Fundamentals chapter 5 Cultural diversity

A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first?

Ask an open-ended, general question

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?

Ask the client about personal space preferences.

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

Assessment of eye contact, personal space, and social taboos

ethnocentrism.

Belief in the superiority of one's nation or ethnic group.

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?

Client

Which teaching statement best exemplifies cultural competence in relation to time for the American culture?

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

How is culture learned by each new generation?

Formal and informal experiences

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?

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

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, "I feel like I abandoned my religion."

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.

Transcultural nursing is a specialty and formal area of practice. Which statements apply Dr. Madeleine Leininger's theory of Culture Care Diversity and Universality to nursing practice? Select all that apply.

The nurse objectively assesses personal beliefs prior to the provision of culturally competent care. The nurse consults clergy for assistance in the provision of care. The nurse carefully assesses the decision maker in the care environment. The nurse will accommodate cultural dietary preferences as much as possible.

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for:

client's height.

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education?

e

Nurses are socialized into the:

healthcare culture.

Health disparities

preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.

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.