PrepU Chapter 5 Cultural Diversity

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: A. Client's height. B. Developmental level. C. Available technology. D. Individual values.

A. Client's height.

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

D. Attending a conference for cultural diversity

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? A. Cultural diversity B. Ethnocentrism C. Stereotyping D. Cultural blindness

D. Cultural blindness

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

A. There is the use of a systematic approach and problem-solving methodology.

What are characteristics of nurses that make them a subculture? Select all that apply. A. Uniforms worn based on place of employment B. Language or medical terminology used to communicate C. Legal authorization to provide health care to others D. View of work as a reward; shared work ethic E. Sensitivity to the importance of time

A. Uniforms worn based on place of employment B. Language or medical terminology used to communicate C. Legal authorization to provide health care to others

A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? A. "Don't you like what is on your food tray?" B. "Are you aware that you are losing weight?" C. "What type of food do you eat at home?" D. "Why aren't you eating your food?"

C. "What type of food do you eat at home?"

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

D. Ask the client if a spiritual leader is desired.

A nurse interviews a client to determine the client's health beliefs and behaviors. The nurse uses this information for which aspects of care? Select all that apply. A. Developing client outcomes B. Conducting an assessment C. Providing client education D. Complementing interventions E. Providing nurse-centered communication

A. Developing client outcomes B. Conducting an assessment C. Providing client education

The use of one's culture as a cultural standard is known as: A. Ethnocentrism. B. Culture. C. Ritualism. D. Cultural relativity.

A. Ethnocentrism.

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? A. "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." B. "Would you feel more comfortable with your family with you?" C. "Why do you think you need to leave?" D. "Sometimes family can cause stress, and we try to maintain a stress-free care environment."

B. "Would you feel more comfortable with your family with you?"

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

B. Avoiding older adult clients because their care is time consuming

The nurse is caring for a 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? A. "Do you understand the specific diet for your HTN?" B. "It is ok to eat what your family brought you, as long as we see what it is." C. "Can you tell me what foods you prefer to eat and what your family is bringing you?" D. "You should consider eating the food provided, which is healthier."

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

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: A. Ethnocentrism. B. Cultural competence. C. Cultural stereotyping. D. Cultural ritual.

D. Cultural ritual.

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms: A. Can be generalized to anyone of that culture. B. Allow nurses to predict a client's response. C. Are fairly consistent across cultural groups. D. Require an individualized approach by the nurse.

D. Require an individualized approach by the nurse.

The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue? A. Culture shock B. Generalization C. Ethnocentrism D. Ageism

A. Culture shock

Persistent gaps between the health status of minorities and non-minorities are defined as: A. Health disparities. B. Ethnocentrism. C. Cultural relativity. D. Racism.

A. Health disparities.

A new resident in a long-term care facility who was having difficulty adapting to the routine has begun participating in activities on a daily basis. Which stage of culture shock is this resident displaying? A. Honeymoon B. Effective functioning C. Beginning resolution D. Disenchantment

C. Beginning resolution

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information? A.Use a laboratory aide who is from the same country as the client B. Ask a bilingual family member to translate C. Enlist the services of a qualified language interpreter D. Ask another nurse who speaks the client's language to interpret

C. Enlist the services of a qualified language interpreter

A nurse is admitting a client to the unit. Which cultural question is most appropriate? A. "What are your dietary needs and preferences?" B. "Do you have food restrictions?" C. "Will you be able to eat the normal food provided?" D. "Will you be making requests for special food based on your religion?"

A. "What are your dietary needs and preferences?"

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

A. Culture shock

Which examples are considered acceptable cultural norms in health care? Select all that apply. A. Encouraging adult women to conduct self-breast exams once a month B. Defining diabetes mellitus as a metabolic disorder characterized by elevated blood sugar C. Following a specific regimen for cardiac rehab D. Documenting pain with every client assessment E. Arriving late for a scheduled appointment

A. Encouraging adult women to conduct self-breast exams once a month B. Defining diabetes mellitus as a metabolic disorder characterized by elevated blood sugar C. Following a specific regimen for cardiac rehab D. Documenting pain with every client assessment

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

A. Maintain flexibility when the client requests interventions at specific times.

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

A. Racism

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? A. Cultural diversity B. Cultural conflict C. Cultural assimilation D. Cultural blindness

B. Cultural conflict

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? A. Document the request as a knowledge deficit and address the couple's educational needs B. Document the request and make all reasonable efforts to honor it C. Determine whether the request is based on a valid reason or cultural preference D. Assess the couple's rationale for making the request

B. Document the request and make all reasonable efforts to honor it

When an American client states, "I only want an American doctor," the client is expressing: A. Racism. B. Ethnocentrism. C. Cultural pervasiveness. D. Cultural relativity.

B. Ethnocentrism.

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

B. Language assessment

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response? A. Agree and state, "Yes, I've noticed the same thing." B. Respond by saying, "Stereotypes keep us from accepting others as unique individuals." C. Say nothing and ignore the comment. D. Report the colleague to the nurse manager.

B. Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

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? A. Turkey sandwich, milk, and gelatin B. Soup, hot tea, and toast C. Chicken salad, water, and a frozen fruit juice bar D. Fruit salad, apple juice, and pudding

B. Soup, hot tea, and toast

The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take? A. Continue with the method of communication because the nurse does not speak the language. B. Speak privately with the interpreter and instruct them to only provide language interpretation. C. Document in the medical record that the client is not making his own decisions. D. Use a computerized application to confirm what the interpreter is saying.

B. Speak privately with the interpreter and instruct them to only provide language interpretation.

A preconceived and untested belief about an individual or group of individuals is: A. Cultural relativity. B. Stereotyping. C. Culturally competent care. D. Racism.

B. Stereotyping.

A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern? A. The client receives government assistance. B. The client does not have running water. C. The client has no hope for the future. D. The client does not have air-conditioning.

B. The client does not have running water.

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

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

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? A. "Getting a mammogram in my thirties is important." B. "Increasing dairy will improve my bones." C. "It is important to monitor my blood pressure." D. "I need to watch the amount of sugar that I eat."

C. "It is important to monitor my blood pressure."

While assessing an older adult client's upper back, the nurse notes round, raised red spots along the client's back. The client's daughter says, "Oh, that is just cupping." What action should the nurse take? A. Have the charge nurse assess the client's skin. B. Complete the assessment and document the findings. C. Ask about the practice of cupping. D. Contact social services to report potential abuse.

C. Ask about the practice of cupping.

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

C. Ask the client about personal space preferences.

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse? A. Allow the client to slowly ambulate independently. B. Instruct the family to assist the client with ambulation. C. Discuss with the client the need for assistance during ambulation. D. Obtain a prescription for physical therapy consult to ambulate the client.

C. Discuss with the client the need for assistance during ambulation.

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

C. Explain the purpose and need for assistance during ambulation.

Which statement best conveys the relationship between race and ethnicity? A. Race is based on an individual's cultural history and is independent of ethnicity. B. Race and ethnicity are both culturally determined concepts. C. Race denotes physical characteristics, while ethnicity is rooted in a common heritage. D. Race and ethnicity can be considered to be synonymous in the context of health care.

C. Race denotes physical characteristics, while ethnicity is rooted in a common heritage.

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: A. Race. B. Subculture. C. Assimilation. D. Ethnic identity.

D. Ethnic identity.