NUR 205 EAQ - Chapter 9: Cultural Awareness

Which concept of intersectionality involves unequal access to resources and services?

Social inequality.

The registered nurse is evaluating the statements of a student nurse after teaching about cultural assessment models. Which statement by the student nurse needs correction?

"Cultural assessment models are used to stereotype a particular group of patients."

The registered nurse is admitting a patient of French heritage to the hospital. Which question asked by the nurse indicates that the nurse is stereotyping the patient?

"Do you bathe and use deodorant more than one time a week?"

Which is an example of a contrast question?

"How severe is your headache compared to the last one?"

The nurse is caring for an elderly patient who has diarrhea, and the nurse suspects that the patient has a biomedical perspective of illness. Which statement by the patient helped the nurse to reach this conclusion?

"I am sick because of unhygienic surroundings."

While measuring the vital signs of a Muslim patient, the nurse observes that the patient is anxious. Which statement by the nurse indicates a good understanding of transcultural nursing?

"I know modesty is very important for you. Is there any way I can make you comfortable?"

The nurse is performing a cultural assessment of a patient. Which question of the nurse reflects a focused question?

"Is there someone with whom you want us to talk about your care?"

Which question does the nurse ask a patient to assess the beliefs and practices of the patient?

"What do you do to keep yourself well?"

The nurse is conducting a health interview for a patient. Which assessment question is an example of an open-ended question? Select all that apply.

"What do you think caused your illness?" "How do you want us to help you with your problem?"

Which questions should the nurse ask a patient to assess bicultural ecology and health risks while performing cultural assessment? Select all that apply.

"What is the cause your illness?" "What other illnesses do you have?" "How do you treat this illness at home?"

The nurse is caring for a 50-year-old Hindu Asian male patient who is hospitalized following an incidence of high blood pressure. The nurse understands the ethnicity of the patient and asks questions as part of the cultural assessment. Which questions would help gather information about bicultural ecology and health risks? Select all that apply.

"What other problems do you have?" "How do you treat this problem at home?" "How has the problem affected you and your family?"

A nurse is developing a plan of care for a patient who identifies with both their native country of origin's culture as well as American culture. Which nursing actions indicate cultural competence? Select all that apply.

-Inquiring as to the patient's health beliefs. -Self-understanding of the nurse's own culture. -Assessing cultural and biophysical factors that influence treatment.

The nurse is learning about the impact of different cultures on nursing. Which are benefits of culturally congruent care? Select all that apply.

-It will help the nurse to interpret the needs of the patient who belongs to a different culture. -It will help the nurse to identify the similarities and differences of various patients across different cultures. -It will help the nurse to deliver the specific kind of health care that is expected from patients who belong to a different culture.

Which measures taken by the health care organizations would create an inclusive environment for patients belonging to the lesbian, gay, bisexual, transgender (LGBT) community? Select all that apply.

-Make sure that they have access to unisex bathrooms. -Ensure that gender-inclusive language is used while talking. -Ensure that gender-inclusive information is asked in the hospital forms.

The nurse is caring for a 50-year-old Hindu Asian male patient who is hospitalized following an incidence of high blood pressure. The nurse reviews the data and concludes that the patient's health care needs conflict with his health care practices. His cultural practices do not help him to maintain normal blood pressure and manage his diabetes. How should the nurse implement culturally congruent care? Select all that apply.

-Negotiate for a change in the patient's cultural practices. -Preserve the patient's values relevant to maintaining his health. -Modify the patient's lifestyle to develop a beneficial health care pattern.

The nurse is assessing an Asian patient in a day care center. The nurse is developing a transcultural care plan for the patient who identifies both with his native culture and the American culture. Which components should the nurse incorporate in order to provide culturally congruent care? Select all that apply.

-Obtaining knowledge of the patient's health beliefs. -Self-examining the nurse's own culture. -Being open and accepting of cultural differences.

The nurse is caring for an Islamic patient who is recovering from a motor vehicle accident. The patient is observing Ramadan, the ninth lunar month, in which Muslims fast during daylight for 28 days. The nurse understands that a good diet is important for the patient's wounds to heal. What should the nurse do when planning the patient's diet? Select all that apply.

-Reschedule meals. -Respect the cultural beliefs and assure the patient that medical needs will be taken care of.

During their clinical postconference meeting, several nursing students were discussing their patients with their instructor. One student from a middle-class family shared that a patient was homeless. Which difference is being described?

Culture.

Which is required in the delivery of culturally congruent care?

Acquiring specific knowledge, skills, and attitudes.

A patient who was cured of cancer is diagnosed with relapse of the disease. The primary health care provider recommends that the patient consume foods rich in antioxidants and drink plenty of water. Which step of the C-LARA mnemonic is the primary health care provider performing?

Add.

The nurse at an outpatient clinic asks a Chinese American patient with newly diagnosed hypertension if he is limiting sodium intake as directed. The patient nods his head but does not make eye contact with the nurse. What should the nurse do next?

Ask the patient how much salt he is consuming each day.

Which statement describes cultural skill according to Campinha-Bacote's model of cultural competency?

Assessing social, cultural, and biophysical factors before initiating the treatment.

After assessing a patient's immediate complaint, the nurse asks a patient, "What other problems do you have?" What is the nurse trying to assess by posing this question to the patient?

Bicultural ecology and health risks.

When the nurse has a prejudice against a particular culture, which type of behavior is likely to result?

Discrimination.

A Jamaican immigrant has been late to the last two clinic visits, which in turn had to be rescheduled. Which is the best action that the nurse could take to prevent the patient from being late to the next appointment?

Explore what has prevented the patient from being at the clinic in time for the appointment.

A patient is diagnosed with a diabetic ulcer with gangrene to his foot. The primary health care provider advises surgery, but the patient refuses because removal of a body part is not permitted according his or her religious preference. Which concept justifies this scenario?

Iceberg analogy.

A nursing student is doing a community health rotation in an inner-city public health department. The student investigates socio-demographic and health data of the people served by the health department and detects disparities in health outcomes between rich and poor. What does this example illustrate?

Influence of socioeconomic factors on morbidity and mortality.

Which process is involved in the ETHNIC mnemonic communication technique?

Intervention.

A Haitian patient is admitted to the hospital for arthritic pain. During the nursing assessment, the nurse learns that the patient is using a therapy called cupping for palliation of pain along with traditional Western medicine. Cupping involves placing heated cups on the skin. Which is the most appropriate action by the nurse?

Learn about this therapy and avoid imposing one's own beliefs.

What is the correct order of steps involved in the LEARN communication technique for cultural assessment and planning?

Listening to the patient's explanation of the present problem. Explaining the nurse's perception of the problem to the patient. Recognizing the similarities and differences between the patient's and nurse's perceptions. Involving the patient and his or her family while providing recommendations. Obtaining a mutually agreeable, culturally oriented, patient-centered plan.

The nurse wants to assess health literacy in a group of patients. Which measure does the nurse use to evaluate word recognition?

Rapid Estimate of Adult Literacy in Medicine (REALM.)

Which communication technique is demonstrated when the nurse connects with a patient on a social level?

Rapport.

While assessing a patient with a psychiatric disorder, the nurse seeks the patient's point of view. Which process of the RESPECT mnemonic is the nurse employing?

Rapport.

A patient with mouth cancer is advised to undergo radiation therapy. However, the patient refuses to do so. The primary health care provider gives the patient and family other treatment options. Which step of the LEARN mnemonic is the primary health care provider performing?

Recommend.

The nurse finds that a patient has not understood the health education provided on personal hygiene. How does the nurse ensure that the patient understands the teachings?

The nurse clarifies the information and requests a teach back.

What is the goal of transcultural nursing?

To provide care to fit with a patient's own values, beliefs, and traditions.