Fundamentals: cultural activity

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 diversity Cultural blindness Ethnocentrism Stereotyping

b

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

b

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

c

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

d

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: past history. nursing personality. genetics. media.

d

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? Let the client ambulate slowly on his or her own when stable. Ambulate the client explaining it is an expected outcome of their treatment.​​​​​ Explain the purpose and need for assistance during ambulation. Instruct family members to assist in ambulating the client.

d

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Fruit salad, apple juice, and pudding Chicken salad, water, and a frozen fruit juice bar Turkey sandwich, milk, and gelatin Soup, hot tea, and toast

d

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. Inquire if the client desires the Sacrament of the Sick. Do nothing unless the client requests spiritual assistance. Ask the client if a spiritual leader is desired.

d

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: ethnocentrism. subculture. stereotyping. ritual.

d

The younger nurses on a unit, who seem to adapt easily to the new technology presented, are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond? The charge nurse should recognize that this is cultural imposition and the younger nurses are forcing new technology on the older nurses. The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist. The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately. The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.

d

When an American client states, "I only want an American doctor," the client is expressing: racism. cultural relativity. cultural pervasiveness. ethnocentrism.

d

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

d

Which behavior by the nurse is stereotyping? Openly ridiculing the practice of acupuncture 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

d

Which behavior by the nurse demonstrates cultural blindness? Administering antibiotics to a child whose parents do not believe in Western medicine Explaining to the client that using acupuncture to treat labor pain is ridiculous Administering pain medication when a client shows nonverbal indicators of pain Convincing a client that Western medicine is more effective than alternative therapy

a

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. It is a sign of respect to be late for your health care appointments. It is important to arrive within 20 minutes of your scheduled appointment time. It is important to be future-oriented when considering your appointment time.

a

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply. Less power Health disparities Greater advantages Improved access to care Increased economic privileges

ab

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

b

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? 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 Determine whether the request is based on a valid reason or cultural preference Assess the couple's rationale for making the request

b

A 35-year-old client was admitted to the hospital following an automobile accident with a fractured leg. Which action should the nurse prioritize after learning this client's family is of Italian descent? daily aspirin is prescribed to prevent blood clots monitor blood glucose levels monitor diet to avoid dairy products monitor hemoglobin and hematocrit for possible anemia

d

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? Cultural conflict Culture shock Stereotyping Cultural imposition

d

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? Client Health care provider Nurse Older family member

a

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty? Access to care Access to financial assistance Access to affordable housing Access to health insurance

a

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? "Asian people are bad drivers." "Italians are best at everything." "Hispanics are usually lazy." "People who are Irish are usually alcoholics."

b

The client, visiting from a foreign country, arrived to the facility seeking medical assistance following an accident. The client has limited proficiency in the dominant language. An onsite certified interpreter is unavailable. To assist in interpretation, what is an appropriate nursing intervention? Obtain a dual-language communication book. Ask the client's child to translate. Access voice-to-text apps on the nurse's own mobile device. Use a contracted video interpretation service.

d

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? consulting the family member prior to performing post-mortem care having the family members consult with the funeral home for transport 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

a

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." The client states, "I am glad that nurse told me what to do." 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."

a

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? Not all members of the same culture act and think alike. Individuals can easily describe their culture. Individuals learn culture in a purposeful manner. Culture is relatively static and unchanging.

a

Upon moving to another country, a college student is very confused by many local customs. He is especially bothered by the custom of men and women eating in separate areas and it makes him angry and resentful of the new culture. What are the feelings experienced by this student? Culture shock Cultural assimilation Stereotyping Ethnocentrism

a

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? "You will get to learn how to best plan your care utilizing the slower response from older clients." "Be careful of the negative attitude in your approach. How fast an individual moves will depend on physical ability not necessarily age." "I will show you several different techniques which you can use while providing care to these older clients." "Perhaps you should review the information in our textbook for some techniques you can use."

b

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? The nurse should avoid performing health promotion education if this is not a priority in the client's culture. The client may have a very different understanding of health promotion. A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development. Health promotion is a concept that is largely exclusive to Western cultures.

b

Upon admission, the client noted practicing Orthodox Judaism. Upon receiving the meal tray, the client states, "I cannot eat this. Please remove the tray." Which item on the tray is the client referring to because of kosher dietary laws? a roll with butter a baked pork chop with gravy a fruit salad with oranges, pineapples, and grapes a tossed salad with tomatoes, lettuce, and cucumbers

b

Which scenario is an example of cultural competence in nursing? Attending one's own church Attending a conference for cultural diversity Assuming the provider and the client share beliefs and values Assessing the rate at which an illness causes death in a culture

b

The nursing instructor is leading a class discussion concerning the challenges of providing optimal care to clients who speak a different language. The instructor determines the session is successful when the students correctly choose which as an appropriate reason(s) to always request a certified interpreter? Select all that apply. a Medicare requirement potential for modifying information can break confidentiality avoid a civil rights violation misunderstanding of medical terminology

b c d e

A nurse is reading a journal article about culturally competent nursing care. The article begins discussing culture and its unique characteristics. Which characteristics would the nurse expect to be identified? Select all that apply. Culture puts a limit on ideas. Culture is shared through communication. Culture is innate. Culture may evolve over time. Culture makes sense to its members.

b d e

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. indicating that the cultural groups should adapt to the Anglo-American culture asking the client questions regarding health care beliefs related to the client's culture maintaining direct eye contact during conversations with all cultural groups integrating the client's cultural practices when assisting with the creation of the plan of care allowing the client to keep a religious necklace on until going into the operating room

b d e

A client has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset, and now the client wants to leave. What is the most culturally appropriate response by the charge nurse? "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." "Sometimes family can cause stress, and we try to maintain a stress-free care environment." "Would you feel more comfortable with your family with you?" "Why do you think you need to leave?"

c

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

c

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? "These questions need to be answered so we can provide you with the best care." "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." "We can wait until your spiritual healer arrives and work together to answer these questions."

d

Which is a cultural norm of the health care system? There are rigid procedures attending birth and death. The omnipotence of technology is yet to be recognized. There is a tolerance of tardiness, disorderliness, and disorganization. There is the use of a systematic approach and problem-solving methodology.

d

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 Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation. 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 Hasidic Jewish man listens intently to a male physician, 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 Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.

d

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? Document the client's request in the nursing care plan. 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.

a

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

a

The nurse is educating a client of Chinese descent regarding the reduction and elimination of lactose in the diet. Which statement(s) made by the client indicates that the education was effective? Select all that apply. "I should replace 2% milk with lactose-free milk." "I can use kosher parve foods because they are prepared without milk." "If I drink milk, I should drink one large glass a day and none at any other time." "I can use foods that use milk solids since those are not milk products." "When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream."

a b d

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

c

A family has immigrated and settled in a neighborhood that primarily speaks their native language. The nurse caring for this family recognizes that which family member will likely require the greatest amount of time to learn the dominant language? The 12-year-old son in the family who attends public school The 58-year-old father in the family who works in a nearby factory The 45-year-old mother in the family who does not work outside the home The 18-year-old daughter in the family who works at a restaurant in a neighboring town

c

A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of: cultural competence. ethnocentrism. cultural ritual. cultural stereotyping.

c

A nurse is providing care to a client from a culture different from the nurse's own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate? Look up the client's culture online and try to figure out methods to relate. Consult the Office of Minority Health Resource Center to help in the provision of care. Ask the client how the client wants to be treated based on the client's values and beliefs. Ask another nurse to take over the client's care.

c

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

c

A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating? Cultural assimilation Cultural diversity Cultural conflict Cultural blindness

c

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

c

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 requests to take a walk outside. The client is praying with members of the clergy. The client is holding pressure on the abdomen when speaking. The client is laughing loudly with family.

c

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? Perform interventions at random times during shift. Set all interventions to be done at specific times. Maintain flexibility when the client requests interventions at specific times. Have the client set all times for the interventions.

c

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? Allow all the visitors into the room. Insist that only one family member can be in the room at a time. Explain to the family that too many visitors will tire the client. Assess the client's beliefs about family support during hospitalization.

d

The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss? "Can you ask your family to bring you something you like?" "Would you like to speak with a nutritionist?" "Is there something wrong with the food?" "What type of food do you like to eat at home?"

d

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? when to schedule the next follow-up appointment proper breastfeeding techniques care following the scheduled circumcision the proper sleeping position for the newborn

c

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? Ask the client why he or she is backing away. Back away from the client. Ask the client about personal space preferences. Move closer to the client.

c

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory? Contacting a chaplain for every client Providing the same care to each client who has had a myocardial infarction Incorporating the client's request for complementary treatment therapy Planning dietary interventions according to physiological condition

c

Which statement about diversity is true? "Diversity includes language, communication style, religion, art, music, and clothing." "Diversity has been learned from birth and is shared by members of a group." "Diversity demonstrates differences among groups of people." "Diversity is reflective of the values, beliefs, and practices of a particular group."

c