EAQ: Ch. 6 Cultural and Ethnic Considerations

The nurse is caring for a Muslim patient and knows that individuals of this religion pray several times a day. Which intervention is most appropriate in caring for this patient? 1 Schedule patient care around these prayer times. 2 Encourage the patient to plan prayers around treatments. 3 Nursing care can be provided according to the patient's preferences. 4 If the patient is praying, interrupt only for nursing care and allow the patient to finish praying later.

1) Schedule patient care around these prayer times.

A patient from the Catholic faith is dying. The nurse calls the priest and requests which action to address the patient's needs at this time? 1 The "anointing of the sick" sacrament 2 Praying with the patient and the family 3 Reading the Bible with the patient and the family 4 Singing songs of comfort to the patient and the family

1) The "anointing of the sick" sacrament

A Mexican American patient is about to give birth. She is requesting family support. The father is in the waiting room and does not want to be present at the delivery. Which action is appropriate for the nurse to take? 1 Insist that the father be present at the delivery. 2 Ask a female family member to support the patient. 3 Request the father to leave and return the following day. 4 Threaten to notify Child Protective Services about abandonment.

2) Ask a female family member to support the patient.

Which strategy does the nurse employ when examining an Asian patient with syphilis? 1 Ask questions multiple times. 2 Assign a nurse of the same gender. 3 Maintain prominent eye contact. 4 Try to speak in the patient's language.

2) Assign a nurse of the same gender

A Hispanic patient says that her family will eat only foods of their culture. Which strategy would the nurse recommend to the patient? 1 Stop cooking and start eating out at a health food restaurant. 2 Eat the foods of your culture, but find healthier ways to cook them. 3 Cook the healthy food, and the family will eventually acquire the taste for them. 4 Cook the foods of your culture for the family, but cook a low-fat diet for yourself.

2) Eat the food of your culture, but find healthier ways to cook them.

A female Muslim patient has been assigned to a male nurse. As the nurse enters the room, the patient becomes very upset. The nurse understands that this patient is upset because of which situation related to this patient's religious beliefs? 1 Her husband is not present at the time. 2 Her nursing care provider is not a female. 3 Her mother is not present for all procedures. 4 Her primary health care provider is not present at that time.

2) Her nursing care provider is not a female

Which nursing concern is appropriate for a 35-year-old Hispanic patient who does not speak English? 1 Inability to adhere to the care routine of the hospital staff 2 Inability to understand the verbal remarks of the care staff 3 Lack of knowledge regarding medical and nursing diagnoses 4 Inability to cope with the hospital stay without his wife at his bedside

2) Inability to understand the verbal remarks of the care staff (language barrier)

A male infant has been born. The family insists that circumcision be done on the eighth day of life. To which religion does the child likely belong? 1 Christianity 2 Judaism 3 Buddhism 4 Hinduism

2) Judaism

While interacting with the parents of a child who was severely injured, the nurse notes that neither parent has the ability to read or write. Which strategy does the nurse adopt to ensure effective communication? 1 Suggest a clergy visit to the family. 2 Provide instructional material supported by illustrations. 3 Maintain eye contact while giving instructions to the parents. 4 Seek assistance from other family members when communicating.

2) Provide instructional material supported by illustrations.

An African American patient with severe hypertension and cardiovascular disease admits to regularly eating such foods as fried chicken, fried pork chops, French fries, and fried fish. Which nursing action will promote a healthier intake? 1 Supporting the patient in her dietary habits 2 Suggesting baking and broiling instead of frying 3 Telling the patient to stop eating meat and become a vegetarian 4 Arranging a visit with another patient who had a heart attack because of eating fried foods

2) Suggesting baking and broiling instead of frying

The nurse tells a Mexican patient, "You need an ultrasound scan." During the interaction, the nurse notices that the patient is silent. Which conclusion does the nurse draw about the patient from the patient's behavior? 1 The patient is thinking about the test. 2 The patient is not agreeing to take the test. 3 The patient is showing respect to the nurse. 4 The patient is not comfortable talking with the nurse.

2) The patient is not agreeing to take the test.

A Hispanic American child is brought to the clinic by her mother to be examined by the primary health care provider. Which nursing action is most important when gathering data about the child? 1 Avoid eye contact. 2 Use only body language. 3 Avoid any talking with the child. 4 Provide therapeutic touch with assessment.

1) Avoid eye contact.

An infant is born in an unstable condition into a Roman Catholic Family. The nurse understands that the child may die without being seen by a priest. Which intervention would be included in the plan of care? 1 Baptism 2 Communion 3 Last rites 4 Prayer

1) Baptism

Two nurses instruct a patient on a ritual practiced in their culture. They believe the ritual they practice is the best for the patient's condition. Which concept describes the behavior of the nurses? 1 Ethnocentric 2 Stereotyping 3 Cultural ignorance 4 Culturally sensitive

1) Ethnocentric

The nurse is feeding a Jewish patient with a low body mass index. The diet contains meat and dairy products. Which precaution would the nurse take while providing nutrition? 1 Give milk first, followed by meat. 2 Avoid meat and milk on Wednesdays. 3 Avoid meat on the day of Sabbath. 4 Give only milk on the day of Yom Kippur.

1) Give milk first, followed by meat.

Which dietary precaution would the nurse adopt while assisting in the care of a patient from the Islamic community? 1 Giving permissible meat 2 Providing pork on all Islamic holidays 3 Supplying pork only on a Monday 4 Providing milk only on a Friday

1) Giving permissible meat

A patient's husband insists that he must be the one who signs the patient's consent form. To which religious faith might the nurse consider that the patient and her spouse belong? 1 Islam 2 Judaism 3 Buddhism 4 Christianity

1) Islam

A patient admitted to the medical-surgical unit insists that the nurse provide a private space for prayers. To which religion might this patient belong? Select all that apply. 1 Islam 2 Judaism 3 Hinduism 4 Christianity 5 Taoism

1) Islam and 2) Judaism

Which communities prefer having flexible schedules? Select all that apply. 1 Korean 2 Filipino 3 Chinese 4 American 5 Japanese

1) Korean, 2) Filipino, and 3) Chinese

A patient of the Jewish faith dies immediately after an above-the-knee amputation. The family is requesting that the amputated leg be made available for burial with the patient. Which action by the nurse would be appropriate? 1 Make arrangements to accommodate the family's wishes. 2 Explain that the limb cannot be returned once amputation has occurred. 3 Secure a court order that terminates the family's rights to claim the limb. 4 Inform the family that the health care facility requires that all limbs be placed in an incinerator and burned.

1) Make arrangements to accommodate the family's wishes.

A Vietnamese patient brings a 7-year-old child for a clinic visit twice a week to assist with translation. The nurse is concerned that the child is missing too many days of school. Which action would demonstrate acting as an advocate for the family? 1 Making arrangements for a translator to be present on the visits 2 Calling the school and insisting that a truant officer be sent to the patient's home 3 Allowing the child to take classes in the on-site nursery located inside of the clinic 4 Informing the charge nurse of the clinic and having the charge nurse handle the situation

1) Making arrangements for a translator to be present on the visits

During an interview with a patient scheduled to have surgery, the patient states that alternative therapy and non medical remedies are being used. Which action by the nurse would be most appropriate? 1 Notify the health care provider. 2 Note the health practices in the patient's record. 3 Recognize the patient's right to participate in alternative therapies. 4 Inform the patient that the facility will be unable to provide information about those therapies during the patient's stay.

1) Notify the health care provider

The mother of a Native American newborn is requesting to give the baby a back massage. The nurse understands that this is a ritual that serves which purpose? 1 Promotes the bonding process 2 Stimulates the baby's circulation 3 Helps the infant to sleep all night 4 Prevents cyanosis in the newborn

1) Promotes the bonding process

An older patient takes laxatives on a daily basis. The behavior has continued in spite of several attempts to alter this daily habit, and the patient becomes visibly upset when questioned about it. Which action by the nurse would be most therapeutic for the patient? 1 Refrain from questioning the patient about the medication. 2 Ask the health care provider not to write a prescription for additional laxatives. 3 Insist that the patient take the laxatives twice weekly instead of daily. 4 Threaten the patient that failure to stop will result in protective services being called.

1) Refrain from questioning the patient about the medication.

The nurse is reinforcing hygiene teaching to a child with a bacterial infection. During the interaction, the nurse notices that the child smiles and frequently nods his or her head. Which course of action would the nurse take? 1 Perform a baseline hearing assessment for the child. 2 Validate the child's understanding by asking questions. 3 Maintain silence for some time, allowing the child to articulate. 4 Document the child's behavior and report it to the health care provider.

2) Validate the child's understanding by asking questions

In the absence of the priest, the nurse has baptized a newborn baby. Which additional action would the nurse also perform? 1 Arrange for a prayer with the patient's family and friends. 2 Read the Bible to the mother and the newborn baby. 3 Document the baptism in the nurse's notes. 4 Check the prescriptions required for the newborn baby

3) Document the baptism in the nurse's notes

Which action would the nurse take when developing a care plan to ensure that it is culturally sensitive? 1 Modify the interventions to exclude any cultural practices. 2 Allow the patient to plan all activities that will be included. 3 Incorporate the cultural behaviors of the patient into the plan. 4 Develop a plan to complement the nurse's personal preferences.

3) Incorporate the cultural behaviors of the patient into the plan.

The licensed practical nurse (LPN) is reinforcing teaching about the self-administration of insulin to an Asian patient, who is not making eye contact during the interaction. Based on the nurse's knowledge about cultural communication patterns, which belief about maintaining eye contact does the nurse conclude the patient has? 1 It always is a sign of hostility. 2 It could be a sign of dishonesty. 3 It usually is a sign of being impolite. 4 It is a sign of aggressiveness.

3) It usually is a sign of being impolite.

When assessing a patient from a different culture, which factor is most important to consider? 1 Religious beliefs 2 Health practices 3 Languages spoken 4 Social organizations

3) Languages spoken

The nurse is doing discharge teaching with an African American patient regarding nutrition intake. Which food customs would the nurse consider when developing this educational plan? 1 Rice and fish are eaten with all meals. 2 Raw fish is the main component of the diet. 3 Many meats and vegetables are fried in lard. 4 Red meat is the primary source of protein in the diet.

3) Many meats and vegetables are fried in lard.

A female patient from a Protestant family wishes to wear her head covering while being treated in the health care facility. Which Protestant faith does she belong to? 1 Unitarian Universalist Association 2 Church of Jesus Christ of Latter-day Saints 3 Mennonite 4 Jehovah's Witness

3) Mennonite

An African American nurse is assigned to a patient who makes racial slurs at the nurse as care begins. Which action by the nurse is best? 1 Report the behavior to the security department 2 Ask a family member to speak with the patient 3 Notify the charge nurse and request a new patient assignment 4 In the future, refuse to care for any patient from the same culture

3) Notify the charge nurse and request a new patient assignment

Providing culturally sensitive and appropriate patient care is a characteristic of which type of nursing? 1 Transgender 2 Transdermal 3 Transcultural 4 Transcontinental

3) Transcultural

A young child who is a part of a patriarchal society needs to have surgery to remove a benign tumor. The patriarch is out of town and will not return for an extended period. Based on the type of family, which fact would the nurse consider when addressing the patient's treatment needs? 1 The nurse should schedule the surgery as soon as possible. 2 The mother has the right to make the decision regarding the scheduling of surgery. 3 Until the oldest male member of the family is consulted, surgery should not be scheduled. 4 The primary care provider will make the decision as to when the surgery is to be scheduled and performed.

3) Until the oldest male member of the family is consulted, surgery should not be scheduled.

When explaining care to a Chinese patient, the nurse notices that there are numerous periods of silence. A culturally sensitive nurse understands that silence serves which purpose for this patient? 1 Indicates anger 2 Indicates that the patient is embarrassed 3 Indicates that the patient disapproves of the care being given 4 Allows the patient to consider what the nurse has said before continuing

4) Allows the patient to consider what the nurse has said before continuing

A young mother has decided to abort a fetus because of severe deformities. The nurse caring for her does not believe in abortions and refuses to provide care for the patient. Which action would demonstrate cultural competence by the nurse? 1 Determine the reason for the abortion. 2 Submit a letter of resignation and change employers. 3 Transfer to another department where cases of abortion are not encountered. 4 Examine personal feelings by performing a self-assessment.

4) Examine personal feelings by performing a selft-assessment.

There is a special request from a patient for the transplant organ to be cleaned with a non-blood solution before transplantation. The student nurse understands that such a request is most likely to be made by a member of which cultural group? 1 Mormon 2 Catholic 3 Methodist 4 Jehovah's Witness

4) Jehovah's Witness

A patient has just delivered a newborn son. When the nurse asks for the infant's name, the family members say that their religious faith prohibits them from naming the baby right away. Which faith does the infant likely belong to? 1 Hinduism 2 Taoism 3 Buddhism 4 Judaism

4) Judaism

A Protestant patient is admitted to a health care facility. The nurse is asked to avoid pork in the patient's diet. To which Protestant denomination might the patient belong? 1 Unitarian Universalist Association 2 Church of Jesus Christ of Latter-day Saints 3 Christian Science 4 Seventh-Day Adventist

4) Seventh-Day Adventist

A patient from a different country is experiencing a health care problem. The patient speaks little English and does not understand the disease process. Which term would be appropriate to add to the nursing problem list? 1 Violence 2 Hopelessness 3 Infection risk 4 Communication

Communication

Which religious faith restricts artificial birth control measures? 1 Taoism 2 Buddhism 3 Islam 4 Hinduism

Islam