Fundamentals Chapter 5

Which area is typically included in a cultural assessment? Marital status Ethics Food preferences Employment status

food preferences

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

health disparities

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: ritual. stereotyping. ethnocentrism. subculture.

ritual

A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first? Ask an open-ended, general question Identify clues to what may be important Request clarification of a key term Document the client's view of self

Ask an open0ended, general question

Nurses are socialized into the: caring paradigm. nursing specialties. diagnostic process. healthcare culture.

Healthcare culture

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? "Why do you think God is punishing you?" "You didn't get cancer as punishment." "Would you like me to get someone from your church to visit you?" "You sound upset. Would like you to talk about it?"

You sound upset, would you like to talk about it.

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 subculture A minority A majority

A minority

The nurse is caring for a client who does not speak the dominant language. In order to facilitate unencumbered communication with the client, the nurse will take which action(s)? Select all that apply. Request that the client's spouse carries out language interpretation at discharge. A) Determine in which language the client communicates effectively. B) Schedule a certified interpreter when collecting client health history. C) Review facility policy on communication with clients who do not speak the dominant language. D) Ask the client's child, who speaks the dominant language, to explain treatment options to the client.

A, B, C

Which behaviors demonstrated by the client would the nurse consider reflections of the client's pride in ethnicity? Select all that apply. A) Asking to wear unique clothing B) Requesting native cuisine C) Crying when given a diagnosis of cancer D) Requesting assistance when transferring from bed to chair E) Listening to folk music and dance

A, B, E

The public health nurse is preparing a presentation about disparities in health care in the community. What key concept(s) will the nurse include? Select all that apply. A) Identifying groups that are disadvantaged within the community B) Ethnic identities within subcultures in the community C) Information regarding minorities within the community D) Differences in beliefs within a particular culture E) Pointing out groups within the community that possess less power

A, C, E

The nurse is caring for a client of a different culture and strives to deliver culturally sensitive care. Which action by the nurse is most appropriate? Research the beliefs and values of the client. Ask inquisitive questions regarding the client's cultural practices. Explain the culture of the biomedical system to the client. Provide uniform health care to all clients.

Ask inquisitive questions regarding the client's cultural practices

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

Ask the client if a spiritual leader is desired

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? Assessment of religious beliefs and prayer schedules Assessment of eye contact, personal space, and social taboos Assessment of racial identification and cultural affiliation Assessment of income level to determine poverty status

Assessment of eye contact, personal space, and social taboos

The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond? "I will come back later and help you get up." "Would like to wait until your family arrives to get out of bed?" "Can you describe what you are feeling when you try to move?" "You need to get up and walk to prevent complications."

Can you describe what you are feeling when you try to move?

A client who practices Islam dies at the hospital surrounded by family members. Which action by the nurse demonstrates cultural sensitivity related to the client's death? having the family members consult with the funeral home for transport consulting the family member prior to performing post-mortem care allowing the family to remain present when the nurse washes the client prior to shrouding informing the family members they may say their goodbyes so that care can be provided

Consulting the family member prior to performing post-mortem care.

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? "Language is the primary way that people share their culture." "Culture helps to define identity within specific groups of people." "Culture cannot be influenced, and you are born with your culture." "Culture can be seen in attitudes and institutions of certain populations."

Culture cannot be influenced and you are born with your culture

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter. Bring the client's spouse into the hallway to discuss surgical options for the client. Explain to the client that the client is required to make all decisions related to the client's own health care. Document the client's request in the nursing care plan.

Document the client's request in the nursing care plan

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? Determine whether the request is based on a valid reason or cultural preference Assess the couple's rationale for making the request Document the request and make all reasonable efforts to honor it Document the request as a knowledge deficit and address the couple's educational needs

Document the request and make all reasonable efforts to honor it

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? "Ethnicity begins at birth or through adoption of characteristics." "Ethnicity can often determine dialect and political interests." "Ethnicity and race are the same thing and are affected by cultural practice." "People of the same ethnicity share many of the same cultural and social beliefs."

Ethnicity and race are the same thing and are affected by cultural practice.

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? The client states, "Why isn't blood administration forced on all who need that treatment?" The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." The client states, "I feel like I abandoned my religion." The client states, "I am glad that nurse told me what to do."

I feel like I abandoned my religion

The nurse is teaching a Black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? "Getting a mammogram in my thirties is important." "I need to watch the amount of high-density lipids I eat." "Increasing dairy will improve my bones." "It is important to monitor my blood pressure."

It is important to monitor my blood pressure

The staff nurse overhears the charge nurse, who is of Italian heritage, talking to the unlicensed assistive personnel. Which statement made by the charge nurse is an example of ethnocentrism? "Hispanics are usually lazy." "Asian people are bad drivers." "Italians are best at everything." "People who are Irish are usually alcoholics."

Italians are best at everything

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? Language assessment Blood sugar assessment Blood pressure assessment Spiritual assessment

Language assessment

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. Eye shape Religious beliefs Shared beliefs of origin Language Skin color

Language, shared beliefs of origin, Religious beliefs

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care? Individuals can easily describe their culture. Not all members of the same culture act and think alike. Individuals learn culture in a purposeful manner. Culture is relatively static and unchanging.

Not all members of the same culture act and think alike

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." The client from France states, "I miss my family back home." The client from England states, "I do not understand what all these new medications are for." The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."

The client from Ethiopia

Which population group should the nurse routinely screen for heart disease? Hispanic White Black Asian

white

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? The client's child learned the dominant language as a second language. The client and child cook traditional foods for the family. The client enjoys watching television programs from the home country. The client does not speak the dominant language and requires an interpreter.

The clients's child learned the dominant language as a second language

The nurse is preparing the discharge plan for a new mother and her newborn son. Which new teaching should the nurse ensure is included after noting the family is Jewish? care following the scheduled circumcision proper breastfeeding techniques the proper sleeping position for the newborn when to schedule the next follow-up appointment

care following the scheduled circumcision

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: developmental level. individual values. client's height. available technology.

client's height

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed? Stereotyping Cultural conflict Culture shock Cultural imposition

cultural imposition

A client who immigrated from another country informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of: cultural blindness. cultural imposition. cultural assimilation. cultural diversity.

cultural imposition

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: nursing personality. genetics. past history. media.

media

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms: are fairly consistent across cultural groups. allow nurses to predict a client's response. require an individualized approach by the nurse. can be generalized to anyone of that culture.

require an individualized approach by the nurse

A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigned nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained? A) The nurse should get a language dictionary and attempt to translate basic information in order to obtain consent for treatment. B) The nurse should request the help of a family member if available, if not care should be administered that is in the best interest of the client. C) The nurse should ask the supervisor for a different nurse to take this client that is fluent in the client's native language. D) The nurse should communicate with the client nonverbally and proceed with care as needed.

B

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

Avoiding older adult clients because their care is time consuming

A student nurse is not looking forward to clinical rotation on a geriatric unit, stating "How can I get them to move faster? They always seem so slow!" How should the instructor respond? A) "You will get to learn how to best plan your care utilizing the slower response from older clients." B) "Be careful of the negative attitude in your approach. How fast an individual moves will depend on physical ability not necessarily age." C) "Perhaps you should review the information in our textbook for some techniques you can use." D) "I will show you several different techniques which you can use while providing care to these older clients.

B

A nurse is assigned to care for a client who does not speak the dominant language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be most effective in reassuring the client until the interpreter arrives? A) Using gestures and symbols to communicate with the client B) Enlisting other healthcare providers to assist with communication C) Avoiding going into the client's room until the interpreter arrives D) Using reassuring body language and making eye contact to assess needs

D

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? Stereotyping Cultural imposition Cultural conflict Cultural blindness

stereotyping

The labor and delivery nurse is getting report from the previous shift regarding a client with Asian heritage. The departing nurse states that the client did not ask for pain medication because "Asian people can handle pain." The nurse receiving report understands that this an example of what? Ethnocentrism Culture shock Ageism Stereotyping

stereotyping

The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care? A) Implementing a standardized care plan for the client with lung cancer after explaining the procedure in the client's native language. B) Treating all clients the same based on the diagnosis to demonstrate unbiased care. C) Explaining the biomedical culture to the client. D) Incorporating the client's need for daily prayer into the nursing care plan.

D

The nurse is providing discharge teaching for a client who is from a different culture. The nurse notes that the client will look away from the nurse and does not maintain eye contact. What would be the most appropriate action by the nurse, with regard to culturally competent care? A) Change positions to promote eye contact with the client, asking open-ended questions to ensure understanding. B) Tell the client that it is important to pay attention to the teaching and ask if the client would like an interpreter. C) Continue with teaching and leave written instructions for the client to review. D) Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions.

D

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not taken the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse? A) "What would you think about taking the medicines, too, and benefitting from both?" B) "Let me inform the health care provider that you are not taking your medicines." C) "Yes, I agree that you should continue taking saffron for diabetes." D) "Saffron does not have any effect on blood sugar level."

A

A nurse is providing care for clients of different cultures in a blended community clinic. Which characteristics of culture should the nurse consider when planning culturally competent care? Select all that apply. A) Culture influences the way people of a group view themselves. B) Culture guides behavior into acceptable ways for people in a specific group. C) Subcultures exist within most cultures. D) There are differences both within cultures and among cultures. E) Cultural practices and beliefs are constantly shifting and changing. F) Culture is not affected by a group's social and physical environment.

A, B, C, D

The nurse works in an urban hospital and cares for a diverse population of clients. Which action(s) by the nurse demonstrates the delivery of culturally sensitive care to clients? Select all that apply. A) integrating the client's cultural practices when assisting with the creation of the plan of care B) indicating that the cultural groups should adapt to the Anglo-American culture C) asking the client questions regarding health care beliefs related to the client's culture D) maintaining direct eye contact during conversations with all cultural groups E) allowing the client to keep a religious necklace on until going into the operating room

A, C, E

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? Cultural blindness Stereotyping Ethnocentrism Cultural diversity

Cultural blindness

A nurse is presenting an in-service program to a group of nurses about culture and cultural diversity. When describing culture, which characteristics would the nurse include? Select all that apply. Culture is a set of traits. Culture is predictable. Culture is dynamic. Culture has recognizable patterns. Culture is logical to an outsider.

Culture is dynamic, Culture has recognizable patterns

A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the 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 the nurse had all of the nurse's own children vaccinated. The nurse's behavior an example of: cultural conflict. cultural imposition. cultural blindness. stereotyping.

cultural imposition

A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices? A Hasidic Jewish man listens intently to a male health care provider, making direct eye contact with him, but refuses to make eye contact with a female nursing student. Assumption: Jewish men consider women inferior to men. A Black man rolls his eyes when asked how he copes with stress in the workplace. Assumption: He may feel he has already answered this question and has become impatient. A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. A Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation.

A muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest

A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action? Ambulate the client explaining it is an expected outcome of their treatment. ​​​​​ Instruct family members to assist in ambulating the client. Explain the purpose and need for assistance during ambulation. Let the client ambulate slowly on his or her own when stable.

Explain the purpose and need for assistance during ambulation

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice? Stereotyping Ethnic identification Racism Ethnocentrism

Racism