Ch.2 Cultural Diversity PrepU
An English-speaking Hispanic male has undergone resection of the colon. The nurse observes that the client is restless and is unable to sleep. What should be the nurse's initial statement to the client?
"Tell me what you are feeling."
An Asian American client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had his prescribed medicines. The client believes that eating saffron will keep his blood sugar under control. What is the most appropriate response by the nurse?
"Why don't you take the medicines, too, and benefit from both?"
An elderly Cantonese-speaking client has been admitted to the emergency department after suffering a fall and suspected hip fracture in her home. Emergency medical services personnel have reported to the nurse that the client speaks no English. Who is the best person to perform translation services to the client?
A hospital translator
A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?
A ritual
Values and beliefs, to a great degree, are culturally determined. In the Puerto Rican culture, what may be inappropriate in a healthcare setting?
Acting casually when greeting another individual.
The nurse is caring for a terminally ill patient whose family has requested to hold a spiritual ceremony, during which they will be using incense. What would be the best intervention you could make on behalf of this patient?
Arrange for the ceremony to occur after obtaining permission from administration.
A Chinese client is admitted to the health care facility with blockage in the coronary arteries. The cardiologist advises the client to undergo angioplasty. The client refuses the procedure. Later the nurse discovers that the client believes in naturopathy and is taking herbal extracts to unclog his coronary arteries. Which of the following suggestions should the nurse give to the client?
Ask the client to opt for herbal therapy and also undergo surgery.
An Asian American male 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 expresses that he does not have pain. What nursing action is most appropriate?
Assessing for non-verbal expressions of pain
A Malaysian client is admitted to the health care facility with complaints of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client?
At more than one arm's distance
A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?
Belief system that guides behavior
A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses which of the following?
Beliefs, values, and behavioral expectations
The nurse is performing a nutrition assessment of a patient from the Middle East. What may the nurse expect as a traditional breakfast consumed by a patient from the Middle East?
Cheese and Olives
The nurse is admitting a client from China to the medical-surgical unit with a diagnosis of cancer. While doing the client's assessments, the client speaks of her naturalistic beliefs related to health care and the importance of the yin/yang theory. Based on her cancer diagnoses, the idea that cancer is considered a "cold" illness in the culture, and her yin/yang beliefs, which meal will the patient most likely order for lunch?
Chicken noodle soup with crackers, fruit crisp, and hot tea
A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of which of the following as a characteristic?
Common and observable expressions of culture
Despite the presence of a large number of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility recognize this as an example of?
Cultural blindness
What is the term that describes the inability of a person to recognize his or her own values, beliefs, and practices as well as those of others, because of strong ethnocentric tendencies?
Cultural blindness
A client from Pakistan informs the nurse of his cultural dietary requests. The nurse responds to the special dietary needs by stating, "You are now living in the United States, and you should try to start eating those foods common to an American diet." This inappropriate response is an example of what?
Cultural imposition
A parent informs the nurse that immunizations are against her cultural and religious beliefs and she does not want her child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that she had all of her children vaccinated. What is the nurse's behavior an example of?
Cultural imposition
Which of the following is the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture?
Cultural imposition
Health care facilities that sponsor health-promotion activities only in affluent areas are considered what?
Culturally Blind
Upon moving to China, an American college student is experiencing many new feelings that she associates with her placement in a different culture. What are the feelings experienced by this student?
Culture shock
The nurse asks a client who has recently given birth to begin breastfeeding her baby. However, the client informs the nurse that she cannot breastfeed the baby for a day because she believes that the mother's milk on the first day is not pure. What is the appropriate action for the nurse in this case?
Educating the mother about the advantages of colostrum and breastfeeding
The children of an elderly male client who has suffered an ischemic stroke have informed the nurse that an herbalist will be coming to their father's bedside tomorrow to make recommendations for his care. Which of the following considerations should the nurse prioritize in light of the practitioner's planned visit?
Ensure any complementary therapies are safe when combined with his prescribed treatments.
A nurse is caring for an elderly woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?
Establishing effective communication.
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the patient is expressing what?
Ethnic identity
A client who has difficulty sleeping expresses to the nurse that watching television may help him 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?
Ethnocentrism
When a patient states, "I only want an American doctor," the patient is expressing cultural
Ethnocentrism
A nurse is caring for an Asian American client immediately postpartum. As the client seems exhausted after delivery, the nurse offers her warm milk to drink. The client refuses, saying that her cultural belief does not permit her to have any food before 24 hours have passed. What is the most appropriate response by the nurse?
Explain the importance of the mother's nutritional status for lactation.
Which of the following areas are typically included in a cultural assessment?
Food preferences
Nursing students are socialized into the
Healthcare Culture
Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?
Know the client's cultural personal space preferences.
The nurse is obtaining a health history from a patient of Puerto Rican descent. Which of the following is most likely to be a health problem that has a cultural connection for this patient?
Lactose enzyme deficiency
An Anglo American client reports to the primary health care facility with symptoms of fever, cough, and running nose. While interviewing the client, which of the following points should the nurse keep in mind?
Maintain eye contact while talking.
A patient 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
Media
The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice?
Muslim
Most nurses have been taught to maintain direct eye contact when communicating with clients. Some cultural groups would not value direct eye contact with the nurse. Which cultural group would consider the direct eye contact impolite?
Native Americans
Which of the following groups of individuals may stare at the floor during conversations as a sign of respect?
Native Americans
A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that personal space considerations vary among cultures. What personal space preferences are important for the student to consider when caring for this client?
People of Asian descent prefer some distance between themselves and others.
A nurse is assigned the care of a client who speaks only French. The nurse does not know the language. What action is appropriate for the nurse in this case?
Request a professional interpreter.
A nurse is assigned to care for a client who does not speak English. Which action by the nurse would be most effective when providing care for this client?
Requesting the assistance of a trained interpreter
When the South Asian client arrives 25 minutes late to her appointment at the clinic, the nurse recognizes this as a sign of which of the following?
Respect
In which of the following religious groups is pork specifically prohibited?
Seventh-Day Adventism
The client in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the patient is experiencing?
Shock
When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?
Sterotype
A patient's husband has asked that his wife be cared for exclusively by female nurses, a request that the patient herself agrees with. Knowing that the couple is of Middle Eastern origin, what action should the care team take in response to this request?
Take reasonable measures to accommodate the request.
A family has moved from Spain to a primarily Spanish-speaking neighborhood near a large metropolitan area in the United States. The nurse caring for this family recognizes that which of the following family members will likely require the greatest amount of time to learn the English language?
The 45-year-old mother in the family who does not work outside the home
An Asian American client is scheduled for discharge after being diagnosed with type 1 diabetes mellitus. Before leaving the health care facility the nurse demonstrates the technique of self-administration of insulin injection and explains the importance of the daily use of insulin in controlling blood sugar levels. What should the nurse conclude if the client continues to stare blankly?
The client disapproves of the insulin treatment.
In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which of the following principles?
The client may have a very different understanding of health promotion.
When providing care on an Indian reservation, the nurse has prioritized assessments for diabetes and fetal alcohol syndrome when working with residents of the reservation. How should this nurse's practice be best understood?
The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population.
The focal point of nursing is the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others?
Their own cultural orientation.
When providing nursing care to an African American individual, which of the following cultural factors should the nurse consider?
Values and beliefs are often present oriented.
You are a nursing researcher studying so-called "unnatural illnesses." What cause of such illnesses would be included in your study?
Witchcraft
Which of the following questions should the nurse include in a cultural assessment? Select all that apply.
• "What do you think is causing your illness?" • "What religion do you belong to?" • "What do you do to promote good health?" • "Do have a particular name for this illness?
How is the nursing profession becoming more culturally diverse? Select all that apply.
• By the increased number of foreign-born nurses in the profession • By the increased number of male nurses in the profession
