Ch 5 Cultural Diversity

A client of Arab descent has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client? a) Maintaining eye contact b) Asking about the client's personal life c) Giving a light handshake d) Asking about the client's medical history

a) Maintaining eye contact

A client is admitted to the hospital and the nurse is attempting to complete an admission assessment. The client reports that her spiritual healer will be coming in soon and is upset by the admission questions. What is the most appropriate response by the nurse? a) "When your spiritual healer gets here, please have her complete this admission information." b) "We can wait for your healer to come and then work together to answer these questions." c) "These questions are important and must be answered now." d) "We can wait for your healer, but they can't do anything to provide care in a traditional care environment.

b) "We can wait for your healer to come and then work together to answer these questions."

A male nurse is preparing to take the vital signs of a female client. Which ethnic group would consider this improper? a) Native American/First Nations b) Arab Muslim C) Black d) White

b) Arab Muslim

A client from Malaysia is admitted to the health care facility with reports of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client? a) Behind the client b) At more than one arm's distance c) Alongside the client d) In one corner of the room

b) At more than one arm's distance

A parent informs the nurse that immunizations are against her cultural and religious beliefs and she does not want her child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that she had all of her children vaccinated. What is the nurse's behavior an example of? a) Cultural blindness b) Cultural imposition c) Cultural conflict d) Stereotyping

b) Cultural imposition

Upon moving to China, a North American college student is experiencing many new feelings that the student associates with placement in a different culture. What are the feelings experienced by this student? a) Cultural assimilation b) Culture shock c) Ethnocentrism d) Stereotyping

b) Culture shock

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture? a) Cultural imposition b) Cultural taboos C) Acculturation d) Cultural blindness

a) Cultural imposition

Health care facilities that sponsor health-promotion activities only in affluent areas are considered: a) Culturally blind b) Culturally sensitive c) Culturally different d) Culturally affluent

a) Culturally blind

Which area is typically included in a cultural assessment? a) Food preferences b) Ethics c) Marital status d) Employment status

a) Food preferences

A nurse is assigned the care of a client who speaks only Arabic. The nurse does not know the language. What action is appropriate for the nurse in this case? a) Request a professional interpreter. b) Communicate with the client non-verbally. C) Ask another nurse to take care of the client. d) Refuse to take charge of the client.

a) Request a professional interpreter.

A client who speaks only Japanese has been admitted to the health care facility reporting chest pain. Since the assigned nurse does not know the client's language, what would be the most appropriate solution in this case? a) The nurse should request the help of a professional interpreter. b) The nurse should get a language dictionary and translate. c) The nurse should communicate with the client nonverbally. d) The nurse should ask the supervisor for a different assignment.

a) The nurse should request the help of a professional interpreter.

A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses: a) beliefs, values, and practices b) health behaviors, roles, and priorities. c) knowledge, skills, and norms. d) dress, relationships, and diet.

a) beliefs, values, and practices

Culture shock is best defined as: a) the acute experience of not understanding the culture in which one is situated. b) using one's own culture as the correct standard for comparison. c) expectations learned over a period of time. d) a recognizable and predictable pattern of human behavior.

a) the acute experience of not understanding the culture

A nurse is caring for a postoperative client of Asian descent after knee arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action? a) Ambulate the client without answering the client's questions. b) Explain the purpose and need for assistance during ambulation. c) Instruct family members to ambulate the client. d) Let the client ambulate slowly on his or her own when stable.

b) Explain the purpose and need for assistance during ambulation.

A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate? a) cluster of individuals b) belief system that guides behavior c) altruistic grouping d) complete uniformity of members

b) belief system that guides behavior

A client who immigrated from Pakistan informs the nurse of his dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet. This inappropriate response is an example of: a) cultural diversity. b) cultural imposition. c) cultural assimilation. d) cultural blindness.

b) cultural imposition.

How is culture learned by each new generation? a) involvement in religious activities b) formal and informal experiences c) belonging to a subculture d) ethnic heritage

b) formal and informal experiences

A nursing student is providing care to a postoperative client of Asian descent. The student reports to the primary nurse that the client is "eating food from home." What is the nurse's best response? a) "Food from home has too much fat and salt and should be avoided. b) "Tell the client to stop eating food from home immediately. c) "Food from home is fine as long as it does not violate hospital policy or contradict the prescribed diet. d) "The client will need to adjust to the food that is provided"

c) "Food from home is fine as long as it does not violate hospital policy or contradict the prescribed diet.

A client with Asian heritage 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 his blood sugar under control. What is the most appropriate response by the nurse? a) "Let me inform the physician that you are not taking your medicines." b) "Yes, I agree that you should continue taking saffron for diabetes. c) "Why don't you take the medicines, too, and benefit from both?" d) "Saffron does not have any effect on blood sugar level."

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

Based on cultural factors, which client would be most likely to ask the following: "Why is there a male nurse in my wife's room?" a) A 43-year-old black male b) A 43-year-old Native American/First Nations male c) A 43-year-old Muslim male d) A 43-year-old white male

c) A 43-year-old Muslim male

An older adult client who only speaks Cantonese has been admitted to the emergency department after suffering a fall and suspected hip fracture in the home. Who is the best person to perform translation services to the client? a) A family member b) A trusted friend c) A hospital translator d) A Cantonese-speaking hospital employee

c) A hospital translator

A female client is a practicing Muslim and is admitted to the unit for observation. What cultural characteristic might the nurse expect? a) Isolation, which is an accepted way of life b) Possible use of medicinal herbs c) Limited eye contact with the opposite sex d) Excessive interaction with health care providers

c) Limited eye contact with the opposite sex

Which statement best conveys the relationship between race and ethnicity? a) Race and ethnicity can be considered to be synonymous in the context of health care. b) Race is based on an individual's cultural history and is independent of ethnicity. c) Race denotes physical characteristics while ethnicity is rooted in a common heritage. d) Race and ethnicity are both culturally determined concepts.

c) Race denotes physical characteristics

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? a) The nurse should avoid performing health promotion education if this is not a priority in the client's culture. b) A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development. c) The client may have a very different understanding of health promotion. d) Health promotion is a concept that is largely exclusive to Western cultures.

c) The client may have a very different understanding of health promotion.

While completing a health history interview for a female client who practices Islam, the nurse notes that the client's spouse answers all the questions. The nurse recognizes that behavior may be due to what? a) The client is too sick to answer the questions. b) The spouse does not trust the client to answer the questions. c) The spouse may be the dominant member of the family. d) The client does not want to answer the questions.

c) The spouse may be the dominant member of the family.

A client's husband has asked that his wife be cared for exclusively by female nurses. Knowing that the couple is originally from the Middle East, what action should the care team take in response to this request? a) Teach the couple that the male nurses on the unit are empathetic, trustworthy, and competent. b) Assess the couple's rationale for making the request. c) Determine whether the request is rooted in culture or whether it is a personal preference. d) Take reasonable measures to accommodate the request.

d) Take reasonable measures to accommodate the request.

The nurse is caring for a client who speaks a differnt language than herself and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client? a) The interpreter should always make direct eye contact. b) The interpreter should speak in a loud voice. c) The interpreter should conduct the conversation quickly to avoid misinterpretation. d) The interpreter should understand the health care system.

d) The interpreter should understand the health care system.

The delivery of culturally competent nursing practice incorporates the concept of: a) challenging the beliefs and values of clients from diverse cultures. b) recognizing that the health care system is void of culture, and that cultural imposition must occur. c) ethnocentrism into the delivery of care. d) planning and implementing care in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations.

d) planning and implementing care in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations.