Chapter 5

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 his personal space preferences. B. Back away from the client. C. Ask the client why he is backing away. D. Move closer to the client.

Ask the client about his personal space preferences.

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

Ethnicity allows people to define themselves and others to define them.

A nurse is caring for a female patient of Hawaiian descent. Which interview question would be appropriate based on the cultural beliefs of Hawaiians? A. "Do you base your diet on eating a balance of hot and cold foods?" B. "Do you use any medicinal plants or minerals?" C. "Do you ever use fad diets to lose weight?" D. "Do you have a preference for the gender of the nurse caring for you?"

"Do you use any medicinal plants or minerals?"

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

"If a client needs to yell in pain, that is their right."

Which statement by the nurse demonstrates ethnocentrism? A. "That client is too old to learn how to eat gluten free." B. "That client needs to learn that pain is best managed with traditional medications like morphine." C. "That client is so whiny. I am so tired of hearing him complain about pain." D. "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."

How do people of Canadian Indian descent prefer to be identified? A. Indians B. Americans C. Canadians D. First Nations

First Nations

Which area is typically included in a cultural assessment? A. Marital status B. Employment status C. Food preferences D. Ethics

Food preferences

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.

Maintain flexibility when the client requests interventions at specific times.

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

Remind the client to avoid smoking during oxygen therapy

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 the client in a one-bedroom apartment. Which consideration is the priority 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.

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.

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

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study? A. Cold air B. Food C. Impurities in water D. Witchcraft

Witchcraft

How is the nursing profession becoming more culturally diverse? Select all that apply. A. by admitting a required number of foreign-born nursing students B. through meeting admission quotas for minority nursing students C. by the increased number of foreign-born nurses in the profession D. through meeting the mission of Sigma Theta Tau International E. by the increased number of male nurses in the profession

by the increased number of foreign-born nurses in the profession by the increased number of male nurses in the profession

The emergency department (ED) nurse is caring for a client who recently immigrated from China and was injured in a motor vehicle collision (MVC). The nurse should implement interventions aimed at addressing which issue? A. cultural shock B. ethnocentrism C. generalization D. ageism

cultural shock

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.

require an individualized approach by the nurse.

The nurse is caring for a Native American/First Nations client who has been given a diagnosis of terminal cancer. Which reaction does the nurse anticipate? A. overwhelming grief B. stoic listening without display of emotion C. loud crying and vocalization D. requesting multiple family members to be contacted immediately

stoic listening without display of emotion

Which client admitted to the emergency department (ED) might require the nurse to include interventions aimed at addressing cultural shock in the plan of care? A. the white client who is reporting chest pain B. the client who recently immigrated from Mexico who fell from a ladder C. the client who is Native American/First Nations who was admitted with flu-like symptoms D. the black client who has a history of asthma

the client who recently immigrated from Mexico who fell from a ladder

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

yogurt

A parent informs the nurse that immunizations are against her cultural and religious beliefs and she does not want her 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 she had all of her children vaccinated. What is the nurse's behavior an example of? A. Stereotyping B. Cultural blindness C. Cultural imposition D. Cultural conflict

Cultural imposition

A client tells the nurse that the only thing that helps him sleep is a glass of warm milk. The nurse caring for the client insists that this practice is a myth and tries to convince the client that reading a book will help make him sleepy. What is the nurse demonstrating? A. Cultural pervasiveness B. Cultural superiority C. Stereotyping D. Ethnocentrism

Ethnocentrism

The nurse is interviewing a client who is Native American/First Nations. What question would be best to ask this client? A. "Do you use herbal or medicinal plants?" B. "When you consume dairy products, do you have any gastrointestinal discomfort?" C. "Is your diet based on using hot/cold foods to treat illness?" D. "Will you require a kosher meal?"

"Do you use herbal or medicinal plants?"

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."

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

A Hispanic client 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? A. "Why aren't you eating your food?" B. "Are you aware that you are losing weight?" C. "What type of food do you eat at home?" D. "Don't you like what is on your food tray?"

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

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? A. "You sound upset, would like you to talk about it?" B. "Why do you think God is punishing you?" C. "Would you like me to get someone from your church to visit you?" D. "You didn't get cancer as punishment."

"You sound upset, would like you to talk about it?"

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered? A. Necessary B. Expected C. A ritual D. A birth rite

A ritual

A hospital patient who does not speak or understand English has been ordered an invasive diagnostic test. The nurse believes that the patient is highly anxious about his care and prognosis. He is accompanied by his daughter, who speaks minimal English. How should the nurse best prepare this patient for his diagnostic test? A. Describe the procedure in simple terms to the patient. B. Pull up an online video of the procedure on the nurse's smartphone in order to provide the patient with visual information. C. Describe the procedure in detail to the patient's daughter and have her explain it to her father. D. Arrange for a hospital interpreter to describe the procedure to the patient.

Arrange for a hospital interpreter to describe the procedure to the patient.

A client from Malaysia is admitted to the health care facility with reports of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client? A. Alongside the client B. Behind the client C. At more than one arm's distance D. In one corner of the room

At more than one arm's distance

Which behavior by the nurse is stereotyping? A. Avoiding clients who are elderly 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.

Avoiding clients who are elderly because their care is time consuming.

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

Client

The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse? A. Use simple words with simple actions. B. Write out all questions using appropriate medical terms. C. Conduct the health history utilizing a telephonic interpreter (over-the-phone translation). D. If the client does not answer, repeat the question again.

Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

A client, origianlly from Asia, believes that her 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? A. Ethnocentrism B. Cultural diversity C. Stereotyping D. Cultural blindness

Cultural blindness

A nurse is reading a journal article about culturally competent nursing care. The article begins discussing culture and its unique characteristics. Which characteristics would the nurse expect to be identified? Select all that apply. A. Culture is innate. B. Culture is ever-changing. C. Culture makes sense to its members. D. Culture is shared through communication. E. Culture puts a limit on ideas.

Culture is ever-changing. Culture makes sense to its members. Culture is shared through communication.

The client is an Inuit woman recently admitted to the hospital with a ruptured ovarian cyst. She has expressed that it is very important that her husband 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 she is required to make all of her own decisions related to her health care. B. Document the client's request in the nursing care plan. C. Bring the client's husband into the hallway to discuss surgical options for her. D. Explain to the client that it is not a good idea to have her husband in the room when discussing such a private matter.

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

A nurse is planning meals for clients in a long-term care facility. Which cultural practice should the nurse take into consideration when choosing foods for these clients? A. For some Asians, Hispanics, and Seventh- Day Adventists, religious beliefs prohibit the consumption of pork. B. During holy days, Christians fast from all substances, including IV drips, from sunrise to sunset; however, illness is an exception to this practice. C. Many members of the black culture need diet counseling because they consume a diet high in starch. D. In the Asian and Hispanic culture, diseases and foods are classified as hot or cold, and a proper balance between them promotes wellness.

In the Asian and Hispanic culture, diseases and foods are classified as hot or cold, and a proper balance between them promotes wellness.

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

Learn from the mistake and do not repeat it.

The younger nurses 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.

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

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?"

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

A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which would demonstrate cultural assimilation? A. The client speaks only Spanish and requires a translator. B. The client's daughter, who is with her, learned the dominant lanuguage as her second language. C. The client and her daughter cook traditional Hispanic foods for the family. D. The client enjoys watching television from the home country in Spanish.

The client's daughter, who is with her, learned the dominant lanuguage as her second language.

The nurse is caring for a client who speaks a differnt language than herself and is using an interpreter to communicate. 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.

The interpreter should understand the health care system.

A nurse is caring for a Native American/First Nations woman who is receiving chemotherapy for breast cancer. Which nursing action is the best example of providing culturally sensitive care? A. The nurse does not include the family in the nursing care plan. B. The nurse makes direct eye contact when examining the client. C. The nurse uses a low tone of voice when explaining the care plan to the client. D. The nurse provides materials for the client to take notes about the care plan.

The nurse uses a low tone of voice when explaining the care plan to the client.

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. The nurse arrives on the unit and becomes disoriented and stressed. The nurse is likely experiencing: A. culture shock. B. stereotyping. C. ethnocentrism. D. racism.

culture shock.

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 client's request for complementary treatment therapy

incorporating client's request for complementary treatment therapy

The wife of a client asks the nurse if she could bring in a cream from home to apply to her husband's skin. She says, "Whenever anyone gets sick we always use this cream." The nurse interprets this as: A. ritual. B. ethnocentrism. C. stereotyping. D. subculture.

ritual

The newly employed nurse working in a physician's office seeks advice on the job responsibilities and how best to implement these responsibilities. Who is the key informant for this nurse? A. the physician B. the nurse who has been working in this office for 8 years C. the office manager who has been employed by this physician for 14 years D. the unlicensed assistive personnel who has worked in this office for 22 years

the nurse who has been working in this office for 8 years