Chapter 5 Cultural Diversity

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?

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

The nurse is reviewing the health history of a Native American/First Nations client. Which statement made by the client would require immediate follow-up by the nurse?

"I drink alcohol occasionally, but all my family members do."

Which behavior by the nurse is stereotyping?

Avoiding older adult clients because their care is time consuming

A client believes that the 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 blindness

The nurse is caring for the teenage child of immigrants. The teenager voices distress because after living in the country for several years, he no longer wants to participate in some of the tradition religious rituals that are important to his parents. What is the teenager experiencing?

Cultural change

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?

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

The nurse is caring for a client who perceives time differently. Wjat action should be taken.

Maintain flexbility when the client requests interventions

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?

My russian heritage is superior to all others

A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?

Stereotyping The charge nurse is clearly exhibiting ageism, which is a form of stereotyping. Cultural assimilation is when one begins to assume some characteristics of a culture outside of one's own. Cultural blindness occurs when cultural differences are ignored. Cultural imposition occurs when one pushes one's cultural beliefs onto another person.

Which nursing intervention reflects culturally appropriate care when addressing a client?

Good morning Mr. Smith , I am your nuse, John