ch. 5 cultural diversity

The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? a. "I need to watch the amount of sugar that I eat." b. "It is important to monitor my blood pressure." c. "Getting a mammogram in my thirties is important." d. "Increasing dairy will improve my bones."

b. "It is important to monitor my blood pressure."

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? a. The client does not speak the dominant language and requires an interpretor. b. The client's child learned the dominant lanuguage as a second language. c. The client and child cook traditional foods for the family. d. The client enjoys watching television programs from the home country.

b. The client's child learned the dominant lanuguage as a second language.

Which scenarios are examples of a culturally appropriate nursing intervention? Select all that apply. a. Asking the client's grandmother, who is the head of the family, to be involved in the plan of care b. Asking the client's ex-husband to be involved in the plan of care c. Asking for cultural assistance from clergy at the client's request d. Telling a client that wellness is more important than values e. Allowing the client to eat food from home that is consistent with the client's dietary plan f. Asking sincerely for the client to explain religious rituals

f. Asking sincerely for the client to explain religious rituals e. Allowing the client to eat food from home that is consistent with the client's dietary plan c. Asking for cultural assistance from clergy at the client's request a. Asking the client's grandmother, who is the head of the family, to be involved in the plan of care

A nurse is providing care to a client from a culture different from the nurse's own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate? a. Ask the client how the client wants to be treated based on the client's values and beliefs. b. Ask another nurse to take over the client's care. c. Look up the client's culture online and try to figure out methods to relate. d. Consult the Office of Minority Health Resource Center to help in the provision of care.

a. Ask the client how the client wants to be treated based on the client's values and beliefs.

Which behavior by the nurse is stereotyping? a. Avoiding older adult clients because their care is time consuming b. Openly ridiculing the practice of acupuncture c. Explaining to others that Western medicine is always superior d. Grouping care assignments to allow ample time to care for complex clients

a. Avoiding older adult clients because their care is time consuming

The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue? a. Culture shock b. Ethnocentrism c. Generalization d. Ageism

a. Culture shock

Upon moving to another country, a college student is very confused by many local customs. He is especially bothered by the custom of men and women eating in separate areas and it makes him angry and resentful of the new culture. What are the feelings experienced by this student? a. Culture shock b. Stereotyping c. Ethnocentrism d. Cultural assimilation

a. Culture shock

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value? a. Skin color b. Size c. Language d. Dress

a. Skin color

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change? a. The client states, "I feel like I abandoned my religion." b. The client states, "I am glad that nurse told me what to do." c. The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." d. The client states, "Why isn't blood administration forced on all who need that treatment?"

a. The client states, "I feel like I abandoned my religion."

When an American client states, "I only want an American doctor," the client is expressing: a. ethnocentrism. b. cultural relativity. c. cultural pervasiveness. d. racism.

a. ethnocentrism

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? a. "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." b. "We can wait until your spiritual healer arrives and work together to answer these questions." c. "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." d. "These questions need to be answered so we can provide you with the best care."

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

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? a. "You should consider eating the food provided, which is healthier." b. "Do you understand the specific diet for your HTN?" c. "Can you tell me what foods you prefer to eat and what your family is bringing you?" d. "It is ok to eat what your family brought you, as long as we see what it is."

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

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed? a. Stereotyping b. Cultural conflict c. Cultural imposition d. Culture shock

c. cultural impostion

The nurse cares for clients in the emergency department (ED). Which statement made by a health care professional is an indication of racism in the ED? a. "Mexicans are just here seeking drugs." b. "Emergency department nurses have to be very patient and caring people to deal with these people." c. "Asians are too stoic and bear their pain silently." d. "White people are superior to Black people."

d. "White people are superior to Black people."

A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating? a. Ethnocentrism b. Cultural diversity c. Stereotyping d. Cultural blindness

d. Cultural blindness