Chapter 5 Fundamentals

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? A. Client B. Nurse C. Health care provider D. Older family member

A

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? A. Client B. Nurse C. Older family member D. Health care provider

A

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

A

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? A. Ask the client about personal space preferences. B. Move closer to the client. C. Back away from the client. D. Ask the client why he or she is backing away.

A

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered? A. Cultural competence B. A health disparity C. A ritual D. A stigma

C

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. Stereotyping B. Cultural diversity C. Cultural blindness D. Ethnocentrism

C

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of? A. A subgroup B. A majority C. A subculture D. A minority

D

Nurses are socialized into the: A. nursing specialties. B. diagnostic process. C. caring paradigm. D. healthcare culture.

D

Persistent gaps between the health status of minorities and non-minorities are defined as: A. cultural relativity. B. ethnocentrism. C. racism. D. health disparities.

D

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? A. Inquire if the client desires the Sacrament of the Sick. B. Call a Roman Catholic priest to visit the client. C. Do nothing unless the client requests spiritual assistance. D. Ask the client if a spiritual leader is desired

D

Which area is typically included in a cultural assessment? A. Ethics B. Employment status C. Marital status D. Food preferences

D

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

D

Which scenario is an example of cultural competence in nursing? A. Attending one's own church B. Assuming the provider and the client share beliefs and values C. Assessing the rate at which an illness causes death in a culture D. Attending a conference for cultural diversity

D

A nurse is admitting a client to the unit. Which cultural question is most appropriate? A. "What are your dietary needs and preferences?" B. "Do you have food restrictions?" C. "Will you be making requests for special food based on your religion?" D. "Will you be able to eat the normal food provided?"

A

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. How should the nurse conduct the interview? A. The nurse should avoid using medical terminology. B. The nurse should ask closed-ended questions. C. The nurse should ask the client to express oneself emotionally. D. The nurse should sit at a substantial distance from the client.

A

A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern? A. The client does not have running water. B. The client has no hope for the future. C. The client does not have air-conditioning. D. The client receives government assistance.

A

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 enjoys watching television programs from the home country. C. The client's child learned the dominant lanuguage as a second language. D. The client and child cook traditional foods for the family.

B

Nurses are socialized into the: A. nursing specialties. B. healthcare culture. C. caring paradigm. D. diagnostic process.

B

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study? A. Impurities in water B. Witchcraft C. Cold air D. Food

B

The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as: A. ethnocentrism. B. ritual. C. subculture. D. stereotyping.

B

Which is a cultural norm of the health care system? A. There are rigid procedures attending birth and death. B. There is the use of a systematic approach and problem-solving methodology. C. There is a tolerance of tardiness, disorderliness, and disorganization. D. The omnipotence of technology is yet to be recognized.

B

A client who does not speak the dominant language is admitted to the hospital. Which cultural intervention would be most appropriate by the nurse? A. Minimize eye contact to avoid being offensive. B. Ask the closest family member to interpret. C. Call for an interpretor who is familiar with health care. D. Speak loudly and slowly so that the client can better understand.

C

A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse? A. Cultural assimilation B. Cultural imposition C. Culture shock D. Cultural blindness

C

A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation? A. Cultural imposition B. Cultural blindness C. Stereotyping D. Cultural conflict

C

A preconceived and untested belief about an individual or group of individuals is: A. culturally competent care. B. racism. C. stereotyping. D. cultural relativity.

C

The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics? A. Social B. Spiritual C. Biological D. Religious

C

The nurse is using an interpreter to communicate with a client who speaks a different language. 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 understand the health care system. D. The interpreter should conduct the conversation quickly to avoid misinterpretation.

C

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture? A. Acculturation B. Cultural taboos C. Cultural imposition D. Cultural blindness

C