Transcultural

Although the Afghan or Afghan-American client might believe that illness is the "will of Allah," it is important for the nurse to remember which of the following? a. Afghan are likely to value and seek Western medical care b. Afghans, in general, refuse all but traditional folk treatment c. Afghans are a genetically homogeneous group with numerous genetically linked disease d. the traditional Afghan diet is very unhealthy, providing poor nutrition

a. Afghan are likely to value and seek Western medical care

Filipinos tend to have a higher incidence of which of the following? a. G-6-PD and alpha-thalassemia b. metabolic syndrome and Tay-Sachs disease c. G-6-PD and Mediterranean spotted fever d. Mediterranean spotted fever and Rocky Mountain spotted fever

a. G-6-PD and alpha-thalassemia

When communicating with Russian American clients, it is important for the nurse to address the client by which of the following? a. Mr. or Mrs. followed by last name b. first name only c. terms of endearment d. using a friendly outgoing manner

a. Mr. or Mrs. followed by last name

When seeking counseling, in assessing a Japanese American student in the mental health center, the nurse is aware that this client is more apt to seek counseling for which of the following? a. academic difficulties b. emotional conflict c. family problems d. loss of self-esteem

a. academic difficulties

In providing morning care to a Hindu client, the nurse takes into consideration the very strict beliefs regarding which of the following? a. bathing b. medication c. drinking fluids d. body massage

a. bathing

Mr. Akello has been admitted to your unit. He was diagnosed with a myocardial infarction. When you assess Mr. Akello, you note that he appears to be wincing and to be in obvious pain. However, when you ask Mr. Akello if he is in pain, he denies pain. Based on your cultural assessment of a Ugandan American, you recognize that some Ugandan Americans may do which of the following? a. bear pain stoically, so offer him pain medication b. verbalize extensively about pain, so do not worry c. tend to bring herbal remedies from home, so the pain has been relieved d. tend to meditate and thus are able to relieve their pain

a. bear pain stoically, so offer him pain medication

In making a correct nursing diagnosis regarding a rash on a patient, the nurse should complete which of the following tasks first? a. become familiar with the patient's normal coloring to establish a baseline b. assess the skin in artificial lighting, not in sunlight c. assess darkly pigmented areas first, as it is less difficult to note color changes there d. assess lightly pigmented areas first, as it is less difficult to note color changes there.

a. become familiar with the patient's normal coloring to establish a baseline

While assessing a client who does not speak English, the nurse is aware of nonverbal indications of anxiety that include which of the following? a. Being uncooperative b. Looking directly at the nurse and nodding yes. c. Looking at the blood and nodding no. d. Being cooperative and outgoing

a. being uncooperative

Mongolian spots are a common finding in which of these groups? (mark all that apply) a. black americans b. white americans c. asian americans d. american indians

a. black americans c. asian americans d. american indians

A female student nurse who is caring for a dying Jordanian patient who is Muslin is annoyed when the family rewashes him after she has already bathed him. The students annoyance is most likely a sign of which of the following? a. confusion associated with lack of adequate cultural knowledge b. intolerance associated with immaturity c. anxiety due to the student nurse's lack of organization d. appropriate commitment to hospital procedures

a. confusion associated with lack of adequate cultural knowledge

When using an interpreter for a Puerto Rican client, it is important for the nurse to do which of the following? a. convey to the client that no information should be communicated to the interpreter that the client does not want the nurse to know b. use a same-sex family member as the interpreter c. use a translator who is familiar with the language d. provide the interpreter with available Spanish literature for teaching

a. convey to the client that no informationshould be communicated to the interpreter that the client does not want the nurse to know

A Puerto Rican client is being scheduled for a follow-up visit to the clinic. For this client it is important for the nurse to do which of the following? a. emphasize to the client to be prompt as the office schedule often is inflexible b. emphasize the importance of coming for the appointment that day c. inform the client of the appointment in writing d. emphasize the importance pf bringing the father to the next visit

a. emphasize to the client to be prompt as the office schedule often in inflexible

The nurse overheard two nursing assistants talking about a Jewish-American client whom they consider to be a chronic complainer. The best way for the nurse to handle the situation is to do which? a. explain that letting others know feelings is a part of the Jewish culture b. agree with the staff and develop a plan to decrease complaints c. Explain that being a perfectionist is a part of the Jewish culture d. avoid discussing the situation and do not assign them to care for the client

a. explain that letting others know feelings is a part of the Jewish culture

Because touching the head has specific meaning in the Vietnamese culture, before measuring the head circumference of a child, the nurse should: a. explain the procedure and ask permission of the parent b. play a game with the child c. provide privacy by pulling the curtains d. sit the child on the parents lap

a. explain the procedure and ask permission of the parent

Determinants of the use of touch among Afghans and Afghan Americans are based on which of the following? a. family relationships and gender b. age and social position c. gender and social position d. eye contact and tribe

a. family relationships and gender

A nurse in a doctor's office explains to a Vietnamese female client the medication regimen for the prescription the client has been given. The client nods her head and smiles as the explanation is given. However, in 2 weeks she returns. Her condition has deteriorated, and the nurse discovers that she has not taken any medication. Initially, the nurse should do which of the following? a. find out if she understood the instructions as they were provided in English b. Firmly explain that she needs this medication to improve c. call in the client's husband and explain the schedule again. d. provide her with printed directions in Vietnamese on how to take the medication

a. find out if she understood the instructions as they were provided in English

When a nurse is discussing a medication home regimen with an Alaskan Eskimo patient, the nurse might expect which of the following? a. focused on present events b. focused on the benefit of present events as they affect the future c. primarily concerned with past historic events d. unaffected by time orientation

a. focused on present events

When caring for the patient who believes there is a relationship between outcomes and internal feeling of control, the patient can be expected to do which of the following? a. follow directions given for health care b. view the future as a result of luck, chance, or fate c. believe compliance behaviors and health are unrelated d. adhere to beliefs of external control

a. follow directions given for health care

Mexican Americans tend to subscribe to which of the following beliefs? a. hot and cold and wet and dry b. yin and yang and light and dark c. smooth and dark d. black and white

a. hot and cold and wet and dry (p.221)

A nurse interacting with a recent immigrant from Cuba could expect that the individual is which of the following? a. is literate b. is illiterate c. has no knowledge of the English language d. has received very poor health care

a. is literate

You are taking care of an African-American female who recently had a CVA, leaving her unable to talk. As you attempt to give her medications with her milk on her tray, she resists. After explaining the importance of taking her medications, and on time, your client reluctantly takes the medications with milk. Later she has a large diarrhea stool. What biological variation should have been considered with this client? a. lactose intolerance is high among Africa-Americans b. hypertension is high among African-Americans c. tuberculosis is high among African-Americans d. dietary variations may cause diarrhea in African-Americans

a. lactose intolerance is high among Africa-Americans

A nurse doing discharge teaching with a Navajo diabetic patient should recognize that the patient may experience which of the following? a. may have trouble with keeping appointments b. will adhere to taking medication by associating it with mealtimes c. is future oriented and therefore motivated to be adherent d. is likely to perform illness prevention activities to be in harmony with nature

a. may have trouble with keeping appointments

Afghan or Afghan Americans' death beliefs and customs center on which of the following? a. muslim practices b. christian practices c. buddhist practices d. zoroastrian practices

a. muslim practices

As you talk with Mr. Akello, you learn that the primary structure of the Ugandan family is likely to be organized in which of the following ways? a. nuclear b. extended c. clan d. tribes

a. nuclear

When providing care for an African-American client, it is important for the nurse to remember that African-Americans are perceived as being which of the following? a. polychronic b. monochronic c. polymorphic d. monomorphic

a. polychronic

In meeting the dietary needs of Korean-American clients who practice the Confucian belief related to the appreciation of food quality, the nurse should attend to which of the following? a. provide a quiet mealtime without interruption b. provide a well-balanced diet c. permit food brought in by family member d. provide for including rice in various forms

a. provide a quiet mealtime without interruption

The nurse is caring for a family in which five family members have tuberculosis. The family describes its health belief to the nurse, which included shamanic healing. The nurse knows the patient will be more compliant if she includes use of antituberculin medication as well as which of the following? a. services of a folk healer b. behavior therapy c. acupuncture d. yoga

a. services of a folk healer

Because of their skin color, geographical location of Uganda, and the tendency of some Ugandans to contract malaria, what condition is said to be a Condition of adaption for Ugandans and Ugandan Americans? a. sickle cell anemia b. glucose-6-phosphate dehydrogenase (G-6-PD) c. dumping syndrome d. metabolic syndrome

a. sickle cell anemia

Mr. Chan, an 81 y/o Chinese-American man, has been admitted to the hospital for abdominal pain. His oldest son answers questions for him and expresses his needs. Mr. Chan's wife, who does speak English although not fluently, defers to the son when asked to participate in discussions. This is an example of which of the following? a. the culture value of male-female hierarchy b. the culture value of giving authority for decision making to the young c. an attempt by the son to gain control of the situation d. the need for family members to participate in caregiving decisions

a. the culture value of male-female hierarchy

The nurse who is caring for a patient with an external locus of control can anticipate which of the following? a. the patient will be more likely to be fatalistic about nature and illness b. the patient is more likely to feel in control of events that affect him or her c. the patient will expect to be able to modify behaviors to reach health goals d. the patient will desire help to control health and illness outcomes

a. the patient will be more likely to be fatalistic about nature and illness

A nurse's ability to use proverbs, analogies, and stories to support a case is highly valued and will enhance communication with Nigerian Americans. Which of the following is correct about this statement? a. true b. false c. not applicable d. neutral

a. true

When assessing an Asian client, the best way to obtain information is to: a. use an interest approach to the information b. ask questions through an interpreter c. ask family members to answer questions d. ask short-answer questions

a. use an interest approach to the information

The Irish-American family expresses love and affection with which of the following mannerisms? a. with difficulty b. with great ease c. with warmth d. with discipline and rules

a. with difficulty

People from Chinese American cultures, although valuing family, are generally more often inclined toward individualistic behavior. This statement is _____? a. True b. False

b. False

An illness in a Nigerian individual is considered to be which of the following? a. a personal, individual problem b. a crisis in the individual's whole family c. a societal problem d. unrelated to voodoo or witchcraft

b. a crisis in the individual's whole family

A Haitian-American client comes to the clinic and tells the nurse she has been eating garlic to cure an intestinal problem. Which of the following is the most appropriate action for the nurse to take? a. convince the client that garlic is an inappropriate treatment b. accept folk remedies and combine them with Western medicine c. teach the client to seek medical help earlier d. accept that the intestinal ailment as a curse

b. accept folk remedies and combine them with Western medicine

In bathing an East Indian American client, the nurse should do which of the following? a. add hot water to cold water b. add cold water to hot water c. provide a bath after breakfast c. have a family member assist with the bath

b. add cold water to hot water

Mrs. Nguyen, a Vietnamese client, is to undergo cancer surgery. She seems frightened. The best way for the nurse to initiate a therapeutic relationship is to do which of the following? a. give Mrs. Nguyen a hug and pray with her. b. ask Mrs. Nguyen how she is feeling c. tell Mrs. Nguyen that the outcome of the surgery should be favourable d. Tell Mrs. Nguyen the nurse will call the hospital chaplain.

b. ask Mrs. Nguyen how she is feeling

A nurse for an Eskimo child observes dark spots in the lumbar area as well as other dark areas on the body. The nurse should do which of the following? a. have the parents investigated for child abuse b. assess the areas to determine if they are mongolian spots c. recognize these areas as being related to coining d. ignore the difference in color

b. assess the areas to determine if they are mongolian spots

A nurse in Quebec is doing dietary teaching for a pregnant woman. Because of environmental factors, the nurse should advise the client to do which of the following? a. consume fish no more than once a week b. avoid consuming freshwater fish c. consume a vegetarian diet from a variety of sources d. avoid eating beef that is imported from England.

b. avoid consuming freshwater fish

When a Hindu American client dies, the nurse should prepare for the family to do which of the following? a. anoint the body with oils. b. cleanse the body c. celebrate the passing of their loved one d. chant Hindu prayers to the soul

b. cleanse the body

Mrs. M., a Mexican American who just gave birth tells the nurse not to include certain foods on her meal tray because her mother told her to avoid those foods while breastfeeding. The nurse tells her that she doesn't have to avoid any foods and should eat whatever she desires. This demonstrates which of the following? a. ethnocentrism b. cultural relativism c. assimilation d. subculture

b. cultural relativism

A pregnant Puerto Rican client comes to the clinic. Because of the cultural implications, the nurse needs to consider which of the following for this client? a. service lifestyle b. inclusion of the extended family c. diet and exercise d. prayers and rituals

b. inclusion of the extended family

A nurse is teaching an Appalachian patient who says, "whatever will be, will be." The nurse understands that which of the following is most accurate about this scenario? a. external feelings of control are related to compliance b. internal feelings of control are related to compliance c. a fatalistic point of view is related to taking preventative health care actions d. feeling of internal control are not necessary for compliance

b. internal feeling of control are related to compliance

The nurse plans to use an interpreter when teaching a Spanish-speaking client about diabetes mellitus. The best interpreter for the nurse to select is which of the following? a. a family member who lives with the client. b. one who translates not only the words but the nonverbal message too. c. one who can translate the words into spanish d. one who can translate the words into oral and written format

b. one who translates not only the words but the nonverbal message too

The Amish people have learned to live in the present. Culturally, their essential time orientation is to which of the following? a. present b. past c. future d. subjunctive

b. past

Alcoholism among Irish Americans is influenced by which of the following? (Mark all that apply) a. biological variation b. patterns and characteristics of the family c. economic conditions d. psychological orientation

b. patterns and characteristics of the family c. economic conditions d. psychological orientation

Encouraging clients to set out personal items and wear their own sleepwear is a means of promoting which of the following? a. personal space b. self-identity c. visual space d. autonomy

b. self-identity

In the treatment of hypertension for a Japanese client, the nurse needs to stress to the family and client the importance of limiting which of the following? a. pepper b. soy sauce c. tofu d. milk

b. soy sauce

In Ireland and in the United States, the primary cultural force and national unifier of the Irish has been which of the following? a. the matriarchal family b. the catholic church c. the potato famine d. the work ethic

b. the catholic church

To plan effective care, the nurse needs to understand that the family characteristic reflecting the worldview of a Mexican American family that will most affect how decisions are made about care is probably which of the following? a. the father as the authority figure b. the mother as head of household c. giving considerable freedom to women d. using emotional communication styles

b. the mother as head of household

When an Applachian client is ill, personal space collapses inwardly. For the nurse providing nursing care, this means: a. the person will try to be independent and self-sufficient b. the person expects to be waited on and cared for by others c. the person wants to be cared for by the family only d. the person expects that health care decisions will be made by the family

b. the person expects to be waited on and cared for by others

When providing nursing care for someone of the Navajo Indian culture, the nurse should remember which of the following? a. to make frequent eye contact b. to avoid eye contact c. to shake hands firmly d. to use pointing to assist with communication

b. to avoid eye contact

When caring for a Russian American client, the nurse should be aware that, for the most part, Russians prefer which of the following? a. to remain at an intimate distance rather than a social distance with caregivers b. to remain at a social distance rather than an intimate distance with caregivers c. that health assessment procedures be done in the intimate zone d. that boundaries are open between internal and external environments

b. to remain at a social distance rather than an intimate distance with caregivers

The universal language spoken in the Philipines is which of the following? a. Patois b. Spanish c. English d. Arabic

c. English

Which language is the first language of almost all Amish children? a. English b. German c. Pennsylvania Dutch d. Yiddish

c. Pennsylvania Dutch

When planning to teach an Islamic client, the nurse needs to be aware of which of the following? a. decision making tends to be male dominated b. decision making tends to be female dominated c. decision making tends to be generally consultative between spouses d. decision making tends to be consultative with the entire family

c. decision making tends to be generally consultative between spouses

John Ahiga, a Navajo, often arrives late when medications are being dispensed on a psychiatric unit. As his nurse, you understand that this patient is doing which of the following? a. receiving hallucinogenic drugs b. demonstrating present-time orientation c. demonstrating past-time orientation d. demonstrating future-time orientation

c. demonstrating past-time orientation

A Chinese American who is experiencing a symptom such as diarrhea (which is felt to be "yin") is likely to try to treat it with which of the following? a. high doses of medicines thought to be "cold" b. no treatment at all, since diarrhea is an expected part of life c. foods that are "hot" or "yang" d. readings and Eastern medicine medications

c. foods that are "hot" or "yang"

While taking a history on an Appalachian patient, Mrs. Brown tells the nurse that she has had "high blood." The competent nurse interprets this to mean the patient has a history of which of the following? a. Increased low-density lipoproteins b. hypercholestorolemia c. hypertension d. hemodilution

c. hypertension

The Cuban American considers making eye contact to be which of the following? a. socially unacceptable b. rude and aggressive c. important, especially in formal situations d. of no importance when communicating with another

c. important, especially in formal situations

In providing nursing car in Quebec, the nurse realizes that the space meanings are implemented by which of the following? a. standing close when communicating with a client b. standing close when discussing familiar attitudes c. maintaining distance when conversing with a client d. shaking hands with the client before providing care

c. maintaining distance when conversing with a client

Cuban Americans express grief in which of following ways? a. only within the context of family b. with reserve and quiet c. openly, with loud crying d. in the form of somatic complaints

c. openly, with loud crying

Amish Americans tend to maintain boundaries between themselves and the outside world. When responding to health care professional, these boundaries are generally expected to be which of following? a. maintained b. intensified c. relaxed d. forgotten

c. relaxed

In teaching a patient with present time orientation the nurse should consider which of the following? a. result in taking medication in a timely manner b. result in adherence to a preventive health regimen c. result in the patient's attending to other events that are happening rather than focusing on times medication is to be taken d. influence actions related to a future benefit

c. result in the patient's attending to other events that are happening rather than focusing on times medication is to be taken

To assist a hospitalized Jewish client following a kosher diet, the nurse should attend to which of the following? a. serve seafood instead of meat b. suggest the client waive the dietary restriction c. serve meals on paper plates with plastic utensils d. serve different food on a different tray

c. serve meals on paper plates with plastic utensils

The official language of the Phillippines is which of the following? a. English b. Patois c. Tagalog d. Spanish

c. tagalog

When communicating with a Korean-American client, it is important for the nurse to apply filial piety, which includes which of the following? a. the nurse speaking slowly b. the nurse speaking loudly c. the nurse using a sincere appearance of attentive listening d. the nurse using hand gestures to emphasize the topic

c. the nurse using a sincere appearance of attentive listening

The style of communication that would be most effective for a culturally competent nurse to adopt during an assessment interview with a 30 y/o Navajo client would be? a. the frequent use of nonverbal behaviors such as gesturing, smiling, and making wry faces b. a loud voice, unbroken eye contact, minimal gesturing, and straight-to-the point questions c. to be open and friendly, ask direct questions, and touch the client's arm or hand occasionally for reassurance d. a soft voice, avoiding eye contact, with general leads and reflective techniques

d. a soft voice, avoiding eye contact, with general leads and reflective techniques

To reduce polychronic effects while caring for an African-American client, the nurse should do which of the following? a. permit the client to have frequent, constant interruptions b. allow the client to keep the perception of the need for order c. allow the client to structure activities in a ranked order that will produce maximal benefits d. assist the client to structure activities in a ranked order that will produce maximal benefits

d. assist the client to structure activities in a ranked order that will produce maximal benefits

In planning health care screening for rural Applachians, which of the following would be of least concern for the nurse? a. tuberculosis b. coronary heart disease c. cervical cancer d. breast cancer

d. breast cancer

An Islamic practice regarding death and burial for the Islamic is that practices centering on the dead must focus on which of the following? a. buried facing the holy city of Mecca b. buried only after an autopsy is performed c. buried after embalming within 3 days d. buried with no embalming the same day or no more than 24 hours after death

d. buried with no embalming the same day or no more than 24 hours after death (p. 641)

In developing a culturally sensitive care plan for a Hmong (Asian-American) psychiatric patient, which of the following would be inappropriate? a. including the family in the plan of care b. showing respect by avoiding eye contact c. avoiding touching the head d. communicating all instructions in a written format

d. communicating all instructions in a written format

A Vietnamese resident in a nursing home does not want to follow the the nursing care plan regarding diet. The best course of action for the nursing staff would be to do which of the following? a. insist the resident accept the diet as ordered b. document the stubbornness of this resident c. avoid making an issue of his compliance d. consider the possibility of cultural differences

d. consider the possibility of cultural differences

When assessing Russian American clients, the nurse should use a direct approach to client interaction because the Russian American client is likely to have which belief or value? a. is used to home care by nurses and physicians b. values the american medical system c. believes in being direct d. has a tendency for somatization of emotional problems

d. has a tendency for somatization of emotional problems

When assessing the sexuality of Haitian men, it is best for the nurse to ask the client which of the following questions? a. are you bisexual? b. are you homosexual? c. are you heterosexual? d. have you ever had sex with another man?

d. have you ever had sex with another man?

In promoting self-care for a client from Quebec, the nurse needs to be sure to do which of the following? a. include a spiritual plan of care b. include touch in the plan of care c. include the family in health teaching d. include a time frame with collaborative objectives

d. include a time frame with collaborative objectives

In planning care for a pregnant Haitian- American client, the nurse needs to be alert that the most crucial and decisive cultural compliance associated with childbearing are related to which of the following? a. delivers of the baby b. time of labor c. antepartum period d. postpartum period

d. postpartum period

When Muslims visit dying family members in a hospital setting, as a part of their culture they are obligated/required to do which of the following? a. be accepting of visitor limitations b. visit five times a day c. visit 5 consecutive days with the sick family member d. remain until death

d. remain until death

A 25y/o Nigerian client has just delivered her first baby. Based on the nurse's past experience with a Nigerian family, the nurse assumes that family members will gather to care for the mother and infant. this is an example of which of the following? a. discrimination b. ethnocentrism c. racism d. stereotyping

d. stereotyping

When analyzing the assessment data on the admissions of a client with limited English skills, the nurse realizes the client has answered yes or nodded the head indicating yes to all questions. The nurse interprets this as indicating which of the following? a. The client intended to answer all questions yes b. the client nodded the head and responded yes to indicate cooperation c. the nurse should repeat the questions more loudly so the client will hear. d. the nurse should get an interpreter to assist with the assessment

d. the nurse should get an interpreter to assist with the assessment

When planning care for the patient who is a Jehovah's Witness and may need blood in an upcoming surgery, the nurse should be aware of which of the following? a. the patient will not accept whole blood b. the patient will not accept predeposited autologous blood c. the patient may accept autologous blood through induced hemodilution d. the patient will accept wound-aspirated blood that has been filtered

d. the patient will accept wound=aspirated blood that has been filtered

The majority of communication of feelings and attitudes among Japanese Americans is primarily which of the following? a. verbal b. vocal c. facial expression d. touch

d. touch

When providing care for an Orthodox Jewish client the nurse should do which of the following? a. introduce self and shake hands b. use touch as a manner to show caring c. avoid touching the client on the head d. touch the client for "hands-on" care only

d. touch the client for "hands-on" care only

Blood groups are said to differentiate people in different racial groups. You have a 29-year-old American Indian client admitted to your unit with diabetes. Based on what you know about American Indians, you might expect your patient's blood type to be which of the following? a. type A b. type B c. type AB d. type O

d. type O

As you explain your patient's condition to her husband, you notice that he is leaning toward you and raising his eyebrows. Knowing that he is an Eskimo, your most appropriate response to this behavior is to do what? a. tell him that you understand his need to be alone b. ask whether he has any questions c. ask whether he would prefer to speak to the physician d. understand he is agreeing

d. understand he is agreeing

The nurse is developing a plan of care to increase bone density for a Korean-American client, which should include a diet that contains which of the following? a. high in vit. D b. high in vit C c. with milk and other dairy products d. with lactose-free milk and foods

d. with lactose-free milk and foods