Chapter 5

Which behaviors demonstrated by the client would the nurse consider as reflection of the client's pride in ethnicity? Select all that apply. requesting native cuisine crying when given a diagnosis of cancer requesting assistance when transferring from bed to chair asking to wear person unique clothing listening to folk music and dance

requesting native cuisine listening to folk music and dance asking to wear person unique clothing

The nurse is taking a client history. With which client is direct eye contact appropriate? 55-year-old Native American/First Nations woman 60-year-old woman of Arab descent 32-year-old white woman 44-year-old woman of Asian descent

32-year-old white woman

A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices? A black man rolls his eyes when asked how he copes with stress in the workplace. Assumption: He may feel he has already answered this question and has become impatient. A Hasidic Jewish man listens intently to a male physician, making direct eye contact with him, but refuses to make eye contact with a female nursing student. Assumption: Jewish men consider women inferior to men. A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. A Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation.

A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.

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? Use simple words with simple actions. If the client does not answer, repeat the question again use a louder tone. Write out all questions using appropriate medical terms. Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

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

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care? Culture is relatively static and unchanging. Individuals learn culture in a purposeful manner. Not all members of the same culture act and think alike. Individuals can easily describe their culture.

Not all members of the same culture act and think alike.

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

Racism

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

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

Nursing students are socialized into the: health care culture. diagnostic process. caring paradigm. nursing specialties.

health care culture.

The nurse is caring for a black 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? "You should consider eating the food provided, which is healthier." "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." "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?"

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? "Culture can be seen in attitudes and institutions of certain populations." "Language is the primary way that people share their culture." "Culture helps to define identity within specific groups of people." "Culture cannot be influenced, and you are born with your culture."

"Culture cannot be influenced, and you are born with your culture."

The nurse is interviewing a client who is Native American/First Nations. What question would be best to ask this client? "Will you require a kosher meal?" "Do you use herbal or medicinal plants?" "Is your diet based on using hot/cold foods to treat illness?" "When you consume dairy products, do you have any gastrointestinal discomfort?"

"Do you use herbal or medicinal plants?"

Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain? "Males tend to overreact to pain for sympathy." "Some procedures hurt more and should have more pain reaction." "Asian clients have a high pain tolerance." "If a client needs to yell in pain, that is his or her right."

"If a client needs to yell in pain, that is his or her right."

The staff nurse overhears the charge nurse talking to the unlicensed assistant personal (UAP). Which statement made by the charge nurse is an example of ethnocentrism? "Hispanics are usually lazy." "Asian people are bad drivers." "Italians are best at everything." "People who are Irish are usually alcoholics."

"Italians are best at everything."

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? "This discoloration occurs in some infants and is usually permanent." "These areas are normal and should disappear by early childhood." "These spots will normally fade in about 2 weeks." "It will be best if you have these areas treated with laser surgery."

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

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? "These questions need to be answered so we can provide you with the best care." "We can wait until your spiritual healer arrives and work together to answer these questions." "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives."

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

A nurse is admitting a client to the unit. Which cultural question is most appropriate? "Will you be making requests for special food based on your religion?" "Do you have food restrictions?" "What are your dietary needs and preferences?" "Will you be able to eat the normal food provided?"

"What are your dietary needs and preferences?"

A client with Asian heritage is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep his blood sugar under control. What is the most appropriate response by the nurse? "Saffron does not have any effect on blood sugar level." "Why don't you take the medicines, too, and benefit from both?" "Yes, I agree that you should continue taking saffron for diabetes." "Let me inform the physician that you are not taking your medicines."

"Why don't you take the medicines, too, and benefit from both?"

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty? Access to affordable housing Access to care Access to health insurance Access to financial assistance

Access to care

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? Ask the client why he is backing away. Move closer to the client. Ask the client about his personal space preferences. Back away from the client.

Ask the client about his personal space preferences.

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? Do nothing unless the client requests spiritual assistance. Ask the client if a spiritual leader is desired. Call a Roman Catholic priest to visit the client. Inquire if the client desires the Sacrament of the Sick.

Ask the client if a spiritual leader is desired.

The nurse admits a Native American/First Nations client to the critical care unit to rule out a myocardial infarction (MI). The client has several family members in the waiting room. Which nursing action is most appropriate? 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. Ask the client their personal beliefs about family support during hospitalization. Allow all the visitors in the room.

Ask the client their personal beliefs about family support during hospitalization.

A client originally from Asia believes that her illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating? Cultural diversity Stereotyping Cultural blindness Ethnocentrism

Cultural blindness

A nurse is working in an inner city clinic with a heavy population of Hispanic migrant workers. Which nursing assessment is the priority? Spiritual assessment Blood pressure assessment Blood sugar assessment Language assessment

Language assessment

While caring for a Hispanic client, the nurse inadvertently offends the client. What is the best action by the nurse? Ask the client why he is so mad. Learn from the mistake and do not repeat it. Examine the interaction and focus on the majority culture. Recognize that there is a cultural bias that led to the mistake.

Learn from the mistake and do not repeat it.

A client of Arab descent has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client? Giving a light handshake Asking about the client's personal life Asking about the client's medical history Maintaining eye contact

Maintaining eye contact While interviewing an Arab client, the nurse should avoid maintaining eye contact with the client. In Arab culture, maintaining eye contact is sexually suggestive; if the nurse does so during the interview, it may give the wrong message to the client. However, the nurse may give a light handshake or ask about the client's personal life and medical history during the interview. (less)

A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern? The client receives government assistance. The client does not have running water. The client does not have air-conditioning. The client has no hope for the future.

The client does not have running water.

Which is a cultural norm of the health care system? The omnipotence of technology is yet to be recognized. There are rigid procedures attending birth and death. There is the use of a systematic approach and problem-solving methodology. There is a tolerance of tardiness, disorderliness, and disorganization.

There is the use of a systematic approach and problem-solving methodology.

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? Share the client's concerns regarding the dying process with the interdisciplinary care team. Understand the client's personal and cultural views regarding death and dying. Arrange for end-of-life care to be provided by personnel familiar with the client's culture. 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.

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

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

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

a minority

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? cultural shock ethnocentrism stereotyping ageism

ageism

Which action made by the nurse provides the best assessment data for presence of jaundice? assessing the lips evaluating the skin checking the hard palate inspecting the nail beds

checking the hard palate The hard palate, or sclera, provides the best assessment data for assessment of jaundice in a highly-pigmented client. Evaluating the skin, assessing the lips, and inspecting the nail beds do not provide the best assessment data.

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. The nurse's behavior an example of: cultural blindness. cultural imposition. stereotyping. cultural conflict.

cultural imposition.

A nurse is caring for a 55-year-old man from Thailand. The client has bacterial pneumonia and a temperature of 104°F (40.0°C); yesterday his temperature was 102°F (38.9°C). The physician on call prescribes cool compresses for the client to help lower the fever. However, the client insists that the nurse bring him warm blankets because they will help him recover more quickly. The nurse recognizes that the client's request is an example of: ethnocentrism. cultural ritual. cultural stereotyping. cultural competence.

cultural ritual.

The emergency department (ED) nurse is caring for a client who recently immigrated from China and was injured in a motor vehicle collision (MVC). The nurse should implement interventions aimed at addressing which issue? generalization cultural shock ageism ethnocentrism

cultural shock

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply. less power health disparities increased economic privileges improved access to care greater advantages

less power health disparities

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? green, leafy vegetables prunes yogurt egg yolks

yogurt

The nurse is assessing an older adult of Asian decent who immigrated at the age of 3 years. The client speaks the dominant language and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate? Contact a shaman as part of culturally competent care of the client. Contact the client's oldest son to assist with health care decision making. Ask the client about special cultural beliefs or practices. Avoid direct eye contact with the client when speaking.

Ask the client about special cultural beliefs or practices.

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? Client Health care provider Older family member Nurse

Client

Health care facilities that sponsor health promotion activities only in affluent areas are considered: culturally affluent. culturally different. culturally sensitive. culturally blind.

culturally blind.