Diversity- PrepU

A nurse is caring for a Latino client after internal fixation of a compound fracture in the tibia. The nurse finds that the client has not had his dinner, seems restless, and is tossing on the bed. What is the most appropriate response by the nurse? a) "Tell me what you feeling." b) "Do you need pain medication?" c) "Are you feeling alright?" d) "Are you having pain in your leg?"

a) "Tell me what you feeling."

A nurse is conducting an intake assessment and wants to determine a client's ethnicity. Which of the following is the best way for the nurse to conduct this assessment? a) Ask whether the client identifies with a particular culture or ethnic group. b) Ask other nurses for their opinion of the client's ethnicity. c) Observe the client for specific speech patterns or clues to ethnicity. d) Observe the practices of the client over the shift.

a) Ask whether the client identifies with a particular culture or ethnic group.

A client who speaks little English has emergency gallbladder surgery. During discharge preparation, which nursing action would best help this client understand wound care instructions? a) Demonstrating the procedure and having the client return the demonstration b) Writing out the instructions and having a family member read them to the client c) Asking an interpreter to relay the instructions to the client d) Asking frequently whether the client understands the instructions

a) Demonstrating the procedure and having the client return the demonstration

A usually reliable interpreter called by the nurse to help communicate with a mother of a child who does not speak English and has brought her child in for a routine visit has yet to arrive in the clinic. The nurse has paged the interpreter several times. What should the nurse do next? a) Reschedule the infant's appointment for later in the week. b) Ask the mother to stay longer in the hope that the interpreter arrives. c) Page the interpreter one more time. d) Continue with the examination.

a) Reschedule the infant's appointment for later in the week.

A nurse has attended an in-service workshop to address the phenomenon of ageism in the health care system. Which of the following practices is indicative of ageism? a) Speaking to older adults in a way one would with clients who have mild cognitive deficits. b) Providing slightly smaller servings of food for clients who are elderly. c) Implementing falls prevention measures in a setting where older adults receive care. d) Assessing the skin turgor of older adults differently than for younger adults

a) Speaking to older adults in a way one would with clients who have mild cognitive deficits.

When providing care to Aboriginal clients, it may be important for the nurse to elicit help from the a) Spiritual healer. b) Priestess. c) Rabbi. d) Preacher.

a) Spiritual healer

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation that followed myocardial infarction. Keeping in mind that the client speaks English as a second language, how should the nurse conduct the interview? a) The nurse should avoid using complex medical terminology. b) The nurse should ask closed-ended questions. c) The nurse should sit at a long distance from the client. d) The nurse should ask the client to express himself emotionally.

a) The nurse should avoid using complex medical terminology.

Despite the presence of a large cohort of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility should recognize this as an example? a) Cultural blindness. b) Cultural assimilation. c) Cultural imposition. d) Stereotyping.

a) cultural blindness

When planning a culturally sensitive health education program, the nurse should: a) integrate folk beliefs and traditions into the content. b) exclude community leaders from the dominant culture from initial planning efforts. c) locate the program at a facility that will not charge for use. d) prepare materials in the primary language of the program sponsor.

a) integrate folk beliefs and traditions into the context

A client of Anglo-Saxon descent (eg, Anglo-American or English Canadian) reports to the primary health care facility with symptoms of fever, cough, and running nose. While interviewing the client, which of the following points should the nurse keep in mind? a) Maintain eye contact while talking. b) Sit at the other corner of the room. c) Do not ask very personal questions. d) Do not probe into emotional issues.

a) maintain eye contact while talking

A client at a mental health clinic who has recently emigrated from another country identifies isolation and loneliness as current stressors. The client describes being withdrawn but does not know how to change the situation. Which of the following is the most appropriate step for the nurse to take to help the client? a) Support the client in developing attainable socialization goals. b) Model culturally appropriate interactional skills. c) Have the client plan a social activity for the upcoming weekend. d) Refer the client to special interest clubs for newcomers.

a) support the client in developing attainable socialization goals

Two nurses in a rural community completed a workshop on Chinese culture and how to incorporate Chinese values into health care. One nurse's client, who is Chinese, does not seem to act the way the nurse anticipated. The nurse asks the second nurse why the client's behavior differs from what was learned. What is the most appropriate response by the second nurse? a) "Clients who are very ill do not behave in ways that reflect cultural values and beliefs." b) "You have to remember that not all members of a culture share identical beliefs." c) "The client's behavior is the result of trying to please you, not cultural beliefs." d) "Your client may have said that he/she is Chinese, but that may not be the truth."

b) "You have to remember that not all members of a culture share identical beliefs."

Which ethnic group is more likely to develop severe hypertension? a) European b) African c) Native American/First Nations d) Asian

b) African

The nurse is caring for an 8-year-old child with a life-threatening illness. The parents do not speak the native language and want the child discharged so they can pursue alternative therapies that they believe will be less expensive. What is the most important action by the nurse to help the family and the child? a) Notify the physician that treatment will no longer be necessary. b) Arrange to have a translator present when talking with the parents. c) Contact a priest to administer last rites to the child. d) Have a social worker help the family with the financial burden.

b) Arrange to have a translator present when talking with the parents.

A nurse who provides care in a large, inner-city hospital is aware of the salient influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses which of the following? a) Dress, relationships, and diet. b) Beliefs, values, and behavioral expectations. c) Knowledge, skills, and norms. d) Health behaviors, roles, and priorities.

b) Beliefs, values, and behavioral expectations

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

b) Cultural imposition

The children of an elderly male client who has suffered an ischemic stroke have informed the nurse that an herbalist will be coming to their father's bedside tomorrow to make recommendations for his care. Which of the following considerations should the nurse prioritize in light of the practitioner's planned visit? a) Ensuring that the care team does not impose their beliefs on the family or the complementary practitioner. b) Ensuring any complementary therapies are safe when combined with his prescribed therapy. c) Identifying whether the family would prefer to pursue alternative or conventional treatment for their father. d) Taking measures to prevent cultural conflict when the practitioner comers to the hospital.

b) Ensuring any complementary therapies are safe when combined with his prescribed therapy

A client's husband has asked that his wife be cared for exclusively by female nurses, a request with which the client herself agrees. Knowing that the couple is of Middle Eastern origin, 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) Take a reasonable measure to accommodate the request. c) Assess the couple's rationale for making the request. d) Determine whether the request is rooted in culture or whether it is a personal preference.

b) Take a reasonable measure to accommodate the request.

A nurse is assigned to care for a non-English-speaking client. Which of the following is the most appropriate action by the nurse to provide effective nursing care? a) Communicate with gestures and symbols. b) Request a trained interpreter. c) Request help from a nurse colleague. d) Take help from a bilingual family member.

b) request a trained interpreter

A client tells a nurse that she's in a nontraditional same-sex relationship. The woman's partner is the health care surrogate for the client and her fetus. The sperm donor, who is their best friend, has waived parental rights. If the client can't make health care decisions for the fetus, who's responsible for making them? a) The client's best friend, who's the sperm donor b) The client's partner c) The court system, because the client isn't married and is legally responsible for the neonate d) The client's parents, because they're blood relatives

b) the clients partner

A nurse is performing an admission assessment on a client newly admitted to the hospital and has documented the client as being a member of the Native American subculture. A subculture is best described as which of the following? a) A cultural group with values that are incongruent with those of the dominant culture. b) A unique cultural group with unspecified geographic origins. c) A unique cultural group that exists within the larger culture. d) A cultural group with fewer than 5 million members in the United States.

c) A unique cultural group that exists within the larger culture.

A 57-year-old woman with breast cancer who does not speak English is admitted for a lumpectomy. Her daughter, who speaks English, accompanies her. In order to obtain admission information from the client, what should the nurse do? a) Ask one of the unlicensed assistive personnel (UAP) to serve as an interpreter. b) Use the limited knowledge of the client's language learned in high school along with nonverbal communication. c) Obtain a trained medical interpreter. d) Ask the client's daughter to serve as an interpreter.

c) Obtain a trained medical interpreter.

When providing nursing care to a client of African descent, which of the following cultural factors should the nurse consider? a) They possess weak religious affiliations. b) Families are highly competitive. c) Values and beliefs are often present oriented. d) Families are usually patriarchal.

c) Values and beliefs are often present oriented.

When assessing for oxygenation in a client with dark skin, the nurse should examine the client's: a) forehead. b) nape of the neck. c) buccal mucosa. d) skin.

c) buccal mucosa

In which areas of the United States and Canada is the incidence of tuberculosis highest? a) areas where clean water standards are low b) suburban areas with significant industrial pollution c) inner-city areas d) rural farming areas

c) inner-city areas

The nurse is obtaining a health history from a client of Puerto Rican descent. Which of the following is most likely to be a health problem with a cultural connection for this client? a) Sickle-cell anemia. b) Suicide. c) Lactose enzyme deficiency. d) Tuberculosis.

c) lactose enzyme deficiency

A nurse who works in a large, urban hospital provides care for a diverse client population. When performing skin assessments, the nurse modifies assessment practices for a certain client to identify clinically meaningful data. This practice is most justified by the fact that clients differ according to: a) Preference. b) Ethnicity. c) Race. d) Culture.

c) race

When assessing a dark-skinned client for cyanosis, what should the nurse examine? a) the client's retinas b) the inner aspects of the client's wrists c) the client's oral mucous membranes d) the client's nail beds

c) the client's oral mucous membranes

An adolescent client in labor is dilated 4 cm and asks for an epidural. For cultural reasons, the client's mother states that her daughter "has to bite the bullet, just like I did." What should the nurse do to make sure her client's request is honored? a) Honor the mother's request. b) Request that an anesthetist administer the epidural because the client is uncomfortable. c) Knowing the client's cultural background, suggest that the family call a meeting to make the decision. d) Ask the client in a nonthreatening way if she wishes to have an epidural, and then speak with the physician.

d) Ask the client in a nonthreatening way if she wishes to have an epidural, and then speak with the physician.

A nurse wants to ensure inclusiveness in language regarding family when developing a plan of care for a client. Which of the following is the most important action for the nurse to take to ensure that the plan is inclusive? a) Ask the client who is legally related. b) Ask the client for a list of blood relatives. c) Ask the client who is living in the same household. d) Ask the client to identify who is considered family.

d) Ask the client to identify who is considered family.

The delivery of culturally competent nursing care incorporates the concept of: a) Challenging the beliefs and values of clients from diverse cultures. b) Ethnocentrism into the delivery of care. c) Recognizing that the healthcare system is void of culture and cultural imposition must occur. 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.

A family has moved from Spain to a primarily Spanish-speaking neighborhood near a large English-speaking metropolitan area in North America. The nurse caring for this family recognizes that which of the following family members will likely require the greatest amount of time to learn the English language? a) The 18-year-old daughter in the family who works at a restaurant in a neighboring town. b) The 12-year-old son in the family who attends public school. c) The 58-year-old father in the family who works in a nearby factory. d) The 45-year-old mother in the family who does not work outside the home.

d) The 45-year-old mother in the family who does not work outside the home.

A nurse is obtaining the health history of a client whose background differs from her own. To develop culturally acceptable strategies for nursing care, the nurse should assess which client factor? a) Financial resources b) Community involvement c) Marital status d) Tradition and ethnic factors

d) Tradition and ethnic factors

The nurse is performing a nutrition assessment of a client from the Middle East. What may the nurse expect as a traditional breakfast consumed by a client from the Middle East? a) Fruits and bread. b) Cereal or eggs. c) Food made from corn. d) Cheese and olives.

d) cheese and olives

An African-American (Black) client is brought to the emergency department after sustaining injury in a vehicle accident. The client is bleeding profusely from the wounded leg. In which of the following areas should the nurse check for pallor in the client? a) Abdomen. b) Hands. c) Face. d) Tongue.

d) tongue

A client with chronic hepatitis C is experiencing nausea, anorexia, and fatigue. During the health history the client states that he is homosexual, drinks one to two glasses of wine with dinner, is taking St. John's Wort for a "bit of depression," and takes acetaminophen for frequent headaches. What should the nurse do? Select all that apply. a) Advise the client of the need for additional testing for HIV. b) Encourage the client to obtain sufficient rest. c) Instruct the client to increase the protein in his diet and eat less frequently. d) Instruct the client to ask the health care provider (HCP) about taking any other medications as they may interact with medications the client is currently taking. e) Instruct the client that the wine with meals can be beneficial for cardiovascular health.

A, B, D