PrepU Diversity
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate cultural response?
Ask the client about his personal space preferences.
A nurse wants to ensure inclusiveness in language regarding family when developing a plan of care for a client. Which of the following is the most important action for the nurse to take to ensure that the plan is inclusive?
Ask the client to identify who is considered family.
An Indian client is admitted to a facility for treatment of pneumonia. Since admission, she has been unwilling to participate in care offered by the nursing staff but is too weak to provide her own care. The nurse is planning care for this client with a diagnosis of bathing/hygiene: self-care deficit. What would the priority nursing intervention be?
Assess the client?s cultural views regarding hygiene and self-care.
A client who speaks Spanish is admitted to the hospital. What cultural interventions would be most appropriate by the nurse?
Call for a translator who is familiar with health care.
Nurses' observance of professional rituals helps standardize practice and ensure efficiency. Which of the following is a characteristic of rituals?
Common and observable expressions of culture.
While interviewing a Chinese man about his son's health, the nurse notices that the man keeps his eyes focused on the floor. What is the best action by the nurse?
Continue with the interview.
A new client is admitted to your unit, and your initial assessment will include a systematic appraisal of the client's cultural characteristics, health practices, and beliefs. What type of assessment will you perform to gather this information?
Cultural
Which factor is likely to have the greatest impact on how a client responds to grief?
Cultural influences
A nursing instructor is preparing a class on the changes that have occurred in health care over the past years. Which of the following would the instructor most likely include?
Increasing cultural diversity of the population
When interviewing a Native American client, the nurse avoids which behavior because it is deemed unacceptable by the client's culture?
Prolonged eye contact
Which of the following statements best conveys the relationship between race and ethnicity?
Race denotes physical characteristics while ethnicity is rooted in a common heritage.
A female Asian client is admitted to the emergency department with a fractured femur. What cultural factor might affect nursing care?
The client may not report pain.
A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation that followed myocardial infarction. Keeping in mind that the client speaks English as a second language, how should the nurse conduct the interview?
The nurse should avoid using complex medical terminology.
The charge nurse on the pediatric floor has assigned a 6-year-old girl with newly diagnosed type 1 diabetes and an 8-year-old girl recovering from ketoacidosis to the same semi-private room. The 6-year-old's mother is upset because the parent staying with the other child is male and believes the arrangement is violates her social norms. The nurse should:
reassign the children to different rooms.
The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?
?Culture cannot be influenced, and you are born with your culture.?
Which is the primary religion of Cambodians?
Buddhism
A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating?
Cultural conflict
A nurse is employed at a healthcare facility with a recent influx of many clients from a particular culture. The nurse is presenting information about the effect of one's culture on pain perception to a group of unlicensed assistive personnel (UAP). The nurse evaluates that the students need reteaching when one of them states
"A client from this culture always exaggerates his or her pain."
A nurse is learning about religious dietary restrictions at a nursing conference. Which of the following religious meal selections should the nurse understand is appropriate?
Hindus: Vegetable plate
A client of Mexican descent has bacterial pneumonia and has a temperature of 102° F (39° C). The client tells the nurse that client has treated the infection by drinking milk, and the nurse interprets the client's remark as:
use of the hot disease concept.
A neonate born to a primipara at 36 weeks' gestation in a small, rural hospital is to be transferred by ambulance to a level III nursery. To prepare the parents for the transfer, What should the nurse include in the plan of care?
Allow the parents to touch the neonate before transfer.
A Malaysian client is admitted to the health care facility with reports of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client?
At more than one arm's distance.
Which of the following is an example of cultural competence in nursing?
Attending a conference for cultural diversity
An Asian client is admitted to the unit. What cultural assessment might the nurse anticipate?
Nonverbal expressions of pain
The nurse is caring for a pregnant Arab American woman. Which statement most accurately describes the client's potential health care beliefs?
The husband makes all the health care decisions for the wife.
An African-American (Black) client is brought to the emergency department after sustaining injury in a vehicle accident. The client is bleeding profusely from the wounded leg. In which of the following areas should the nurse check for pallor in the client?
Tongue
A nurse is discussing possible risk factors related to surgery with a client. Considering that the client belongs to the Navajo culture, which of the following approaches should the nurse adopt to prevent any misunderstandings?
Use a hypothetical third person.
