Giddens Chapter 4- Culture

Which would the nurse consider to be the center of decision making when providing client care? a. Ethics b. Nursing skills c. analytical skills d. research based practice

a. Ethics

Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness? a. East Asian b. Hispanic c. Asian Indian d. Native American

c. Asian Indian

Which consideration is the most important when attempting to incorporate the Latino client's cultural background into the plan of care? a. socioeconomic considerations regarding hospitalization b. the meaning and attention the client places on the future c. the client's need to control care to ensure desired outcomes d. Inclusion of the family in the plan of care with the clients permission

d. Inclusion of the family in the plan of care with the clients permission

The nurse records the client's weight and BMI at a healthy range, but the client states "I wish I were as thin as my coworkers" Which culturally bound condition is the client at risk for? a. neurasthenia b. anorexia nervosa c. shenjing shuairuo c. ataque de nervios

b. anorexia nervosa

Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences? a. Irish Americans b. African Americans c. Chinese Americans d. Egyptian Americans

c. Chinese Americans

A new mother says to the nurse, "I would like to care for my baby independently rather than depending on the baby's grandparents." From this information, which culture would the nurse infer that the new mother belongs to? a. Asian culture b. African culture c. North American culture d. Latin American culture

c. North American culture

Which statement regarding an interpreter is correct? a. relatives or friends of the client can serve as interpreters b. the interpreter would be able to make literal, word for word translations c. interpreting not only the language but also the culture is important d. as long as the health care provider is caring for the client, the interpreter should be available

c. interpreting not only the language but also the culture is important

Regarding the past experiences of clients who have immigrated, which consideration would the nurse incorporate when planning care? a. inherited traits are more important than past experiences b. immigrants can acculturate if past experiences are minimized c. it is important to first assess immigrants' values and beliefs d. immigrants interactional patterns are permanently established

c. it is important to first assess immigrants' values and beliefs

When a client is a member of a different ethnic community, which action would the nurse take? a. ensure that the nurses' biases are understood by the family b. make plans to counteract the client's misconceptions about therapies c. offer a therapeutic regimen compatible with the lifestyle of the family d. recognize that generally all clients just want good nursing care

c. offer a therapeutic regimen compatible with the lifestyle of the family

Which risky behavior has increased in occurrence in recent years? a. binge drinking alcohol b. having unprotected sex c. using e-vapor products d. experimentation with hard drugs

c. using e-vapor products

Which question is the most therapeutic to ask the parents of a 3 yr old child who just died? a. Do you feel ready to allow us to move your child to the morgue b. Would you like to discuss your decision about organ donation c. Would you like to talk about how you'll tell your other children d. Can I be of any help with traditional practices that are important to you

d. Can I be of any help with traditional practices that are important to you

The nurse leader is teaching the staff that the health care provider strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining? a. cultural diversity b. cultural sensitivity c. cultural imposition d. cultural competence

d. cultural competence

Which culturally based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic? a. reluctance to take medication b. minimal eye contact c. desire to have an Asian nurse d. Offense at being touched

b. minimal eye contact

the nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage these people from bringing all that alternative medicine stuff to their family members. Which response by the nurse is correct? a. Hospital policies should put a stop to this b. everyone should conform to the prevailing culture c. nontraditional approaches to health care can be beneficial d. you are right bc they may have a negative effect on peoples' health

c. non-traditional approaches to health care can be beneficial

Which key factor assists the nurse in assessing how a client will cope with the body image change after an above the knee amputation? a. extent of the change b. suddenness of the change c. obviousness of the change d. personal perception of the change

d. personal perception of the change

The pre-school age client is learning sociocultural mores. Which developmental milestone would the nurse suspect in this client? a. the child is developing a conscience b. the child is learning about gender roles c. the child is developing a sense of security d. the child is learning about the political process

a. the child is developing a conscience

Who would the nurse use as an interpreter for explain a consent form for a foreign-language speaking client who needs to undergo chemotherapy? a. an official interpreter b. another nurse who speaks a similar language c. client's family friend who speaks the client's language d. client's caregiver who speaks the same language

a. an official interpreter

The nurse recognizes that belly binding is a common cultural practice for a mother of a 9 month old infant with extrusion of the umbilicus. Which variation of belly binding would the nurse discourage? a. coin in the umbilicus b. tight diaper over the umbilicus c. binder that encircles the umbilicus d. adhesive tape across the umbilicus

a. coin in the umbilicus

A Spanish speaking client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing health care decisions with the client? a. contact an interpreter provided by the hospital b. contact the client's family member to translate for the client c. communicate with the client using Spanish phrases the nurse learned in college d. communicate with the client with the use of a hospital approved spanish dictionary

a. contact an interpreter provided by the hospital

Which component of cultural competence is being demonstrated when the nurse motivates the immigrant to accept differences in the way a pregnant woman is cared for in her current residence? a. cultural desire b. cultural awareness c. cultural knowledge d. cultural encounters

a. cultural desire

Which is the nurse demonstrating when labeling the African-American client drug abuser for requesting pain medications? a. ethnocentrism b. multiculturalism c. cultural encounter d. cultural imposition

a. ethnocentrism

Which characteristic usually results in a behavior being viewed and accepted as normal? a. fits within standards accepted by one's society b. helps the person reduce the need for coping skills c. allows the person to express feeling and thought d. facilitates achievement of short term and long term goals

a. fits within standards accepted by one's society

which concept would the nurse consider when caring for school aged childen who are obese? a. enjoyment of specific foods is inherited b. there are familial influences on childhood eating habits c. childhood obesity is usually not a predictor of adult obesity d. children with obese parents are destined to become obese themselves

b. there are familial influences on childhood eating habits

Which of these clients seen at a health fair will be most at risk for hypertension? a. 23 yr old white man b. 44 yr old white woman c. 50 yr old Mexican American woman d. 62 yr old African American man

d. 62 yr old African American man

The nurse is caring for an African American client with renal failure. The client states that the illness is punishment for sins. Which cultural health belief is the client communicating? a. Ying/Yang balance b. biomedical belief c. Determinism belief d. Magicoreligious belief

d. Magicoreligious belief

Which is the secondary use of data from 2000 census classification system to identify disparities in mental health care along racial ethic lines? a. to provide culturally relevant care to the required ethnic group b. to identify all racial and ethnic groups in the U.S. c. to identify why there are disparities in the U.S. d. To determine when and how the health care needs of the ethnic population are being met

d. To determine when and how the health care needs of the ethnic population are being met

Which factor increases an adolescent's risk for injury in the community? a. employment b. eating disorders c. sleep deprivation d. distracted driving

d. distracted driving

The nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different than their own. Which action would the nurse manager take to address this problem? a. assign articles about various cultures so that then nurses can become more knowledgable b. relocate the nurses to units where they will not have to care for clients from a variety of cultures c. rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures d. plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work

d. plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work