Class Eight Chapter 5 ACTUAL Prep U

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 subgroup - A minority - A subculture - A majority

A minority

In which way can nurses develop cultural self-awareness? - Realize nothing can be done to change one's values and beliefs. - Ask peers and colleagues about practicing cultural competence. - Assert to others that personal biases cannot be changed. - Objectively examine one's own beliefs, values, and practices.

Objectively examine one's own beliefs, values, and practices.

The nurse is assessing a client for pain and suspects that the client's culture may be affecting the pain response. What nonverbal indicator of pain would the nurse expect to observe? - The client is laughing loudly with family. - The client is holding pressure on the abdomen when speaking. - The client is praying with members of the clergy. - The client requests to take a walk outside.

The client is holding pressure on the abdomen when speaking.

The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond? - "Insurance companies requires us to ask all clients." - "Collecting this information allows us to develop a personalized plan of care to meet your needs." - "Understanding your background will prevent us from doing anything to offend you." - "We require the information for identification purposes."

"Collecting this information allows us to develop a personalized plan of care to meet your needs."

A client admitted to the hospital asks the nurse whether it would be acceptable for the client to bring food from home to eat that better meets the client's cultural preferences. What is the nurse's best response? - "Food from home is fine as long as it does not violate hospital policy or contradict the prescribed diet." - "Food from home has too much fat and salt and should be avoided." - "I'm sorry, but you are not permitted to bring food from home." - "No, you must learn to adjust to the food that is provided."

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

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

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

The nurse discovers that a recently admitted client does not speak the same language as the nurse. Which action would the nurse take? - Ask the client's adult child to interpret. - Ask a nonclinical staff member who speaks the client's language to interpret. - Use hand gestures to communicate with the client. - Arrange for a trained language interpreter.

Arrange for a trained language interpreter.

The nurse is assessing an older adult who immigrated at the age of 3 years. The client speaks the dominant language and lives in a neighborhood with many households from the country of origin. Which action by the nurse is most appropriate? - Ask the client about special cultural beliefs or practices. - Contact the client's oldest son to assist with health care decision making. - Contact a traditional healer as part of culturally competent care of the client. - Avoid direct eye contact with the client when speaking.

Ask the client about special cultural beliefs or practices.

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

Call for an interpreter who is familiar with health care.

A family has recently immigrated. All members are quickly learning the language and the children are all in public school. Both parents are working and adapting to the new culture. What is this family demonstrating? - Culture shock - Cultural imposition - Cultural assimilation - Cultural blindness

Cultural assimilation