Chapter 27 PEDs

The nurse discovers welts on the back of a Vietnamese child during a home health visit. The childs mother says that she has rubbed the edge of a coin on her childs oiled skin. The nurse should recognize that this is: a. Child abuse. b. A cultural practice to rid the body of disease. c. A cultural practice to treat enuresis or temper tantrums. d. A child discipline measure common in the Vietnamese culture

A cultural practice to rid the body of disease.

A young child from Mexico is hospitalized for a serious illness. The father tells the nurse that the child is being punished by God for being bad. The nurse should recognize this as: a. A health belief common in this culture. b. An early indication of potential child abuse. c. A misunderstanding of the familys common beliefs. d. A belief common when fortune tellers have been used

A health belief common in this culture. ANS: A A common health belief in the Mexican-American cultural group is that health is controlled by the environment, fate, and the will of God. This comment has no relation to child abuse. The father would not misunderstand the familys beliefs. This is a cultural belief. Mexicans may use the services of curanderos (healers), not fortune tellers

A nurse is caring for an African-American child recently admitted to the hospital. The nurse should be aware of which broad cultural characteristics for this child when planning care (Select all that apply)? a. Silence may indicate a lack of trust. b. Maintaining constant eye contact may be viewed as aggressive. c. Self-care and folk medicine do not play a role in health care. d. Illness may be seen as the will of God. e. No importance is attached to nonverbal behavior

ANS: A, B, D

Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor(s) may be culturally determined (Select all that apply) ? a. Degree of competition b. Racial variation c. Determination of status d. Social roles e. Geographic boundaries

ANS: A, C, D

A nurse is working in a clinic that serves a culturally diverse population of children. The nurse should plan care, understanding that the following complementary and alternative practices may be used by this patient population (Select all that apply): a. Seeking another doctors opinion b. Seeking advice from a curandero or curandera c. Using acupuncture or acupressure as a therapy d. Consulting an herbalist e. Consulting a kahuna

ANS: B, C, D, E

The mother of a school-age child tells the school nurse that she and her spouse are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as: a. Indicative of maladjustment. b. Common reaction to divorce. c. Suggestive of lack of adequate parenting. d. Unusual response that indicates need for referral

Common reaction to divorce.

What type of family is one in which all members are related by blood? a. Consanguineous c. Family of origin b. Affinal d. Household

Consanguineous

Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior? a. Race c. Ethnicity b. Culture d. Social group

Culture

Which term best describes the emotional attitude that ones own ethnic group is superior to others? a. Culture c. Superiority b. Ethnicity d. Ethnocentrism

Ethnocentrism

The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse. Considering cultural differences, the best explanation for this is that the parent: a. Feels responsible for her child's illness. b. Feels inferior to nurses. c. Is embarrassed to seek health care. d. Is showing respect for nurse

Is showing respect for nurse.

A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, I want to go back to work, but I dont want Eric to suffer because Ill have less time with him. The nurses most appropriate answer is: a. Im sure hell be fine if you get a good babysitter. b. You will need to stay home until Eric starts school c. You should go back to work so Eric will get used to being with others. d. Lets talk about the child care options that will be best for Eric

Lets talk about the child care options that will be best for Eric.

The nurse is teaching a group of new parents about the experience of role transition. Which statement by a parent indicates a correct understanding of the teaching? a. My marital relationship can have a positive or negative effect on the role transition. b. If an infant has special care needs, the parents sense of confidence in their new role is strengthened. c. Young parents can adjust to the new role more easily than older parents. d. A parents previous experience with children makes the role transition more difficu

My marital relationship can have a positive or negative effect on the role transition.

Health beliefs vary among the cultural groups living in the United States. The belief that health is a state of harmony with nature and the universe is common in which culture? a. Japanese c. Native American b. African-American d. Hispanic American

Native American

The father of a hospitalized child tells the nurse, He cant have meat. We are Buddhist and vegetarians. The nurses best intervention is to: a. Order the child a meatless tray. b. Ask a Buddhist priest to visit. c. Explain that hospital patients are exempt from dietary rules. d. Help the parent understand that meat provides protein needed for healin

Order the child a meatless tray.

A 3-year-old girl was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning her response? a. Telling the child is an important aspect of their parental responsibilities. b. The best time to tell the child is between ages 7 and 10 years. c. It is not necessary to tell the child who was adopted so young. d. It is best to wait until the child asks about it.

Telling the child is an important aspect of their parental responsibilities.

A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items such as Jell-O, Popsicles, and juices are left. What would best explain this? a. The parent is trying to feed child only what child likes most. b. The parent is trying to restore normal balance through appropriate hot remedies. c. Hispanics believe that the evil eye enters when a person gets cold d. Hispanics believe that an innate energy called chi is strengthened by eating soup.

The parent is trying to restore normal balance through appropriate hot remedies.

In which cultural group is good health considered to be a balance between yin and yang? a. Asians c. Native Americans b. Australian aborigines d. African-Americans

a. Asians