Chapter 5 - Cultural Diversity

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value?

Skin color

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

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

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

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

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 question An ethnographic interview begins with an open-ended, general question. Then, based on the client's response, the nurse selects some key terms and asks for clarification, repeating the exact words and phrases that the client used. The terms are clues to what is important to the client, so the nurse asks the client to talk more about them. Finally, the nurse documents the information on the client's view of self or of the issue discussed.

A nurse is admitting a client to the unit. Which cultural question is most appropriate?

What are your dietary needs and preferences?

When an American client states, "I only want an American doctor," the client is expressing:

ethnocentrism. Viewing one's own culture as superior to all others is ethnocentrism. Cultural relativity is the belief that to understand a person, you must understand that person's cultural context. Cultural pervasiveness refers to how widespread the effects of a culture are. Racism is the belief that one's race is superior to others.

A nurse is assessing a client's culture. Which aspect would be the easiest for the nurse to recognize?

Material The easiest level of culture to recognize is material — in artwork, drama, tools, clothes, food, buildings, and rituals. Values and beliefs are harder to recognize. Sometimes they can be accessed by asking about items of material 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? -"I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." -"We can wait until your spiritual healer arrives and work together to answer these questions." -"I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." -"These questions need to be answered so we can provide you with the best care."

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

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.

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

Attending a conference for cultural diversity

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 nurse's behavior is an example of cultural imposition, defined as the tendency to impose one's cultural beliefs, practices, and values on a person from a different culture.

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept? "Irish people are all heavy drinkers." "Asians are always the smartest in the class." "My Russian heritage is superior to all others." "Anybody on welfare is just lazy."

My Russian heritage is superior to all others

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

The client may have a very different understanding of health promotion

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."