chapter 3

Which patient population should the nurse plan care based on collectivistic cultural attributes? 1) British 2) Swedish 3) Norwegian 4) Vietnamese

4

During a sexual history the patient states, "I have always felt like a man trapped in a woman's body." Which conclusion about the patient is potentially accurate? 1) Bisexuality 2) Heterosexuality 3) Homosexuality 4) Transgender

4

Which acculturation behavior will the nurse observe in a patient who has emigrated from Mexico to the United States? 1) The client buys all needed products from the local store owned by people from Mexico. 2) The client lives in a neighborhood that is populated predominantly with people from Mexico. 3) The client speaks Spanish only. 4) The client attends a church service in the neighboring community to meet new people.

4

Which treatment program should the nurse include in the plan of care for a homeless client whose Type 1 diabetes mellitus (DM) requires daily insulin injections? 1) Home health care 2) Outpatient clinic 3) Partial hospitalization 4) Inpatient hospital-based care

2

A Vietnamese patient with a history of joint and muscle pain presents with large ecchymosis on the hips and legs. Which traditional Vietnamese medical treatment should the nurse inquire about when conducing the assessment? 1) Cao gio 2) Be bao or bar gio 3) Giac 4) Xong

3

The nurse is working with a number of patients at a free clinic. Which population is at the highest risk for low levels of health care? 1) Immigrants 2) Adolescents 3) Older adults 4) Newborns

1

A male nurse enters the room of a female patient to obtain the patient's vital signs. The patient's spouse appears uncomfortable with the nurse and moves closer to the patient. Which action by the nurse is most appropriate? 1) Ask a female staff member to obtain the patient's vital signs. 2) Ask the spouse to leave the patient's room to obtain the vital signs. 3) Perform the intervention without discussion with the patient or spouse. 4) Explain the procedure to both the patient and the spouse.

4

The nurse is providing care to an infant who is experiencing colic. The infant's family immigrated to the United States six months ago. The mother explains that she believes that an herbal remedy, prepared by the village doctor, is the best way to treat the infant's colic. Which action by the nurse is most appropriate? 1) Ask the mother what the ingredients are in the remedy. 2) Give the mother an alternate remedy for colic. 3) Explain how herbal ingredients may be harmful to the infant. 4) Tell the mother not to use the remedy because there is no way to know what the ingredients' scientific effect may be.

1

When communicating with a patient who is of Vietnamese descent, which action by the nurse is appropriate? 1) Using the patient's surname with a title 2) Being straightforward with the patient 3) Maintaining direct eye contact with the patient 4) Sharing intimate life details with the patient

1

Which of these should the nurse focus on to decrease health disparities among Hispanic patients? 1) Translation services 2) Nutritional education 3) Pediatric immunizations 4) Hypertension prevention

1

Which patient population should the nurse plan care based on individualistic cultural attributes? 1) Canadian 2) Latino 3) Filipino 4) Hindu

1

Which traditional Chinese medical treatment involves the use of a heated cup used to treat joint pain? 1) Cupping 2) Moxibustion 3) Acupuncture 4) Skin pinching

1

The nurse is providing care to an adult patient from another country and notices that the patient consults with her mother on all health-care decisions. Which action by the nurse is the most appropriate? 1) Ask the patient why the parent is being consulted for every decision. 2) Accept the behavior of the patient and family member. 3) Ask the patient's mother to leave the room to provide the patient with more privacy. 4) Confront the patient's mother to state the importance of the patient making her own decisions.

2

Which traditional Chinese medical treatment includes the application of heat from different sources to various points which allows medicine to be absorbed through the skin? 1) Cupping 2) Moxibustion 3) Acupuncture 4) Skin pinching

2

The nurse is caring for a Chinese patient who is one day postoperative for abdominal surgery. The patient's nonverbal cues indicate pain, but the patient denies the need for pain medication. Which action by the nurse is appropriate? 1) Seeking out a family member to convince the patient to take the medication 2) Consulting the health-care provider about administering medication without the patient's knowledge 3) Offering the medication again stating that providing comfort is a priority 4) Allowing the patient to suffer in silence

3

Which nursing action is appropriate when conducting a cultural assessment for a patient? 1) Stereotyping concepts related to the patient's culture 2) Evaluating the concepts in isolation from one another 3) Determining how each aspect of the patient's culture interacts 4) Assuming that the patient believes all aspects of information related to the identified culture

3

Which traditional Chinese medical treatment includes the insertion of needles into precise points along the channel system of flow of the qi? 1) Cupping 2) Moxibustion 3) Acupuncture 4) Skin pinching

3

The novice nurse working in an inner-city hospital that serves a diverse patient population states, "I want to learn everything possible about all of the patients." Which response by the seasoned nurse is appropriate? 1) "I will give you a great book that describes all of the critical factors." 2) "You should always be nonjudgmental." 3) "This will come with time as you get to know clients and then encounter problems." 4) "You need to first understand who you are."

4

The nurse is providing care to a Muslim patient who presents to the emergency department (ED) with abdominal pain and vaginal bleeding. The patient's spouse asks that only a female examines the patient. Which is the most culturally appropriate statement by the nurse in response to this request? 1) "Your spouse will be covered so it will not matter what the gender of the examiner is." 2) "The male and female providers here both respect privacy." 3) "Your request is unreasonable and cannot be honored at this time." 4) "Every attempt will be made to honor your request regarding the care of your spouse."

4

When preparing an in-service for staff nurses regarding health disparity, which definition should the nurse include in the presentation? 1) Factors that help explain why some people experience poorer health than others. 2) Describes the health of a person or community along with the many measures that contribute to this health. 3) Achieved when every person has the opportunity to attain his or her health potential and no one is disadvantaged. 4) Differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among specific populations.

4

Which traditional Vietnamese medical treatment is used to treat a headache or sore throat? 1) Cupping 2) Moxibustion 3) Acupuncture 4) Skin pinching

4