SVN TERM 1 week 13

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate?

Ask the client if a spiritual leader is desired.

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse?

Leave the room and return when the shaman is finished.

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?

Maintain flexibility when the client requests interventions at specific times.

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?

corporating the client's request for complementary treatment therapy

n older adult client from a minority culture refuses to eat at the nursing home, stating, "I just don't like the food here." What factors should the staff assess for this problem?

he food served may not be culturally appropriate.

Which statement about diversity is true?

"Diversity demonstrates differences among groups of people."

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

: ethnic identity

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse?

"Why don't you take the medicines, too, and benefit from both?"

Which definition of culture is most accurate?

A belief system that guides behavior

Which client admitted to the emergency department might require the nurse to include interventions aimed at addressing culture shock in the plan of care?

A client who recently immigrated and fell from a ladder

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of?

A minority

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?

A ritual

The nurse observes an elderly man diagnosed with Alzheimer's disease brushing his hair with a toothbrush. The nurse documents this behavior using which term?

Agnosia

The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics?

Biological

The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?

Can you tell me what foods you prefer to eat and what your family is bringing you?"

A client diagnosed with Alzheimer's dementia is experiencing impaired language and judgment. The nurse understands that which area of the brain is being affected?

Cerebral cortex

he nurse is reviewing the discharge education for the family of an older client who was hospitalized for treatment of delirium. Which information should the nurse reinforce to minimize the future risk of developing delirium again? Select all that apply.

Check with the client's health care provider before introducing any new medications. , Know characteristic signs and symptoms of infection in the older population. , Help assure the client maintains an adequate fluid intake to remain well hydrated. , Be familiar with the adverse reactions for all the medications the client is prescribed.

The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond?

Collecting this information allows us to develop a personalized plan of care to meet your needs."

A black client reports to the primary health center with reports of itching and rashes after consumption of shellfish. On examination, the nurse finds a keloid on the client's back. What is the most appropriate response by the nurse?

Consider it as normal.

When giving a tepid sponge bath to a black client who has high fever, the nurse notices brown discoloration on the washcloth. What should the nurse's reaction be in this case?

Consider it to be normal in the client

Upon moving to another country, a college student is very confused by many local customs. The student is especially bothered by the custom of men and women eating in separate areas and it makes the student angry and resentful of the new culture. What are the feelings experienced by this student?

Culture shock

he nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse?

Discuss with the client the need for assistance during ambulation

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response?.

Document the client's request in the nursing care plan.

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan?

Document the request and make all reasonable efforts to honor it

A nurse is caring for an older adult. How does the nurse demonstrate awareness of culturally competent care?

Establishing effective communication

A nurse suspects that a client is experiencing delirium based on which assessment finding?

Fluctuation of symptoms

Which area is typically included in a cultural assessment?

Food preferences

Which nursing intervention reflects culturally appropriate care when addressing a client?

Good morning, Mr. Smith. I am your nurse, John."

A person diagnosed with delirium is seeing "monkeys in the corner of my room." Which term would the nurse use to document this behavior?

Hallucination

A nurse is performing an assessment of a health history on a client who identifies as Native American/First Nations. Based on familial history and racial disparities, for which health issue should the nurse prepare to monitor in this client?

Heart disease

A client is experiencing acute delirium. Which intervention would the nurse identify as the priority for this client?

Initiate safety precautions.

The staff nurse overhears the charge nurse, who is of Italian heritage, talking to the unlicensed assistive personnel. Which statement made by the charge nurse is an example of ethnocentrism?

Italians are best at everything."

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

Know the client's cultural personal space preferences

A client is admitted to the inpatient mental health unit with Lewy body dementia. It is most important for the nurse to observe which assessment parameter?

Parkinson-like symptoms

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply.

Physically impaired , Burdensome to family , Uninterested in intimacy

Which statement best conveys the relationship between race and ethnicity?

Race denotes physical characteristics, while ethnicity is rooted in a common heritage.

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?

Racism

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?

Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

the nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information?

Soup, hot tea, and toast

In completing nursing care for an older client diagnosed with dementia, which intervention would be therapeutic for this individual?

Using simple one-step commands to minimize frustration

The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take?

Speak privately with the interpreter and instruct them to only provide language interpretation.

A home health nurse is visiting a client who is 60 years of age. During the initial visit, the client's spouse answers all of the questions. What would the nurse assess based on this behavior?

The spouse is the dominant member of the family.

Which is a cultural norm of the health care system?

There is the use of a systematic approach and problem-solving methodology.

the nurse is providing discharge teaching for a client who is from a different culture. The nurse notes that the client will look away from the nurse and does not maintain eye contact. What would be the most appropriate action by the nurse, with regard to culturally competent care?

Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions.

A nurse at a small, rural hospital that lacks professional interpreter services has admitted a client who does not speak the dominant language. How should the nurse best communicate with this client?

Utilize a telephone-based interpreting service in order to communicate clearly with the client.

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse?

We can wait until your spiritual healer arrives and work together to answer these questions."

A nurse is performing an assessment of a newly admitted hospital client and has documented the client as being a member of the Native American/First Nations subculture. A subculture is best described as:

a unique cultural group that exists within the larger culture.

A nurse has been cautioned by a nursing educator to ensure that stereotyping does not influence the nurse's beliefs, behaviors, and interactions with clients from other cultures. What action by the nurse would be considered stereotyping?

ascribing attributes to members of a particular culture that are unsupported by facts

A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of:

cultural ritual

The nurse determines the need for an interpreter when providing care for a client. What would the nurse do first?

talk with the interpreter before meeting with the client.