Cultural Awareness CO2020

The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to provide an example of the concept of acculturation. The nurse educator should make which most appropriate response?

1. "A group of individuals identifying as a part of the Iroquois tribe among Native Americans." 2. "A person who moves from China to the United States (U.S.) and learns about and adapts to the culture in the U.S." 3. "A group of individuals living in the Azores that identify autonomously but are a part of the larger population of Portugal." 4. "A person who has grown up in the Philippines and chooses to stay there because of the sense of belonging to his or her cultural group." Answer-2.

The nurse is collecting data from an African American client scheduled for surgery. Which questions would be most appropriate for the nurse to ask on initial assessment? Select all that apply.

1. "Do you ever experience chest pain?" 2. "Do you have any difficulty breathing?" 3. "How many people live in your house?" 4. "Do you have a close family relationship?" 5. "Do you frequently have episodes of headache?" Answer-1,2,5

A clinic nurse is performing an admission assessment on an African American client scheduled for cataract removal with intraocular lens implantation. Which question should the nurse avoid asking on the initial assessment?

1. "Do you have any family problems?" 2. "Do you ever experience chest pain?" 3. "Do you have any problems urinating?" 4. "Do you frequently have episodes of constipation?" Answer-1

The nurse in an ambulatory care clinic is performing an admission assessment for an African American client who is scheduled for a cataract removal with intraocular lens implantation. Which question would be appropriate for the nurse to ask the client on an initial assessment?

1. "Do you have well-behaved children?" 2. "Do you have a close family relationship?" 3. "Do you have specific religious practices?" 4. "Do you have any breathing or heart problems?" Answer-4

The nurse manager is giving a staff in-service on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply.

1. "Educational topics are always determined by the nurse." 2. "All clients view education about their health status as important." 3. "The population served will determine the culturally sensitive resources to use for teaching." 4. "Assessment of a client's preferred learning approach is essential to facilitate the learning process." 5. "It is important to have an accurate translator when the nurse and client do not speak the same language." Answer-3,4,5

The nurse is preparing a plan of care for a client, and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made?

1. "I cannot have surgery." 2. "I cannot have any medicine." 3. "I believe the soul lives on after death." 4. "I cannot have any food containing or prepared with blood." Answer-4

The nurse is examining a Hispanic American child who was brought to the clinic by the mother. Which are appropriate nursing actions? Select all that apply.

1. Admiring the child 2. Taking the child's vital signs 3. Asking questions about the child 4. Obtaining an interpreter if necessary 5. Maintaining eye contact with the mother Answer-2,3,4

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that he would like to take an herbal substance to help lower his blood pressure. The nurse should take which action?

1. Advise the client to read the labels of herbal therapies closely. 2. Tell the client that herbal substances are not safe and should never be used. 3. Encourage the client to discuss the use of an herbal substance with the health care provider (HCP). 4. Tell the client that if he takes the herbal substance he will need to have his blood pressure checked frequently. Answer-3

Which is the best nursing intervention regarding complementary and alternative medicine?

1. Advising the client about "good" versus "bad" therapies 2. Discouraging the client from using any alternative therapies 3. Educating the client about therapies that he or she is using or is interested in using 4. Identifying herbal remedies that the client should request from the health care provider Answer-3

A community health nurse has volunteered to assist in providing health care instructions to a Native American community group. The nurse plans instructions based on the common practices and rituals of this group, knowing that which are associated characteristics of this ethnic group? Select all that apply.

1. Alcohol abuse is common. 2. Vitamin D deficiency is a concern. 3. Many foods consumed are low in fat. 4. Corn is an important component of the diet. 5. This group is at increased risk for gallbladder disease. Answer-1,2,4,5

The nurse is assessing the cultural beliefs of five clients requiring specimen collection for a diagnostic test. Which cultural assessments are correct? Select all that apply.

1. Amish clients may have vaginal specimens collected only by an adult Amish male family member. 2. Insertion of a throat culture swab into the mouth of a Southeast Asian client may be perceived as threatening. 3. Hispanic clients often become anxious during blood specimen collection because they consider blood as irreplaceable. 4. Hindus collecting a stool specimen for a hemoccult screening test need to use the left hand to place the stool onto the Hemoccult card. 5. Self-urine collection performed by a right-hand-dominant Muslim client may be collected incorrectly because only a Muslim's left hand can be used for dirty activities. Answer-2,4,5

When counseling a female Amish client regarding gallbladder disease, what action should the nurse take?

1. Ask the client's husband about her medical history. 2. Overenunciate medical terms to reinforce their meaning. 3. Tell the client that at some point the gallbladder may need to be removed. 4. Tell the client that gallbladder disease can take on two forms: one involves gallstones, and one involves inflammation of the gallbladder. Answer-3

A home care nurse is assigned to visit a Hispanic American client to perform an admission assessment. On the initial meeting with the client, the nurse should plan to incorporate which social custom?

1. Avoid touching the client. 2. Greet the client with a handshake. 3. Smile and use humor throughout the entire admission assessment. 4. Avoid using affirmative nods during the conversations with the client. Answer-2

The nurse is caring for an Eastern Orthodox client. During Lent, the nurse should offer the client which dietary choice?

1. Beef stew 2. Tossed green salad 3. Chicken noodle soup 4. Steak with baked potato Answer-2

A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on the client's statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? Select all that apply.

1. Ensures that a close relative stays with the client 2. Makes a referral for a Catholic priest to visit the client 3. Removes the crucifix from the wall in the client's room 4. Administers the sacrament of the sick to the client if death is imminent 5. Offers to provide a means for praying the rosary if the client wishes 6. Reminds the dietary department that meals served on Fridays during Lent do not contain meat Answer-1,2,5

The nurse is planning care for a hospitalized male client who is an Orthodox Jew. Which action by the nurse is best for this client?

1. Expect that the client will refuse care unless provided by a female staff member. 2. Ensure that medications and food are given to the client with only the right hand. 3. Assign a male unlicensed assistive personnel to help the client with his personal care. 4. Instruct the unlicensed assistive personnel to avoid exposing and washing the client's feet. Answer-3

Which clients have a high risk of obesity and diabetes mellitus? Select all that apply.

1. Latino American man 2. Native American man 3. Asian American woman 4. Hispanic American man 5. African American woman Answer-1,2,4,5

The nurse is developing a plan of care for a hospitalized Asian American client. The nurse should inclutde which measures in the client's plan of care? Select all that apply.

1. Limit eye contact. 2. Clarify responses to questions. 3. Use hand gestures to communicate. 4. Maintain physical space with the client. 5. Hold the client's hand to provide comfort. Answer-1,2,4

The nurse is caring for a Hispanic American client admitted with a diagnosis of diabetic ketoacidosis. Several family members are present. What examples of nonverbal communication would the nurse expect? Select all that apply.

1. Maintaining eye contact 2. Dramatic body language 3. Smiling and shaking hands 4. Avoiding any confrontations with staff 5. Consistently expressing negative feelings 6. Using gestures or facial expressions to express emotion or pain Answer-2,3,4,6

When communicating with a client who speaks a different language, which best practice should the nurse implement?

1. Speak loudly and slowly. 2. Arrange for an interpreter to translate. 3. Speak to the client and family together. 4. Stand close to the client and speak loudly. Answer-2.

What action should the nurse consider when counseling a client of the Amish tradition?

1. Speak only to the husband. 2. Use complex medical terminology. 3. Avoid using scientific or medical jargon. 4. Stand close to the client and speak loudly. Answer-3.

The nurse is caring for an Appalachian client. The nurse makes sure to have frequent contact with the client and to initiate many different conversations. What is the best reason why the nurse uses this approach?

1. The Appalachian client expects an impersonal relationship with the nurse. 2. The Appalachian client will not want to make any decisions regarding health care. 3. The Appalachian client is most comfortable with impersonal relationships with health care providers. 4. The Appalachian client may prefer personal relationships with health care providers and a desire for frequent communication. Answer-4

The nurse is creating a postoperative plan of care for a Filipino American client scheduled for surgery. The nurse should consider which factors when addressing pain? Select all that apply.

1. The client has a high tolerance to pain. 2. The client should be allowed to maintain control on his own. 3. The client will need to ask for pain medication when needed. 4. Pain medication needs to be offered on a regular basis as prescribed. 5. Pain medication must to be given when physiological indicators of discomfort are identified. Answer-1,2,4

A Native American man comes to the clinic for a physical examination. When asked about mental status, the client acknowledges having visions of his deceased brother and speaks to him when he needs counsel. Which best describes the nurse's assessment of this client's behavior?

1. The client is exhibiting signs of delayed grief reaction. 2. The client lacks the intellectual competence to complete the interview. 3. The client is demonstrating behavior that may be regarded as normal within his culture. 4. The client should be referred to the health care provider (HCP) so antipsychotic medication can be prescribed. Answer-3

The nurse develops a plan of care for a White American client. The nurse considers the practices and preferences of the culture when planning the care, knowing that which are characteristics associated with this ethnic group? Select all that apply.

1. The man is always the dominant figure. 2. Community social organizations are important. 3. Health often is viewed as an absence of disease or illness. 4. The client will appear stoic when expressing physical concerns. 5. Members usually rely primarily on the modern Western health care delivery system. Answer-2,3,4,5

The nurse is preparing to provide preoperative teaching to a Spanish-speaking client and the client's family. Which nursing action would be most effective for teaching the client?

1. The nurse asks one of the client's English-speaking relatives to interpret. 2. The nurse secures the assistance of a professional interpreter to communicate with the client. 3. The nurse obtains a Spanish-language dictionary for help in conducting the teaching session. 4. The nurse obtains a preoperative teaching Spanish-language brochure and gives it to the client. Answer-2

The nurse is planning to instruct a Hispanic American client about nutrition and dietary restrictions. What factors should the nurse keep in mind when developing this client's plan of care? Select all that apply.

1. They primarily eat raw fish. 2. They enjoy eating red meat. 3. They view food as a primary form of socialization. 4. Any occasion is seen as a time to celebrate with food. 5. They cook with food that lacks color, flavor, and texture. Answer-3,4

The nurse is explaining a preoperative teaching plan to an English-speaking client. What are some other aspects of verbal communication? Select all that apply.

1. Timing 2. Volume 3. Voice tone 4. Eye contact 5. Hand gestures 6. Ability to share thoughts and feelings Answer- 1,2,3,6

The prenatal clinic nurse is performing an assessment on a culturally diverse client. Besides conversational style, what are some of the most important cultural and communication considerations the nurse must be aware of? Select all that apply.

1. Touch 2. Eye contact 3. Personal space 4. Family presence 5. Time orientation 6. Facial expression Answer-1,2,3,5

The home care nurse is assigned to visit a Mexican American client to perform an admission assessment. On initially meeting the client, which actions would be considered culturally appropriate? Select all that apply.

1. Touch the client. 2. Greet the client with a handshake. 3. Smile during the admission assessment. 4. Use affirmative nods during conversations. 5. Use humor throughout the admission assessment. Answer-1,2,3,4

An older client is seen in the clinic for a physical examination. Laboratory studies reveal that the hemoglobin and hematocrit levels are low, indicating the need for further diagnostic studies and a blood transfusion. The client is a Jehovah's Witness and refuses to have a blood transfusion. The nurse should take which most appropriate action?

1. Try to convince the client of the need for the transfusion. 2. Speak to the family regarding the need for a blood transfusion. 3. Support the client's decision not to receive a blood transfusion. 4. Discuss with the client the results of the hemoglobin and hematocrit levels compared with normal levels. Answer-3

The nurse is admitting a client and knows that clients typically share information about herbal supplements or therapies only if they are specifically asked. What are some additional things the nurse needs to do when dealing with this topic with clients? Select all that apply.

1. Use open-ended questions. 2. Ask the client where she bought the supplements. 3. Respond to clients with comments that invite an open-minded discussion. 4. Ask the client if the health care provider knows the client is taking these. 5. Document the use of any herbal product(s) or dietary supplements in the client record. 6. Create an accepting and nonjudgmental attitude when assessing use of or interest in herbal products or dietary supplements. Answer-1,3,5,6

The nurse consults with a nutritionist regarding the dietary preferences of an Asian American client. Which food should be included in the dietary plan?

1. Rice 2. Chili 3. Red meat 4. Fried foods Answer-1

The nurse is assigned to care for a Hispanic American client. The nurse should plan to use which communication technique that is appropriate for this culture?

1. Avoidance of a conversation 2. Loud laugh when responding 3. Touch when having a conversation 4. Humor when discussing the medical condition Answer-3

The nurse educator asks a student to list the 5 main categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, indicates a need for further teaching regarding CAM categories?

1. "CAM includes biologically based practices." 2. "Whole medical systems are a component of CAM." 3. "Mind-body medicine is part of the CAM approach." 4. "Magnetic therapy and massage therapy are a focus of CAM." Answer-4

The nursing instructor is providing a session on cultural beliefs related to health and illness. At the end of the session, the instructor asks a nursing student to describe the beliefs of some African Americans in regard to illness. Which statement would be the best response by the student?

1. "Illness may be a punishment for sins." 2. "Illness may be caused by lack of exercise." 3. "Illness may be caused by an imbalance between yin and yang." 4. "Illness is a disharmonious state that may be caused by demons and spirits." Answer-4

The nurse is caring for a Chinese client who is in labor. The client is exhibiting facial grimacing and appears to be in pain. When the nurse offers the client an analgesic, the client refuses. The nurse should take which initial action?

1. Administer an analgesic. 2. Offer an analgesic again. 3. Check the client's vital signs. 4. Document the client's refusal. Answer-2

The nurse is reviewing the plan of care with an Asian American client. The client frequently nods the head during the review. Based upon this behavior, what should be the nurse's next action?

1. Contact a qualified medical interpreter. 2. Give corresponding written information to the client. 3. Check to see if the client has an English-speaking family member. 4. Ignore the behavior and start to review the plan of care with the client. Answer-1

The unlicensed assistive personnel (UAP) is assigned to care for a client who is of Asian heritage. The UAP tells the nurse, "I think that my assignment needs to be changed. Every time I try to talk, the client turns away." Which statement is the most appropriate teaching response from the nurse?

1. "You are right. Your assignment needs to be changed." 2. "If the client turns away, continue with the discussion." 3. "If the client turns away, leave the room and return later to finish your care." 4. "The client may have difficulty hearing. Speak up when talking to the client." Answer-2

The nurse is implementing the complementary therapy of therapeutic touch when caring for clients. The nurse should implement which action when performing therapeutic touch?

1. Apply heating pads to the back. 2. Vigorously massage bony prominences. 3. Position hands directly on the client's skin. 4. Position hands 2 to 4 inches (5 to 10 cm) from the body. Answer-4

The nurse notes that the client whose religion is Orthodox Judaism has received a cheeseburger with fries and skim milk as a beverage. Considering this finding, what is the best nursing action?

1. Ask the client if he likes cheeseburgers. 2. Replace the skim milk with whole milk. 3. Call the dietary department and ask for a replacement meal tray. 4. Ask the dietary department to replace the cheeseburger with a pork sausage patty. Answer-3

A kosher meal is delivered to a Jewish American client. Which action by the nurse is most appropriate in assisting the client with the meal?

1. Ask the client to prepare the meal for eating. 2. Ensure that the client has metal eating utensils. 3. Prepare the eating utensils and food for the client. 4. Transfer the food from the paper plates to glass plates. Answer-1

The nurse is caring for a Native American client and notices that the client has been mostly silent. What is the best action for the nurse to take?

1. Ask the client's family to communicate for the client. 2. Remember to make eye contact with the client when communicating. 3. Accept it because this behavior is normal and makes the client feel comfortable. 4. Realize that you are unable to communicate effectively and have another staff member care for the client. Answer-3

The nurse calls the dietary department to obtain a dinner meal for a White American client who was admitted to the hospital at 4:00 p.m. The health care provider prescribed a diet "as tolerated." Considering the practices and preferences of the White American culture, which food should the nurse request for the meal?

1. Rice 2. Kosher foods 3. Blue cornmeal 4. Sirloin steak and potatoes Answer-4

The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which best action?

1. Continue with the instructions, verifying client understanding. 2. Walk around the client so that the nurse constantly faces the client. 3. Give the client a dietary booklet and return later to continue with the instructions. 4. Tell the client about the importance of the instructions for the maintenance of health care. Answer-1

The nurse is providing discharge instructions to an Asian American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. Which nursing action is most appropriate?

1. Continue with the instructions, verifying client understanding. 2. Walk around to the client so that you continuously face the client. 3. Identify the importance of the instructions for the maintenance of health care. 4. Give the client a dietary booklet and return later to continue with the instructions. Answer-1

The nurse is annoyed by a healthy Hispanic American client who had minor abdominal surgery 2 days ago. The client claims he cannot get out of bed by himself, and the nurse lectures the client and tells him to try to be tough. What type of cultural behavior is this called?

1. Cultural ignorance 2. Cultural blindness 3. Cultural imposition 4. Cultural transmission Answer-3

conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the priority?

1. Discuss the costs of food items. 2. Review the MyPlate food guide. 3. Identify the food preferences and methods of food preparation for each client. 4. Weigh each client and ask the client to document the weight on a progress chart. Answer-3

The nurse is caring for a non-English-speaking client and is attempting to integrate the client's cultural practices into Western medicine. What are some other aspects of culturally competent care the nurse can employ? Select all that apply.

1. Increasing client safety 2. Using spiritual practices 3. Reducing health disparities 4. Increasing client satisfaction 5. Maintaining eye contact when conversing with clients 6. Preventing misunderstandings between the nurse and the client Answer-1,2,3,4,6

The nurse is developing a postoperative plan of care for a 40-year-old Filipino man scheduled for an appendectomy. What is the primary nursing action to include in the client's plan of care?

1. Inform the client to ask for pain medication when needed. 2. Offer pain medication when nonverbal signs of discomfort are identified. 3. Allow the client to maintain control and to request pain medication on his own. 4. For the first postoperative day, offer pain medication on a regular basis as prescribed. Answer-3

The nurse caring for an Orthodox Jewish client plans a diet that adheres to the practices of the client's faith. When planning care, the nurse recognizes that which principles are consistent with dietary kosher laws? Select all that apply.

1. Meat and milk can be eaten together. 2. Eating fish with scales and fins is allowed. 3. Unleavened bread is eaten during Passover week. 4. Meat from animals that are vegetable eaters is allowed. 5. Meat is allowed if the food animal is ritually slaughtered. Answer-2,3,4,5

The nurse is planning the menu for an Asian American client in collaboration with the hospital dietitian. The meal plan is designed to incorporate which food as a usual component of an Asian diet?

1. Milk 2. Vegetables 3. Large portions of meat 4. Desserts high in sugar content Answer-2

The nurse is planning the menu for a Chinese American client. Which foods should the nurse plan to include in the dietary plan? Select all that apply.

1. Milk 2. Yogurt 3. Broccoli 4. Green beans 5. Peanut butter cookies Answer-3,4

The nurse at a health care clinic is preparing to examine a Hispanic child who was brought to the clinic by the mother. During assessment of the child, the nurse should avoid which action?

1. Overly admiring the child 2. Taking the child's temperature 3. Obtaining an interpreter if necessary 4. Asking the mother questions about the child Answer-1

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?

1. Pork roast, rice, vegetables, mixed fruit, milk 2. Crab salad on a croissant, vegetables with dip, potato salad, milk 3. Sweet and sour chicken with rice and vegetables, mixed fruit, juice 4. Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea Answer-3

An Asian American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method?

1. Prayer 2. Magnetic therapy 3. Foods considered to be yin 4. Foods considered to be yang Answer-3

The nurse is providing care to a Puerto Rican-American client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the most appropriate nursing action for this client?

1. Restrict the number of family members visiting at one time. 2. Inform the family that emotional outbursts are to be avoided. 3. Make the necessary arrangements so that family members can visit. 4. Contact the health care provider to speak to the family regarding their behaviors. Answer-3

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?

1. Reflecting a cultural value 2. An acceptance of the treatment 3. Client agreement to the required procedures 4. Client understanding of the preoperative procedures Answer-1

The nurse is caring for a newly admitted pregnant Hispanic client who refuses to eat her hot supper. What is the next best action by the nurse

1. Replace her supper with cold foods. 2. Encourage the client to finish her meal. 3. Give the client a plate of different hot foods. 4. Remove the client's plate and assess what she eats at the next meal. Answer-1

he nurse is conducting an admission assessment on an African American client scheduled for a hernia repair. Which assessment data are of least importance during the initial assessment?

1. Respiratory assessment data 2. Psychosocial assessment data 3. Neurological assessment data 4. Cardiovascular assessment data Answer-2

The nurse is providing care to a Hispanic client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the appropriate action?

1. Restrict the number of family members visiting at one time. 2. Inform the family that emotional outbursts are to be avoided. 3. Contact the health care provider to speak to the family regarding their behavior. 4. Request permission to move the client to a private room and allow the family members to visit. Answer-4

The nurse is caring for a slightly intoxicated newly admitted Native American client with gallbladder disease. Based on the client's diagnosis, what dietary issue could be causing this client's problem?

1. Vitamin D deficiency 2. History of alcohol abuse 3. Fried bread and mutton prepared in lard 4. Corn as an important component of the diet Answer-3