320 culture

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? The interpreter should speak in a loud voice. The interpreter should conduct the conversation quickly to avoid misinterpretation. The interpreter should understand the health care system. The interpreter should always make direct eye contact.

The interpreter should understand the health care system.

Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain? "Asian clients have a high pain tolerance." "Some procedures hurt more and should have more pain reaction." "If a client needs to yell in pain, that is his or her right." "Males tend to overreact to pain for sympathy."

"If a client needs to yell in pain, that is his or her right." center answer around patient and not nurse perception of pain

The community health nurse is developing a workshop for a group of Native American/First Nation clients. Which topic should the nurse teach? Alcohol use disorder Heart-healthy diets Preventing diabetes Signs of stroke

Alcohol use disorder Even though Native American/First Nation clients are at risk for cardiovascular disease, diabetes, and stroke, among these groups, alcohol use disorder is six times higher than the national average. The most appropriate topic to teach the group would be about alcohol use disorder.

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? Inquire if the client desires the Sacrament of the Sick. Ask the client if a spiritual leader is desired. Do nothing unless the client requests spiritual assistance. Call a Roman Catholic priest to visit the client.

Ask the client if a spiritual leader is desired.

A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating? Cultural conflict Cultural assimilation Cultural blindness Cultural diversity

Cultural conflict

A client is experiencing culture shock. Which findings would the nurse likely assess? Select all that apply. Disorientation Stress Increased activity Calm demeanor Weakness

Disorientation Stress

How is culture learned by each new generation? Ethnic heritage Involvement in religious activities Formal and informal experiences Belonging to a subculture

Formal and informal experiences Culture is a shared system of beliefs, values, and behavioral expectations that provide social structure for daily living. Culture includes the beliefs, habits, likes, dislikes, customs, rituals, and ethnic heritage that are learned through formal and informal experiences within one's family and within the cultural group to which one belongs. Involvement in religious experiences can be part of the culture learned through formal and informal experiences.

Which behavior by the nurse demonstrates cultural blindness? Administering antibiotics to a child whose parents do not believe in Western medicine Convincing a client that Western medicine is more effective than alternative therapy Explaining to the client that using acupuncture to treat labor pain is ridiculous Administering pain medication when a client shows nonverbal indicators of pain

Administering antibiotics to a child whose parents do not believe in Western medicine

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 custom. an obsession. a coping strategy. a ritual.

a ritual.

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

client's height.

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Japanese. The nurse realizes the client is referring to which ancestral and cultural factor? race ethnocentrism values ethnicity

ethnicity

When teaching a group of unlicensed assistive personnel (UAP) about race, which statement by a UAP requires intervention by the nurse? "Race is a term used to categorize people with genetically shared physical characteristics." "Skin color, eye shape, and texture of hair are methods of categorizing race." "People with common physical features share the same culture." "Caucasian, Negroid, and Mongoloid are names for races."

"People with common physical features share the same culture."

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Soup, hot tea, and toast Turkey sandwich, milk, and gelatin Chicken salad, water, and a frozen fruit juice bar Fruit salad, apple juice, and pudding

Soup, hot tea, and toast

Healthcare facilities that sponsor health promotion activities only in affluent areas are considered: culturally sensitive. culturally blind. culturally affluent. culturally different.

culturally blind.

When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply. Language Religious beliefs Shared beliefs of origin Skin color Eye shape

Language Religious beliefs Shared beliefs of origin

Which scenarios are examples of a culturally appropriate nursing intervention? Select all that apply. Asking the client's grandmother, who is the head of the family, to be involved in the plan of care Asking the client's ex-husband to be involved in the plan of care Asking for cultural assistance from clergy at the client's request Telling a client that wellness is more important than values Allowing the client to eat food from home that is consistent with the client's dietary plan Asking sincerely for the client to explain religious rituals

Asking the client's grandmother, who is the head of the family, to be involved in the plan of care Asking for cultural assistance from clergy at the client's request Allowing the client to eat food from home that is consistent with the client's dietary plan Asking sincerely for the client to explain religious rituals

Which population group should the nurse routinely screen for heart disease? White Black Asian Hispanic

White

A 35-year-old client was admitted to the hospital following an automobile accident with a fractured leg. Which action should the nurse prioritize after learning this client's family is of Italian descent? monitor hemoglobin and hematocrit for possible anemia daily aspirin is prescribed to prevent blood clots monitor diet to avoid dairy products monitor blood glucose levels

monitor hemoglobin and hematocrit for possible anemia

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond? "You sound upset. Would like you to talk about it?" "Why do you think God is punishing you?" "Would you like me to get someone from your church to visit you?" "You didn't get cancer as punishment."

"You sound upset. Would like you to talk about it?"

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

Access to care

While assessing an older adult client's upper back, the nurse notes round, raised red spots along the client's back. The client's daughter says, "Oh, that is just cupping." What action should the nurse take? Contact social services to report potential abuse. Ask about the practice of cupping. Complete the assessment and document the findings. Have the charge nurse assess the client's skin.

Ask about the practice of cupping.

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

Ask the client about personal space preferences.

A 12-year-old black client has experienced significant blood loss and may require a blood transfusion. The client's mother, father, and sisters are currently present at the bedside in the emergency department. How should the nurse direct questions and education about the client's condition and treatment? Assess who is the dominant member of the family and then address that person. Address the mother, because black families are commonly matriarchal. Ask the child's father what should be done, but make eye contact with everyone in the room. Direct questions to the family collectively to avoid presuming who is dominant.

Assess who is the dominant member of the family and then address that person.

A nurse is working to develop cultural competence. Which activities would be appropriate for the nurse to engage in when exploring the nurse's own cultural awareness? Select all that apply. Critical reflection Feedback from colleagues Self-assessment Journal article research Client interviews

Critical reflection Feedback from colleagues Self-assessment

A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating? Ethnocentrism Cultural diversity Stereotyping Cultural blindness

Cultural blindness

Which term is most appropriate for describing a healthcare practitioner who is respectful of the healthcare traditions of other cultures? Culturally sensitive Culturally appropriate Culturally competent Culturally impositive

Culturally sensitive Culturally sensitive is defined as being respectful of other diverse cultures. Culturally impositive is the tendency for healthcare practitioners to impose their beliefs, practices, and values on people of other cultures. Culturally appropriate and culturally competent refer to the holistic care given by healthcare practitioners.

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.

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? Stereotyping Cultural conflict Cultural imposition Culture shock

Cultural imposition

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 gestures and symbols to communicate with the client Enlisting other healthcare providers to assist with communication Using reassuring body language and making eye contact to assess needs Avoiding going into the client's room until the interpreter arrives

Using reassuring body language and making eye contact to assess needs

Which statement by the nurse demonstrates ethnocentrism? "That client is too old to learn how to eat gluten free." "That client needs to learn that pain is best managed with traditional medications like morphine." "That client is so whiny. I am so tired of hearing the client complain about pain." "That client is unlike any other Muslim client I have had in the past."

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

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. Research the beliefs and values of the client. Provide uniform health care to all clients. Explain the culture of the biomedical system to the client.

Ask inquisitive questions regarding the client's cultural practices.

A nurse is providing care for clients of different cultures in a blended community clinic. Which characteristics of culture should the nurse consider when planning culturally competent care? Select all that apply. Culture guides behavior into acceptable ways for people in a specific group. Culture is not affected by a group's social and physical environment. Cultural practices and beliefs are constantly shifting and changing. Culture influences the way people of a group view themselves. There are differences both within cultures and among cultures. Subcultures exist within most cultures.

Culture guides behavior into acceptable ways for people in a specific group. Culture influences the way people of a group view themselves. There are differences both within cultures and among cultures. Subcultures exist within most cultures.

Which area is typically included in a cultural assessment? Marital status Employment status Food preferences Ethics

Food preferences Dietary tolerance is associated with both cultural food preferences and biologic variation. A client's marital status and employment status are aspects of demographic information recorded in the client's health record but would not be pertinent, in and of themselves, to a cultural assessment. Ethics would not be typically covered in a cultural assessment, although one's religious affiliation might be.

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. Physically impaired Cognitively enhanced Burdensome to family Financially independent Uninterested in intimacy

Physically impaired Cognitively enhanced Burdensome to family

The nurse is caring for an older adult client who has been hesitant to seek health care. Which action(s) by the nurse would develop a trusting nurse-client relationship? Select all that apply. addressing the client by title and last name following through with requests by the client asking direct questions and waiting for responses touching the client's arm when speaking directly respecting the client's privacy

addressing the client by title and last name following through with requests by the client respecting the client's privacy

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? "I need to watch the amount of high-density lipids I eat." "It is important to monitor my blood pressure." "Getting a mammogram in my thirties is important." "Increasing dairy will improve my bones."

"It is important to monitor my blood pressure."

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

Assessment of eye contact, personal space, and social taboos

Which scenarios are examples of cultural competence? Select all that apply. Attending a cultural diversity lecture series in the community Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client Explaining to the client that therapeutic touch is not as good as the use of traditional medicine Having a one-on-one conversation with a client regarding prayer needs and practices Performing a self-assessment of one's own personal biases

Attending a cultural diversity lecture series in the community Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client Having a one-on-one conversation with a client regarding prayer needs and practices Performing a self-assessment of one's own personal biases All other options are reflective of a nurse who is actively seeking cultural competence in nursing.

A 65-year-old Asian American female has been brought to the emergency department accompanied by her spouse with a fractured femur. The health care provider has prescribed a Foley catheter be inserted. Which action(s) should the male nurse, who has been assigned to the provide care to this client, prioritize to best care for this overly anxious client? Select all that apply. explain the situation to the client request the client's permission to insert the Foley catheter allow the spouse to stay in the room during the insertion find a female nurse to insert the catheter inform the attending health care provider of the client's fear

explain the situation to the client request the client's permission to insert the Foley catheter allow the spouse to stay in the room during the insertion

The nurse is admitting a client who practices the Jewish faith to the acute care unit and calls the dietary department to order a kosher dietary tray without consulting the client about food preferences. Which behavior is the nurse demonstrating when performing this action? ethnocentrism generalization ageism stereotyping

generalization

A nurse is working with a local community group to address health disparities in the area. Which concepts would be important for the group to address when planning to correct health disparities? Select all that apply. Minority Disadvantaged Less powerful Ethnicity Ritual

Minority Disadvantaged Less powerful

When describing the concept of ethnicity, which statement would be most appropriate to use? Ethnicity is an alternative term that implies the same ideas as culture. Ethnicity allows people to define themselves and others to define them. Culture involves self-consciousness while ethnicity does not. Ethnicity is a present-oriented form of identity.

Ethnicity allows people to define themselves and others to define them. Ethnicity is a cluster of ways for people to define themselves and be defined by others. It involves the selection of certain shared cultural characteristics, such as symbols of a common group origin, history, or descent. Ethnicity is not culture. Ethnic identity is distinguished from culture in that ethnic identity is self-conscious about select symbolic elements that are taken as the emblem of group social identity. Ethnicity or ethnic identity refers to a self-conscious, past-oriented form of identity based on a notion of shared cultural (and perhaps ancestral) heritage, as well as current position within the larger society.

What cultural considerations might the nurse expect of those living in poverty? Select all that apply. Large numbers in the culture need government assistance. Living conditions are often crowded, with several families living together. Health care is often overused due to unemployment. Low levels of self-respect and feelings of worthlessness are common. Crime rates are lower due to the closeness of family and friends. Family structures are often unstable and abusive.

Large numbers in the culture need government assistance. Living conditions are often crowded, with several families living together. Low levels of self-respect and feelings of worthlessness are common. Family structures are often unstable and abusive.

The nurse is assessing an infant of Asian descent and notes dark blue spots on the infant's lower back. What action should the nurse take next? Press lightly on the pigmented area and observe the infant's reaction. Ask the parents to leave the room and conduct a thorough assessment. Contact the health care provider. Document and report the findings to authorities.

Press lightly on the pigmented area and observe the infant's reaction. Mongolian spots are a type of hyperpigmentation that results in dark blue areas on the lower back, abdomen, thighs, and arms. To differentiate Mongolian spots from a bruise or injury, the nurse should press on the Mongolian spot. Mongolian spots do not produce pain when pressure is applied

Which questions should the nurse include in a cultural assessment? Select all that apply. "What do you think is causing your illness?" "What religion do you belong to?" "What do you do to promote good health?" "Do have a particular name for this illness?" "What do you think about religions other than your own?"

"What do you think is causing your illness?" "What religion do you belong to?" "What do you do to promote good health?" "Do have a particular name for this illness?" Transcultural assessment encompasses a number of considerations surrounding illness, such as causation, naming, prevention, and health promotion. In addition, it is significant and appropriate to ask what religion or religious group a client identifies with. However, it is likely unnecessary and possibly inappropriate to elicit the client's views of those who belong to other religious groups.

A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? "Why aren't you eating your food?" "Are you aware that you are losing weight?" "What type of food do you eat at home?" "Don't you like what is on your food tray?"

"What type of food do you eat at home?"

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

32-year-old white woman

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

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

The nurse is preparing to complete the admission assessment on a new client. Which factor(s) should the nurse include when assessing the client's cultural needs? Select all that apply. Is the client comfortable with accepting help from strangers? Does the client wear special clothing? What method does the client prefer to use to make decisions? Does the client understand he or she will need to eat what comes from the hospital kitchen? Does the client understand he or she will receive care from both male and female staff?

Is the client comfortable with accepting help from strangers? Does the client wear special clothing? What method does the client prefer to use to make decisions? There are various aspects that should be included in the cultural assessment. They can include whether the client is comfortable with accepting help from strangers; whether the client wears special clothing; what methods the client prefers to use to make decisions; the client's food habits; and the client's dietary restrictions. Depending on the client's situation, it may be acceptable for the family to bring in food; however, it is preferred that the client eat the food that is furnished by the dietitian. For some individuals receiving care for either a male or female staff member will not be an issue. For others, however, it may be an issue. If this is an issue, it should be handled on an individual basis by the staff member of the opposite sex asking permission from the client before providing care.

Which teaching statement best exemplifies cultural competence in relation to time for the American culture? It is a sign of respect to be late for your health care appointments. It is important to be on time for your health care appointment. It is important to be future-oriented when considering your appointment time. It is important to arrive within 20 minutes of your scheduled appointment time.

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

A Native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What is the priority nursing diagnosis? Social isolation related to living in a tribal unit that is decreasing in size Ineffective management of therapeutic regimen related to mistrust of traditional healthcare personnel Powerlessness related to the inability to make health care providers understand the client's symptoms Situational low self-esteem related to the repeated use of peyote

Powerlessness related to the inability to make health care providers understand the client's symptoms

In addition to understanding the culture of the client, what other actions are required to provide culturally competent nursing care? Select all that apply. Recognizing one's own culture and biases Recognizing the culture of the healthcare system Ensuring comprehensive knowledge of the cultural literature Addressing culture as a major determinant of learned human responses Identifying the equality of the culture across the cultural group

Recognizing one's own culture and biases Recognizing the culture of the healthcare system

A client has recently immigrated and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I can't do anything right here." What is the priority nursing diagnosis? Powerlessness related to the loss of familiar cultural practice Situational low self-esteem related to culture shock and feelings of fear and incompetence Spiritual distress related to low self-esteem Social isolation related to culture shock and feelings of low self-worth

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

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? The client needs to be informed that blood may be given if needed in an emergency situation so informed consent can be obtained. The client should be informed that surgery is not an option because blood will need to be transfused. 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. The client needs to have a discussion with the health care team about blood product preferences.

The client needs to have a discussion with the health care team about blood product preferences. Although the client is Jehovah's Witness, the nurse needs to initiate a discussion with the client about administration of blood and blood products. The nurse should not stereotype and assume the client will refuse all blood products. The client should be informed about choices and given options prior to surgery. These options should be provided without judgement or personal opinion. If the client chooses to refer to a spiritual counselor, this should be provided, but this is not education needed.

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? The client states, "I feel like I abandoned my religion." The client states, "I am glad that nurse told me what to do." The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." The client states, "Why isn't blood administration forced on all who need that treatment?"

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

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 hospital translator a family member a trusted friend a bilingual hospital employee

a hospital translator

The nurse works in an urban hospital and cares for a diverse population of clients. Which action(s) by the nurse demonstrates the delivery of culturally sensitive care to clients? Select all that apply. indicating that the cultural groups should adapt to the Anglo-American culture maintaining direct eye contact during conversations with all cultural groups asking the client questions regarding health care beliefs related to the client's culture allowing the client to keep a religious necklace on until going into the operating room integrating the client's cultural practices when assisting with the creation of the plan of care

asking the client questions regarding health care beliefs related to the client's culture allowing the client to keep a religious necklace on until going into the operating room integrating the client's cultural practices when assisting with the creation of the plan of care

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.

A parent brings a newborn into the clinic for a 3-month wellness visit and when assessing the back, the nurse observes a dark blue area on the lower back resembling ecchymosis that does not elicit a pain response when pressure is applied. What action should the nurse take to address this finding? questioning the parent as to the possibility of an injury to the lower back notifying child protective services of the potential for abuse documenting the finding as a "Mongolian spot" asking the parent if the child has spina bifida

documenting the finding as a "Mongolian spot" The nurse has observed a Mongolian spot, which is hyperpigmentation commonly seen in darkly pigmented infants and children usually located on the lower back, abdomen, thighs, shoulders, or arms. This is caused by the migration of melanocytes into the fetal epidermis, and the spots usually fade by age 5 years

The nurse is caring for two clients with the same ethnic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences? cultural norms cultural relativity ethnicity ethnocentrism

ethnicity Ethnicity or ethnic identity refers to the differences among a group who share the same cultural and/or ancestral heritage. Cultural norms are the actions that are expected by others within the culture. Cultural relativity refers to the differences between cultures in the meaning of various behaviors. Ethnocentrism is the belief that one's own practices are the only correct practices.

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? "You need to get up and walk to prevent complications." "Can you describe what you are feeling when you try to move?" "I will come back later and help you get up." "Would like to wait until your family arrives to get out of bed?"

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

Which statement about diversity is true? "Diversity demonstrates differences among groups of people." "Diversity has been learned from birth and is shared by members of a group." "Diversity is reflective of the values, beliefs, and practices of a particular group." "Diversity includes language, communication style, religion, art, music, and clothing."

"Diversity demonstrates differences among groups of people."

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

Ask an open-ended, general question

A nurse is caring for a 79-year-old client who is new to a long-term care facility. Previously, the client lived in a rural community in a household consisting of the client and an adult child. The child is no longer able to care for the client. The client appears disoriented and reports being bothered by the "bright lights and constant activity." The nurse appropriately documents what condition in the chart? Culture assimilation Culture disorientation Culture blindness Culture shock

Culture shock

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? Culture shock Ethnocentrism Generalization Ageism

Culture shock

What factor threatens to increase the number of people who are living at poverty level? Feminization of poverty Decreasing population of older people Increasing immigrant population Lack of health insurance

Feminization of poverty The feminization of poverty threatens to increase those at poverty level. This is caused by the increase in female-headed households through divorce, abandonment, unmarried motherhood, and changes in abortion laws. The older population is increasing. The immigrant population does not directly increase or decrease poverty level. Lack of health insurance is an issue for those who are in a poverty culture but does not increase those at the federal poverty level.

The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care? Explaining the biomedical culture to the client. Implementing a standardized care plan for the client with lung cancer after explaining the procedure in the client's native language. Incorporating the client's need for daily prayer into the nursing care plan. Treating all clients the same based on the diagnosis to demonstrate unbiased care.

Incorporating the client's need for daily prayer into the nursing care plan.

The nurse is assessing a client who is unresponsive. To obtain information about the client's culture, the nurse interviews a person who has native knowledge about the client's culture. Which technique is the nurse using? Key informant Explanatory Ethnographic Open-ended

Key informant The key informant technique is a method in which the interviewer looks for, locates, and interviews people who have expert or native knowledge about a culture. A willingness to discuss this knowledge and rapport with the interviewer are critical. The optimal key informant about a client is the client, but medically or culturally compromised clients (i.e., those who are unable to function optimally in the culture) might not be able to fill the role.

Which factors contribute to the concept of a culture? Select all that apply. Language Art and music Items and clothing worn Type of disease contracted Beliefs about health practices Styles used for communication

Language Art and music Items and clothing worn Beliefs about health practices Styles used for communication

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. Language Behavior Symbols Implicit beliefs Lifeways

Language Behavior Symbols Culture is communicated through language, behavior, and symbols. Implicit beliefs and lifeways are components of culture.

While caring for a client from a culture different from the nurse's, the nurse inadvertently offends the client. What is the best action by the nurse? Learn from the mistake and do not repeat it. Ask the client why the client is so mad. Recognize that there is a cultural bias that led to the mistake. Examine the interaction and focus on the majority culture.

Learn from the mistake and do not repeat it.

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

Maintain flexibility when the client requests interventions at specific times.

A nurse is providing care to a client and has enlisted the help of a trained interpreter to assist in communicating with the client. Which action would the nurse do first? Meet with the interpreter alone before a combined meeting with the client. Tell the interpreter what the nurse wants to learn from the client. Explain what messages the nurse wants to convey to the client. Discuss any concerns about how to communicate with the client.

Meet with the interpreter alone before a combined meeting with the client. The nurse should first meet with the interpreter before they meet with the client. During this meeting, it would be appropriate to tell the interpreter what the nurse wants to learn from the client and what messages the nurse wants to convey to the client. Also, the nurse should discuss any concerns about how to communicate with the client, and ask for feedback on how to help the interpreter reach a mutual understanding with the client.

A nurse is working with an interpreter to communicate with a client who speaks very little of the nurse's language. Which actions would be appropriate for the nurse to take? Select all that apply. Speak to the client rather than the interpreter. Talk quickly to ensure that the full message is sent. Use simple sentences to convey the verbal message. Use metaphors when asking questions to further understanding. Rephrase a question using different words if the answer is inappropriate.

Speak to the client rather than the interpreter. Use simple sentences to convey the verbal message. Rephrase a question using different words if the answer is inappropriate.

The labor and delivery nurse is getting report from the previous shift regarding a client with Asian heritage. The departing nurse states that the client did not ask for pain medication because "Asian people can handle pain." The nurse receiving report understands that this an example of what? Culture shock Stereotyping Ageism Ethnocentrism

Stereotyping

What are characteristics of nurses that make them a subculture? Select all that apply. Uniforms worn based on place of employment Language or medical terminology used to communicate Legal authorization to provide health care to others View of work as a reward; shared work ethic Sensitivity to the importance of time

Uniforms worn based on place of employment Language or medical terminology used to communicate Legal authorization to provide health care to others The dominant culture of nurses is that of the middle-class group. Work ethic and importance of time are values of this group. Dress, terminology, and legal authority belong to the nursing subculture.

An adolescent informs the nurse at the clinic, "I do not know what is happening to me, my skin is turning very white in spots all over my hands." The nurse assesses hypopigmented areas on the hands and documents the finding. Following evaluation by the health care provider, what education will the nurse provide to the client? Using a pigmented cream will help to even the skin tones. The hypopigmented areas will be confined to the present location. There may be a slight stinging sensation when washing the hands. This is due to sun exposure, so your pigmented areas should be covered in sunscreen.

Using a pigmented cream will help to even the skin tones.

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. Have another family member with the client to answer questions that the client will not respond to. Inform the client that the questions must be answered for the client to receive the health care needed. Instruct the client that the interview is quick and answers should be brief.

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

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."

While performing the initial assessment of an infant, the nurse notes a soiled string of yarn around the infant's neck. Which response from the nurse would facilitate culturally competent care? "I see you have a string tied to your child's neck. Can you explain why you do this?" "I noticed the string around your child's neck. Why do you include this practice in your child's health care?" "I see the sacred string is dirty. In your culture, is it okay that I clean it?" "I noticed a ritual string on your child. Is this a cultural practice to protect the child's health?"

"I see you have a string tied to your child's neck. Can you explain why you do this?"

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. Research the beliefs and values of the client. Provide uniform health care to all clients. Explain the culture of the biomedical system to the client.

Ask inquisitive questions regarding the client's cultural practices. 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 needs to respect the client's cultural characteristics and the best way to do this is by inquiring about the practices of their culture. The nurse also must be aware that the health care system itself is a culture and that cultural imposition and ethnocentrism must be avoided. A nurse is sensitive to other cultures and their beliefs and does not challenge them. Researching the culture if fine if needed, but is not the most appropriate action, nor is explaining biomedical systems.

A 45-year-old client who is hospitalized for the first time in the client's life is experiencing culture shock, not understanding what is going on with the client's body or in the hospital. Place the stages of culture shock listed below in the order in which the client will most likely experience them. Honeymoon Disenchantment Beginning resolution Effective function

Honeymoon Disenchantment Beginning resolution Effective function Culture shock is a stress syndrome that normally progresses through a series of recognizable stages (honeymoon, disenchantment, beginning resolution, and effective function) to its resolution.

The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take? Continue with the method of communication because the nurse does not speak the language. Speak privately with the interpreter and instruct them to only provide language interpretation. Document in the medical record that the client is not making his own decisions. Use a computerized application to confirm what the interpreter is saying.

Speak privately with the interpreter and instruct them to only provide language interpretation.

The use of one's culture as a cultural standard is known as: ethnocentrism. ritualism. culture. cultural relativity.

ethnocentrism.

A 65-year-old Asian American female has been brought to the emergency department accompanied by her spouse with a fractured femur. The health care provider has prescribed a Foley catheter be inserted. Which action(s) should the male nurse, who has been assigned to the provide care to this client, prioritize to best care for this overly anxious client? Select all that apply. explain the situation to the client request the client's permission to insert the Foley catheter allow the spouse to stay in the room during the insertion find a female nurse to insert the catheter inform the attending health care provider of the client's fear

explain the situation to the client request the client's permission to insert the Foley catheter allow the spouse to stay in the room during the insertion Traditionally, Southeast Asians believe the area between a female's waist and knees is particularly private and should only be touched by the spouse. Before doing so, the male nurse can relieve the client's anxiety by offering an explanation, requesting permission and allowing the client's spouse to stay in the room. Asking a female nurse to complete this task may not be an option depending on the client load and how busy the unit is. There is no need to report this to the health care provider; however, a note can be put in the client's medical record to note this situation.