Funds - Cultural Awareness - HESI

The nurse manager is giving a staff inservice on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply.

"The population served will determine the culturally sensitive resources to use for teaching." "Assessment of a client's preferred learning approach is essential to facilitate the learning process." "It is important to have an accurate translator when the nurse and client do not speak the same language."

The nurse is collecting data from an African-American client scheduled for surgery. Which questions would be most appropriate for the nurse to ask on initial assessment? Select all that apply.

"Do you ever experience chest pain?" "Do you have any difficulty breathing?" "Do you frequently have episodes of headache?"

The nurse in an ambulatory care clinic is performing an admission assessment for an African-American client who is scheduled for a cataract removal with intraocular lens implantation. Which question would be appropriate for the nurse to ask the client on an initial assessment?

"Do you have any breathing or heart problems?"

A clinic nurse is performing an admission assessment on an African-American client scheduled for cataract removal with intraocular lens implantation. Which question should the nurse avoid asking on the initial assessment?

"Do you have any family problems?"

The unlicensed assistive personnel (UAP) is assigned to care for a client who is of Asian heritage. The UAP tells the nurse, "I think that my assignment needs to be changed. Every time I try to talk, the client turns away." Which statement is the most appropriate teaching response from the nurse?

"If the client turns away, continue with the discussion."

The nursing instructor is providing a session on cultural beliefs related to health and illness. At the end of the session, the instructor asks a nursing student to describe the beliefs of some African Americans in regard to illness. Which statement would be the best response by the student?

"Illness is a disharmonious state that may be caused by demons and spirits."

The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to describe the concept of acculturation. The nurse educator should make which most appropriate response?

"It is a process of learning a different culture to adapt to a new or changing environment."

A nursing student is discussing cultural diversity issues in a clinical conference when the nursing instructor asks the student to describe ethnocentrism. Which statement, if made by the student, would indicate a lack of understanding of the concept of ethnocentrism?

"It is imposing one's beliefs on individuals from another culture."

A nursing instructor is providing a session on cultural beliefs related to health. On completion of the session, the instructor asks a nursing student to describe the beliefs of many Appalachian clients in regard to health care providers (HCPs). Which is an appropriate response by the nursing student?

"The Appalachian client may prefer personal relationships with health care providers and a desire for frequent communication."

Which clients has a high risk of obesity and diabetes mellitus?

A 40-year-old Latino American man, A 45-year-old Native American man, A 35-year-old Hispanic American man, A 40-year-old African American woman

A nurse is providing discharge instructions to an Asian-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. Which nursing action is most appropriate?

Continue with the instructions verifying client understanding.

The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which best action?

Continue with the instructions, verifying client understanding.

The nurse is caring for a Hispanic-American client admitted with a diagnosis of diabetic ketoacidosis. Several family members are present. Which behavior, if displayed by the family members, would the nurse interpret as characteristic of this cultural group?

Dramatic body language.

The nurse caring for an Orthodox Jewish client plans a diet that adheres to the practices of the client's faith. The nurse recognizes that which principles are consistent with dietary kosher laws? Select all that apply.

Eating fish with scales and fins is allowed, Unleavened bread is eaten during Passover week, Meat from animals who are vegetable eaters is allowed, & Meat is allowed if the food animal is ritually slaughtered.

The role of the nurse regarding complementary and alternative medicine should include which action?

Educating the client about therapies that he or she is using or is interested in using.

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that they would like to take an herbal substance to help lower their blood pressure. The nurse should take which action?

Encourage the client to discuss the use of an herbal substance with the health care provider.

A home care nurse is assigned to visit a Hispanic-American client to perform an admission assessment. On the initial meeting with the client, the nurse should plan to incorporate which social custom?

Greet the client with a handshake.

The home care nurse is assigned to visit a Mexican-American client to perform an admission assessment. On initially meeting the client, what should the nurse do?

Greet the client with a handshake.

A nurse is assigned to collect data from a Hispanic-American client during the hospital admission. The nurse should plan to use which communication patterns? Select all that apply.

Greet the client with a handshake. Smile through the admission process. Use affirmative nods during the conversations with the client.

The nurse in a health care clinic is preparing to conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the priority?

Identify the food preferences and methods of food preparation for each client.

A White-American client maintains eye contact with the nurse during a conversation regarding the preoperative teaching plan. What is the best interpretation of the client's behavior?

Indicating trustworthiness.

A nurse is assessing the cultural beliefs of five clients requiring specimen collection for a diagnostic test. Which cultural assessments are correct? Select all that apply.

Insertion of a throat culture swab into the mouth of a Southeast Asian client may be perceived as threatening. Hindus collecting a stool specimen for a Hemoccult screening test need to use the left hand to place the stool onto the Hemoccult card. Self-urine collection performed by a right hand-dominant Muslim client may be collected incorrectly because only a Muslim's left hand can be used for dirty activities.

A community health nurse has volunteered to assist in providing health care instruction to a Native American community group. The nurse plans instruction based on the common practices and rituals of this group, knowing that which are characteristics associated with this ethnic group? Select all that apply.

Lactose intolerance is common, Vitamin D deficiency is a concern, Corn is an important component of the diet, & Fried bread and mutton are prepared in lard.

The nurse is developing a plan of care for a hospitalized Asian-American client. The nurse should include which measures in the client's plan of care? Select all that apply.

Limit eye contact, Clarify responses to questions, & Maintain physical space with the client.

The nurse is providing care to a Puerto Rican-American client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the most appropriate nursing action for this client?

Make the necessary arrangements so family members can visit.

The nurse is implementing the complementary therapy of therapeutic touch when caring for clients. The nurse should implement which action when performing therapeutic touch?

Position hands 2 to 4 inches from the body.

The nurse identifies low-risk therapies to a client and should include which therapies in the discussion?

Prayer, touch, massage, & relaxation.

The nurse is conducting an admission assessment on an African-American client scheduled for a hernia repair. Which assessment data are of least priority during the initial assessment?

Psychosocial assessment data.

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?

Reflecting a cultural value.

A nurse is providing care to a Hispanic client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the appropriate action?

Request permission to move the client to a private room and allow the family members to visit.

The nurse consults with a nutritionist regarding the dietary preferences of an Asian-American client. Which food should be included in the dietary plan?

Rice.

The nurse calls the dietary department to obtain a dinner meal for a White-American client who was admitted to the hospital at 4:00 PM. The health care provider prescribed a diet "as tolerated." Considering the practices and preferences of the White-American culture, which food should the nurse request for the meal?

Sirloin steak & potatoes.

An older client is seen in the clinic for a physical examination. Laboratory studies reveal that the hemoglobin and hematocrit levels are low, indicating the need for further diagnostic studies and a blood transfusion. The client is a Jehovah's Witness and refuses to have a blood transfusion. The nurse should take which most appropriate action?

Support the client's decision not to receive a blood transfusion.

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?

Sweet and sour chicken with rice and vegetables, mixed fruit, juice.

The nurse is examining a Hispanic-American child who was brought to the clinic by the mother. Which are appropriate nursing actions? Select all that apply.

Taking the child's temperature. Asking questions about the child. Obtaining an interpreter if necessary.

The nurse is preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that surgery is necessary. The nurse considers the client's religious preferences in developing the plan of care and should document which information?

The administration of blood and blood products is not allowed.

A nurse is assisting in developing a postoperative plan of care for a Filipino-American client scheduled for surgery. The nurse should consider which factors when addressing pain? Select all that apply.

The client has a high tolerance to pain & Pain medication needs to be offered on a regular basis as prescribed.

A Native-American man comes to the clinic for a physical examination. When asked about his mental status, the client acknowledges that he has had visions of his deceased brother and speaks to him when he needs counsel. Which best describes the nurse's assessment of this client behavior?

The client is demonstrating behavior that may be regarded as normal within his culture.

The nurse is bathing a hospitalized Native-American client and notes that the client avoids eye contact during the procedure. The nurse should make which interpretation concerning the client's behavior?

The client is displaying behavior that is a common cultural action.

The nurse is reviewing the plan of care with an Asian-American client. The client frequently nods the head during the review. The nurse should interpret this behavior as which indication?

The client may not necessarily agree with the plan.

The nurse is preparing to provide preoperative teaching to a Spanish-speaking client and the client's family. Which nursing action would be most effective for teaching the client?

The nurse secures the assistance of a professional interpreter to communicate with the client.

A nurse is planning to instruct the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse should include which information for this ethnic group? Select all that apply.

They have difficulty adhering to a prescribed diet. They view food as a primary form of socialization. They enjoy food that is rich in color, flavor, and texture.

The nurse is planning to instruct a Hispanic-American client about nutrition and dietary restrictions. What factors should the nurse keep in mind when developing this client's plan of care? Select all that apply.

They view food as a primary form of socialization & Any occasion is seen as a time to celebrate with food.

The nurse is caring for an Eastern Orthodox client. During Lent, the nurse should offer the client which dietary choice?

Tossed green salad.

The nurse develops a plan of care for a Native-American client. The nurse identifies which practices and preferences as characteristic of this ethnic group? Select all that apply.

Use of religion, Avoiding eye contact, Use of spiritual practices, & Use of healing practices.

The nurse is planning the menu for an Asian-American client in collaboration with the hospital dietitian. The meal plan is designed to incorporate which food as a usual component of an Asian diet?

Vegetables.

The nurse is planning to instruct the Hispanic-American client about nutrition and dietary restrictions. When developing the plan, the nurse is aware that which is a characteristic of this ethnic group?

Views food as a primary form of socialization

The nurse educator asks a student to list the five categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, would indicate an understanding of the five categories of CAM?

Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine.

A community health nurse has volunteered to assist in providing health care instructions to a Native-American community group. The nurse plans instructions based on the common practices and rituals of this group, knowing that which are associated characteristics of this ethnic group? Select all that apply.

Alcohol abuse is common, Vitamin D deficiency is a concern, Corn is an important component of the diet, & This group is at increased risk for gallbladder disease.

When communicating with a client who speaks a different language, which best practice should the nurse implement?

Arrange for an interpreter to translate.

A kosher meal is delivered to a Jewish-American client . Which action by the nurse is most appropriate in assisting the client with the meal?

Ask the client to prepare the meal for eating.

A nurse is planning care for a hospitalized male client who is an Orthodox Jew. Which action by the nurse is best for this client?

Assign a male unlicensed assistive personnel (UAP) to help the client with his personal care.

What action should the nurse consider when counseling a client of the Amish tradition?

Avoid using scientific or medical jargon.

When counseling a female Amish client, what should the nurse do?

Avoid using scientific or medical jargon.

The nurse understands that which statement regarding herbal and health therapies is correct?

Black cohosh produces estrogen-like effects.

A nurse is planning the menu for a Chinese-American client. Which foods should the nurse plan to include in the dietary plan? Select all that apply.

Broccoli & green beans.

The nurse notes that the client whose religion is Orthodox Judaism has received a cheeseburger with fries and skim milk as a beverage. Considering this finding, what is the best nursing action?

Call the dietary department and ask for a replacement meal tray.

The nurse develops a plan of care for a White-American client. The nurse considers the practices and preferences of the culture when planning the care, knowing that which are characteristics associated with this ethnic group? Select all that apply.

Community social organizations are important, Health often is viewed as an absence of disease or illness, The client will appear stoic when expressing physical concerns, & Members usually rely primarily on the modern Western health care delivery system.

An Asian American client is experiencing a fever. The nurse recognizes that the client is likely to self-treat the disorder, using which method?

Foods considered to be yin.

The nurse is developing a postoperative plan of care for a 40-year-old Filipino man scheduled for an appendectomy. What is the primary nursing action to include in the client's plan of care?

For the first postoperative day, offer pain medication on a regular basis as prescribed.

The nurse is caring for a Chinese client who is in labor. The client is exhibiting facial grimacing and appears to be in pain. When the nurse offers the client an analgesic, the client refuses. The nurse should take which initial action?

Offer an analgesic again.

A nurse at a health care clinic is preparing to examine a Hispanic child who was brought to the clinic by the mother. During assessment of the child, the nurse should avoid which action?

Overly admiring the child.

The nurse plans to do dietary teaching with an African-American client. The nurse focuses the plan based on which foods that are characteristically consumed by individuals of this culture? Select all that apply.

Pork, Fried Foods, & greens