Ch. 6

A client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client denies having pain. Which nursing action is most appropriate? Inspecting the incision site for any abnormality Assessing for nonverbal expressions of pain Believing that the client has no pain Asking the client if the client is feeling hungry

Assessing for nonverbal expressions of pain

The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse? Write out all questions using appropriate medical terms. If the client does not answer, repeat the question again using a louder tone. Conduct the health history utilizing a telephonic interpreter (over-the-phone translation). Use simple words with simple actions.

Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

A nurse examining a black newborn finds a macular, blue-black area of pigmentation near the buttocks. Which action by the nurse would be most appropriate?

Consider it a normal assessment finding.

A client who has difficulty sleeping expresses to the nurse that watching television may help the client relax and get sleep. The nurse disregards the client's concern and suggests drinking warm milk before going to bed. Which cultural characteristic is the nurse demonstrating? Stereotype Racism Relativity Ethnocentrism

Ethnocentrism

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? Explain to the client that the client is required to make all decisions related to the client's own health care. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter. Bring the client's spouse into the hallway to discuss surgical options for the client. Document the client's request in the nursing care plan.

Document the client's request in the nursing care plan.

Which area is typically included in a cultural assessment? Food preferences Ethics Employment status Marital status

Food preferences

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off.". The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." The client from France states, "I miss my family back home." The client from England states, "I do not understand what all these new medications are for."

The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off.".

The nurse is using an interpreter to communicate with a client who speaks a different language. What would be the best way to choose an interpreter for this client? The interpreter should speak in a loud voice. The interpreter should conduct the conversation quickly to avoid misinterpretation. The interpreter should always make direct eye contact. The interpreter should understand the health care system.

The interpreter should understand the health care system.

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: available technology. developmental level. individual values. client's height.

client's height.

Which nursing actions are appropriate when collecting a health history for a client whose primary language differs from the dominant language? Select all that apply. Ask the client's adolescent child to answer questions. Speak in detailed sentences using exact medical terminology. Use the facility telephonic interpreting system. Request assistance from a certified interpreter. Have a bilingual nurse assist with the health history.

Use the facility telephonic interpreting system. Have a bilingual nurse assist with the health history. Request assistance from a certified interpreter.

A nurse is assigned to care for a client who does not speak the dominant language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be most effective in reassuring the client until the interpreter arrives? Avoiding going into the client's room until the interpreter arrives Enlisting other healthcare providers to assist with communication Using gestures and symbols to communicate with the client Using reassuring body language and making eye contact to assess needs

Using reassuring body language and making eye contact to assess needs

An immigrant lives with relatives in a community with many households from the country of origin. The client is taken to the emergency department following a fall at work and is admitted to the hospital for observation. The nurse is aware that this client is at risk for: Cultural Blindness Cultural assimilation Culture shock Cultural imposition

culture shock

The charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what? ageism cultural shock stereotyping ethnocentrism

ageism

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: ethnic identity. subculture. assimilation. race.

ethnic identity.

The nurse is caring for two clients with the same ethnic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences? cultural relativity cultural norms ethnicity ethnocentrism

ethnicity

The nurse is teaching about sources of calcium for a client newly diagnosed with lactose intolerance. The client would require further teaching if which food is chosen? prunes egg yolks yogurt green, leafy vegetables

yogurt

The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse? "Can you tell me what foods you prefer to eat and what your family is bringing you?" "It is ok to eat what your family brought you, as long as we see what it is." "You should consider eating the food provided, which is healthier." "Do you understand the specific diet for your HTN?"

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

Which definition of culture is most accurate? Altruistic grouping Complete uniformity of members A cluster of individuals A belief system that guides behavior

A belief system that guides behavior

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

Racism

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of? A minority A subculture A majority A subgroup

A minority

Which behaviors demonstrated by the client would the nurse consider reflections of the client's pride in ethnicity? Select all that apply. Asking to wear unique clothing Listening to folk music and dance Crying when given a diagnosis of cancer Requesting assistance when transferring from bed to chair Requesting native cuisine

Requesting native cuisine Listening to folk music and dance Asking to wear unique clothing

The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond? "I will come back later and help you get up." "Would like to wait until your family arrives to get out of bed?" "You need to get up and walk to prevent complications." "Can you describe what you are feeling when you try to move?"

"Can you describe what you are feeling when you try to move?"

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. Physically impaired Financially independent Cognitively enhanced Uninterested in intimacy Burdensome to family

Physically impaired Burdensome to family Uninterested in intimacy

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

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

The nurse is caring for a client of a different culture and strives to deliver culturally sensitive care. Which action by the nurse is most appropriate? Ask inquisitive questions regarding the client's cultural practices. Research the beliefs and values of the client. Explain the culture of the biomedical system to the client. Provide uniform health care to all clients.

Ask inquisitive questions regarding the client's cultural practices.

The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the priority action by the nurse? Arrange for end-of-life care to be provided by personnel familiar with the client's culture. Share the client's concerns regarding the dying process with the interdisciplinary care team. Make every effort to involve the client and the client's family with the end-of-life care. Understand the client's personal and cultural views regarding death and dying.

Understand the client's personal and cultural views regarding death and dying.

A nurse in a large metropolitan city has been working in a health clinic that has primarily served Middle Eastern clients for several years. The nurse is well-respected and effective in providing care to this population. Given this information, what can be inferred about the nurse The nurse is attempting to overcompensate for cultural blindness and ethnocentrism within the community. The nurse's knowledge and skills provide expected care for clients in this demographic. The nurse is knowledgeable about Middle Eastern culture and respects and values providing culturally competent care. This employment has allowed the nurse to demonstrate ethnic identity and cultural bias to a specific group of people.

The nurse is knowledgeable about Middle Eastern culture and respects and values providing culturally competent care.

Nursing students are reviewing information about physical variations among cultural groups. The students demonstrate understanding of this information when they state: Most White persons experience lactose intolerance after age 5 years." "Black children typically are smaller than Asian children." "European girls, on average, reach menarche at a younger age." "Asians do not metabolize alcohol as quickly as Blacks do."

"Asians do not metabolize alcohol as quickly as Blacks do."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse? "We can wait until your spiritual healer arrives and work together to answer these questions." "These questions need to be answered so we can provide you with the best care." "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions.

"We can wait until your spiritual healer arrives and work together to answer these questions."

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond? "Why do you think God is punishing you?" "You didn't get cancer as punishment." "You sound upset. Would like you to talk about it?" "Would you like me to get someone from your church to visit you?"

"You sound upset. Would like you to talk about it?"

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

Ask about the practice of cupping.

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? Allow all the visitors into the room. Assess the client's beliefs about family support during hospitalization. Explain to the family that too many visitors will tire the client. Insist that only one family member can be in the room at a time.

Assess the client's beliefs about family support during hospitalization.

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

Culture shock

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

Culture shock

The use of one's culture as a cultural standard is known as: ritualism. cultural relativity. ethnocentrism. culture.

Ethnocentrism

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

Discuss with the client the need for assistance during ambulation.

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? Document the request as a knowledge deficit and address the couple's educational needs Assess the couple's rationale for making the request Document the request and make all reasonable efforts to honor it Determine whether the request is based on a valid reason or cultural preference

Document the request and make all reasonable efforts to honor it

A nurse is caring for an older adult. How does the nurse demonstrate awareness of culturally competent care? Establishing effective communication Maintaining eye contact at all times Trying to speak louder than usual Using touch when communicating

Establishing effective communication

The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care? Explaining the biomedical culture to the client. Treating all clients the same based on the diagnosis to demonstrate unbiased care. Implementing a standardized care plan for the client with lung cancer after explaining the procedure in the client's native language. Incorporating the client's need for daily prayer into the nursing care plan.

Incorporating the client's need for daily prayer into the nursing care plan.

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse? Wait in the room until the shaman is done. Administer the medication while the shaman continues the ritual. Ask the shaman to leave the room. Leave the room and return when the shaman is finished.

Leave the room and return when the shaman is finished.

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

Maintain flexibility when the client requests interventions at specific times.

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Turkey sandwich, milk, and gelatin Soup, hot tea, and toast Fruit salad, apple juice, and pudding Chicken salad, water, and a frozen fruit juice bar

Soup, hot tea, and toast

A nurse at a long-term care facility has completed a comprehensive assessment of an 83-year-old woman who has just moved to the facility. The assessment reveals that the new resident has a lactase deficiency. How should the nurse integrate this knowledge into the resident's care? The nurse should arrange for a vegetarian diet. The nurse should liaise with the resident's health care provider to ensure that a B-vitamin is prescribed. The nurse should ensure that the resident is not given dairy products. The resident should be provided with supplementary dietary enzymes for the digestion of fats prior to each meal.

The nurse should ensure that the resident is not given dairy products.

After educating a class of nursing students on culture and ethnicity, the instructor determines that the education was successful when the class identifies what as the same as ethnicity? subculture race ethnic identity culture

ethnic identity

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: nursing personality. genetics. media. past history.

media.

How is culture learned by each new generation? Ethnic heritage Involvement in religious activities Belonging to a subculture Formal and informal experiences

Formal and informal experiences

The staff nurse overhears the charge nurse, who is of Italian heritage, talking to the unlicensed assistive personnel. Which statement made by the charge nurse is an example of ethnocentrism? "Hispanics are usually lazy." "People who are Irish are usually alcoholics." "Italians are best at everything." "Asian people are bad drivers."

"Italians are best at everything."

When a labor and delivery nurse tells a coworker that a client of Asian descent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what? Stereotype Stigma Bias Ethnic slur

Stereotype

The nurse is providing discharge teaching for a client who is from a different culture. The nurse notes that the client will look away from the nurse and does not maintain eye contact. What would be the most appropriate action by the nurse, with regard to culturally competent care? Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions. Continue with teaching and leave written instructions for the client to review. Change positions to promote eye contact with the client, asking open-ended questions to ensure understanding. Tell the client that it is important to pay attention to the teaching and ask if the client would like an interpreter.

Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions.

A nurse has been cautioned by a nursing educator to ensure that stereotyping does not influence the nurse's beliefs, behaviors, and interactions with clients from other cultures. What action by the nurse would be considered stereotyping? making adjustments to a client's diet based on the client's stated religion allowing race and ethnicity to inform the nurse's assessments and client education arranging for an interpreter to assist with the admission assessment of a client who is a recent immigrant ascribing attributes to members of a particular culture that are unsupported by facts

ascribing attributes to members of a particular culture that are unsupported by facts

A client of Asian descent has recently given birth and notes the presence of a dark blue area on the back of the baby. What should be the nurse's explanation to the mother? "It is normal for a baby of Asian ethnicity." "It may be due to your food habits during pregnancy." "I have called the doctor to check the baby." "It may be due to any intrauterine abnormalities."

"It is normal for a baby of Asian ethnicity."

The mother of a Black newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response? "These spots will normally fade in about 2 weeks." "These areas are normal and should disappear by early childhood." "This discoloration occurs in some infants and is usually permanent." "It will be best if you have these areas treated with laser surgery."

"These areas are normal and should disappear by early childhood."

A nurse needs to bathe a client at the health care facility. What is the most appropriate action of the nurse before washing the client's hair? Seek permission from the client. Acquire a special shampoo to bathe the client. Give an oil massage before washing the hair. Arrange the articles required.

Seek permission from the client.

The nurse caring for several clients on a surgical unit notes that one of the clients is Muslim. The nurse decides to remove all pork from the client's meal tray prior to delivering it to the room. What best describes the nurse's action? Transcultural nursing Stereotyping Racism Honoring rituals

Stereotyping

A nurse at a small, rural hospital that lacks professional interpreter services has admitted a client who does not speak the dominant language. How should the nurse best communicate with this client? Rely on written, rather than spoken, instructions and questions when interacting with the client. Utilize a telephone-based interpreting service in order to communicate clearly with the client. Base the client's care on the nurse's preexisting knowledge of the client's culture. Ask a family member to remain with the client at all times.

Utilize a telephone-based interpreting service in order to communicate clearly with the client.

When an American client states, "I only want an American doctor," the client is expressing: racism. ethnocentrism. cultural relativity. cultural pervasiveness.

ethnocentrism.

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

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