Fundamentals Ch 5 PrepU

ABCs

airway, breathing, circulation

Utilize the facility telephonic interpreting system. Request assistance from a certified-interpreter. Have a bilingual nurse assist with the health history

Which nursing actions are appropriate when collecting a health history for a client whose primary language is Spanish? Select all that apply.

The client states, "I feel like I abandoned my religion."

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?

There may be a role for a tribal medicine man in the client's care

A nurse in the hospital is caring for a Native American/First Nations male. Which statement should best guide the nurse's care?

There may be a role for a tribal medicine man in the client's care.

A nurse in the hospital is caring for a Native American/First Nations male. Which statement should best guide the nurse's care?

Culture shock

A nurse is caring for a 79-year-old Appalachian woman who is placed in a long-term care facility by her son, who is no longer able to care for her. She appears disoriented and reports being bothered by the "bright lights and constant activity." The nurse appropriately documents what condition in the chart?

Ask the client how she wants to be treated based on her values and beliefs.

A nurse is providing care to a client from a culture different from her own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate?

Language assessment

A nurse is working in an inner city clinic with a heavy population of Hispanic migrant workers. Which nursing assessment is the priority?

Cultural imposition

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?

Maintaining eye contact

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?

Learning pertinent words and phrases in the client's language

Which nursing action displays linguistic competence?

ageism

The charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what?

Shock

The client in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the client is experiencing?

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

The delivery of culturally competent nursing practice incorporates the concept of:

"These areas are normal and should disappear by early childhood."

The mother of a black newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response?

Ask the client their personal beliefs about family support during hospitalization.

The nurse admits a Native American/First Nations client to the critical care unit to rule out a myocardial infarction (MI). The client has several family members in the waiting room. Which nursing action is most appropriate?

Cultural relativity

The nurse caring for several clients on a hospital unit notices that the white client makes eye contact with the staff, while an older adult client of Japanese descent does not make eye contact when speaking to the staff. What cultural concept explains this difference?

ethnocentrism

The use of one's culture as a cultural standard is known as:

Assessment of eye contact, personal space, and social taboos

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate?

Religious beliefs Language Shared beliefs of origin

When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply.

Ethnicity

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Asian. The nurse realizes the client is referring to which ancestral and cultural factor?

Food preferences

Which area is typically included in a cultural assessment?

Attending a conference for cultural diversity

Which is an example of cultural competence in nursing?

Situational low self-esteem related to culture shock and feelings of fear and incompetence

A client has recently immigrated and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I can't do anything right here." What is the priority nursing diagnosis?

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

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?

"There is no reason the tea cannot be used as long as the ingredients do not interfere with the medication."

A client believes in the use of herbal therapy and asks the nurse if he can continue to use a herbal tea therapy. What is the most culturally appropriate nursing response?

to provide care that respects and incorporates culture

The nurse has attended a conference on cultural competency. The nurse understands it is important to be culturally competent for what reason?

using faith healing

The nurse is caring for a Haitian client. Which health belief system does the nurse anticipate?

stoic listening without display of emotion

The nurse is caring for a Native American/First Nations client who has been given a diagnosis of terminal cancer. Which reaction does the nurse anticipate?

"Can you tell me what foods you prefer to eat and what your family is bringing you?"

The nurse is caring for a black client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?

Maintain flexibility when the client requests interventions at specific times.

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?

"You sound upset, would like you to talk about it?"

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond?

"We can wait until your spiritual healer arrives and work together to answer these questions."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse?

"Can I welcome this person sincerely?" "Can I genuinely try to help this person and be comfortable enough to listen?" "Do I have the experience to help this person?"

Which questions may help the nurse assess his or her ability to relate to various groups in society? Select all that apply.

"That client needs to learn that pain is best managed with traditional medications like morphine."

Which statement by the nurse demonstrates ethnocentrism?

It is important to be on time for your health care appointment.

Which teaching statement best exemplifies cultural competence in relation to time?