NU270 Week 9 PrepU: Culture
A 3-year-old child of Vietnamese descent with a fever, decreased urine output, wheezing, and coughing is brought to the emergency department. On examination, the nurse discovers red, round, welt-like lesions on the child's upper back and chest. Which question should the nurse ask next? "Has your child been exposed to shingles?" "Are you aware of any child abuse?" "Does your child have any allergies?" "Can you tell me about any cultural practices in your family?"
"Can you tell me about any cultural practices in your family?" The nurse should consider that the lesions may be caused by cultural practice. Many Vietnamese people perform coining, a cultural practice in which a coin is repeatedly rubbed lengthwise on the oiled skin to rid the body of a disease. Coining can produce welt-like lesions on the child's back or chest, and children subjected to the practice are commonly thought to have been abused. Interviewing the family and assessing its cultural background can help distinguish between abuse and culture practice. Shingles, a form of herpes zoster, is a communicable disease usually affecting immunocompromised individuals and older adults. The disease produces small crusty pustules on the lower back and trunk. The description of the lesions doesn't fit those produced by an allergic reaction.
The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse? "You should consider eating the food provided, which is healthier." "Do you understand the specific diet for your HTN?" "Can you tell me what foods you prefer to eat and what your family is bringing you?" "It is ok to eat what your family brought you, as long as we see what it is."
"Can you tell me what foods you prefer to eat and what your family is bringing you?" The nurse should attempt to provide culturally sensitive food; however, the nurse should assess what foods the client wants to eat. The nurse should educate the client on food preferences that are also appropriate to the disease-specific dietary restrictions. Even though the diet may be healthier, the nurse should first assess the client's preferences. The nurse should verify the client's understanding of the diet but should avoid closed-ended questions such as asking if the client understands the specific diet for HTN.
A client with the beta-thalassemia trait plans to marry a person of Italian ancestry who also has the trait. Which client statement indicates understanding of the teaching provided by the nurse? "We should never plan to have children." "I need to learn how to give myself vitamin B12 injections." "We'll need more genetic counseling in the future." "If my fiancé was of Middle Eastern descent, I wouldn't be worried about having children."
"We'll need more genetic counseling in the future." Two people with the beta-thalassemia trait have a 25% chance of having a child with thalassemia major, a potentially life-threatening disease. Vitamin B<!sub>12!sub> injections are used to treat pernicious anemia, not thalassemia. Thalassemia occurs primarily in people of Italian, Greek, African, Asian, Middle Eastern, East Indian, and Caribbean descent. The client needs to know the risks before starting a family.
Which scenario is an example of cultural competence in nursing? \ Assessing the rate at which an illness causes death in a culture Attending a conference for cultural diversity Attending one's own church Assuming the provider and the client share beliefs and values
Attending a conference for cultural diversity Cultural competence can be shown by actively learning about culture through attending a conference. Assessing the rate at which an illness leads to death does not develop cultural competence. One's own church is a familiar culture, and attending it does not breed cultural expansion or competence. The provider should never assume that beliefs or values are shared.
The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? Explain to the client that the client is required to make all decisions related to the client's own health care. Document the client's request in the nursing care plan. Bring the client's spouse into the hallway to discuss surgical options for the client. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.
Document the client's request in the nursing care plan. A culturally sensitive nurse is one who respects a client's requests while ensuring that the requests reflect safe medical practice. This client's request does not interfere with client safety. Thus, the request should be respected and communicated through documentation to other healthcare personnel. Telling the client that the client must make all health care decisions does not address the client's request. There is no need to move to the hallway to discuss the client's care with the client's spouse, and this would likely be offensive.
In order to help preserve and maintain a client's cultural belief regarding the need for "hot foods," which action should the culturally competent nurse take? Educate the staff to help them assist the client in selecting food choices from the client's menu that supports this belief Discuss the possibility of the family providing the appropriate foods Ask for a dietary consult with an understanding of the "hot and cold food" belief Assure the client that these needs will be considered by the staff
Educate the staff to help them assist the client in selecting food choices from the client's menu that supports this belief In cultural care preservation/maintenance, the nurse assists the client in maintaining health practices that are derived from membership in a certain ethnic group. The nurse helps the client select and obtain foods congruent with these beliefs most effectively by educating staff. This is not necessarily possible or even advised if there are medically required food restrictions.
A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action? Let the client ambulate slowly on his or her own when stable. Explain the purpose and need for assistance during ambulation. Instruct family members to assist in ambulating the client. Ambulate the client explaining it is an expected outcome of their treatment.
Explain the purpose and need for assistance during ambulation. The nurse should explain the purpose of ambulation and the need for assistance while ambulating to the client. This would relieve the client's anxiety associated with physical closeness. However, the client won't be able to ambulate without assistance. Even though the nurse can instruct a family member to ambulate the client, this is not an appropriate action. Ambulating the client without recognizing the cultural difference is nontherapeutic, as the nurse would be not be performing culturally competent care by not acknowledging cultural practice.
Under which component of the psychosocial assessment should the nurse document observations concerning the client's cultural considerations? History Thought Process and Content Self-Concept Roles and Relationships
History The assessment information concerning culture is documented under the History component of the psychosocial assessment.
A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? Language assessment Blood sugar assessment Spiritual assessment Blood pressure assessment
Language assessment Although all of the assessments are appropriate, the priority assessment is communication. If clients do not speak the dominant language, it may be necessary to obtain an interpreter to provide culturally appropriate care.
The nurse must be aware that individuals from diverse ethnic groups might describe troubling experiences in terms of physical problems or specific culture-bound syndromes. The syndrome of ghost sickness is exhibited by which culture? Indian Native American West African Chinese
Native American The culture-bound syndrome of ghost sickness is seen in the Native American tribal culture. This culture exhibits a preoccupation with death and the deceased. Bad dreams, weakness, feelings of danger, anxiety, and hallucinations may occur. The other options are not related to the culture-bound syndrome of ghost sickness.
Evaluating the cultural practices of others according to the nurse's own culture can be counteracted by the nurse's use of which practice? Self-disclosure Self-discipline Self-esteem Self-assessment
Self-assessment Ethnocentrism, or the tendency to believe that one's own way of thinking, believing, and behaving is superior to that of others, is counteracted by the nurse's use of self-analysis. The other answers are not applicable as a counteraction to ethnocentrism.
The nurse should consider which during a psychiatric assessment of a newly immigrated client who is being evaluated for possible religious delusions? Some cultures hold religious beliefs that might be confused with delusional thought Most cultures contain well-accepted religious beliefs Delusions are often focused on the client's cultural religious beliefs The nurse's cultural religious beliefs may differ from those of the client's
Some cultures hold religious beliefs that might be confused with delusional thought Some cultures have widely held and culturally sanctioned beliefs that might be considered delusional in other cultures.
A client of Japanese descent describes a family trait of having less relief from analgesics than friends of White/Caucasian descent. The nurse recognizes that, because of this trait, which statement applies? The client may need higher doses of this drug. The client may need lower doses of this drug. This medication should not be prescribed to this client. Biocultural ecology is the study of biologic cultural differences.
The client may need higher doses of this drug. Even though bicultural ecology is the study of biologic cultural differences, it does not answer the question. According to biocultural assessment, people of Japanese descent metabolize certain drugs more quickly, which predisposes them to subtherapeutic drug concentration, requiring higher drug doses.
A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? The client does not speak the dominant language and requires an interpreter. The client's child learned the dominant language as a second language. The client and child cook traditional foods for the family. The client enjoys watching television programs from the home country.
The client's child learned the dominant language as a second language. The child is demonstrating an example of cultural assimilation by taking on the language of the dominant culture. When a minority group lives within a dominant group, its members may adapt some of their cultural practices that once made them different. This process is referred to as cultural assimilation. Watching television from the home country, cooking traditional foods, and speaking only the original language demonstrate the original culture and an attempt to bring the minority culture into the dominant culture.
A nurse is performing an admission assessment on a client newly admitted to the hospital and has documented the client as being a member of the Native American subculture. Which of these best describes a subculture? a cultural group with fewer than 5 million members in the United States a unique cultural group with unspecified geographic origins a cultural group with values that are incongruent with those of the dominant culture a unique cultural group that exists within the larger culture
a unique cultural group that exists within the larger culture Subcultures are unique cultural groups that coexist within the dominant culture of the United States. Subcultures are not defined according to the size of their membership or the lack of specific geographic origins. Subcultures may have some values that differ from those of the dominant culture but this is not their defining characteristic.
A Malaysian client is admitted to the healthcare facility with reports of cramping pain in the abdomen and loose stools. Where would the nurse be seated when interviewing the client? alongside the client behind the client at more than one arm's distance in the corner of the room
at more than one arm's distance While interviewing the Malaysian client, the nurse would sit at a distance of more than one arm's length from the client. The nurse would not sit alongside the client because the client may feel uncomfortable. If the nurse sits at the back of the client the nurse may not be able to observe the client's body language. If the nurse sits in a corner of the room communication may not be effective.
The children of an elderly client who has suffered an ischemic stroke have informed the nurse that an herbalist will be coming to their parent's bedside tomorrow to make recommendations for client's care. Which considerations should the nurse prioritize in light of the practitioner's planned visit? ensuring any complementary therapies are safe when combined with his prescribed therapy identifying whether the family would prefer to pursue alternative or conventional treatment for their parent ensuring that the care team does not impose their beliefs on the family or the complementary practitioner taking measures to prevent cultural conflict when the practitioner comers to the hospital
ensuring any complementary therapies are safe when combined with his prescribed therapy While it is important for the nurse and the other members of the care team to ensure that stereotypes or cultural imposition do not exist, the priority in all aspects of care is safety. Consequently, potential interactions between the complementary therapies and conventional hospital treatments are a priority. The family should not be required to forgo conventional treatment to pursue some aspects of culturally based, complementary care.
Persistent gaps between the health status of minorities and non-minorities are defined as: racism. ethnocentrism. health disparities. cultural relativity.
health disparities. Despite continued advances in health care and technology, racial and ethnic minorities continue to have higher rates of disease, disability, and premature death than non-minorities. These differences are known as health disparities. Racism is the belief that one's race is superior to another. Ethnocentrism is the belief that one's culture is superior to another. Cultural relativity is the belief that an understanding of a person's behavior depends, at least in part, on an understanding of that person's cultural context.
A new client is admitted to the unit, and the nurse's initial assessment will include a systematic appraisal of the client's cultural characteristics, health practices, and beliefs. What type of assessment will the nurse perform to gather this information? cultural biocultural multicultural procedural
cultural A cultural nursing assessment is a systematic appraisal or examination of individuals, families, groups, and communities in terms of their cultural beliefs, values, and practices. The nurse should include cultural beliefs and health practices in any initial assessment. When assessing any client, the nurse must consider general appearance and obvious physical characteristics, components that make up biocultural assessment.
A client who immigrated from another country informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of: cultural imposition. cultural blindness. cultural diversity. cultural assimilation.
cultural imposition. The nurse's response is an example of cultural imposition, which is defined as the belief that everyone should conform to the majority belief system. Cultural blindness is the result of ignoring differences and proceeding as though they do not exist. In this situation, the nurse did not ignore the request but inappropriately responded to it. Cultural diversity is defined as a diverse group in society, with varying racial classifications and national origins, religious affiliations, languages, physical sizes, genders, sexual orientations, ages, disabilities, socioeconomic statuses, occupational statuses, and geographic locations. Cultural assimilation occurs when members of a minority group live within a dominant group and lose the cultural characteristics that make them different.
A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock? "I am very stressed now because I do not understand how things work on this unit." "Can someone please give me an orientation to this unit?" "The way we do things on the surgical unit are so much better than the procedures of this unit." "I was expecting all the clients on the oncology unit to be depressed."
"I am very stressed now because I do not understand how things work on this unit." The nurse is experiencing culture shock because of the new environment. When the culture one has learned differs from the culture in one's environment, a person can become disoriented and stressed. The acute experience of not comprehending the culture of the current environment is called culture shock. Asking for an orientation to a new unit is proper procedure for a float nurse. The third statement indicates ethnocentrism, not culture shock. The fourth statement indicates stereotyping.
A nurse is admitting a client to the unit. Which cultural question is most appropriate? "Will you be able to eat the normal food provided?" "What are your dietary needs and preferences?" "Do you have food restrictions?" "Will you be making requests for special food based on your religion?"
"What are your dietary needs and preferences?" By asking about dietary needs and preferences, the nurse can gain insight into religious and cultural dietary practices. Asking about "normal" foods assumes that a cultural dietary request is abnormal. The other options will produce limited insight and imply that a cultural dietary need is a restriction or hindrance.
A nurse needs to encourage a client who is Hispanic and has severe depression to express the client's feelings. What distance between the nurse and the client may help facilitate therapeutic communication? 3 to 6 feet 10 to 12 inches 15 to 18 inches 15 to 18 feet
3 to 6 feet A distance of approximately 3 to 6 feet may help facilitate good therapeutic interaction between the client who is Hispanic and the nurse. People from some cultures, including Hispanics, are more comfortable with less than 4 to 12 feet of space between them when talking. A distance of 10 to 12 inches or 15 to 18 inches is considered the intimate communication zone, which may make the nurse and client feel uncomfortable. A distance of 15 to 18 feet between the nurse and the client is considered the public communication zone, which is unlikely to facilitate therapeutic communication.
A woman is in the second stage of labor, 8-cm dilated and 90% effaced. She keeps very quiet without expressing any outward signs of pain. Which intervention by the nurse would be most appropriate in this situation? Administer pain medication without asking the woman. Allow the woman to labor according to her cultural beliefs. Monitor the woman to attempt to predict when it is time to push. Review the nursing goal to minimize the amount of pain with birth.
Allow the woman to labor according to her cultural beliefs. The way people respond to pain is an example of a trait that is heavily influenced by culture. Some women and children scream with pain; others remain stoic and quiet. Both are "proper" responses, just culturally different. The best nursing intervention is to allow the woman to labor the way that is best for her. Administering pain medication without permission is unacceptable nursing practice. The nurse will have to assess the woman frequently, especially noting if any blood is coming from the vagina and performing frequent vaginal exams to know when it is time to push. "A close watch" could mean just looking into the room frequently. In some cultures, being stoic is expected behavior, so minimizing the pain may not be the goal of the woman.
The nurse is caring for an 8-year-old with a life-threatening illness. The parents do not speak the native language and want the child discharged so they can pursue alternative therapies that they believe will be less expensive. What is the most important action taken by the nurse to help the family and the child? Have a social worker help the family with the financial burden. Contact a clergy member to administer last rites to the child. Arrange to have a translator present when talking with the parents. Notify the healthcare provider that treatment will no longer be necessary.
Arrange to have a translator present when talking with the parents. A translator is an immediate priority. No effective health teaching or social intervention will be effective until there is an established means of communication with the family.
Which scenario is an example of cultural competence in nursing? Assessing the rate at which an illness causes death in a culture Attending a conference for cultural diversity Attending one's own church Assuming the provider and the client share beliefs and values
Attending a conference for cultural diversity Cultural competence can be shown by actively learning about culture through attending a conference. Assessing the rate at which an illness leads to death does not develop cultural competence. One's own church is a familiar culture, and attending it does not breed cultural expansion or competence. The provider should never assume that beliefs or values are shared.
A family is anxious for information about the status of their ill infant. The parents do not understand the dominant language, but their 14-year-old child is competent in the language, both spoken and written. The health care provider is present, but an interpreter is unavailable. What should the nurse do? Coordinate health care provider and interpreter schedules and arrange an information-sharing session for later in the day. Have the child and health care provider discuss the information thoroughly and help the child share these data with the parents. Support the child while the child interprets for the parents and the health care provider at the bedside. Develop a written account of the infant's status with the health care provider that the child can read and explain to the parents.
Coordinate health care provider and interpreter schedules and arrange an information-sharing session for later in the day. An interpreter is essential. Explanations need to be given and questions relayed and answered. The interpreter needs understanding of the health care environment, not just the language. The parents are anxious for information and "not knowing" is difficult. However, children in the family should not be used as interpreters. This may upset family dynamics by giving a great deal of power to a child.
Which of the following terms refers to Leininger's description of the person's inability to recognize his or her own values, beliefs, and practices and those of others? Culture Minority Cultural blindness Subculture
Cultural blindness Leininger's description of cultural blindness is the person's inability to recognize his or her own values, beliefs, and practices and those of others because of strong ethnocentric tendencies. Leininger was the founder of the specialty called transcultural nursing and advocated culturally competent nursing care. Minority refers to a group of people whose physical or cultural characteristics differ from the majority of people in a society. Subculture refers to a group that functions within a culture.
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse? Allow the client to slowly ambulate independently. Instruct the family to assist the client with ambulation. Discuss with the client the need for assistance during ambulation. Obtain a prescription for physical therapy consult to ambulate the client.
Discuss with the client the need for assistance during ambulation. For members of some cultures, providing care and performing nursing interventions can intrude into personal space. The nurse should discuss with the client the need for assistance during ambulation and prepare the client for potential closeness. The client may ambulate independently, but the nurse should still assist. Having the family or physical therapy ambulate the client does not address the issue related to culture and nursing interventions.
Of the following nurse theorists, which one is considered the founder of transcultural nursing? Patricia Benner Dorothea Orem Madeline Leininger Jean Watson
Madeline Leininger Madeleine Leininger is the founder of the specialty called transcultural nursing. Jean Watson founded the caring theory, Orem the self-care theory, and Benner the novice to expert model.
The nurse is working with a client from the Middle East. The nurse maintains a distance of approximately 13 feet from the client while talking. The client says that the client is uncomfortable when the nurse talks to the client from such a long distance. How should the nurse interpret this statement? The client is not maintaining boundaries. The client feels that the nurse is not doing the job properly. The client feels that the nurse is indifferent toward the client. The client feels that the nurse is invading the client's personal zone.
The client feels that the nurse is indifferent toward the client. People from cultures in the Middle East, Asia, and the Mediterranean often are more comfortable with less than 4 to 12 feet of space between them while talking. Thus, it is likely the Middle Eastern client feels that the nurse is behaving indifferently toward the client. If the nurse is aware of behaviors in various cultures, the nurse would interpret it this way. The client not maintaining boundaries is an incorrect interpretation of the client's statement. The client does not convey that the nurse is not doing the job properly. The client does not feel that the nurse is invading the client's personal zone.
Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact with a client who has a different cultural perspective on space and distance? Allow the client to adopt a position that is comfortable for him or her. Realize that sitting close to the client is an indication of warmth and caring. Adopt a cultural preference similar to that of the client. Remember not to intrude into the personal space of the elderly.
Allow the client to adopt a position that is comfortable for him or her. If the client appears to position himself or herself too close or too far away, the nurse should consider cultural preferences for space and distance. Ideally, the client should be permitted to assume a position that is comfortable to him or her in terms of personal space and distance. "Realizing" and "remembering" are not interactions. It is also incorrect to attempt to adopt someone else's cultural preference as this can be very uncomfortable for the nurse, which adds a barrier to nurse-client interactions.
The nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness of the client to adhere to the instructions by use of which method? Make the client promise to follow the instructions and be compliant with the plan. Ask the client if he or she agrees with the instructions that are outlined. Ask the client if there is anything in the discharge plan that will interfere with compliance. Observe the client's face to see if he or she is smiling, which can be interpreted as compliance.
Ask the client if there is anything in the discharge plan that will interfere with compliance. Some individuals will not openly disagree with people in authority or who possess advanced education. Smiling is not necessarily proof of compliance. Agreeing with the plan of care is not the same as "doing" or complaining but finding out if there is anything in the plan of care that the client does not agree to adhere to is a step to establishing a plan of care that is client oriented.
The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? Allow all the visitors into the room. Explain to the family that too many visitors will tire the client. Insist that only one family member can be in the room at a time. Assess the client's beliefs about family support during hospitalization.
Assess the client's beliefs about family support during hospitalization. Asking the client about the client's beliefs exemplifies that the nurse recognizes the importance of respecting differences rather than imposing standards. If the client believes family support is significant to health and recovery, the nurse should respect the client's beliefs and allow the visitors into the room.
Three major paradigms are used to explain the causes of disease and illness. Which three of the following are the paradigms? Choose all three. Biomedical or scientific view Naturalistic or holistic perspective Magico-religious view Geographic view Dynamic perspective
Biomedical or scientific view Naturalistic or holistic perspective Magico-religious view Three major views, or paradigms, attempt to explain the causes of disease and illness: the biomedical or scientific view, the naturalistic or holistic view, and the magico-religious view. The geographic view and the dynamic perspective are not considered paradigms of causes of illness.
The nurse is caring for the teenage child of immigrants. The teenager voices distress because after living in the country for several years, he no longer wants to participate in some of the tradition religious rituals that are important to his parents. What is the teenager experiencing? Culture shock Cultural ethnocentrism Cultural change Cultural relativity
Cultural change The teenager is experiencing cultural change. This often occurs when a person changes upon coming into contact with new beliefs and ideas. Culture shock is a stress response that involves being unable to comprehend the culture that one is immersed in. Viewing one's own culture as the only correct standard by which to view people of other cultures is ethnocentrism. Cultural relativity refers to an understanding that cultures relate differently to the same given situations.
Nurses are aware that variety and diversity occur both within and across groups. Which factor leads to cultural benefits as a result of diversity? Equal opportunity exists for various cultural perspectives. The dominant culture overpowers outward expressions of other cultures. Suppression occurs in people of differing cultural orientations. Other cultures experience the lasting effects of disempowerment.
Equal opportunity exists for various cultural perspectives. Culture benefits from diversity only when the playing field is level and when equal opportunity exists for various cultural perspectives. When a dominant culture overpowers the outward public expressions of other cultures, conflicts and suppression may occur in people of differing cultural orientations. Such situations can be highly stressful.
Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory? Contacting a chaplain for every client Providing the same care to each client who has had a myocardial infarction Planning dietary interventions according to physiological condition Incorporating the client's request for complementary treatment therapy
Incorporating the client's request for complementary treatment therapy Leininger's theory of transcultural nursing includes assessing a cultural nature, accepting each client as an individual, having knowledge of health problems that affect particular cultural groups, and planning of care within the client's health belief system to achieve the best health outcomes. Therefore, incorporating the client's request for complementary treatment therapy is an example of this theory. The others do not support this theory.
The nurse is caring for a client who is very ill. The client's spouse has asked to speak with the physician, who makes rounds between 0900 and 1000 every morning. The nurse tells the spouse to be at the bedside at that time in order to talk with the physician, but the spouse never arrives until the afternoon. Knowing that some individuals view time in a wider frame of reference, the appropriate response to this behavior is which of the following? Make other arrangements with the physician to facilitate a meeting with the spouse. Talk to the spouse and be firm about the time issue; let the spouse know that the physician cannot see her in the afternoon. Do nothing; let the spouse handle the issue. Report the issue to the nurse supervisor and ask her to talk to the spouse.
Make other arrangements with the physician to facilitate a meeting with the spouse. Some individuals consider time in a wider frame of reference and make the primary distinction between day and night. In order to deliver culturally competent nursing care, the nurse must make an effort to facilitate a meeting between the spouse and physician.
Which intervention best demonstrates the L & D nurse is respectful of a client who is deaf and in early labor? Write down information on a piece of paper that the client can keep. Seek assistance from another health care professional who can converse in sign language. Utilize the labor coach so he or she can interpret and relay information to the client. Utilize hand signals like in charades to try to communicate important pieces of information.
Seek assistance from another health care professional who can converse in sign language. Cultural differences occur across not only different ethnic backgrounds but also different sociodemographic groups. A parent who has been deaf since birth, for example, expects her deaf culture to be respected by having health care professionals locate a sign language interpreter for her while she is in labor. If an interpreter cannot be located, writing down questions and answers is an alternative, assuming the parent has the ability to read and comprehend while dealing with labor contractions. Use of friends and family members is not considered to be the best option since many family/friends find it difficult to interpret medical terms. Hand signals can help in an emergency; however, it not the best way to interpret questions/comments from a laboring woman who is deaf.
When conducting an assessment with a client from another country, what can a nurse do to ensure the client receives culturally sensitive care? After the focused assessment, decide if a cultural assessment is necessary. Show genuine interest in the client's culture and personal life experiences. Develop a plan of care after talking to the client's family. Develop a plan of care based on the nurse's own knowledge of a client's culture.
Show genuine interest in the client's culture and personal life experiences. Leininger suggests that the attributes and behaviors of a nurse practicing effective care within the client's cultural context include genuine interest in a client's culture and personal life experiences. They do not include developing a plan of care after talking with the client's family, developing a plan of care based on the nurse's knowledge of the client's culture, or deciding after the focused assessment if a cultural assessment is necessary.
The client recently immigrated from Mumbai, India. The client was just admitted to the nurse's unit postoperatively following gallstone removal. The client does not speak the dominant language. When using the hospital's interpretive services, which is most important? Speak directly to the client. Ensure that family members are present. Give all of the discharge instructions at once. Have the interpreter write out all of the information listed in the unit brochure.
Speak directly to the client. When utilizing an interpreter, speak clearly in a conversational tone and directly address the client. While a client may be more comfortable having a family member present, this is not required. The nurse should not give all of the discharge instructions at once, which is likely to overwhelm the client, but provide discharge teaching in brief, manageable increments. Interpreters should not be asked to translate written information; instead, the nurse should verbally explain the brochure, or a copy should be obtained in the client's native language.
A nursing student asks the instructor why nurses focus on assessing sociocultural aspects of clients. Which response from the nurse is most accurate? Such assessment can reveal why people take certain preventive or treatment measures related to their health. This assessment is necessary to pinpoint genetic risks in people. Assessment of sociocultural components makes nurses better equipped to work in diverse settings. Nurses should strive to understand all dimensions of the client, even those that seem less important.
Such assessment can reveal why people take certain preventive or treatment measures related to their health. Assessing sociocultural status, ethnicity, and cultural beliefs of families and clients can reveal why people take the type of preventive health measures that they do or seek a particular type of care for illness. While the other answers might be partially correct, they do not represent the best answer for this question.
A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of: cultural ritual. cultural competence. cultural stereotyping. ethnocentrism.
cultural ritual. Clients and families often express rituals, or practices habitually repeated in certain contexts, during times of stress, such as during an acute hospitalization. Keeping the body covered and warm is a home remedy used by many cultures to help heal the body. As in this example, cultural rituals may conflict with Western medical beliefs. Cultural competence is an approach to health care in which one is aware of one's one cultural beliefs and biases and understands the effects that a client's culture has on the client's health care. Stereotyping involves applying a preconceived and untested generalization to a whole group of people. Ethnocentrism is the belief that one's culture is superior to another.
The nurse demonstrates culturally competent nursing care by doing which of the following? respecting the personal beliefs of the client while acknowledging the nurse's own biases challenging the beliefs and values of patients from diverse cultures. recognizing that the healthcare system is void of culture and not acknowledging cultural differences providing the same nursing interventions for all clients without exceptions
respecting the personal beliefs of the client while acknowledging the nurse's own biases Providing culturally competent nursing care means that care is planned and implemented in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations within society. To provide culturally competent care, the nurse must be aware that the healthcare system itself is a culture and that cultural imposition and ethnocentrism must be avoided.
A nurse is caring for a Turkish American client. The nurse understands that there could be major cultural differences between herself and the client. The nurse contemplates assigning this client to a staff member who is of the same culture as the client. What is a potential consequence? stereotyping of the client ensuring better care and understanding helping in assessing client's culture building a better nurse-client relationship
stereotyping of the client A nurse who thinks stereotypically may assign a client to a staff member who is of the same culture as the client because the nurse assumes that all people of that culture are alike. The nurse also may believe that clients with the same skin color may react in the same manner in similar social situations. Because stereotypes are preconceived ideas unsupported by facts, they may not be real or accurate. In fact, they can be dangerous because they are dehumanizing and interfere with accepting others as unique individuals.
