AH-Chpt 7 Practice Questions

Of the following nurse theorists, which one is considered the founder of transcultural nursing?

Madeline Leininger

A patient who is Asian practices the yin/yang theory of harmony and illness. What paradigm of health and illness is this practice rooted in?

Holistic

Which specialty in nursing involves providing nursing care in the context of the client's culture?

Transcultural nursing

The nurse is caring for a client scheduled for an emergency cardiac catheterization. The transport team arrives to take the client to the catheterization laboratory at the same time a group of men arrive to see the client. The client explains to the nurse that these men are the elders from church who have come to perform a "laying on of hands" to help the client have a cardiac catheterization safely. The best response by the nurse is which of the following?

"I will wait outside of your room with the transport team; let us know when you are finished."

A client tells the nurse that she will be researching an alternative method of treatment for her disease. What is the most appropriate response by the nurse?

"You are within your right to search for other methods of treatment. Just be sure to inform your physician what treatments you are using."

Three major paradigms are used to explain the causes of disease and illness. Which three of the following are the paradigms? Choose all three.

-Biomedical or scientific view -Naturalistic or holistic perspective -Magico-religious view

A nursing student who has just completed a chapter on transcultural nursing knows that all ethnic cultures share four basic characteristics. Choose the correct four from the following list.

-It is learned from birth through language and socialization. -It is shared by all members of the same cultural group. -It is influenced by specific environmental and technical factors. -It is dynamic and ever changing.

A nurse and client have a complete language barrier. An interpreter is necessary. Which of the following are important considerations for the nurse when choosing an interpreter? Choose all that apply.

-Voice quality -Nonverbal communication skills -Use of silence

Which is the best thing the nurse can do to provide culturally sensitive care?

Accept each client as a unique individual.

What is the process by which members of a cultural group adapt to or learn how to take on the behaviors of another group?

Acculturation

The nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness of the client to adhere to the instructions by use of which method?

Ask the client if there is anything in the discharge plan that will interfere with compliance.

The nurse listens to a client explain that she is receiving manipulations from a health care provider. The nurse documents in the client's chart that the client is using which therapy?

Chiropractic

When the nurse attempts to obtain vital signs, the client pulls away, gathers the bed covers to the chin, and speaks in a language unintelligible to the nurse. What is the best action for the nurse to take?

Attempt to retrieve an interpreter.

Which of the following alternative therapies would include a strict low carbohydrate diet?

Biologically based therapy

The nurse is caring for a client who expresses the belief that her illness (cellulitis) is a result of bacteria that has caused an infection. To which of the following views of disease/illness does this client allude?

Biomedical and/or scientific

The nurse is providing education to an English-speaking client who immigrated to the United States 2 years ago. The nurse determines that further education may be needed when the client does which action?

Changes the subject

What cultural group does the nurse understand may be late for a scheduled appointment at the clinic because of a wide frame of reference?

Hispanic

It is important for the nurse to acknowledge cultural differences that may influence the delivery of health care. In order to do this, the nurse must do which of the following?

Confront the nurse's own bias and influence of his or her culture.

While taking a nursing history, the nurse is made to feel uncomfortable when a client positions himself very close to the nurse. The nurse should do which of the following?

Consider that the client's cultural preferences for space and distance may be a reason for this behavior.

The inability to recognize the values, beliefs, and practices of others because of strong ethnocentric preferences is which of the following?

Cultural blindness

The nurse observes that a coworker is unable to understand that an intelligent person would engage the services of a medicine man. The nurse's coworker has strong ethnocentric tendencies and an inability to recognize others' values, beliefs, and practices. The nurse understands that the coworker's behavior is an example of which attitude?

Cultural blindness

A nurse is caring for a client who suffered a fall while on vacation. He is from another state and has no visitors except his spouse, who seems lonely without any friends or family nearby. The nurse invites the spouse to attend services with her at the nurse's church, which is a denomination different from the spouse's. This could be construed as which of the following?

Cultural imposition

Ethnocentrism is closely related to which of the following?

Cultural imposition

The nurse observes unlicensed staff insisting that he will bathe a female client, including her perineum, even though the client's caregivers request that a female aide perform this task. The nurse realizes that the unlicensed caregiver is exhibiting which characteristic?

Cultural imposition

Which term refers to the tendency to force one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture?

Cultural imposition

Effective, individualized care that shows respect for the dignity, personal rights, preferences, beliefs, and practices of people receiving care while acknowledging the bias of the caregiver and preventing that bias from interfering with care. This is a definition of?

Culturally competent nursing care

Native Americans who are wearing their tribal dress are demonstrating their native dance to a community group. This is an example of which of the following?

Ethnic expression

Which of the following is the belief that one's values and beliefs are superior to others?

Ethnocentrism

The nurse is conducting a community education class on cultural diversity. The nurse explains that cultural sensitivity includes which of the following?

Knowledge of cultural preferences

The nurse is caring for a client who is very ill. The client's spouse has asked to speak with the physician, who makes rounds between 0900 and 1000 every morning. The nurse tells the spouse to be at the bedside at that time in order to talk with the physician, but the spouse never arrives until the afternoon. Knowing that some individuals view time in a wider frame of reference, the appropriate response to this behavior is which of the following?

Make other arrangements with the physician to facilitate a meeting with the spouse.

The nurse would recognize which of the following statements as the best example of stereotyping?

Most Mexicans are living in the United States illegally.

The nursing instructor discussed the theory of energy forces existing between organisms and objects in the universe and called this yin-yang. Yin-yang is an example of which societal view of illness?

Naturalistic perspective

While providing personal care for a client, the nurse observes that the client is not comfortable with the close physical proximity. How will the nurse alleviate the discomfort of the client during personal care?

Provide simple explanations of the need for physical proximity.

The nurse remembers learning that three elements are frequently used to identify diversity. Choose the three from the following list.

Skin color Religion Geographic area

The belief that clients with the same skin color belong to a similar social group is an example of which of the following?

Stereotyping

Which of the following refers to a group that shares characteristics identifying the group as a distinct entity?

Subculture

A client of Japanese descent describes a family trait of having less relief from analgesics than friends of White/Caucasian descent. The nurse recognizes that, because of this trait, which statement applies?

The client may need higher doses of this drug.

The nurse is assigned to care for a patient with a cultural background that is different than the nurse's. Prior to delivering care, what is important for the nurse to do?

The nurse should explore his/her own cultural beliefs.

A new client is admitted to the unit, and the nurse's initial assessment will include a systematic appraisal of the client's cultural characteristics, health practices, and beliefs. What type of assessment will the nurse perform to gather this information?

cultural

Food choices and how frequently a person eats are often determined by:

cultural and/or religious beliefs and practices.

Which culturally related perspective on illness/disease involves a belief in supernatural forces or a higher power?

magico-religious

The nurse demonstrates culturally competent nursing care by doing which of the following?

respecting the personal beliefs of the client while acknowledging the nurse's own biases