Transcultural Final

A culturally competent health care organization is one that: A. Is aware of the effects of culture on behavior of individuals. B. Influences both cultural competency and health disparities. C. Fosters interplay between organizational, professional, and community cultures. D. Is sensitive to the culture expectations of its diverse population.

C

A group of nurses are working with a group of refugees who have recently relocated to the area. The nurses are concerned by some of the unsafe and unhealthy cultural practices and are trying to create an educational program that will help teach the young mothers a safer way to care for their children. Which will be important for the nurses to remember as they create this program? A. Preparing a reward program for the women as they complete new skills and make changes B. Requesting assistance from the elders of the group to give their approval for the changes C. Working to maintain the core values and beliefs while finding ways to incorporate new methods that will be safer and healthier for the refugees D. Ensuring the refugees complete assimilate into the new environment

C

The nurse approaches the subject of organ donation with a terminally ill Buddhist client based on the understanding that: A. the decision is one that will be discussed at length with family to secure their approval. B. the body will be allowed to naturally decompose before being buried. C. the body holds no specific value to the Buddhist after death. D. the decision will be deferred to the client's oldest son.

C

The nurse is caring for a Mexican American mother and newborn. The mother wants to place an ombligero around the mother and newborn's abdomen. Which is the nurse's next best action? A. Explain that when the newborn cries, the umbilicus will not bulge. B. Demonstrate the usage of an abdominal binder to prevent hernias. C. Teach the mother how to remove and replace the ombligero to clean the umbilicus. D. Provide research dispelling the myth of the ombligero.

C

The nurse is caring for a hospitalized client who emigrated from Africa and has been recently diagnosed with nontreatable end-stage cancer. Which is the nurse's next best action? A. Explain available hospice services. B. Determine end of life decisions. C. Establish who is the family leader. D. Schedule a visit from client's clergy.

C

The nurse is caring for a hospitalized client's religious needs after surgery. Which is the nurse's next best action? A. Search for religious artifacts in the room so care matches client's beliefs. B. Make a referral to the hospital clergy to address the client's religious needs. C. Set mutual care goals with the client that complement the client's religious beliefs. D. Provide care based on the religion the client reported upon admission.

C

The nurse is planning to prepare the body of a client who died. Which is the nurse's next best action? A. Follow institution's guidelines for postmortem care and procurement. B. Discover if autopsy is necessary before removing any tubes or lines. C. Determine from the client's family-specific burial rituals and practices. D. Prepare the body for final viewing by the family before going to the morgue.

C

The reaction to the research conducted in Sierra Leone by their government demonstrates the need to respond appropriately to achieve the desired result. Which was a major fault of this study? A. Anticipation of lack of transportation B. Provided resources to enable women to travel to the medical centers C. Failed to adequately respond to the major problem D. Failed to properly interpret the findings

C

The transcultural mental health nurse needs to consider more than just the medical model when dealing with illness but should: A) ensure the client fully understands the proposed treatment plan. B) determine the client's social standing to plan the best care plan. C) focus on the client's recovery. D) recruit the family to assist the client.

C

What is the primary motivation for an institution to strive to provide culturally competent health care? A. Doing so will increase the institution's client service base. B. Such an institution will attract the most qualified health care providers. C. The quality of health care will be improved to all of the institution's clients. D. The institution's health care costs will be better controlled.

C

What is the primary nursing goal when completing a cultural assessment? A. To find a balance between the client's values and the values of Western medicine B. To define the client's culturally related beliefs and values C. To develop a care plan with the client's active input D. To improve the nurse's ability to be culturally sensitive to the client's needs

C

The nurse is caring for a dying client that practices atheism. When providing spiritual care, which principles should the nurse employ? Select all that apply. A. Determine what or who provides strength or hope. B. Incorporate the client's choice for spiritual support. C. Explain the need for clergy to provide guidance. D. Provide only physical and psychosocial support. E. Share one's beliefs with the client for comfort.

A B

A female refugee who has recently emigrated from a war-torn African country presents at a clinic reporting a chronic vaginal drainage. Which assessment question best demonstrates the nurse's sensitivity to the client's community culture? A. "Have you ever been the victim of a physical or sexual assault?" B. "Do you want a family member present during your vaginal examination?" C. "Have you been sexually active since the drainage began?" D. "Does your culture believe in safe sex practices?"

A

Research has shown that which group has the greatest risk of developing complications due to untreated hypertension? A. Blacks B. Aboriginal peoples C. Hispanics D. Asians

A

Research supports the nurse in assessing which area when interviewing a client who immigrated from Asia and is possibly experiencing depression? A) Cultural norms B) Age and gender C) Number of years of residence in the United States D) Occupation before immigrating to the United States

A

Shein recognized that organizational culture had several levels. What did Shein recognize as the core of the organization's culture? A. Underlying assumptions. B. The individual's contribution. C. Stated norms. D. Observable artifacts.

A

The nurse is aware that the foundation of making a culturally competent ethical decision is which? A. Compassion B. Collaboration C. Cultural competence D. Advocacy

A

The nurse is caring for a mental health client from another country who does not speak the dominant language and is using the same-gender professional interpreter. Which action should the nurse take first to provide empathetic culturally competent care? A) Ask the client about how members of his or her culture deal with mental illness. B) Reflect on what it would be like if one was in the client's situation. C) Repeat back to the client the nurse's understanding of the situation. D) Compare one's own cultural perspective to the client's perspective.

A

The nurse plans the discharge for an older Asian American client diagnosed with a stroke. Which action is best? A) Assess the family caregivers' cultural beliefs and role taken when caring for aging parents. B) Provide treatment for caregiver depression. C) Use agency caregivers and encourage the client's family to spend quality time visiting and supporting the client. D) Educate the caregivers on the current care routine to be followed and health care provider appointments to keep.

A

Various laws and legislation that is part of the American culture will not be acceptable to other cultures. What concept is demonstrated by the Patient Self-Determination Act of 1991? A. Client's autonomy B. Client's right to health care C. Responsibilities of the client's family during times of illness D. Client's cooperation

A

Which cultural belief would be the primary basis for a nurse's discussion concerning birth control with a couple who are African immigrants? A. Large families are coveted and viewed as being a sign of wealth and prosperity. B. Children are gifts from God and should be loved and cherished. C. Many children are necessary to assure sufficient income for the family's survival. D. The status of the woman is solely dependent on the number of children she births.

A

Which intervention demonstrates that the nurse understands the factors that contribute to the low incidence of mental illness among members of the Hispanic population? A) Supporting the client's interest in exercising as a means to reduce stress B) Encouraging the use of compatible folk remedies with prescribed medication therapy C) Providing the client with the privacy required for frequent mediation and self-reflection D) Arranging for a sleep chair to be available for a family member to comfortably spend the night

A

Which intervention will best assist the nurse in understanding the culturally diverse client's perception and description of his or her current illness? A) Encouraging the client to describe his or her illness in terms of his or her cultural metaphors B) Assessing the client's ability to both understand and communicate effectively in English C) Determining whether the client subscribes to his or her culture's generally held worldview D) Explaining the meaning of the medical terms that will be used during the assessment process

A

Which notation best demonstrates that the nurse is respectful of a client's spiritual and religious beliefs? A. "Rosary beads were sent to the diagnostic lab attached to the client's hospital gown." B. "The client requested a visit from the hospital chaplain." C. "The family will be in the chapel awaiting the client's return from surgery." D. "The schedule of the hospital's religious services was provided to the client as requested."

A

Which statement, made by a nurse caring for a client diagnosed with an aggressive form of cancer, best demonstrates the principle of veracity? A. "The client is aware of the risks of taking the experimental chemotherapy medication." B. "Knowing the truth will help the client decide on the right form of treatment for this cancer." C. "Cancer is a scary disease that many don't want to know much about." D. "It may be hard, but the client deserves hearing the truth about the cancer."

A

As organizations work toward becoming more culturally competent, it is important to do more than just identify disparities. Which are important to work on to deliver culturally competent health care? Select all that apply. A. Ensuring each individual follows the organization's mission statement B. Protecting human rights C. Reducing the vulnerability of the community D. Developing an educational program based on cultural differences for the community E. Reducing risks that exist in the community

A B C

The nurse is caring for a client visiting from Japan. When using an interpreter to make necessary health-related decisions, which principles should the nurse employ? Select all that apply. A. Use the same-gender interpreter as the client. B. Involve the family leader in decision-making. C. Explain the legal need for an unrelated interpreter. D. Establish that the family interpreter cannot be present. E. Teach the family that the client is first with decisions.

A B C

The nurse is caring for a client who emigrated from the Middle East recovering from heart surgery on the step-down unit. Upon admission, the client noted following Islamic religious practices. What actions should the nurse provide for culturally congruent care? Select all that apply. A. Prepare the room so the client may pray to the East comfortably. B. Schedule the dietitian to help modify cultural foods for heart health. C. Teach that fasting should wait until postoperative healing has occurred. D. Modify assessment and treatment times to go along with open times. E. Use relaxing music on the unit during unit scheduled rest periods.

A B C D

A group of nurses are trying to establish a small medical clinic in an impoverished, rural community. The nurses realize this project will require the input and participation from others to help make it successful and enable them to provide quality health care. To whom should the nurses look to for possible partnership in this venture to help make it successful? (Select all that apply.) A. The local government B. The national government C. The local schools D. The local radio stations E. Local churches

A B C D E

As organizations work toward becoming more culturally competent, it is important to do more than just identify disparities. Which are important to work on to deliver culturally competent health care? (Select all that apply.) A. Reducing the vulnerability of the community. B. Reducing risks that exist in the community. C. Developing an educational program based on cultural differences for the community. D. Protecting human rights. E. Ensuring each individual follows the organization's mission statement

A B D

Evidence-based research has given new understanding to various mental health situations that can affect various groups. It is recognized that some specific groups have experienced historical trauma and are still dealing with it. Which cultural group(s) would benefit from the process of moving through the unresolved grief related to these situations? Select all that apply. A. The Jews B. The Japanese C. The Hispanics D. The Native American/First Nations people E. The Irish

A B D

The nurse is caring for a client who recently immigrated from Argentina. The client was previously diagnosed with bipolar disorder and has been admitted because of a recent manic episode. Which factors should the nurse assess to determine the root cause(s) for the episode? Select all that apply. A) Nearest pharmacy is not on the bus route and lives miles away in the rural area B) Finds it difficult to communicate with the provider in the short time frame C) Currently on Medicaid and is limited on the health care providers available D) Stated it is embarrassing to be diagnosed with any mental health problem E) Share that feels much better when takes the prescribed medications regularly

A B D

The nurse is serving on a committee that uses Roizner's checklist to evaluate health care services. Which service(s) will the committee determine to be culturally competent? Select all that apply. A) The women's mobile unit provides mammograms at convenient locations and times. B) A community center meeting the public requests offers Tai Chi on a sliding scale. C) The waiting room in the emergency department is small, bright, and has hard benches. D) Community assessment revealed a need for drug rehab, which was added to the services. E) A new hospital was built in a rural area close to suburbs but miles from the farms.

A B D

When conducting a client's spiritual assessment, the nurse should observe the actions of the client as well as note the client's answers. Which would be an indication of the client's possible spiritual and religious beliefs? (Select all that apply.) A. The practice of any specific rituals used throughout the day when possible. B. The client is quiet and reserved and has no visitors. C. The client always wears her hair in braids. D. The client's visitors who are not family members. E. The type of reading material the client brought to the unit.

A B D E

Roizner identifies a checklist which can help evaluate health care services for their culturally competent. Which is included in the checklist? (Select all that apply.) A. Accessibility B. Appropriateness C. Accountability D. Accredibility E. Availability

A B E

The nurse is caring for a hospitalized client who is dying. The client's "church family" and large extended family desires to be with the client until the client dies. What best actions should the nurse take to provide culturally competent care? Select all that apply. A) Determine group leaders for the family and church members. B) Reinforce the guidelines for the agency and make it clear to all. C) Develop a rotation schedule for maximum number of visitors. D) Provide a sign-up list for family and church members that fits the space. E) Encourage the hospital chaplain to take charge of the situation.

A C

A small group of nurses are interested in improving the availability of health care to a local refugee community. In an effort to learn more about the community, the nurses are devising an assessment plan to learn more about the culture and determine how best to meet the needs of this group. Which should the nurses include in their assessment? (Select all that apply.) A. How do cultural factors influence their daily meals? B. Are there any specific laws in this group that would limit health care? C. How do the individuals communicate with each other in the family and in the community? D. Are there any taboos or religious restrictions that need to be considered? E. What would be the best form of transportation to help these individuals come to the main clinic?

A C D

A common factor among many of the major denominations in the United States and Canada is their willingness to be involved with providing health care, especially to those who are need it the most. Which denomination is recognized for being one of the major contributors to health care? A. Buddhism B. Protestant C. Roman Catholics D. Seventh-Day Adventist

C

The nurse on a committee to increase Hispanic clients using the hospital's services employs which political and symbolic cultural action(s) that matches the organizational culture? Select all that apply. A) Contacts Hispanic community leaders to join the committee and share input. B) Collect staff input on the hospital's new goals and ways to achieve the goals. C) Interviews a Hispanic priest from a local church to determine artwork to add. D) Revise policies to include bilingual signage and in-services on Hispanic culture. E) Modifies the vision and mission statements to also reflect the Hispanic clients.

A C D

There are a variety of definitions which exist to explain the organizational culture; however, there are some similar factors noted between them. Which are considered to be true about organizational cultures? (Select all that apply.) A. Once an organization culture is in place, changes are resisted by the members. B. Each subculture can effect a change in the general culture of the organization over time. C. The culture consists of shared beliefs and assumptions which can lead to specific behaviors. D. The culture results from an interaction between the mission statement and leadership E. The culture is constantly changing depending on the cultural influence found in the surrounding community.

A C D

The nurse is caring for Black clients in the neighborhood. When providing culturally competent tertiary cardiac health care, which principles should the nurse employ? Select all that apply. A. Schedule a planning meeting with the religious and community leaders. B. Teach the clients to join a local gym and exercise regularly to lose weight. C. Use a centrally located church on public transportation to provide health care. D. Provide pamphlets from the government on heart healthy foods low in sodium. E. Encourage clients to stick with lifestyle changes that will produce better health.

A C E

There are a variety of definitions which exist to explain the organizational culture; however, there are some similar factors noted between them. Which are considered to be true about organizational cultures? Select all that apply. A. Once an organization culture is in place, changes are resisted by the members. B. Each subculture can effect a change in the general culture of the organization over time. C. The culture results from an interaction between the mission statement and leadership. D. The culture is constantly changing depending on the cultural influence found in the surrounding community. E. The culture consists of shared beliefs and assumptions, which can lead to specific behaviors.

A C E

A group of nurses in a health care organization are concerned that some members of the local community are not receiving adequate health care. In an effort to eliminate any potential disparities, which change should the nurses request the organization do? A. Giving each visitor a multi-language pamphlet describing their services. B. Ensuring signage is in common languages of the community. C. Ensuring that each staff member can speak at least two languages. D. Conducting surveys every 5 years to evaluate what changes may be needed to meet the community needs.

B

A hospice nurse recognizes that the client is closer to death and prepares to follow through on the care plan that was already developed. As this has already been discussed with the family, the nurse is prepared to take the appropriate steps to support the family during this difficult time. What is the most appropriate question for the nurse to ask? A. "Is it okay if I moved this string of beads to the table so it's not in the way?" B. "Who would you like me to call when it appears death is imminent?" C. "Would you like me to tell you if any new method becomes available to help your loved one live longer?" D. "Would you like me to explain the proper way to clean the body after death?"

B

A newly immigrated male, from a culture that is currently experiencing civil unrest and violence, is being assessed in a clinic for reports of stomach pains. Which additional complaints by the client would alert the nurse to a possible diagnosis of PTSD? A. A skin rash that itches and bleeds B. Insomnia and nightmares C. Hearing voices and headaches D. Nausea and vomiting

B

A nurse has noted that a large number of no-shows for prenatal visits in the clinic among the young Hispanic women. The nurse could advocate for which policy to demonstrate the nurse's understanding of the potential health problem and provide a culturally sensitive solution? A. Visiting nurses to meet the women at their place of employment B. A neighborhood clinic with evening hours C. A transportation service to bring these young mothers to the clinic for their appointments D. An educational program in a local business to emphasis the importance of prenatal care

B

Social justice related to health care is best demonstrated when: A. a local obstetric practice reserves two evenings a week for routine prenatal appointments. B. a client reporting chest pain is seen immediately by an emergency room physician. C. there is a rescheduling fee assessed for giving less than 24 hours for cancelled appointments. D. a children's clinic is added to the services provided by the local hospital.

B

The nurse is caring for a client who identifies with Native American/First Nations culture who describes to the nurse that after studying his or her ancestry and the history of the tribe, the client has a deep feeling of grief and feeling down. Which best nursing action should the nurse take next? A) Educate about symptoms of depression and suggest treatment options for the client that coincide with the client's Native American/First Nations culture. B) Explain the client is experiencing historical trauma because of feeling connected to the tribe that experienced the traumatic losses in the past. C) Discuss ways to overcome culture shock that arises from transitioning from the current culture to the newly acquired Native American/First Nations culture. D) Determine successful coping strategies that the client has used in the past that were effective in dealing with loss and suggest those be tried.

B

The nurse is caring for migrant farm workers at a clinic. Which best action should the nurse use to improve health maintenance? A) Provide multilingual pamphlets on recommended health prevention for women, men, and children. B) Use mobile units close to where the families live to provide screenings and immunizations. C) Educate migrant and seasonal workers at the clinic through nurse-led sessions during clinic hours. D) Establish first aid stations near farm communities and have an automatic external defibrillator.

B

The nurse is planning a community-based prenatal and postpartum program in a traditional Mexican American culture. Which is the nurse's next best action? A. Teach alternatives to the myths accepted as the traditional Mexican American care for prenatal and postpartum care. B. Provide necessary acceptable modifications along with maternal care based upon Mexican American traditions. C. Use the Mexican American traditions for maternal care instead of standard practices based upon best evidence. D. Employ prenatal and postpartum care using the best evidence based upon the majority US population.

B

The nurse needs to be aware of how the nurse's culture beliefs may dictate that a certain action is wrong but the culture of the client may believe that particular action is acceptable. When these disagreements present an ethical dilemma, the nurse must make a decision as how to proceed. Which must the nurse keep in mind when making the decision of how to proceed? A. The nurse needs to remember to always follow the client's instructions. B. The nurse has certain standards to maintain. C. The nurse should consult the ethical committee of the organization to solve any disagreements. D. There is always a way to compromise on any situation.

B

The nurse serves on a committee to develop a culturally competent health care organization. Which best first action should the nurse use? A) Apply Healthy People 2020 goals of improving the health of thecommunity. B) Determine if access can provide health care to all members of the community. C) Discover if any cases of ageism or discrimination has occurred in the facility. D) Prepare transfer guidelines to ensure the right facility for the right situation.

B

What question demonstrates that the community health nurse understands the importance of being culturally sensitive to both the client and the client's family community? A. "Will your son be able to take off work to meet with your physical therapist?" B. "Are the special foods on your diet stocked in your neighborhood's ethnic grocery store?" C. "Does your neighborhood have good public transportation so you can get to your doctor's office?" D. "Will your daughter-in-law be willing to change your dressing until the wound heals?"

B

When a culturally diverse client dies, the nurse best demonstrates cultural sensitivity when managing the care of the body by: A. providing the family with private time with their loved one, prior to the arrival of the mortician. B. assessing the family's expectations regarding how their loved one's body will be handled. C. immediately notifying the family's religious leader of the client's death. D. reading a variety of resources to gain information of cultural death rituals.

B

Which client statement provides the nurse with the most reliable assurance that a Hispanic client has access to effective preventive health care? A. "Fresh fruits and vegetables are important elements of the Hispanic diet." B. "I take advantage of my doctor's evening office hours." C. "My culture believes that it is our responsibility to stay healthy." D. "Our church has a nurse who takes blood pressures before services."

B

Which informational intervention best demonstrates the nurse's attempt to minimize the cultural isolation that can result when a client lives in an ethnic neighborhood? A. Contact information for the religious institutes located in the neighborhood B. The locations of English language classes in the client's neighborhood C. The telephone numbers of the neighborhood's nearest hospital D. After-school programs in the neighborhood for children of single parents

B

Which intervention demonstrates that a nurse requires additional education regarding the support of a client's spiritual health? A. Scheduling home visits to avoid interfering with the client's daily prayer times B. Offering to add the client to the nurse's prayer list C. Asking the Catholic client whether he or she wants breakfast delivered after his or her visit from the priest D. Following up on the client's request to be visited by the hospital's chaplain

B

Which intervention demonstrates that the nurse understands the cultural implication of the parents' belief that their child has been hexed? A. Preparing for the family to initiate elaborate religious rituals B. Asking the parents to describe the types of symptoms they expect to see in their child C. Observing the parents for symptoms similar to those of the child's D. Monitoring the child for hallucinations and possibly delusional thinking

B

Which policy will allow a health care institution to achieve cultural competence most effectively? A. Making all client education materials available in the client's native dialect. B. Recruiting culturally diverse health care providers to staff the institution. C. Implementing a closed circuit television system to broadcast multilingual programming. D. Providing a merit bonus to employees who complete cultural awareness courses.

B

Which question best assists the nurse in avoiding stereotyping when identifying cultural patterns and norms that can be used to base appropriate mental health interventions for a client who is a new emigrant to the United States from a very violent African county? A) "Do you feel safe since you immigrated to America?" B) "Do you think of yourself as being healthy and happy?" C) "What types of mental health services do you need?" D) "Are you happy with your move to the United States?"

B

Which question best assists the nurse in determining whether the family's values will support the client's new health needs? A. "Does your family understand how to change the dressing on your leg?" B. "Who will be responsible for cooking the foods required of your new diet?" C. "Will your family be able to afford your new medications?" D. "Can a family member be here when we discuss your new medications?"

B

Which statement, made by a nurse caring for a client diagnosed with dementia and a history of falls, best demonstrates the principle of beneficence? A. "Institution policies are clear about assuring client safety especially from falls." B. "Current research refutes the use of restrains to keep my client safe from falls." C. "I'd feel great responsibility if this client was hurt because of a fall." D. "I need to be sure that this client isn't being oversedated and therefore at risk for falls."

B

Because of the influence of various religions upon individuals, what one group may deem is appropriate; another group will absolutely forbid it. Which may be considered ethical and permitted by one cultural group while another group would consider it unacceptable? (Select all that apply.) A. Access to medical care B. Organ donation C. Autonomy decision making D. After-death customs E. Encouraging the use of new techniques

B C

The nurse is caring for a client who is a refugee from a country with political turmoil and war. The nurse should use which assessment finding(s) to support that the client may have a mental health condition? Select all that apply. A) Shares has trouble sleeping and lives near railroad tracks B) Awakens with same nightmare of the village being burned C) Presents with report of persistent vague somatic complaints D) Stated it is difficult to find others that share the same culture E) Reports bullying at school and that teens make fun of their family

B C

The nurse is caring for a group of recent immigrants from Africa. Which action(s) should the nurse use to provide culturally competent care? Select all that apply. A) Ask one of the families' members as interpreter to communicate the health care needs. B) Establish community meetings in the local church where the immigrants regularly attend. C) Educate the clients on how to access and navigate the health care system in the United States. D) Assess the cultural and religious beliefs that affect health care and wellness behaviors. E) Deliver U.S. population research-based standards of care based upon the general population.

B C D

The transcultural nurse is in a unique position to assist in identifying various problems that can present in mental health issues among the different cultures. These nurses: Select all that apply. A. are able to quickly recognize there is a mental health issue and get the client into appropriate treatment. B. are able to develop links between the social environment, family, and individual to identify potential negative outcomes. C. are aware that some cultures identify mental health issues as somatic complaints. D. are able to spend time in the community, evaluating and monitoring for potential issues that can lead to mental health complaints. E. can help form a beneficial referral program to the local religious leaders to assist with treating clients with mental health issues.

B C E

The nursing supervisor has noted a decline in pregnant Hispanic clients requesting services and maintaining their care at a rural clinic, which recently saw a major staff change. Which could potentially be the catalyst for this decline? (Select all that apply) A. New evening hours are now available for appointments B. New male physician and nurse C. New educational program and outreach was started D. Fewer staff who speak the local language E. The favorite midwife retired

B D E

Which action will best prevent institutional racism in a hospital that provides care to a culturally diverse population? A. Aggressively recruiting culturally diverse health care professionals. B. Reprimanding staff for displaying culturally prejudicial attitudes or behaviors. C. Revising institutional polices as discriminatory practices are identified. D. Requiring that all staff engage in regular cultural sensitive training.

C

Which behavior exhibited by a nurse demonstrates a personal commitment to culturally congruent care? A. Providing educational information for a Japanese client in the client's native dialect. B. Requesting that a Hispanic client's menu include choices of Mexican food. C. Asking to have the critical care unit's visitation policy to allow nonfamily members visitation rights. D. Always wearing the hospital's identification badge that bilingually identified the wearer's position.

C

Which behavior exhibited by a nurse demonstrates a personal commitment to minimizing the biased care of culturally diverse client populations? A) Attending in-service programming on culture sensitivity B) Learning to speak the language of the most commonly treated ethnic group C) Regularly engaging in self-reflection focused on identifying personal beliefs D) Mentoring novice nurses on the implementation of culturally sensitive nursing care

C

Which has been determined to be the most important in determining if the client will be open to the treatment options? A. The nurse's ability to speak the client's language B. The nurse's ability to understand the client's subculture C. The nurse's attitude toward the client D. The nurse allowing the client to develop the care plan

C

Which institutional attitude demonstrates the most effective attempt to minimize a recognized barrier to culturally congruent health care? A. Recognizing the need to offer reduced service fees to culturally diverse clients. B. Acknowledging that there is a need for ethnic specific health clinics. C. Willing to incorporate folk health practices into the client's plan of care. D. Appreciating for the importance that relaxed visitation policies have for family-centered cultures.

C

Which intervention demonstrates an institution's willingness to provide a culturally sensitive environment? A. Scheduling a bilingual interpreter to be available on each shift. B. Providing chapel space for any interested religious sect to hold religious services. C. Changing the lobby's artwork when its original pieces are identified as lacking in cultural diversity. D. Providing multilingual versions of information on hospital signage.

C

Which intervention demonstrates the nurse's understanding of the risk for mental illness experienced by acculturating emigrants? A) Assessing for anxiety B) Assessing for suicidal ideations C) Educating the parents of teenage sons on the symptoms of alcohol use disorder D) Educating the parents of teenage daughters on the symptoms of bulimia nervosa

C

Which intervention is an example of health promotion with a focus on social justice? A. Volunteering to monitor blood pressures at a local food pantry B. Monitoring an elderly client who lives alone for possible nutritional deficiencies C. Educating a Hispanic client to the social service programs he or she is qualified for D. Administering influenza vaccinations at an adult daycare center

C

Which is the primary outcome of the indiscriminative use of the emergency department by the uninsured members of a community? A. Emergency department personnel are forced to address nonemergency health issues. B. The resources of the emergency medicine unit will be prematurely used up. C. The ill postpone treatment that results in the lack of early treatment interventions. D. Those individuals will experience long waits for needed treatment.

C

Which situation will assure the nurse that a primary need for effective mental health treatment is being met for a Hispanic client being treated for a mental illness? A) A translator is provided whenever the client is hospitalized for treatment. B) The client describes the symptoms of anxiety that required immediate attention. C) The client is asked to provide suggestions about how to best reduce stressors. D) Familiar folk remedies to manage symptoms are prescribed whenever possible.

C

Which statement demonstrates the nurse's understanding of the importance cultural symbolism has on nursing care? A) "Would you like me to close your room's door when you are praying?" B) "Do you use a folk remedy for your skin problem?" C) "Will you explain to me what you mean when you say your heart hurts?" D) "Will your son be here when we discuss your medications?"

C

An African immigrant is being physical abused by her husband. She remains reluctant to consider divorcing him in spite of having the benefits of doing so explained to her. Which assessment question best demonstrates the nurse's cultural sensitivity regarding this situation? A. "Does your culture accept divorce?" B. "Can you financially support yourself without your husband's help?" C. "How does your culture view domestic violence?" D. "How would you expect your family to react if you were to divorce him?"

D

An example of distributive justice related to health care includes: A. implementing a sliding rate for well-baby visits at the local family clinic. B. requiring a physical examination prior to activation of health insurance coverage. C. providing unlimited access to health promotion services to all possessing insurance coverage. D. assessing an insurance cohort a $5.00 copay for generic medication prescriptions.

D

Research has been used to show where changes need to be made and how to better meet the needs of various cultures within the health care realm. For cultures where family ties are extremely close and very important for special events, how has moving to the United States affected some of the traditions of Pakistani women? A. Requiring the men to become more involved B. Financial restrictions leading to a decline having children C. Unable to perform the ceremonial washing in the medical clinic D. Unable to feed "Ghutti" to the newborn at the hospital

D

The health care community must adjust to meet the needs of the various cultures, especially when there is a diverse difference in the way the incoming culture recognizes various health issues versus the established culture. Which important factor should the nurse remember when designing and implementing health care? A. Input should be gathered from the community leaders in designing a health care program. B. The health care staff should ask the local religious leaders for their assistance and cooperation. C. The health care staff should conduct classes educating the refugee group on the new culture they have relocated within to better help them assimilate. D. The health care staff should focus on the community and not just the individual.

D

The nurse is caring for an older Mexican American who needs 24-hour continuous care for several weeks. The client has expressed "All will be OK; my family follows traditional Mexican culture." Which best evidence should the nurse use when planning discharge home? A) Caregiver burden occurs often because singleton caregivers are unappreciated by the rest of the family. B) Multiple family members will move into the client's home and will take turns caring for the client. C) When a family member expresses tiring of caring for the client, other family members quickly help. D) Family participation in the planning process is vital and an assessment for the need for respite care.

D

The nurse is conducting a spiritual needs assessment in an effort to create a nursing care plan for a client. The nurse recognizes that which question will assist the nurse in understanding this client's religion? A. "Why do you think you are here on earth?" B. "How will this illness affect your life goals?" C. "Do you think your life has any value?" D. "What do you believe your punishment will be if you do something wrong?"

D

The nurse is conducting a spiritual needs assessment with a newly admitted client to the unit. Which question would be the appropriate approach to determine this client's culture? A. "Which hospital chaplain would you like to visit you?" B. "Which church do you go to?" C. "What did your parents teach you about spirituality?" D. "When you need strength or hope, who or what do you turn to?"

D

The nurse is planning care for a client diagnosed with somatoform disorder. On which statement will the nurse base intervention planning? A) Illness can occur without disease. B) The client's physical symptoms have no basis in a disease process. C) Disease and illness are the outcomes of different human processes. D) The client's belief system will determine how symptoms are exhibited.

D

The small community of refugees has been growing, and the health care community has been working to meet the various needs of these individuals. Which has been recognized to be the most important aspect to help promote health among these refugees? A. Multiple locations for small health care clinics B. Classes teaching the English language C. 24-hour urgent care centers D. Support of the community

D

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? A) While emotionally important to some clients, cultural beliefs and practices are not major factors regarding their physical health. B) Clients will define and discuss their needs regarding cultural practices when the nurse encourages them to do so. C) Culturally congruent nursing care requires the nurse to continuously learn about cultural norms and customs. D) Nurses will not consciously question the bias of their own thinking and so must make a concerted effort to do so regularly.

D

What statement is the basis for the nurse's practice of conducting mental health screenings for culturally diverse clients? A) The culturally diverse population is at high risk for depression. B) Mental health services that are culturally focused are seldom offered. C) Cultural beliefs are often the reason emigrants refuse to identify mental health illnesses. D) The number of older clients who traditionally need but underutilize mental health services is growing.

D

When a Navajo Indian client dies, it is most important for the nurse to recognize that the family will be: A. insistent that the body be wrapped in a new blanket. B. adoring the body with expensive jewelry and coins. C. bringing burial clothing, which the body will be dressed in. D. reluctant to touch the body because of a belief in evil spirits.

D

When a child from a remote part of Africa dies as a result of a chronic illness, the nurse notes that while the parents appear saddened, they do not express the degree of grief typically expressed by American parents. Which question asked by the nurse best demonstrates an understanding of this particular cultural response? A. "Would you prefer to be left alone with your child?" B. "How does your culture deal with the death of a child?" C. "Do you need any specific help from me?" D. "Do children often die in your native country?"

D

When addressing the issue of organ donation, which cultural belief is the basis for the Amish family's traditional viewpoint? A. Entrance into heaven is dependent upon an undamaged physical body. B. The body is but a physical container for the soul and has no useful purpose after death. C. Organ donation is supported by the belief that it is one's responsibility to help others. D. It is preferable that an intact body be buried.

D

When providing care that is respectful of a client's health belief system, the nurse bases interventions on the understanding of which of the following? A) Each health belief worldview incorporates the importance of a health care provider. B) The major health belief systems do not share mutually accepted principles. C) The most widely accepted health belief system explains illness in terms of bacteria and viruses. D) There are three major health belief worldviews that help explain illness.

D

When striving for social justice, which intervention demonstrates an understanding of nursing responsibility? A. Presenting information on organ donation to a woman's exercise group B. Providing parenting classes to teenage, single mothers C. Teaching CPR classes to senior citizen groups D. Advocating for a free clinic for unemployed African emigrates

D

Which intervention best demonstrates that a health care institution is culturally sensitive to its culturally diverse female population? A. Providing translators to improve communication in areas such as the emergency department and diagnostic studies B. Arranging for the obstetrical unit to have a sufficient number of sleep chairs available for use by their obstetrical clients C. Establishing of a daycare center for the children of single immigrated mothers D. Encouraging a group of female health care providers to establish a series of health care educational sessions

D

Which intervention is focused on addressing unresolved grief among its target population? A) Tutoring for Hispanic elementary school children B) A support group for Black women who are victims of intimate partner violence C) Free health clinics for newly immigrated Arabic clients D) A support group for members of displaced Native American/First Nations groups

D

Which organizational attitude demonstrates that the institution's culture is utilizing Leininger's Culture Care Diversity and Universality model in their organization? A. Clients are to be treated with the same care and compassion shown to family members. B. Health care will be delivered in a timely, effective manner to all clients regardless race. C. Hospital policies will be supported by current, relevant research data. D. The client's cultural folk medicine practices will be respected whenever possible.

D

Which principle concerning death rituals is the primary basis for the nurse's role in the death and grieving process? A. Individual death rituals vary very little. B. Each individual faces death alone. C. An individual death affects many individuals. D. Death rituals are critical to an individual's grief process.

D

Which statement is an example of ethnocentrism on the part of the nurse when caring for a Hispanic woman who is experiencing symptoms of postpartum depression? A) "In your culture, how do you treat depression after having a baby?" B) "Will I need to make arrangements for your mother to sleep here in your room?" C) "Will your mother be here when we talk about your treatment for postpartum depression?" D) "Your folk remedies will not be as effective as the medication your physician has ordered."

D

Which statement, made by a nurse caring for a cultural diverse population, regarding spiritual assessments demonstrates the need for future education? A. "I generally have to ask clarifying questions when assessing a client about his or her religion." B. "An individual can be spiritual but not religious." C. "I find the beliefs associated with Judaism to be similar to Christianity." D. "Religion is a private matter and difficult to assess."

D