Health Assessment Chapter 11 Questions

The student nurse is aware that culturally competent care is described as which of the following?

Following five constructs of cultural awareness, knowledge, skill, encounters, and desire

What are the goals of performing a cultural assessment on a client from another culture? Select all that apply.

Gaining knowledge about the client's cultural beliefs and practices, including food and eating rituals, daily and nightly personal hygiene rituals, and sleeping habits Identifying similarities and differences among the cultural beliefs of the client, health care agency, and nurse Comparing culture-based care needs of the specific person with the general themes of those of similar cultural background Generating a holistic picture of the client's care needs, upon which a culturally congruent nursing care plan is developed and implemented

People of all cultures believe that autonomy is a universal right of health care consumers.

False

What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.

whether there are any existing language barriers nutritional or dietary considerations alternative medicine practices

Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

The nurse desires to learn more about a population of clients from a non-English speaking culture. Which action should the nurse perform as a first step to becoming more culturally aware?

perform self-reflection

Which characteristic demonstrates the nurse's understanding and practice of cultural competent nursing? Select all that apply.

states, "I'm really interested in learning about the dietary practices of the Hasidic Jews." recognizes the need to provide all clients holistic care

When performing a cultural assessment, an important point to remember would be

that definitions of family differ

The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors as they help to provide care to him. How should the nurse best respond?

"I will be back with your pain medication."

The nurse is conducting a cultural assessment with a client who recently immigrated to the United States. Which interview question is of most importance when addressing family history as it impacts the client's care?

"Who is primarily responsible for making family decisions since arriving in the United States?"

A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover?

A focus on maintaining balance between yin and yang

A nurse admits a client to the hospital who is African American. The nurse recognizes that this client is at increased risk for what conditions due to ethnicity or culture? Select all that apply.

Cardiovascular disease Peripheral artery disease Asthma

A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?

Conduct a cultural assessment to better understand the client's perception of pain and illness.

A nurse is assessing an African woman who recently immigrated to the United States. Which of the following is important for the nurse to understand regarding this client's race?

It is socially constructed.

During the assessment of a Caucasian client with wax accumulation in the ear, the nurse observes that the earwax is wet. The nurse recognizes that this is related to what physiologic variation among racial groups?

Secretions produced by apocrine glands are based on genetic traits.

To determine the sources of strength for a patient, the nurse could ask, "In what ways do they help?"

True

The nurse spends a day off in a part of a non-English speaking community in order to learn more about the culture to improve interactions when providing client care. What cultural activity is this nurse demonstrating

desire

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.