Saunders NCLEX-PN: Fundamentals - Culture and Health Promotion Practice Questions

The nurse consults with a dietitian regarding the dietary preferences of an Asian American client. Which food should the nurse suggest to include in the diet plan? 1. Rice 2. Fruits 3. Red meat 4. Fried foods

1. Rice Rationale: - Answering this question requires knowledge of the food preferences of different races and ethnicities - Asian American food preferences include raw fish, rice, and soy sauce - African American food preferences include chicken, pork, greens, rice, and fried foods. - Hispanic Americans eat beans, fried and spicy foods, chili, and carbonated beverages. - European Americans eat carbohydrates and red meat.

The client asks the nurse about various herbal therapies available for the treatment of insomnia. The nurse should encourage the client to discuss the use of which product with the primary health care provider? 1. Garlic 2. Valerian 3. Lavender 4. Glucosamine

2. Valerian Rationale: - Be familiar with common herbal products and herbal therapies and what they are used for, this includes the herbs stated for each choice. - Valerian treats insomnia, hyperactivity, anxiety, and restlessness. - Garlic is used as an antioxidant to lower cholesterol levels. - Lavender is used as an antiseptic and fragrance for a mild sedative effect. - Glucosamine is used as an amino acid that helps synthesize cartilage.

The nurse is caring for a group of clients who are taking herbal medications at home. Which client should be given instructions with regard to avoiding the use of herbal medications? 1. A 60-year-old male client with rhinitis 2. A 24-year-old male client with a lower back injury 3. A 10-year-old female client with a urinary tract infection 4. A 45-year-old female client with a history of migraine headaches

3. A 10-year-old female client with a urinary tract infection Rationale: - Practice test-taking strategies like reading the question carefully and focusing on keywords like avoid. - This along with focusing on eliminating choices that are alike, with only choice 3 differing because of the client's age. - Answering the question also involves being familiar with the teaching points and contraindications for herbal medications, which include children avoiding taking herbs.

A Hispanic American mother brings her child to the clinic for an examination. Which is most important when gathering data about the child? 1. Avoiding eye contact 2. Using body language only 3. Avoiding speaking to the child 4. Touching the child during the examination

4. Touching the child during the examination - Prior knowledge regarding Hispanic American customs is best used to answer the question, giving context that eye behavior is significant and the belief that the "bad/evil eye" can be given to a child if a person looks at and admires a child without touching the child. Following that, its concluded that touching the child during examination is very important - Additionally, touch being a therapeutic communication technique further supports reasoning for this answer - While avoiding eye contact can indicate respect and attentiveness in Hispanic American culture generally, the fact that the case involves a child should indicate 4 as the answer rather than 1. - Test-taking strategies can be used to eliminate 2 and 3 which are similar and non-therapeutic, limiting communicative therapy techniques

10. A nursing student is asked to identify the practices and beliefs of the Amish society. Which should the student identify? Select all that apply. 1. Many choose not to have health insurance. 2. They believe that health is a gift from God. 3. The authority of women is equal to that of men. 4. They remain secluded and avoid helping others. 5. They use both traditional and alternative health care, such as healers, herbs, and massage. 6. Funerals are conducted in the home without a eulogy, flower decorations, or any other display. Caskets are plain and simple, without adornment.

1. Many choose not to have health insurance. 2. They believe that health is a gift from God. 5. They use both traditional and alternative health care, such as healers, herbs, and massage. 6. Funerals are conducted in the home without a eulogy, flower decorations, or any other display. Caskets are plain and simple, without adornment. - Prior knowledge on the characteristics of Amish culture is needed to answer the question - Solely depend on clean living and a balanced diet to maintain their physical health, so they may not have health insurance and instead use mutual aid funds for members who need help with medical costs - They believe that health is a gift from God - Amish use traditional and alternative healthcare such as healers, herbs, and massage - Religious/End-of-life/Funerary customs involve funerals being conducted at home without a eulogy, flower decorations, or other display, caskets are plain and simple, without adornment, and at death, women are usually buried in their bridal dresses

The nurse is assisting with collecting data from an African American client admitted to the ambulatory care unit who is scheduled for a hernia repair. Which information about the client is of lowest priority during the data collection? 1. Respiratory 2. Psychosocial 3. Neurological 4. Cardiovascular

2. Psychosocial Rationale: - Answering the question requires the application of prioritization using Maslow's Hierarchy of Needs, as well as test-taking strategies in recognizing choices that are alike. 1,3, and 4 are alike in that they all are physiological needs, while psychosocial is a love/belonging need. - Additionally, think about what's prioritized during physical assessments, NANDA nursing diagnoses, and care plans. - Data collection information can also be prioritized by the Body System Model (Neurologic, Cardiovascular, Respiratory, Gastrointestinal, Musculoskeletal, Genitourinary, and Psychosocial). - Knowledge regarding African American culture can further be used to answer the question by knowing that in African American culture, its considered intrusive to ask personal questions during the intial contact or meeting.

The nurse is planning to reinforce nutrition instructions to an African American client. When reviewing the plan, the nurse is aware that which food may be a common dietary practice of clients with African American heritage? 1. Raw fish 2. Red meat 3. Fried foods 4. Rice as the basis for all meals

2. Red meat Rationale: - Answering this question requires knowledge of the food preferences of different races and ethnicities as well as health risks for races/ethnicities to deduce the answer. - African American food preferences include chicken, pork, greens, rice, and fried foods. - Correlating African Americans' health risks for hypertension and coronary artery disease with red meat helps in answering this question. - Asian Americans eat raw fish, rice, and soy sauce. - Hispanic Americans eat beans, fried and spicy foods, chili, and carbonated beverages. - European Americans eat carbohydrates and red meat.

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "I have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? 1. "I would try anything that I could if I had cancer." 2. "No, because it will interact with the chemotherapy." 3. "Tell me what you know about complementary therapies." 4. "You need to ask your primary health care provider about it."

3. "Tell me what you know about complementary therapies." Rationale: - The appropriate action that the nurse should do first when discussing complementary/alternative therapy is to explore the client's knowledge of the topic as part of therapeutic communication as well as teaching and learning for the patient. This addresses the patient's question and encourages discussion. - Only after adequate communication and teaching should the PCHP be involved and approve complementary therapy if needed.

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the nurse that she would like to take an herbal substance to help lower her blood pressure. Which statement by the nurse is most important to provide to the client? 1. "Herbal substances are not safe and should never be used." 2. "I will teach you how to take your blood pressure so that it can be monitored closely." 3. "You will need to talk to your primary health care provider (HCP) before using an herbal substance." 4. "If you take an herbal substance, you will need to have your blood pressure checked frequently."

3. "You will need to talk to your primary health care provider (HCP) before using an herbal substance." Rationale: - A general rule regarding herbal medications and patient teaching is to not take herbal medications when taking prescribed medications or under a medication regimen since it can cause dangerous herb-medication interactions - Test-taking strategies like identifying the use of close-ended words can be used to eliminate choice 1, which uses the word never, words that are extreme in meaning (all, always, every, none, never, only) - Test-taking strategies are also used to eliminate 2 and 3 by identifying that the choices are alike - Prior knowledge of contraindications/cautions/patient teaching of herbal therapies can most accurately answer the question

The nurse is preparing to assist a client of Orthodox Jewish faith with eating lunch. A kosher meal is delivered to the client. Which nursing action is appropriate when assisting the client with the meal? 1. Unwrapping the eating utensils for the client 2. Replacing the plastic utensils with metal utensils 3. Carefully transferring the food from paper plates to glass plates 4. Allowing the client to unwrap the utensils and prepare his own meal for eating

4. Allowing the client to unwrap the utensils and prepare his own meal for eating Rationale: - Focus on how the incorrect options are similar, which involve intervening in how the meal is prepared 1, 2, 3. - This involves test-taking strategies as well as being familiar with rituals/dietary practices of Orthodox/Jewish patients.