Assessing Culture

A parent brings her 5-year-old child to the clinic, reporting that she has noticed the child does not seem to be hearing well. There also has been a noticeable speech delay. What does the nurse understand can be a predisposing factor to possible hearing loss? 1. Chronic middle ear infection 2. Chronic inner ear infection 3. Tonsillitis 4. Allergic rhinitis

1. Chronic middle ear infection

The nurse knows that she will be caring for a client from Southern Korea who has been visiting with a family member. The nurse obtains some information about the Korean culture so that she will be able to meet the clients needs. What is the nurse demonstrating? 1. Cultural knowledge 2. Cultural assessment 3. Unconscious incompetence 4. Unconscious competence

1. Cultural knowledge

A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover? 1. A focus on maintaining balance between yin and yang 2. Respect for nature and use of masks and sand paintings 3. Prayers to God and saints for spiritual reparations for sins 4. Use of herbs, roots, talismans, and amulets

1. A focus on maintaining balance between yin and yang

Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness? 1. "I need to understand the client's cultural background to best interpret the client's needs." 2. "A person's race is an effective characteristic of his or her cultural background." 3. "I understand a client's culture if I am familiar with the client's ethnic values." 4. "A disability is not a factor in determining a client's cultural needs."

1. "I need to understand the client's cultural background to best interpret the client's needs."

The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors. How should the nurse best respond? 1. "I will be back with your pain medication." 2. "If we can get some visitors out of your room, you might rest better." 3. "I cannot imagine you are having pain the way you are laughing in here." 4. "You do not look like you are in pain."

1. "I will be back with your pain medication."

A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client? 1. Assessing if the client speaks and understands English 2. Realizing that some women are not allowed an education in their home country 3. Requesting a professional translator fluent in the woman's language 4. Directing assessment questions only with the client's husband or family members

1. Assessing if the client speaks and understands English

The client comes to the health care provider stating he has a sore throat and believes he needs an antibiotic. This is an example of what type of model for health? 1. Biomedical 2. Complementary 3. Spiritual 4. Alternative

1. Biomedical

Which of the following statements is true about biologic variation? 1. Both genetics and environment produce biologic variation. 2. Cultural practices produce biologic variation. 3. Race is based on physical variations. 4. Drug metabolism differences are not culture based.

1. Both genetics and environment produce biologic variation.

A new graduate nurse, attending a hospital orientation, is asked to explain what the goals of a cultural assessment include. What would be the graduate nurse's best answer? 1. Developing and implementing a culturally congruent plan of care 2. Comparing social care needs of the specific person 3. Acquiring knowledge about the community's cultural beliefs and practices 4. Comparing social and health beliefs of public health agencies

1. Developing and implementing a culturally congruent plan of care

When the nurse tells the client that she will return in 1 hour to administer an intravenous antibiotic, the nurse is showing that she values time in which of the following orientations? 1. future 2. past 3. present 4. none of the above

1. future

A nursing student realizes that which of the following is an important variation of communication? 1. silence 2. beliefs 3. spirituality 4. death rituals

1. silence

When performing a cultural assessment, an important point to remember would be 1. that definitions of family differ 2. to use first names of those you are speaking to 3. that alternative therapies are reasons for seeking care 4. that the cultural/ethnic background is evident in the client's appearance

1. that definitions of family differ

A nurse is preparing to conduct an initial interview on a client from a different culture. Which of the following is important for the nurse to consider before beginning the interview? 1. verbal and nonverbal communication 2. workforce issues 3. economic status of the client 4. specific talents of the client

1. verbal and nonverbal communication

A client comes into the clinic accompanied by her son. He explains that his mother has "not been feeling well". The nurse observes scars that resemble cigarette burns. What is the nurses best intervention for this assessment finding? 1. Call adult protective service. 2. Ask the client if she has had moxibustion. 3. Ask the client if she has had cupping. 4. Ask the client if she has had coining.

2. Ask the client if she has had moxibustion.

In preparing to assess a client from a different culture, a nurse is aware that one needs to assess both factors that affect the client's approach to providers and factors that affect the client's disease, illness, and health state. Which of the following is a factor the nurse should consider that primarily affects the client's approach to providers? 1. Death rituals 2. Body language 3. Pain 4. Pregnancy and childbearing

2. Body language

The student nurse is aware that culturally competent care is described as which of the following? 1. Being aware of differences across groups but not recognizing that differences appear within the same group 2. Following five constructs of cultural awareness, knowledge, skill, encounters, and desire 3. Expecting that all members of a particular culture hold the same beliefs 4. Realizing that the nurse's own culture is the best and all others are inferior

2. Following five constructs of cultural awareness, knowledge, skill, encounters, and desire

The nurse is assessing a client and notices that when being asked questions, the client does not make eye contact. The nurse should include what in the plan of care? 1. History of abuse 2. Minimal eye contact due to culture 3. Fear of authority 4. Uncomfortable answering questions.

2. Minimal eye contact due to culture

As a novice nurse caring for a client from a different culture, what may the nurse find confusing or upsetting? 1. Patient's level of motivation 2. Patient's nonverbal communication 3. Patient's family members 4. Patient's ethnicity

2. Patient's nonverbal communication

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan 1. educational materials given to all clients with hypertension. 2. nutritional information specifically for the client's culture. 3. contact number for the cardiac rehabilitation program at the medical center. 4. referral to a cardiac specialist.

2. nutritional information specifically for the client's culture.

Which statement by the nurse demonstrates a cultural bias? 1. "I don't understand how a woman would be sexually interested in another woman." 2. "The client is Muslim, so I'll need to arrange care around his need to pray five times a day." 3. "American healthcare is really so much better than that provided by any other country." 4. "The client is old and wouldn't be able to understand the discharge instructions."

3. "American healthcare is really so much better than that provided by any other country."

Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions? 1. Central and South America. 2. Northern and Central Europe. 3. Mediterranean and Africa. 4. Australia and New Zealand.

3. Mediterranean and Africa.

The nurse is educating a client from another country about the medications they will be taking. The client continually interrupts the nurse during the conversation. When the nurse considers the many ways cultural differences can affect communication, how should the nurse interpret the client's interruptions? 1. This client is impolite and does not know good manners. 2. The client believes that what they have to say is more important than what the nurse is saying. 3. The client is deeply engaged in the conversation. 4. The client believes that they know more about the medications than the nurse does.

3. The client is deeply engaged in the conversation.

What must occur before a client will be willing to teach the nurse about her culture? 1. The client's family must allow it 2. The nurse needs to hide her biases 3. The nurse needs to establish rapport and trust 4. The nurse needs to establish a value-based partnership

3. The nurse needs to establish rapport and trust

The nurse can best practice effective care by exhibiting which behavior during a cultural assessment? 1. Set a focused time limit for collecting data. 2. Stay focused on the computer screen to remain neutral. 3. De-emphasize nonverbal communication cues. 4. Acknowledge own prejudices that might create barriers to care.

4. Acknowledge own prejudices that might create barriers to care.

The nurse is caring for a married female client who defers to her husband to answer all assessment questions. The nurse understands that it is common in some cultures for the male to hold a dominant role in the relationship. What stage of cultural awareness does the nurse display? 1. Unconscious competence 2. Conscious incompetence 3. Unconscious incompetence 4. Conscious competence

4. Conscious competence

A client requests to be cared for by a nurse who is a member of his own culture. The nurse recognizes that which barrier exists in regards to this client's nursing care? 1. Ethnicity 2. Prejudice 3. Stereotype 4. Ethnocentrism

4. Ethnocentrism

A nurse is assessing a Navajo client, who has presented to the health clinic with complaints of feeling endangered, confusion, bad dreams, and hallucinations. Which culture-bound syndrome should the nurse suspect in this client? 1. Wacinko 2. Hi-Wa itck 3. Arctic hysteria 4. Ghost sickness

4. Ghost sickness

Which of the following statements is true of cultural groups and magico-religious beliefs in their health belief systems? 1. Western majority culture does not have magico-religious beliefs. 2. Hispanic culture has religious beliefs but not magico-religious beliefs. 3. Afro American culture has magic beliefs but not religious beliefs. 4. No culture is without an element of magico-religious beliefs.

4. No culture is without an element of magico-religious beliefs.

A male nurse is caring for an elderly woman who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the client, she refuses to allow it. The best explanation for her actions would be which of the following? 1. confusion 2. depression 3. fear in strange surroundings 4. cultural differences

4. cultural differences