Culture Q's

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet? 1. Pork roast, rice, vegetables, mixed fruit, milk 2. Crab salad on a croissant, vegetables with dip, potato salad, milk 3. Sweet and sour chicken with rice and vegetables, mixed fruit, juice 4. Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea

3. Sweet and sour chicken with rice and vegetables, mixed fruit, juice

The nurse is planning to instruct a Hispanic-American client about nutrition and dietary restrictions. What factors should the nurse keep in mind when developing this client's plan of care? Select all that apply. 1. They primarily eat raw fish. 2. They enjoy eating red meat. 3. They view food as a primary form of socialization. 4. Any occasion is seen as a time to celebrate with food. 5. They cook with food that lacks color, flavor, and texture.

3. They view food as a primary form of socialization. 4. Any occasion is seen as a time to celebrate with food.

Which of the following food items would be appropriate for a Jewish client who follows a kosher diet? 1. Shrimp and mussels 2. Beef and Pork 3. Tuna and Salmon 4. Cheese and milk

3. Tuna and Salmon

A nurse is planning to instruct the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse should include which information for this ethnic group? Select all that apply. 1. They primarily eat raw fish. 2. They enjoy eating red meat. 3. They use soy sauce on all food items. 4. They have difficulty adhering to a prescribed diet. 5. They view food as a primary form of socialization. 6. They enjoy food that is rich in color, flavor, and texture.

4. They have difficulty adhering to a prescribed diet. 5. They view food as a primary form of socialization. 6. They enjoy food that is rich in color, flavor, and texture.

The nurse is developing a plan of care for a hospitalized Asian-American client. The nurse should include which measures in the client's plan of care? Select all that apply. 1. Limit eye contact. 2. Clarify responses to questions. 3. Use hand gestures to communicate. 4. Maintain physical space with the client. 5. Hold the client's hand to provide comfort.

1. Limit eye contact. 2. Clarify responses to questions. 4. Maintain physical space with the client.

Which clients has a high risk of obesity and diabetes mellitus? Select all that apply. 1. A 40-year-old Latino American man 2. A 45-year-old Native American man 3. A 23-year-old Asian American woman 4. A 35-year-old Hispanic American man 5. A 40-year-old African American woman

1. A 40-year-old Latino American man 2. A 45-year-old Native American man 4. A 35-year-old Hispanic American man 5. A 40-year-old African American woman

A kosher meal is delivered to a Jewish-American client . Which action by the nurse is most appropriate in assisting the client with the meal? 1. Ask the client to prepare the meal for eating. 2. Ensure that the client has metal eating utensils. 3. Prepare the eating utensils and food for the client. 4. Transfer the food from the paper plates to glass plates.

1. Ask the client to prepare the meal for eating.

The nurse is caring for a Hispanic-American client admitted with a diagnosis of diabetic ketoacidosis. Several family members are present. Which behavior, if displayed by the family members, would the nurse interpret as characteristic of this cultural group? 1. Dramatic body language 2. Maintaining consistent eye contact 3. Consistently expressing negative feelings 4. Consistently confronting the nurse directly

1. Dramatic body language

A nurse is assessing the cultural beliefs of five clients requiring specimen collection for a diagnostic test. Which cultural assessments are correct? Select all that apply. 1. Insertion of a throat culture swab into the mouth of a Southeast Asian client may be perceived as threatening. 2. Amish clients may only have vaginal or urinary specimens collected by an adult Amish male family member. 3. Hispanic clients often become anxious during blood specimen collection because they consider blood as irreplaceable. 4. Hindus collecting a stool specimen for a Hemoccult screening test need to use the left hand to place the stool onto the Hemoccult card. 5. Self-urine collection performed by a right hand-dominant Muslim client may be collected incorrectly because only a Muslim's left hand can be used for dirty activities.

1. Insertion of a throat culture swab into the mouth of a Southeast Asian client may be perceived as threatening. 4. Hindus collecting a stool specimen for a Hemoccult screening test need to use the left hand to place the stool onto the Hemoccult card. 5. Self-urine collection performed by a right hand-dominant Muslim client may be collected incorrectly because only a Muslim's left hand can be used for dirty activities.

The nurse plans to do dietary teaching with an African-American client. The nurse focuses the plan based on which foods that are characteristically consumed by individuals of this culture? Select all that apply. 1. Pork 2. Greens 3. Red meat 4. Fried foods 5. Spicy foods

1. Pork 2. Greens 4. Fried foods

A nurse is assisting in developing a postoperative plan of care for a Filipino-American client scheduled for surgery. The nurse should consider which factors when addressing pain? Select all that apply. 1. The client has a high tolerance to pain. 2. The client will need to ask for pain medication when needed. 3. Pain medication needs to be offered on a regular basis as prescribed. 4. Pain medication needs to be offered when nonverbal signs of discomfort are identified. 5. The client should be allowed to maintain control and request pain medication on his own.

1. The client has a high tolerance to pain. 3. Pain medication needs to be offered on a regular basis as prescribed.

A nurse is assigned to collect data from a Hispanic-American client during the hospital admission. The nurse should plan to use which communication patterns? Select all that apply. 1. Avoid touching the client. 2. Greet the client with a handshake. 3. Smile through the admission process. 4. Use humor when asking the client questions. 5. Use affirmative nods during the conversations with the client.

2. Greet the client with a handshake. 3. Smile through the admission process. 5. Use affirmative nods during the conversations with the client.

The nurse develops a plan of care for a White-American client. The nurse considers the practices and preferences of the culture when planning the care, knowing that which are characteristics associated with this ethnic group? Select all that apply. 1. The man is always the dominant figure. 2. Community social organizations are important. 3. Health often is viewed as an absence of disease or illness. 4. The client will appear stoic when expressing physical concerns. 5. Members usually rely primarily on the modern Western health care delivery system.

2. Community social organizations are important. 3. Health often is viewed as an absence of disease or illness. 4. The client will appear stoic when expressing physical concerns. 5. Members usually rely primarily on the modern Western health care delivery system.

The nurse caring for an Orthodox Jewish client plans a diet that adheres to the practices of the client's faith. The nurse recognizes that which principles are consistent with dietary kosher laws? Select all that apply. 1. Meat and milk can be eaten together. 2. Eating fish with scales and fins is allowed. 3. Unleavened bread is eaten during Passover week. 4. Meat from animals who are vegetable eaters is allowed. 5. Meat is allowed if the food animal is ritually slaughtered.

2. Eating fish with scales and fins is allowed. 3. Unleavened bread is eaten during Passover week. 4. Meat from animals who are vegetable eaters is allowed. 5. Meat is allowed if the food animal is ritually slaughtered.

A home care nurse is assigned to visit a Hispanic-American client to perform an admission assessment. On the initial meeting with the client, the nurse should plan to incorporate which social custom? 1. Avoid touching the client. 2. Greet the client with a handshake. 3. Smile and use humor throughout the entire admission assessment. 4. Avoid using affirmative nods during the conversations with the client.

2. Greet the client with a handshake.

The nurse is caring for a Chinese client who is in labor. The client is exhibiting facial grimacing and appears to be in pain. When the nurse offers the client an analgesic, the client refuses. The nurse should take which initial action? 1. Administer an analgesic. 2. Offer an analgesic again. 3. Check the client's vital signs. 4. Document the client's refusal.

2. Offer an analgesic again.

The nurse identifies low-risk therapies to a client and should include which therapies in the discussion? Select all that apply. 1. Herbs 2. Prayer 3. Touch 4. Massage 5. Relaxation 6. Acupuncture

2. Prayer 3. Touch 4. Massage 5. Relaxation

The nurse is examining a Hispanic-American child who was brought to the clinic by the mother. Which are appropriate nursing actions? Select all that apply. 1. Admiring the child 2. Taking the child's temperature 3. Asking questions about the child 4. Obtaining an interpreter if necessary 5. Maintaining eye contact with the mother

2. Taking the child's temperature 3. Asking questions about the child 4. Obtaining an interpreter if necessary

The nurse manager is giving a staff inservice on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply. 1. "Educational topics are always determined by the nurse." 2. "All clients view education about their health status as important." 3. "The population served will determine the culturally sensitive resources to use for teaching." 4. "Assessment of a client's preferred learning approach is essential to facilitate the learning process." 5. "It is important to have an accurate translator when the nurse and client do not speak the same language."

3. "The population served will determine the culturally sensitive resources to use for teaching." 4. "Assessment of a client's preferred learning approach is essential to facilitate the learning process." 5. "It is important to have an accurate translator when the nurse and client do not speak the same language."

A nurse is caring for a Chinese client who is hospitalized due to pneumonia. Based on their culture, which of the following is believed to be the cause of the illness? 1. An illness cast by an enemy 2. An illness as a result of punishment for sins 3. An illness may be attributed to overexertion 4. An illness may be given by someone who did not want it

3. An illness may be attributed to overexertion

A nurse is planning the menu for a Chinese-American client. Which foods should the nurse plan to include in the dietary plan? Select all that apply. 1. Milk 2. Yogurt 3. Broccoli 4. Green beans 5. Peanut butter cookies

3. Broccoli 4. Green beans

The nurse is implementing the complementary therapy of therapeutic touch when caring for clients. The nurse should implement which action when performing therapeutic touch? 1. Apply heating pads to the back. 2. Vigorously massage bony prominences. 3. Position hands 2 to 4 inches from the body. 4. Position hands directly on the client's skin.

3. Position hands 2 to 4 inches from the body.

The nurse in a health care clinic is preparing to conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the priority? 1. Discuss the costs of food items. 2. Review the MyPlate food guide. 3. Identify the food preferences and methods of food preparation for each client. 4. Weigh each client and ask the client to document the weight on a progress chart.

3. Identify the food preferences and methods of food preparation for each client.

The nursing instructor is providing a session on cultural beliefs related to health and illness. At the end of the session, the instructor asks a nursing student to describe the beliefs of some African Americans in regard to illness. Which statement would be the best response by the student? 1. "Illness may be a punishment for sins." 2. "Illness may be caused by lack of exercise." 3. "Illness may be caused by an imbalance between yin and yang." 4. "Illness is a disharmonious state that may be caused by demons and spirits."

4. "Illness is a disharmonious state that may be caused by demons and spirits."

The nurse is developing a postoperative plan of care for a 40-year-old Filipino man scheduled for an appendectomy. What is the primary nursing action to include in the client's plan of care? 1. Inform the client to ask for pain medication when needed. 2. Offer pain medication when nonverbal signs of discomfort are identified. 3. Allow the client to maintain control and request pain medication on his own. 4. For the first postoperative day, offer pain medication on a regular basis as prescribed.

4. For the first postoperative day, offer pain medication on a regular basis as prescribed.

The nurse educator asks a student to list the five categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, would indicate an understanding of the five categories of CAM? 1. Herbology, hydrotherapy, acupuncture, nutrition, and chiropractic care 2. Mind-body medicine, traditional Chinese medicine, homeopathy, naturopathy, and healing touch 3. Biologically based practices, body-based practices, magnetic therapy, massage therapy, and aromatherapy 4. Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine

4. Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine