessing the client's health preferences

The nurse is caring for a non-English-speaking client and is attempting to integrate the client's cultural practices into Western medicine. What are some other aspects of culturally competent care the nurse can employ? Select all that apply.

Increasing client safety Using spiritual practices. Reducing health disparities. Increasing client satisfaction Preventing misunderstandings between the nurse and the client

The nurse is implementing the complementary therapy of therapeutic touch when caring for clients. The nurse should implement which action when performing therapeutic touch?

Position hands 2 to 4 in (5 to 10 cm) from the body.

The nurse is providing care to a Hispanic client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the appropriate action?

Request permission to move the client to a private room and allow the family members to visit.

An older client is seen in the clinic for a physical examination. Laboratory studies reveal that the hemoglobin and hematocrit levels are low, indicating the need for further diagnostic studies and a blood transfusion. The client is a Jehovah's Witness and refuses to have a blood transfusion. The nurse should take which most appropriate action?

Support the client's decision not to receive a blood transfusion.

The nurse is preparing to provide preoperative teaching to a Spanish-speaking client and the client's family. Which nursing action would be most effective for teaching the client?

The nurse secures the assistance of a professional interpreter to communicate with the client.

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?

"I cannot have any food containing or prepared with blood."

A clinic nurse is performing an admission assessment on an African American client scheduled for cataract removal with intraocular lens implantation. Which question should the nurse avoid asking on the initial assessment?

"Do you have any family problems?"

Which most essential element should the nurse consider to promote client adherence to care recommendations?

Adhering to the client's cultural preferences