trans final

Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists?

Assessment of woman's ability to function successfully in her role within the family.

Which statement serves as a basis for preparing to engage in international nursing regarding one's acceptance by the local population of the host country?

The nurse will be accepted as a visitor and treated as such.

When providing care that is respectful of a client's health belief system, the nurse bases interventions on the understanding that:

there are three major health belief worldviews that help explain illness.

Which statement demonstrates the nurse's ability to communicate sincerely and respectfully with a culturally diverse client population?

"I'm always careful to apologize when I'm having difficulty understanding a client."

Which response to the federal funding of professionally assisted suicide would be compatible with the deontological theory of ethics?

"All life is sacred and require all measures to maintain it."

When a newly emigrated Asian male reports symptoms suggestive of possible depression, the nurse sensitive to cultural factors affecting this population would ask

"Are you satisfied with the work you've found here in the United States?"

Which statement, made by a nurse caring for a client diagnosed with dementia and a history of falls best demonstrates the principle of beneficence?

"Current research refutes the use of restrains to keep my client safe from falls."

When an older African American woman shares with the nurse that, "It's time to think about retiring," the nurse demonstrates an understanding of a culturally created issue that would be relevant to the client by asking:

"Do you have a pension income that will allow you to retire now?"

Which response to the federal funding of medical research would be compatible with the Utilitarian theory of ethics?

"Federal research funds should be used to impact most common forms of cancer."

When applying Mechanic's model of illness behavior, which assessment question best supports the nurse's attempt to determine the client's motivation for seeking health care?

"Has your ability to go to work been affected by the pain in your shoulder?"

Which question asked during the assessment process of an American Indian client is directed by currently accurate information regarding that culture's risk for a specific disease?

"Have you ever been told you have a problem with drinking too much alcohol?"

Which assessment question demonstrates an understanding of the impact that changing female roles have on a culturally diverse family?

"How is your husband adjusting to the fact you are working outside your home?"

Which question reflects an understanding regarding a middle-aged married woman's emotional willingness to undergo elective surgery?

"How many people depend on you for help on a daily basis?"

Which assessment question will provide the nurse with information regarding a Hispanic client's ability to be financially secure after retirement?

"How many years did you attend a formal school?"

Which client response best demonstrates successful coping with the age-related functional loses affecting quality of life being experienced by an African American client?

"I've been using a magnifying glass to read the wonderful novel I got as a gift."

Which statement by the client assures the nurse that the client has made a positive adjustment to middle age?

"I've taken up gardening and plan to become a master gardener."

Which statement demonstrates a lack of knowledge concerning the role eye contact plays in various cultures?

"It's so important to maintain eye contact with the client while providing discharge teaching."

Which statement best exhibits a belief in a magico-religious health belief system?

"My child is so sick because God is punishing me."

Which statement exhibits an understanding of the meaning of culturally congruent nursing care?

"Providing culturally congruent nursing care offers care the client has confidence in."

Which statement, made by a nurse caring for a client diagnosed with an aggressive form of cancer best demonstrates the principle of veracity?

"The client is aware of the risks of taking the experimental chemotherapy medication."

Which question would best assist a nurse in determining the health beliefs of a culturally diverse client who has a history of hypertension?

"What have you been doing to help control your high blood pressure?"

Which statement demonstrates the nurse's understanding of the importance cultural symbolism has on nursing care?

"Will you explain to me what you mean when you say your heart hurts?"

Which assessment question demonstrates cultural sensitivity regarding a rural, African American client's understanding of a high-risk medical condition?

"Will you tell me what it means to be diagnosed with high blood pressure?"

Social justice related to health care is best demonstrated when:

A client reporting chest pain is seen immediately by an emergency room physician.

Which activity would be best supported by the Council on Nursing and Anthropology Association?

A multidisciplinary research project on the effects of culture on pain management plans.

When applying for certification as a transcultural nurse, which activity best supports the need to possess appropriate specialized knowledge?

A portfolio showing completion of educational classes that support culturally congruent nursing.

Which nursing intervention demonstrates one of the strengths of the transcultural nursing Theory of Culture Care Diversity and Universality?

Assessing for stress factors affecting a Haitian client as well as her immediate family.

Health care organizations are expected to be culturally competent. Which service shows the ability to best manage the difference in cultural values and practices?

Ability to adapt special diets to meet client cultural dietary needs.

When striving for social justice, which intervention demonstrates an understanding of nursing responsibility?

Advocating for a free client for unemployed African emigrates.

Which intervention will best minimize the negative feelings an older newly immigrated Hispanic client has expressed regarding being admitted to an assisted living facility?

Arranging for the client to share a room with another Hispanic client who also speaks Spanish.

Which nursing intervention demonstrates an understanding of the cultural preservation when caring for a Hispanic client?

Arranging for the client's diet to include the appropriate fever-fighting "cold" foods.

Which nursing intervention demonstrates an avoidance of one of the cited criticisms of current transcultural nursing theories?

Asking the Jewish client whether he or she will need a kosher diet menu.

Which additional assessment should be conducted when monitoring a darkly pigmented person for cyanosis?

Asking the client to provide the location and date of his or her birth.

Which nursing action is required when it is determined that a client is self-administering ginseng for back pain?

Assess and document the client's blood pressure.

An example of distributive justice related to health care includes:

Assessing an insurance cohort a $5.00 co-pay for generic medication prescriptions.

Which intervention reflects an understanding of a common negative psychosocial outcome of increased longevity?

Assisting the client to identify social activities he or she is interested in attending.

Which nursing activity shows an understanding of the process of culturally competent nursing practice?

Attending two in-service programs yearly on attaining cultural competency.

Which statement will be the basis for determining the target population for a community education program regarding hypertension?

Black females have a higher average systolic blood pressure than White females at every age.

Which activity will best minimize the risk of allowing discrimination and prejudicial behaviors to impact personal nursing practice?

Engaging in regular reflective, cultural self-assessments.

Which nursing intervention demonstrates an understanding of the importance of managing assessment information in a culturally congruent manner?

Client's edema was documented as, "Client reports, 'My legs swell when I spend too much time standing.'"

Which nursing intervention demonstrates an understanding of an emotion outcome observed in clients immigrating from violent cultural environments?

Counseling the client on anger management techniques.

On which maternal-child health care issue would the World Health Organization's (WHO) nursing and midwifery team be most useful as a resource?

Creating breastfeeding policies to be adopted by a third world healthcare system.

Which nursing evaluation demonstrates that an African American female client is being monitored for a specific culturally focused health risk?

Current systolic blood pressure has shown a 16-point decrease from baseline.

The nurse is documenting assessment data obtained from an older Hispanic client reporting pain possibly resulting from osteoarthritis. Which notation demonstrates that the nurse implemented culturally congruent assessing techniques?

Denies using any type of traditional folk remedies to manage the pain in right hand.

Which intervention demonstrates the nurse's application of the holistic health belief system when managing the care of a child newly diagnosed with asthma?

Determining whether any family member is a cigarette smoker.

Which nursing intervention best demonstrates a culturally sensitive approach to a client's belief in the effectiveness of folk healers?

Discussing interventions the healer would like incorporated into the client's care plan.

Which intervention demonstrates the implementation of the culturally congruent LEARN mnemonic when assessing an Asian client who reports a skin rash on both hands?

Discussing possible folk remedies that can be used along with the prescribed antibiotic lotion.

Which intervention is an example of health promotion with a focus on social justice?

Educating a Hispanic client to the social service programs he or she is qualified for.

Which intervention is directed towards minimizing the primary cause of children's deaths worldwide?

Educating parents on the importance of vaccinations and immunizations.

Which intervention will best assist the nurse in understanding the culturally diverse client's perception and description of his or her current illness?

Encouraging the client to describe his or her illness in terms of his or her cultural metaphors.

Which intervention demonstrates an attempt to meet a goal related to the health issues in Africa as identified by the Millennium Development project?

Establishment of a series of rural prenatal clinics.

According to Purnell Model for Cultural Competence, what initially indoctrinates an individual to cultural norms?

Family

What is the initial step in preparing for a career in international nursing with Asian populations?

Gaining practical experience with the culture through volunteer work among Asian emigrates.

Which intervention is most culturally congruent when supporting an African American client attempting to determine the feasibility of entering an assisted living care facility?

Identifying facilities in the area that are close to the town's African American neighborhoods.

Which question demonstrates the nurse's appropriate understanding of the value the African American culture places on formal health care for a skin rash?

Have you been putting any lotions or creams on your rash?"

Which characteristic is the basis for success in effectively functioning as a nurse in an international setting?

Having strong communication skills that relate to the establishment of an effective nurse-client relationship.

Which assessment question will best help the nurse determine how much a Japanese American client's view of health and illness is influenced by his ethnic culture?

How long has your family lived in America?"

Which MDG is the basis for advocating for the use of condoms in third world counties?

Minimizing the spread of HIV.

A nurse provides care to a vast culturally diverse population. How can the nurse best address the need to provide cultural congruent nursing care?

Master the skills required to perform an effective cultural assessment.

Which nursing intervention best shows compliance with offering linguistically appropriate services for a culturally diverse population?

Notifying the client that he or she is entitled to language translation services.

What knowledge will best assist a nurse in providing nonprejudicial care that is sensitive to the beliefs and practices of a culturally diverse client population?

Nurses will not consciously question the bias of their own thinking and so must make a concerted effort to do so regularly.

Which reaction on the part of the nurse is reflective of the "surface adjustment stage" of cultural adaption?

Possessing a basic understanding of what is expected.

It is determined that an older, widowed client is a member of a familistic culture. Which intervention is best directed toward communicating effectively with the client?

Presenting information related to possible treatment modalities to the entire family.

An older Asian client who lives alone has begun to have difficulties cooking and maintaining a safe environment in the apartment she rents. Which intervention will have the most impact on the client's ability to maintain independence?

Requesting a social consult to help identify sources who can fund part-time in-home assistance.

Which intervention demonstrates integrative nursing care?

Respecting a client's wish to have his or her minister accompany him or her to the operating room.

Which nursing activity has priority when providing culturally congruent care?

Self-reflection concerning beliefs associated with the client's culture.

Which is an example of multilateral health care aid?

Sending the hospital ship HOPE to Japan to provide post-earthquake health care.

Which response is most appropriate when a client describes the alternative medicine therapy he has been using to treat his "stomach problems"?

Sharing that, "Most alternate medicine therapies hadn't been researched for either safety or effectiveness."

Which intervention is in accordance with the stated goal of the International Committee of the Red Cross (ICRC)?

Supporting refugee camps in countries experiencing civil wars.

A blood glucose screening is most appropriate for which ethnic client?

The Hispanic male

Which is the basis to support the need for transcultural nursing in a health care setting that serves a multicultural metropolitan community?

The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population.

What is the basis for assessing the economic status of a culturally diverse client population as a factor affecting the delivery of individualized health care services?

The general health of the members of the lower socioeconomic classes is poor.

Which is the primary outcome of the indiscriminative use of the emergency department by the uninsured members of a community?

The ill postpone treatment that results in the lack of early treatment interventions.

Which outcome of a free market economy has the greatest negative impact on the delivery of health care services?

The inability of the working poor to process adequate health insurance.

Which consideration is the basis for the selection of an interpreter for an older client who has a limited ability to speak and understand English?

The interpreter should ideally be of similar age and of the same gender as the client.

Which cultural fact will be the basic force to manage when assessing a perimenopausal woman of a non-American culture?

The larger the number of females in the client's extended family, the more menopausal symptoms she will report.

Which behavior supports the nurse's evaluation that an older client is successfully engaged in "active aging"?

Volunteering at the local elementary school as a classroom helper.

Which is the primary criticism for using standardized printed history forms when assessing the culturally diverse client population?

Western medicine's signs and symptoms are not always recognized as such by other cultures.

Which nursing intervention demonstrates an understanding of the full scope on culturally sensitive nursing care?

When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed