PrepU Chapter 5: Culturally Respectful Care

Which area is typically included in a cultural assessment?

Food preferences

The nursing instructor is leading a class discussion concerning the challenges of providing optimal care to any client who speaks a different language. The instructor determines the session is successful when the students correctly choose which as an appropriate reason(s) to always request a certified interpreter? Select all that apply.

avoid a civil rights violation to avoid breaking confidentiality potential for modifying information misunderstanding of medical terminology

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 ritual.

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?

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

Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain?

"If a client needs to yell in pain, that is his or her right."

Which statement by the nurse demonstrates ethnocentrism?

"That client needs to learn that pain is best managed with traditional medications like morphine."

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?

Access to care

The nurse is caring for a client of a different culture and strives to deliver culturally sensitive care. Which action by the nurse is most appropriate?

Ask inquisitive questions regarding the client's cultural practices.

A nurse caring for clients in a culturally diverse neighborhood knows that culture affects the nurse's interactions with the client. Which are characteristics of culture? Select all that apply.

Culture guides what is acceptable behavior for people in a specific group. Cultural practices and beliefs mainly remain constant as long as they satisfy a group's needs. Culture influences the way people of a group view themselves, have expectations, and behave.

While the nurse conducts a comprehensive cultural assessment on a client with metastatic colon cancer the client states, "The pain with this cancer is God's way of punishing me for all the drinking and bad things I did in the military. I lost so many friends in the war that I look forward to having a few beers with them after I die." The nurse will use questions to explore the client's statement.

Health Beliefs/Practices How much alcohol do you use daily? How do you control your pain? Cultural Sanctions/Restrictions Have you experienced flashbacks to your military years? Are you part of a faith community?How do you express emotions or feelings?

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?

Incorporating the client's request for complementary treatment therapy

Which teaching statement best exemplifies cultural competence in relation to time for the American culture?

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

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply.

Physically impaired Burdensome to family Uninterested in intimacy

Which behaviors demonstrated by the client would the nurse consider reflections of the client's pride in ethnicity? Select all that apply.

Requesting native cuisine Listening to folk music and dance Asking to wear unique clothing

The nurse obtains a health history interview on a client with lung cancer. The client states, "I became too focused at work; I did not have time to rest. I usually work 8 hours per day but, for the past few months, I have been spending at least 12 hours per day at the office. That is probably the reason why I was diagnosed with cancer. Maybe when I try to go back to my usual schedule, the cancer will go away. I did not want to be here but my wife is insistent. I do not think medications work. My brother-in-law died of cancer. He took a lot of medicines and prayed really hard, but he died just the same."

The nurse determines that the client believes in the holistic biomedical cause of illness as manifested by believing one can be cured of cancer by limiting work hours

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. How should the nurse conduct the interview?

The nurse should avoid using medical terminology.

Which nursing actions are appropriate when collecting a health history for a client whose primary language differs from the dominant language? Select all that apply.

Use the facility telephonic interpreting system. Have a bilingual nurse assist with the health history. Request assistance from a certified interpreter.

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 most effective in reassuring the client until the interpreter arrives?

Using reassuring body language and making eye contact to assess needs

The nurse is performing an assessment for a Native American/First Nations client who is hesitant to answer questions related to psychosocial history. What action by the nurse will facilitate communication between the nurse and the client?

Wait to write down notes or put the information in the computer until after the interview, if possible.

A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that the nurse had all of the nurse's own children vaccinated. The nurse's behavior an example of:

cultural imposition.

The use of one's culture as a cultural standard is known as:

ethnocentrism.

A client has recently immigrated to the country and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I cannot do anything correct here." What is the priority nursing concern for care planning?

situational low self-esteem related to culture shock and feelings of fear and incompetence