chapter 11 assessment

18. Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?

"I need to understand the client's cultural background to best interpret the client's needs."

34. Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

48. The nurse is caring for a client who is from another country, and states to the charge nurse, "I just don't know if the client really understands what I am saying, and I am not understanding the client either, even though he speaks English." What stage of cultural awareness is the nurse experiencing?

Conscious incompetence

44. When caring for a client from a culturally different background, what is the goal for incorporating the client's health beliefs and practices into the nursing plan of care?

Improvement of the client's health outcomes

91. An elderly client is touring the United States and has a heart attack. When admitting this client to the coronary care unit, what would be important to note in the family history?

The decision makers for the family

25. The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?

The new mother may believe buying infant clothing before the delivery is bad luck.

13. What must occur before a client will be willing to teach the nurse about her culture?

The nurse needs to establish rapport and trust

70. Which of the following statements is true of sickle cell disease and other hemoglobinopathies?

They are associated with high-malaria environments.

22. A nursing student is caring for an older adult from a culture different from her own. The nurse's preceptor asks the student what would be an important assessment to make to provide quality nursing care for this client. What would be the student's most appropriate response?

Transcultural assessment

19. What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.

alternative medicine practices nutritional or dietary considerations whether there are any existing language barriers

57. What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.

alternative medicine practices nutritional or dietary considerations whether there are any existing language barriers

20. A client from a non-English speaking culture is experiencing a health problem. What should the nurse do to ensure that communication with this client is culturally appropriate?

be respectful of the client's culture

78. The nurse knows that nonverbal communication can be difficult to interpret among of people of different cultures because of the many variations. These variations include which of the following? (Select all that apply.)

eye contact touch hand gestures patterns of space

88. The nurse knows that nonverbal communication can be difficult to interpret among of people of different cultures because of the many variations. These variations include which of the following? (Select all that apply.)

hand gestures patterns of space touch eye contact

16. The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.

75. A new nurse asks her preceptor if the new baby she is caring for is breast- or bottle-feeding. The preceptor tells the new nurse that the mother is Hispanic and to give the baby a bottle because Hispanics do both until the mother's milk comes in. This is an example of:

stereotyping.

24. When performing a cultural assessment, an important point to remember would be

that definitions of family differ

79. A nurse understands that culture heavily influences diet and nutrition. Which of the following can seriously affect a client's appetite?

time the meal is served

37. Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

83. The nurse is conducting a cultural assessment with a client who recently immigrated to the United States. Which interview question is of most importance when addressing family history as it impacts the client's care?

"Who is primarily responsible for making family decisions since arriving in the United States?"

61. If a client seems reluctant to make eye contact, a health care provider should consider the possibility that this is which of the following?

An indication of discomfort or intimidation

31. In preparing to assess a client from a different culture, a nurse is aware that one needs to assess both factors that affect the client's approach to providers and factors that affect the client's disease, illness, and health state. Which of the following is a factor the nurse should consider that primarily affects the client's approach to providers?

Body language

52.In preparing to assess a client from a different culture, a nurse is aware that one needs to assess both factors that affect the client's approach to providers and factors that affect the client's disease, illness, and health state. Which of the following is a factor the nurse should consider that primarily affects the client's approach to providers?

Body language

67. In preparing to assess a client from a different culture, a nurse is aware that one needs to assess both factors that affect the client's approach to providers and factors that affect the client's disease, illness, and health state. Which of the following is a factor the nurse should consider that primarily affects the client's approach to providers?

Body language

15. Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

2. A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?

Conduct a cultural assessment to better understand the client's perception of pain and illness.

42. A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?

Conduct a cultural assessment to better understand the client's perception of pain and illness.

26. The nurse is caring for a client who is from another country, and states to the charge nurse, "I just don't know if the client really understands what I am saying, and I am not understanding the client either, even though he speaks English." What stage of cultural awareness is the nurse experiencing?

Conscious incompetence

59. What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds?

Develop a cultural habit and build effective relationships

50. A nurse recognizes that the belief that one's worldview is the only acceptable truth and that one's beliefs, values, and sanctioned behaviors are superior to all others is called what?

Ethnocentrism

65. A client requests to be cared for by a nurse who is a member of his own culture. The nurse recognizes that which barrier exists in regards to this client's nursing care?

Ethnocentrism

7. The student nurse is aware that culturally competent care is described as which of the following?

Following five constructs of cultural awareness, knowledge, skill, encounters, and desire

17.Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?

Mediterranean and Africa.

82. Which of the following statements is true of cultural groups and magico-religious beliefs in their health belief systems?

No culture is without an element of magico-religious beliefs.

84. The nurse is caring for an adult client who is refusing pain medication after an open kidney surgery. What would the nurse include in the client's cultural assessment to understand this client's actions?

Pain assessment

14. As a novice nurse caring for a client from a different culture, what may the nurse find confusing or upsetting?

Patient's nonverbal communication

62. A nurse documents on the client's assessment form, "skin color appropriate for race". Why is this not an appropriate assessment statement?

Race is not a physical characteristic.

66. A nurse provides care for a client who experiences anxiety, gastrointestinal complaints, and a fear of being poisoned or killed. The nurse recognizes this as which culture-bound syndrome?

Rootwork

40. When the nurse asks a client of African origin for the reason for coming to the health clinic, the client responds by saying, "Bad blood." The nurse recognizes that the client is most likely referring to which of the following?

Sexually transmitted infection

8. A nursing student realizes that which of the following is an important variation of communication?

Silence

69. Suzie is a 16-year-old daughter in the Hanes family. She is the youngest of five children. She has had a series of illnesses and does not seem to be regaining her strength. She likes school but is falling behind a bit. Her mother is very attentive to her needs but does not seem overly concerned with the continuing pattern of illness. Which of the following is most likely a Hanes family belief?

The family values taking sick roles and caregiver roles.

39. A client from a non-English speaking culture is experiencing a health problem. What should the nurse do to ensure that communication with this client is culturally appropriate?

be respectful of the client's culture

30. A male nurse is caring for an elderly woman who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the client, she refuses to allow it. The best explanation for her actions would be which of the following?

cultural differences

53. The most effective way for a nurse to learn about an ethnic group within the community in which he/she practices is

spend time with a variety of individuals of that ethnic group.

43. A new graduate nurse, attending a hospital orientation, is asked to explain what the goals of a cultural assessment include. What would be the graduate nurse's best answer?

Developing and implementing a culturally congruent plan of care

73. A new graduate nurse, attending a hospital orientation, is asked to explain what the goals of a cultural assessment include. What would be the graduate nurse's best answer?

Developing and implementing a culturally congruent plan of care

85. A new graduate nurse, attending a hospital orientation, is asked to explain what the goals of a cultural assessment include. What would be the graduate nurse's best answer?

Developing and implementing a culturally congruent plan of care

11. A nurse is assessing a client from India who complains of panic, sexual dysfunction, fatigue, weakness, and loss of appetite. Which culture-bound syndrome should the nurse suspect in this client?

Dhat

89. A nurse is aware that pregnancy and childbirth hold different taboos among various cultures. Some of these taboos include which of the following? (Select all that apply.)

Not permitting the father to see mother or baby until the baby is cleaned Having the mother avoid reaching over her head to prevent the umbilical cord from going around the baby's neck Not buying baby clothes before birth

33. As a novice nurse caring for a client from a different culture, what may the nurse find confusing or upsetting?

Patient's nonverbal communication

63. A client of a different culture than the nurse is enjoying the afternoon in the park playing with her daughter. She later arrives 30 minutes late to her doctor's appointment and does not understand the problem when the receptionist tells the client that she will have to reschedule. This client views time in which context?

Present

56.Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

64. A nursing instructor is teaching about cultural awareness and sensitivity in client care. The student demonstrates understanding of the above when making which of the following statements?

"Cultural awareness happens first when the nurse obtains culturally specific information from the client's health history."

80. A nursing instructor is teaching about cultural awareness and sensitivity in client care. The student demonstrates understanding of the above when making which of the following statements?

"Cultural awareness happens first when the nurse obtains culturally specific information from the client's health history."

36. Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?

"I need to understand the client's cultural background to best interpret the client's needs."

54. Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?

"I need to understand the client's cultural background to best interpret the client's needs."

12. A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover?

A focus on maintaining balance between yin and yang

23. A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?

Assessing if the client speaks and understands English

3. A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?

Assessing if the client speaks and understands English

45. A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?

Assessing if the client speaks and understands English

10. A nurse assesses a 4-year-old boy who experiences gas, a stomachache, and diarrhea after consuming lactose products. The nurse recognizes the data as what type of biological variation?

Biochemical

28. A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?

Cultural desire

6. A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?

Cultural desire

77. A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?

Cultural desire

27. The nurse knows that she will be caring for a client from Southern Korea who has been visiting with a family member. The nurse obtains some information about the Korean culture so that she will be able to meet the clients needs. What is the nurse demonstrating?

Cultural knowledge

72. The nurse spends a day off in a part of a non-English speaking community in order to learn more about the culture to improve interactions when providing client care. What cultural activity is this nurse demonstrating?

Desire

74. What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds?

Develop a cultural habit and build effective relationships

87. What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds?

Develop a cultural habit and build effective relationships

32. A nurse is assessing a Navajo client, who has presented to the health clinic with complaints of feeling endangered, confusion, bad dreams, and hallucinations. Which culture-bound syndrome should the nurse suspect in this client?

Ghost sickness

76. During a client interview, the nurse is focusing on cultural influences particularly when assessing: (Select all that apply.)

Health care beliefs and practices High-risk behaviors Nutrition

60. During a client interview, the nurse is focusing on cultural influences particularly when assessing: (Select all that apply.)

Health care beliefs and practices Nutrition High-risk behaviors

58. When caring for a client from a culturally different background, what is the goal for incorporating the client's health beliefs and practices into the nursing plan of care?

Improvement of the client's health outcomes

86. When caring for a client from a culturally different background, what is the goal for incorporating the client's health beliefs and practices into the nursing plan of care?

Improvement of the client's health outcomes

68. The nurse is assessing a client and notices that when being asked questions, the client does not make eye contact. The nurse should include what in the plan of care?

Minimal eye contact due to culture

1. When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client's culture and personal life experiences.

21. When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client's culture and personal life experiences.

41. When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client's culture and personal life experiences.

90. A nurse administrator is leading a seminar on cultural awareness in health care, beginning the seminar by defining culture. Which of the following elements should the nurse administrator include, based on the definition provided by Purnell and Paulanka (2008)? Select all that apply.

Socially transmitted Affects decision making Characteristic of a population or people Forms worldview

51. A nurse administrator is leading a seminar on cultural awareness in health care, beginning the seminar by defining culture. Which of the following elements should the nurse administrator include, based on the definition provided by Purnell and Paulanka (2008)? Select all that apply.

Socially transmitted Forms worldview Characteristic of a population or people Affects decision making

29. The nurse is educating a client from another country about the medications they will be taking. The client continually interrupts the nurse during the conversation. When the nurse considers the many ways cultural differences can affect communication, how should the nurse interpret the client's interruptions?

The client is deeply engaged in the conversation.

49. The nurse is educating a client from another country about the medications they will be taking. The client continually interrupts the nurse during the conversation. When the nurse considers the many ways cultural differences can affect communication, how should the nurse interpret the client's interruptions?

The client is deeply engaged in the conversation.

47. The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?

The new mother may believe buying infant clothing before the delivery is bad luck.

5. The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?

The new mother may believe buying infant clothing before the delivery is bad luck.

9. Care that considers the client's body, mind, and spirit is which type of nursing care?

holistic care

35. The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.

38. What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.

nutritional or dietary considerations alternative medicine practices whether there are any existing language barriers

71. What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.

nutritional or dietary considerations whether there are any existing language barriers alternative medicine practices

55. Which characteristic demonstrates the nurse's understanding and practice of cultural competent nursing? Select all that apply.

recognizes the need to provide all clients holistic care states, "I'm really interested in learning about the dietary practices of the Hasidic Jews."

81. The most effective way for a nurse to learn about an ethnic group within the community in which he/she practices is

spend time with a variety of individuals of that ethnic group.

4. When performing a cultural assessment, an important point to remember would be

that definitions of family differ

46. When performing a cultural assessment, an important point to remember would be

that definitions of family differ