nur400 ch5 ML8

When an American client states, "I only want an American doctor," the client is expressing: a. ethnocentrism. b. cultural relativity. d. cultural pervasiveness. e. racism.

a. ethnocentrism.

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? a. Older family member b. Client c. Nurse d. Health care provider

b. Client

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information? a. Ask a bilingual family member to translate b. Enlist the services of a qualified language interpreter c. Ask another nurse who speaks the client's language to interpret d. Use a laboratory aide who is from the same country as the client

b. Enlist the services of a qualified language interpreter

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 Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation. b. 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. c. A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. d. 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.

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

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? a. "Ethnicity begins at birth or through adoption of characteristics." b. "People of the same ethnicity share many of the same cultural and social beliefs." c. "Ethnicity can often determine dialect and political interests." d. "Ethnicity and race are the same thing and are affected by cultural practice."

d. "Ethnicity and race are the same thing and are affected by cultural practice."

A client is completing a health history form and asks the nurse, a. "Why does this ask for my ethnicity instead of my race?" What is the appropriate nursing response? b. "Race and ethnicity are the same thing." c. "Race is based on physical characteristics, and ethnicity is specific to where you live." d. "Ethnicity is a social category that is being used to replace racial categories." e. "Ethnicity is a sense of identity with a collective cultural group."

d. "Ethnicity is a social category that is being used to replace racial categories."

The nurse cares for clients in the emergency department (ED). Which statement made by a health care professional is an indication of racism in the ED? a. "Mexicans are just here seeking drugs." b. "Emergency department nurses have to be very patient and caring people to deal with these people." c. "Asians are too stoic and bear their pain silently." d. "White people are superior to Black people."

d. ''White people are superior to Black people."

The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as: a. ritual. b. ethnocentrism. c. stereotyping. d. subculture.

a. ritual.

Which nursing intervention reflects culturally appropriate care when addressing a client? a. "Good morning, Mr. Smith. I am your nurse, John." b. "You can sit in this chair, Sally." c. "Thank you for coming to the clinic today." d. "I see you are here because you have a sinus infection."

a. "Good morning, Mr. Smith. I am your nurse, John."

Which questions may help the nurse assess his or her ability to relate to various groups in society? Select all that apply. a. "Can I welcome this person sincerely?" b. "Can I have dinner with this person comfortably?" c. "Can I genuinely try to help this person and be comfortable enough to listen?" d. "Can I allow my son/daughter to date this person?" e. "Do I have the experience to help this person?"

a. "Can I welcome this person sincerely?" c. "Can I genuinely try to help this person and be comfortable enough to listen?" e. "Do I have the experience to help this person?"

The mother of a Black newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response? a. "These areas are normal and should disappear by early childhood." b. "It will be best if you have these areas treated with laser surgery." c. "These spots will normally fade in about 2 weeks." d. "This discoloration occurs in some infants and is usually permanent."

a. "These areas are normal and should disappear by early childhood."

The nurse cares for a client who is a member of a different culture from the nurse's. Which question is most important for the nurse to ask to assess the client's beliefs about treatment? a. "What are your expectations about being in the hospital?" b. "What do you eat for breakfast?" c. "How do you feel about being in the hospital?" d. "What do you believe about health care?"

a. "What are your expectations about being in the hospital?"

The unlicensed assistive personnel 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? a. "What type of food did your family prepare for you, and does it have special meaning?" b. "You can only eat the food that we serve you." c. "Do you understand that you are on a strict diet and any variation can cause you harm?" d. "I will need to get permission from your health care provider for you to eat the food your family brought in."

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

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

a. 32-year-old white woman

What is the priority assessment for the nurse when developing a plan of care for a client from a poverty culture? a. Access to care b. Access to health insurance c. Access to affordable housing d. Access to financial assistance

a. Access to care

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty? a. Access to care b. Access to health insurance c. Access to affordable housing d. Access to financial assistance

a. Access to care

A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first? a. Ask an open-ended, general question b. Request clarification of a key term c. Identify clues to what may be immportant d. Document the client's view of self

a. Ask an open-ended, general question

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? a. Ask the client about personal space preferences. b. Back away from the client. c. Ask the client why he or she is backing away. d. Move closer to the client.

a. Ask the client about personal space preferences.

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? a. Assessment of eye contact, personal space, and social taboos b. Assessment of religious beliefs and prayer schedules c. Assessment of racial identification and cultural affiliation d. Assessment of income level to determine poverty status

a. Assessment of eye contact, personal space, and social taboos

Which behavior by the nurse is stereotyping? a. Avoiding older adult clients because their care is time consuming b. Openly ridiculing the practice of acupuncture c. Explaining to others that Western medicine is always superior d. Grouping care assignments to allow ample time to care for complex clients

a. Avoiding older adult clients because their care is time consuming

The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue? a. Culture shock b. Ethnocentrism c. Generalization d. Ageism

a. Culture shock

Upon moving to another country, a college student is very confused by many local customs. He is especially bothered by the custom of men and women eating in separate areas and it makes him angry and resentful of the new culture. What are the feelings experienced by this student? a. Culture shock b. Stereotyping c. Ethnocentrism d. Cultural assimilation

a. Culture shock

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? a. Document the request and make all reasonable efforts to honor it b. Assess the couple's rationale for making the request c. Determine whether the request is based on a valid reason or cultural preference d. Document the request as a knowledge deficit and address the couple's educational needs

a. Document the request and make all reasonable efforts to honor it

A nurse is part of an orientation team for a group of newly hired nurses. The nurse is to prepare a presentation for the group about different cultural groups common to the facility. As part of the presentation, the nurse is planning to describe how culture is communicated to provide a foundation for culturally competent care. Which methods of communication would the nurse include? Select all that apply. a. Language b. Behavior c. Symbols d. Implicit beliefs e. Lifeways

a. Language b. Behavior c. Symbols

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? a. Language assessment b. Blood sugar assessment c. Spiritual assessment d. Blood pressure assessment

a. Language assessment

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply. a. Less power b. Health disparities c. Greater advantages d. Improved access to care e. Increased economic privileges

a. Less power b. Health disparities

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care? a. Not all members of the same culture act and think alike. b. Culture is relatively static and unchanging. c. Individuals learn culture in a purposeful manner. d. Individuals can easily describe their culture.

a. Not all members of the same culture act and think alike.

Which statement best conveys the relationship between race and ethnicity? a. Race denotes physical characteristics, while ethnicity is rooted in a common heritage. b. Race and ethnicity can be considered to be synonymous in the context of health care. c. Race and ethnicity are both culturally determined concepts. d. Race is based on an individual's cultural history and is independent of ethnicity.

a. Race denotes physical characteristics, while ethnicity is rooted in a common heritage.

Which behaviors demonstrated by the client would the nurse consider reflections of the client's pride in ethnicity? Select all that apply. a. Requesting native cuisine b. Listening to folk music and dance c. Asking to wear unique clothing d. Crying when given a diagnosis of cancer e. Requesting assistance when transferring from bed to chair

a. Requesting native cuisine b. Listening to folk music and dance c. Asking to wear unique clothing

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value? a. Skin color b. Size c. Language d. Dress

a. Skin color

A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation? a. Stereotyping b. Cultural blindness c. Cultural conflict d. Cultural imposition

a. Stereotyping

The younger nurses on a unit, who seem to adapt easily to the new technology presented, are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond? a. The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit. b. The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist. c. The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately. d. The charge nurse should recognize that this is cultural imposition and the younger nurses are forcing new technology on the older nurses.

a. The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? a. The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off." b. The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." c. The client from France states, "I miss my family back home." d. The client from England states, "I do not understand what all these new medications are for."

a. The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."

The home health nurse is conducting a health history interview with a client that immigrated 3 months ago. What action observed by the nurse would indicate that the client is adapting to the majority culture? a. The client reads books in the language of the new country. b. The client prepares traditional meals of the native country. c. The client lives in a neighborhood that has a population of immigrants from the native country. d. The client prefers to watch television in the native language.

a. The client reads books in the language of the new country.

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change? a. The client states, "I feel like I abandoned my religion." b. The client states, "I am glad that nurse told me what to do." c. The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." d. The client states, "Why isn't blood administration forced on all who need that treatment?"

a. The client states, "I feel like I abandoned my religion."

Which is a cultural norm of the health care system? a. There is the use of a systematic approach and problem-solving methodology. b. There is a tolerance of tardiness, disorderliness, and disorganization. c. There are rigid procedures attending birth and death. d. The omnipotence of technology is yet to be recognized.

a. There is the use of a systematic approach and problem-solving methodology.

The nurse is providing discharge teaching for a client who is from a different culture. The nurse notes that the client will look away from the nurse and does not maintain eye contact. What would be the most appropriate action by the nurse, with regard to culturally competent care? a. Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions. b. Tell the client that it is important to pay attention to the teaching and ask if the client would like an interpreter. c. Change positions to promote eye contact with the client, asking open-ended questions to ensure understanding. d. Continue with teaching and leave written instructions for the client to review.

a. Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions.

A client has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset, and now the client wants to leave. What is the most culturally appropriate response by the charge nurse? a. "Would you feel more comfortable with your family with you?" b. "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." c. "Sometimes family can cause stress, and we try to maintain a stress-free care environment." d. "Why do you think you need to leave?"

a. Would you feel more comfortable with your family with you?"

An older adult client who only speaks the nondominant language has been admitted to the emergency department after suffering a fall and suspected hip fracture in the home. Who is the best person to perform translation services for the client? a. a hospital translator b. a family member c. a trusted friend d. a bilingual hospital employee

a. a hospital translator

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: a. cultural ritual. b. cultural competence. c. cultural stereotyping. d. ethnocentrism.

a. cultural ritual.

A nurse is caring for clients in a predominantly black community. What values or beliefs are commonly shared by members of this culture? Select all that apply. a. Oriented to the present b. Frequently highly religious c. Youth valued over age d. Praise of self or others considered poor manners e. Respect given according to sex (male) f. Clergy members highly respected

a.Oriented to the present b.Frequently highly religious f.Clergy members highly respected

A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with her in a one-bedroom apartment. Which of the following is a primary nursing concern? a. The client does not have running water. b. The client has no hope for the future. c. The client receives government assistance. d. The client does not have air-conditioning.

a.The client does not have running water.

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? a. The client may have a very different understanding of health promotion. b. Health promotion is a concept that is largely exclusive to Western cultures. c. A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development. d. The nurse should avoid performing health promotion education if this is not a priority in the client's culture.

a.The client may have a very different understanding of health promotion.

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

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

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? a. "Culture helps to define identity within specific groups of people." b. "Culture cannot be influenced, and you are born with your culture." c. "Language is the primary way that people share their culture." d. "Culture can be seen in attitudes and institutions of certain populations."

b. "Culture cannot be influenced, and you are born with your culture."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse? a. "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." b. "We can wait until your spiritual healer arrives and work together to answer these questions." c. "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." d. "These questions need to be answered so we can provide you with the best care."

b. "We can wait until your spiritual healer arrives and work together to answer these questions."

Which scenario is an example of cultural competence in nursing? a. Assessing the rate at which an illness causes death in a culture b. Attending a conference for cultural diversity c. Attending one's own church d. Assuming the provider and the client share beliefs and values

b. Attending a conference for cultural diversity

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? a. Explain to the client that the client is required to make all decisions related to the client's own health care. b. Document the client's request in the nursing care plan. c. Bring the client's spouse into the hallway to discuss surgical options for the client. d. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.

b. Document the client's request in the nursing care plan.

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? a. Let the client ambulate slowly on his or her own when stable. b. Explain the purpose and need for assistance during ambulation. c. Instruct family members to assist in ambulating the client. d. Ambulate the client explaining it is an expected outcome of their treatment.

b. Explain the purpose and need for assistance during ambulation.

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 on time for your health care appointment. c. It is important to be future-oriented when considering your appointment time. d. It is important to arrive within 20 minutes of your scheduled appointment time.

b. It is important to be on time for your health care appointment.

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? a. Set all interventions to be done at specific times. b. Maintain flexibility when the client requests interventions at specific times. c. Have the client set all times for the interventions. d. Perform interventions at random times during shift.

b. Maintain flexibility when the client requests interventions at specific times.

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice? a. Ethnocentrism b. Racism c. Stereotyping d. Ethnic identification

b. Racism

A geriatric client is observed smoking a cigarette and lowering the oxygen nasal prongs away from the nostrils. Which is the priority action of the nurse? a. Instruct the client to switch to chewing tobacco b. Remind the client to avoid smoking during oxygen therapy c. Accept the client has lung cancer and will die one way or another d. Request a prescription for a smoking cessation program for the client

b. Remind the client to avoid smoking during oxygen therapy

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? a. Make every effort to involve the client and the client's family with the end-of-life care. b. Understand the client's personal and cultural views regarding death and dying. c. Arrange for end-of-life care to be provided by personnel familiar with the client's culture. d. Share the client's concerns regarding the dying process with the interdisciplinary care team.

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

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse? a. "Saffron does not have any effect on blood sugar level." b. "Why don't you take the medicines, too, and benefit from both?" c. "Yes, I agree that you should continue taking saffron for diabetes." d. "Let me inform the health care provider that you are not taking your medicines."

b. Why don't you take the medicines, too, and benefit from both?"

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? a. "You should consider eating the food provided, which is healthier." b. "Do you understand the specific diet for your HTN?" c. "Can you tell me what foods you prefer to eat and what your family is bringing you?" d. "It is ok to eat what your family brought you, as long as we see what it is."

c. "Can you tell me what foods you prefer to eat and what your family is bringing you?"

The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? a. "I need to watch the amount of sugar that I eat." b. "It is important to monitor my blood pressure." c. "Getting a mammogram in my thirties is important." d. "Increasing dairy will improve my bones."

c. "It is important to monitor my blood pressure."

The staff nurse overhears the charge nurse, who is of Italian heritage, talking to the unlicensed assistive personnel. Which statement made by the charge nurse is an example of ethnocentrism? a. "People who are Irish are usually alcoholics." b. "Asian people are bad drivers." c. "Italians are best at everything." d. "Hispanics are usually lazy."

c. "Italians are best at everything."

The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss? a. "Is there something wrong with the food?" b. "Would you like to speak with a nutritionist?" c. "What type of food do you like to eat at home?" d. "Can you ask your family to bring you something you like?"

c. "What type of food do you like to eat at home?"

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of? a. A subculture b. A subgroup c. A minority d. A majority

c. A minority

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? a. Culture shock b. Cultural ethnocentrism c. Cultural change d. Cultural relativity

c. Cultural change

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed? a. Stereotyping b. Cultural conflict c. Cultural imposition d. Culture shock

c. Cultural imposition

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture? a. Acculturation b. Cultural blindness c. Cultural imposition d. Cultural taboos

c. Cultural imposition

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? a. Allow the client to slowly ambulate independently. b. Instruct the family to assist the client with ambulation. c. Discuss with the client the need for assistance during ambulation. d. Obtain a prescription for physical therapy consult to ambulate the client.

c. Discuss with the client the need for assistance during ambulation.

The nurse is using an interpreter to communicate with a client who speaks a different language. What would be the best way to choose an interpreter for this client? a. The interpreter should speak in a loud voice. b. The interpreter should conduct the conversation quickly to avoid misinterpretation. c.The interpreter should understand the health care system. d. The interpreter should always make direct eye contact.

c. The interpreter should understand the health care system.

A nurse is assigned to care for a client who does not speak the dominant language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be mosteffective in reassuring the client until the interpreter arrives? a. Using gestures and symbols to communicate with the client b. Enlisting other healthcare providers to assist with communication c. Using reassuring body language and making eye contact to assess needs d. Avoiding going into the client's room until the interpreter arrives

c. Using reassuring body language and making eye contact to assess needs

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: a. individual values. b. developmental level. c. client's height. d. available technology.

c. client's height.

Persistent gaps between the health status of minorities and non-minorities are defined as: a.racism. b. ethnocentrism. c. health disparities. d. cultural relativity.

c. health disparities.

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: a. nursing personality. b. past history. c. media. d. genetics.

c. media

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? a. Allow all the visitors into the room. b. Explain to the family that too many visitors will tire the client. c. Insist that only one family member can be in the room at a time. d. Assess the client's beliefs about family support during hospitalization.

d. Assess the client's beliefs about family support during hospitalization.

How do people of Canadian Indian descent prefer to be identified? a. Indians b. Americans c. Canadians d. First Nations

d. First Nations

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory? a. Contacting a chaplain for every client b. Providing the same care to each client who has had a myocardial infarction c. Planning dietary interventions according to physiological condition d. Incorporating the client's request for complementary treatment therapy

d. Incorporating the client's request for complementary treatment therapy

A nurse receives a report for a client who is going to surgery in the morning. The nurse is informed that the client is Jehovah's Witness. What education is needed for this particular client? a. The client needs to be informed that blood may be given if needed in an emergency situation so informed consent can be obtained. b. The client should be informed that surgery is not an option because blood will need to be transfused. c. The client should be informed that he or she can discuss the possible need for blood with a spiritual counselor prior to surgery to make an informed decision. d. The client needs to have a discussion with the health care team about blood product preferences.

d. The client needs to have a discussion with the health care team about blood product preferences.

The nurse working on a medical unit always performs hand hygiene between contact with each client. In addition to being understood as an infection control measure, this practice can be understood as: a. a custom. b. an obsession. c. a coping strategy. d. a ritual.

d. a ritual

The charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what? a. stereotyping b. cultural shock c. ethnocentrism d. ageism

d. ageism

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms: a. allow nurses to predict a client's response. b. can be generalized to anyone of that culture. c. are fairly consistent across cultural groups. d. require an individualized approach by the nurse.

d. require an individualized approach by the nurse.

The nurse is teaching about sources of calcium for a client newly diagnosed with lactose intolerance. The client would require further teaching if which food is chosen? a. green, leafy vegetables b. prunes c. egg yolks d. yogurt

d. yogurt