Chapter 15

The nurse is teaching a clinic patient about hypertension. Which statement by the patient suggests the patient is present-oriented?

"I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult."

The nurse is providing care to a patient who had surgery 8 hours ago and has not voided. The physician has prescribed an indwelling urinary catheter be inserted. Which of the following statements should the nurse use to describe the procedure to the patient?

"I will insert a tube into your bladder to drain the urine because you haven't urinated since surgery."

The nurse shares with the nurse manager, "My patient is Jewish, and when I tried to teach her about her antihypertensive medication, she said, 'I'd rather eat chicken soup than take those medications.'" Which is the most appropriate response by the nurse manager?

"This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup."

Nurses encounter many patients from diverse cultures. When caring for a culturally diverse patient, which initial question does the nurse ask a patient that best assists the nurse with improving cultural competency?

"What matters most to you about your illness and treatment?"

The nurse is performing an assessment on an adult patient who appears to be of Asian descent. As part of the nurse's cultural assessment, which question is most appropriate for the nurse to ask prior to documenting the patient's race?

"What race do you identify with and what name do you call it?"

Which statement(s) is/are most accurate regarding values and beliefs? Select all that apply

A value is a standard or principle that has meaning and worth to an individual. A belief is something one accepts as being true.

A patient of Asian heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs." Which possible patient view of pain is reflected as a cultural archetype in the nursing diagnosis?

A virtue and a matter of family honor

The nurse is aware a client incorporates alternative healthcare into regular health practices. The nurse self-identifies as being culturally competent. For which alternative therapy is the nurse aware that the patient visits a formally trained practitioner?

Acupuncture

The nurse is aware of many terms related to culture. Which is considered a "practice" (as opposed to a "belief" or "value")?

Always drinking water after exercise

Which statement(s) is/are most true about the concept of acculturation? Select all that apply.

An acculturated person accepts both their own culture and a new culture, adopting elements of each. It may take years and even generations for an immigrant group to acculturate. Acculturation results from a minority group's need to survive and flourish in a new culture.

Which statement(s) about culture is/are true? Select all that apply.

Culture exists on both material and nonmaterial levels. Cultural customs change over time at different rates. Culture is learned through life experiences shared by culture members.

The nurse is caring for a patient of Asian heritage who refuses opioid pain medication despite the nurse's explaining its importance in the healing process. Which intervention(s) by the nurse is/are appropriate for this patient? Select all that apply.

Document in the record that the patient does not want to take opioids. Use nonpharmacological measures to help control the patient's pain.

An adult patient of Hispanic heritage is admitted for observation after sustaining injuries in a motor vehicle accident. Which view of pain by patient the does the nurse consider when assessing the patient's injuries?

Endures pain longer and reports it less frequently than other patients

A patient who speaks a different language is being prepared for surgery and needs to sign the surgical consent form. Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient. Which action is the healthcare organization required to do?

Ensure adequate resources necessary to comply with patient needs

Which statements about race and ethnicity is/are true? Select all that apply.

Ethnicity refers to groups whose members share a common and social heritage that is transmitted to the next generation. Race primarily reflects biology and refers to grouping of people based on biological similarities.

At a clinical postconference, a nursing student states, "I had a Chinese patient today and while I understand some of her cultural practices, she needs to understand that she is in the United States now and should follow our practices because we use scientific evidence." Which cultural barrier is the student demonstrating?

Ethnocentrism

Vulnerable populations are those most likely to develop health problems and experience poorer outcomes because of limited access to care and a wide variety of other stressors. Which is most important for the nurse to focus on when caring for a patient from a vulnerable group?

Identification of the patient's strengths and resources

The nurse is providing care for a patient who emigrated from Puerto Rico. Which information about the patient will enable the nurse to best care for this patient?

Patient's individual cultural beliefs

The nurse is caring for a Native American in a rural rehabilitation facility. The nurse notices that the patient has eaten very little since admission 10 days ago. When the nurse asks the patient about eating, the patient states, "I can't eat any of this food. It just isn't what I eat at home, and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of a heart attack and that the patient has lost 7 pounds since admission. Based on this scenario, what are the most appropriate nursing diagnoses for this patient? Select all that apply.

Possible Knowledge Deficit related to disease process Imbalanced Nutrition: Less Than Body Requirement related to cultural dietary practices

Which are some strategies a new nurse can use to develop skills in achieving cultural competence? Select all that apply.

Read the literature and study nursing theories and principles pertaining to culture. Take advantage of opportunities to interact with persons from diverse cultures.

The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care?

Scheduling a visit from the local shaman

An older female patient tells the charge nurse that she wants a change in the nurse providing her care. When the charge nurse questions the patient, the patient states, "I don't want a man taking care of me." Which cultural barrier is this patient exhibiting?

Sexism

Which statement is most reflective of Madeleine Leininger's theory of cultural care?

The goal of the theory is to guide research that will assist nurses to provide culturally congruent care.

What are common beliefs and practices associated with the North American (Western) professional healthcare system? Select all that apply.

Values emphasize individualism and self-reliance. Health is defined as absence or minimization of disease. Primarily dominated by a biomedical healthcare system. The system is run by a set of professional healthcare providers.