Culture set

A client has learned of a terminal illness and impending death. The client asks the nurse to explain the concepts and care that are provided under the definition of palliative care. Which of the following would the nurse include in the explanation for this client? Select all that apply.

Provides pain relief. Integrates spirituality. Offers a team approach to care. Enhances quality of life.

Which scenario conveys the application of cultural competence in the provision of nursing care?

The nurse uses available resources to learn other cultures and incorporate beliefs into quality care. The nurse must engage in the recognition of any negative feelings for stereotypes and discuss them with colleagues in order to dispel myths and misconceptions.

Which statement about time orientation most accurately exemplifies a person who is oriented in the present?

The person places a low priority towards saving money for college.

In the magicoreligious view

people view illness/health as a result of supernatural forces of good or evil

Which questions may help the nurse assess his or her ability to relate to various groups in society? Select all that apply.

"Can I welcome this person sincerely?" "Can I genuinely try to help this person and be comfortable enough to listen?" "Do I have the experience to help this person?"

The nurse is caring for a 42-year-old Asian-American client. Which question would assist the nurse in evaluating the client's cultural needs?

"How do you typically respond when people touch you?"

The student is explaining the factors affecting sensory stimulation to his professor. The professor knows that which of the student's statements is most accurate?

"Religious norms within a culture influence the amount of sensory stimulation a person seeks." Ethnic norms, religious norms, income group norms, and the norms of subgroups within a culture all influence the amount of sensory stimulation a person seeks and perceives as meaningful. The amount of stimuli different people consider optimal appears to vary considerably. Sensory functioning tends to decline progressively throughout adulthood. Narcotics and sedatives decrease awareness of sensory stimuli.

Kohlberg's stages of moral development

6 identifiable developmental stages of moral reasoning which form the basis of ethical behavior, the pre-conventional (level 1) contains the first stage (obedience and punishment orientation and second stage (self-interest orientation)), the conventional (level 2) contains the third stage (interpersonal accord and conformity) and fourth stage (authority and social-order maintaining orientation) the post-convential (level 3) contains the 5th stage (social contract orientation) and 6th stage (universal ethical principles)

The Islamic religion views pain as

A cleansing instrument of god

The nurse responds to the special dietary needs by stating, "You are now living in the United States and you should try to start eating those foods common to an American diet." This inappropriate response is an example of`

A client from Pakistan informs the nurse of cultural dietary requests. The nurse responds to the special dietary needs by stating, "You are now living in the United States and you should try to start eating those foods common to an American diet." This inappropriate response is an example of

What distance between the nurse and the client may help facilitate therapeutic communication?

A distance of approximately 3 to 6 feet may help facilitate good therapeutic interaction between the client who is Hispanic and the nurse. People from some cultures, including Hispanics, are more comfortable with less than 4 to 12 feet of space between them when talking. A distance of 10 to 12 inches or 15 to 18 inches is considered the intimate communication zone, which may make the nurse and client feel uncomfortable. A distance of 15 to 18 feet between the nurse and the client is considered the public communication zone, which is unlikely to facilitate therapeutic communication.

A family is anxious for information about the status of their ill infant. The parents do not understand English, but the 14-year-old daughter is competent in spoken and written English. The physician is present, but an interpreter is unavailable. The nurse should:

An interpreter is essential. Explanations need to be given and questions relayed and answered. The interpreter needs understanding of the healthcare environment, not just the language. The parents are anxious for information and "not knowing" is difficult. However, children in the family should not be used as interpreters. This may upset family dynamics giving a great deal of power to a child.

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?

As a component of cultural assessment, the nurse should seek to understand the cultural lens through which the client may understand health promotion. Health promotion is not a concept exclusive to Western cultures, though it may be considered differently among non-Western cultures. Even if health promotion is not a priority in a client's culture, the nurse should still address issues related to health promotion in a respectful and relevant manner. Health promotion is not directly linked to socioeconomic development levels.

A nurse is providing care to a woman who speaks little English. The nurse enlists the aid of an interpreter. Which method would the nurse include when working with the interpreter when teaching this patient? Select all that apply.

Ask an interpreter to translate material into the family's primary language. Be certain that rooms in your health care agency, such as bathrooms, are labeled with international symbols. Assess each client's reading level and rewrite information at an easier reading level if necessary. Use hand gestures or draw a figure, if need be, to communicate better.

The yin and yang theory of illness proposes that the seat of energy in the body is within a specific area. Which of the following is the correct area of the body?

Autonomic nervous system

what percent of the population will have a chronic illness?

By the year 2050, approximately 167 million people 50% of the population is predicted to have a chronic illness, with 81 million 24% having two or more chronic health conditions. In 2000, an estimated 125 million people in the United States had one or more chronic conditions, and 61 million people 21% of the population had multiple chronic conditions.

Having rosy cheeks is an indicator of health, according to

Cubans

A nurse is working to develop cultural competence. Which aspect would the nurse need to incorporate as the foundation for this concept?

Cultural competence, or respecting cultural differences, allows the nurse to plan culturally competent care and to integrate cultural elements into care.

Which intervention best demonstrates the L & D nurse is respectful of a client who is deaf and in early labor?

Cultural differences occur across not only different ethnic backgrounds but also different sociodemographic groups. A parent who has been deaf since birth, for example, expects her deaf culture to be respected by having health care professionals locate a sign language interpreter for her while she is in labor. If an interpreter cannot be located, writing down questions and answers is an alternative, assuming the parent has the ability to read and comprehend while dealing with labor contractions. Use of friends and family members is not considered to be the best option since many family/friends find it difficult to interpret medical terms. Hand signals can help in an emergency; however, it not the best way to interpret questions/comments from a laboring woman who is deaf.

The nurse observes unlicensed staff insisting that he will bathe a female client, including her perineum, even though the client's caregivers request that a female aide perform this task. The nurse realizes that the unlicensed caregiver is exhibiting which characteristic?

Cultural imposition

A nurse is reviewing a journal article which describes a view of the world and a set of traditions that a specific social group uses and transmits to the next generation. Tne nurse is reading an article about which concept?

Culture

use of one's culture as a cultural standard is known as:

Ethnocentrism

The student nurse is precepting on a surgical unit and is caring for a client of the Jehovah's Witness faith reporting abdominal pain and dark stools. Which student nursing actions would be appropriate? Select all that apply.

Explaining to the client that dark stools may be caused by bleeding higher in the gastrointestinal tract and educating the client on prescribed medications and proper diet would be expected behaviors of the nursing student. Ordering a diet free of greasy, spicy food, alcohol or caffeine would also be appropriate for a client with peptic ulcer disease or bleeding ulcers. Medical information should not be provided to anyone without the express consent of the client. Jehovah's Witness clients rarely accept blood products so consent would need to be obtained first

Having a low appetite is an indicator of poor health according to

Filipinos and Haitians.

Independence, not dependence, is

Fostered

Which nursing actions are appropriate when collecting a health history for a client whose primary language differs from the dominant language? Select all that apply.

Have a bilingual nurse assist with the health history. Request assistance from a certified interpreter. Use the facility telephonic interpreting system.

A Chinese mother delivers her newborn and is ready to go home. The grandmother is present and will remain with the mother for 1 month. The grandmother tells the nurse that the mother will not be allowed to leave the house for the first month after delivery. How should the nurse respond to this statement?

In many cultures, new mothers are not allowed to leave the home for at least 1 month to allow her opportunity to rest and keep her healthy. In the Chinese, Middle Eastern and Indian cultures, this is common practice. The nurse should not try to talk the grandmother out of her beliefs on caring for both her daughter and the newborn. Asking the grandmother why she is doing this is challenging and unprofessional.

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.

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?

Leininger's theory of transcultural nursing includes assessing a cultural nature, accepting each client as an individual, having knowledge of health problems that affect particular cultural groups, and planning of care within the client's health belief system to achieve the best health outcomes. Therefore, incorporating the client's request for complementary treatment therapy is an example of this theory. The others do not support this theory.

After teaching a group of nursing students about major threats to children's health, the instructor determines that the teaching was successful when the students state that:

Many childhood infectious diseases, such as mumps and measles, have all but disappeared in North America because of the emphasis placed on immunization against certain preventable diseases. However, the prevalence of chronic diseases is increasing. The incidence of overweight and obesity in young children and teens is increasing rapidly. The birth rate for teen moms has seen a significant downward trend. Infant mortality rates have increased due to the numbers of infants born weighing less than 750 grams.

Novice to Expert Model

Novice to Expert Model

What factors affect how the patient will experience and respond to pain? Select all that apply.

Past experience with pain. Cultural expectation about how one should respond to pain. Learned behavior from childhood.

A South Asian client regarding the client's follow-up appointment?

Plan to see the client at the scheduled time, sharp.

A nurse is working to develop cultural competence. Which aspect would the nurse need to incorporate as the foundation for this concept?

Respect

Which client is most likely to develop systemic lupus erythematosus (SLE)?

SLE strikes nearly 10 times as many women as men and is most common in women between ages 15 and 40. SLE affects more black women than white women; its incidence is about 1 in every 250 black women, compared to 1 in every 700 white women.

The nurse is planning strategies to increase sensory stimulation for clients in isolation. Which considerations should the nurse keep in mind? Select all that apply.

Sensory functioning tends to decline progressively throughout adulthood. An individual's culture may dictate the amount of sensory stimulation considered normal. Different personality types demand different levels of stimulation.

Which of the following are concepts for the nurse to consider interacting with diverse cultural clients?

Sitting too close may be threatening to a client. A wheelchair is considered part of the person in it. Sitting too far away may signal disinterest to a client.

In which culture is touch uncommon and loudness considered disrespectful?

South Asian women

A nurse is caring for a 32-year-old Jewish client who is pregnant with a female baby. The parents are not directly related by blood. The mother reports that her husband's cousin had an infant born with Tay-Sachs disease that died two years ago and she is concerned about her baby. Which information does the nurse need to give the client to help alleviate her concerns regarding her baby having the same disease?

Tay-Sachs disease affects both male and female babies. The age of the client does not significantly increase the risk of Tay-Sachs disease. Even though the client and her husband are not related by blood, their background places their baby at a greater risk. There is a chance that the offspring may have Tay-Sachs disease even if both parents don't have it because they could be carriers, so genetic testing would be advisable.

A client has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The client states that it is nearly impossible to quit drinking because of the deep entrenchment of alcohol use in the client's circle of friends and line of work. As well, the client claims to have thought that drinking only beer and foregoing hard alcohol would prevent health problems. This client is exhibiting health consequences rooted in which human dimensions?

That the patient is situated in a context that normalizes heavy alcohol use is an example of the sociocultural dimension. The client's ignorance of the health consequences of drinking beer rather than spirits is a component of the intellectual dimension.

The syndrome of ghost sickness is exhibited by which culture?

The culture-bound syndrome of ghost sickness is seen in the Native American tribal culture. This culture exhibits a preoccupation with death and the deceased. Bad dreams, weakness, feelings of danger, anxiety, and hallucinations may occur. The other options are not related to the culture-bound syndrome of ghost sickness.

The obstetrical nurse notes that a Muslim client has not been eating any of the meals supplied to her. Which actions performed by the nurse best demonstrate cultural competence?

The steps to developing cultural competence is to acquire cultural knowledge about the group. Nurses can obtain this knowledge by reading about different cultures, attending continuing education courses on different cultures, accessing websites, and attending cultural diversity conferences. It is not true that after delivery Muslim clients have no interest in food as they will be hungry nor is it true that rest will encourage appetite.A referral is not always necessary as the nurse should be able to coordinate foods that the client will eat after finding out or discussing with the client.

A Haitian American client has a history of not keeping follow-up appointments for necessary lab work. What intervention should the nurse implement to help the client keep the appointments?

Time orientation, or whether one views time as precise or approximate, differs among cultures. Many Western countries focus on the urgency of time, valuing punctuality and precise schedules. Clients from other cultures may not perceive the importance of adhering to specific follow-up appointments or procedures or time-related treatment regimens. When timing is essential, as with some medications or appointments, the nurse can explain the importance of more precise timing. None of the remaining options have the impact that having the client understand the importance of the appointment has.

A Haitian American client has just passed away. The family members of the deceased are performing a vodun (voodoo) ritual for the client. Which belief is associated with the ritual?

To make peace with the spirits

Autonomy is a developmental task of

Toddlerhood

in many Middle Eastern societies

Touching the head is offensive

The yin/yang theory of harmony and illness is rooted in the holistic or naturalistic paradigm of health. The nurse is preparing a snack for an Asian patient who has a fever. Which of the following beverages would be appropriate according to the yin/yang theory of harmony?

Yin energy represents the female and negative forces, such as darkness and cold. Yang represents the male forces that emit warmth and fullness. Foods are classified as cold (yin) and hot (yang). Cold foods are eaten when a person has a hot illness, and hot foods are eaten when a person has a cold illness (e.g., cancer).

The sociocultural dimension refers to health practices and beliefs that are strongly influenced by

a person's economic level, lifestyle, family, and culture

With a type 3 procedure

all or part of the external genitalia is excised and the vagina is stitched or narrowed

Puerto Ricans, being too thin is

an indicator of poor health

Race refers to a

category of people who share a socially recognized physical characteristic. The term is rarely used today as the research on the human genome shows no basic differences in structure among people.

A nurse is assessing a client who immigrated from Russia. During the psychosocial assessment, the client describes himself as "sick." Which sign or symptom is most likely causing the client to feel this way?

constapation

Which term as reflecting the view of the world and set of traditions of a specific social group passed down through generations?

culture

describes a view of the world and a set of traditions that a specific social group uses and transmits to the next generation

culture

The acute experience of not comprehending or having trouble adjusting to an unfamiliar culture one has recently entered is called

culture shock

In the holistic-naturalistic view

illness is viewed as stemming from a break in the laws of nature.

Trust is a developmental task of

infancy

A nurse doing an admission assessment on a new Chinese American client notices that the client will not make eye contact. The most likely reason for this is that it:

is a sign of respect.

Madeleine Leininger

is the founder of the speciality called transcultural nursing.

Orem

self care theory

When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which trait?

self-identity

The biomedical-scientific perspective views

the body as functioning like a machine and supports the idea that illness has a cause and effect.

Jean Watson

the caring theory,

With a type 2 procedure

the clitoris and part or all of the labia minora are excised

A type 4 procedure includes

the clitoris or labia is pricked, pierced, or incised, the clitoris and/or labia are stretched, the clitoris and surrounding tissues are cauterized, the vaginal orifice is scraped or cut, corrosive substances are introduced into the vagina, and herbs are inserted to narrow it.

Ethnicity refers to

the cultural group into which a person was born, although the term is sometimes used in a narrower context to mean only race.

With a type 1 procedure

the prepuce with or without a part or all of the clitoris is excised.

The term used to guide the cultural aspects of nursing care and respect individual differences is:

transcultural nursing.