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A nurse is caring for a postpartum patient who adheres to the beliefs of Orthodox Judaism. The question that would be the most culturally sensitive would be: a. "Would you like crab cakes for your lunch?" b. "Would you like your husband to give you a back rub?" c. "Has your husband decided on a name for your new baby?" d. "Will your doctor circumcise your baby tomorrow?"

"Has your husband decided on a name for your new baby?"

An example of an ethnocentric remark would be: a. "I think Catholics should have as many children as they want." b. "I don't see why Muslims can't pray in church like we Protestants do." c. "You have to admire the Asian immigrants for keeping all their eastern traditions." d. "It seems that Hispanics have taken over this country."

"I don't see why Muslims can't pray in church like we Protestants do."

A Roman Catholic patient going to surgery for an emergency cesarean delivery is afraid the baby may not survive, and because she is Roman Catholic, she asks you to be sure that the baby is baptized when it is born. Your response to her should be: a. "There won't be time to baptize the baby in the operating room." b. "I will call your priest to come in, but if he is unable to be there, I'll be sure the baby is baptized." c. "Baptisms are not usually done in the hospital, and certainly not in the operating room, but I will tell the charge nurse your concerns." d. "You need to think positively. Both you and the baby are going to be just fine."

"I will call your priest to come in, but if he is unable to be there, I'll be sure the baby is baptized."

A nurse's neighbor confides that she has been treating a health problem through a faith healer in her religion but is worried because the condition seems to be worsening. She asks the nurse what she should do. The nurse's best response would be: a. "Faith healing, although frequently effective, makes a disease more difficult or even impossible to treat with modern medicine." b. "Many people use medical treatment along with faith healing. Is there anything in your religion that forbids medical treatment?" c. "Faith healing may take longer than medical treatment to work. Are you doing exactly as your healer is directing you?" d. "You should see a health care provider or your faith healer, but not both."

"Many people use medical treatment along with faith healing. Is there anything in your religion that forbids medical treatment?"

The most culturally sensitive and useful question the admitting nurse should ask the Jewish patient would be: a. "Do you follow any dietary restrictions, or will you eat hospital food as it is prepared here?" b. "Are there any medications or treatments your religion does not allow in your medical treatment?" c. "Would you like me to notify your rabbi so that he can make visits to you during your stay?" d. "Tell me about any religious practices you observe that we need to incorporate into your care."

"Tell me about any religious practices you observe that we need to incorporate into your care."

David is a nurse who is caring for a patient who is in the process of gender reassignment. He has strong beliefs against this and discusses with the patient his strong beliefs. This is an example of which of the following? a. Cultural relativism b. Cultural imposition c. Cultural blindness d. Racism

Cultural imposition

A nurse caring for a patient who is a practicing Jehovah's Witness and who has had surgery confirms that ___________ is on hand to be infused. a. frozen packed cells. b. Dextran. c. 5% glucose in water. d. normal saline.

Dextran.

A nurse caring for an African who is visiting the United States knows the following about transcultural nursing to be true: a. Nursing care based on a patient's cultural and spiritual needs, improves outcomes. b. Nursing care based on scientific principles and evidence-based care improves patient outcomes. c. Nursing care based on the patients' needs and wishes improves therapeutic response. d. Nursing care based on the patient family's needs and wishes improves outcomes.

Nursing care based on a patient's cultural and spiritual needs, improves outcomes.

The nurse must be alert to nonverbal expressions to assess pain in patients from a(n): a. Hispanic background. b. Pacific Islander background. c. European background. d. African American background.

Pacific Islander background.

Karen is a recent graduate. She is planning to go to India with her church group as a nurse on a medical mission trip. She will be working in a church funded clinic. Which of the following shows willingness for the development of cultural competence? a. She is planning to attend an Indian Food cooking class. b. She is learning simple phrases in the Indian language so she will be able to communicate with her patients. c. She is reviewing her materials from school on public health. d. She is obtaining all of the necessary travel documents and immunizations.

She is reviewing her materials from school on public health.

A nurse caring for a newborn of Eastern European Jewish ancestry is aware that this patient is predisposed to: a. Tay Sachs disease. b. sickle cell anemia. c. diabetes mellitus. d. sickle cell trait.

Tay Sachs disease.

A desired outcome for a patient with a nursing diagnosis of "spiritual disconnection" is that the patient expresses: a. acceptance that she is not being punished by God with illness. b. concern about the meaning and importance of her life. c. continued anger at God for afflicting her with the illness. d. refusal to participate in religious rituals that have no meaning for her now.

acceptance that she is not being punished by God with illness.

A nurse is caring for a prisoner who is hospitalized for injuries received during a terrorist attack at a nightclub in which several people were killed. While the hospital staff's safety is well managed by the police, to remain grounded in providing care to this patient, an important principle for the nurse to remember about transcultural nursing is: a. human caring is not a universal aspect of every culture. b. all cultures provide what every human needs in order to grow, remain well, avoid illness, and survive or face death. c. nurses are expected to provide care that is congruent with their own cultural needs. d. based on choices this patient made according to his spiritual beliefs, he doesn't deserve quality health care.

all cultures provide what every human needs in order to grow, remain well, avoid illness, and survive or face death.

A resident in a skilled nursing facility indicates that she is an agnostic and is afraid of what will happen to her when she dies. An appropriate nursing intervention for this patient is to: a. request the health care provider to order an anxiety reducing medication. b. ask the patient whether she would like to talk to the facility social worker or chaplain to address her spiritual distress. c. offer reassurance to the patient that God will understand her confusion. d. share your religious belief with the patient.

ask the patient whether she would like to talk to the facility social worker or chaplain to address her spiritual distress.

The nurse is aware that when an Orthodox Jewish family has a baby boy, it is expected that the: a. baby will be circumcised by the health care provider as soon as possible after the birth. b. husband of the woman will provide the physical care she needs. c. naming of the baby will be done by the mother before she leaves the hospital. d. baby will be circumcised on the eighth day of life when he is named.

baby will be circumcised on the eighth day of life when he is named.

A nurse is caring for a Catholic patient who has just given birth to a nonviable fetus. When considering the religion of this patient, the nurse should: a. discourage baptism since the fetus is nonviable. b. baptize the fetus if a priest is not immediately available. c. encourage the mother to consider tubal ligation. d. discuss hormonal contraception with the mother

baptize the fetus if a priest is not immediately available.

The nurse understands that when an Asian patient refers to yin, the patient is referring to a balancing force that is represented by: a. light. b. a masculine force. c. cold and feminine elements. d. harmony.

cold and feminine elements.

A 76-year-old Hispanic woman is in the skilled nursing facility where she is to participate in a rehabilitation program following a hip replacement. She is alert, oriented, and cooperative but speaks only Spanish; her adult children interpret for her when they are present. The nurse plans the most effective way to communicate with this patient is to: a. communicate with the patient when the children are present and can translate. b. arrange to have one of the children present at all times. c. create a translation guide with commonly used Spanish and English words and phrases. d. call on the facility translator for every interaction with the resident.

create a translation guide with commonly used Spanish and English words and phrases.

A home health nurse caring for a patient of American Indian ancestry will be particularly alert to symptoms of ________ because of a genetic predisposition to that illness. a. diabetes mellitus b. Tay Sachs disease c. sickle cell anemia d. sickle cell trait

diabetes mellitus

The nurse is aware that Muslims and Orthodox Jews have similar dietary restrictions in that both groups require that their followers: a. remain mainly vegetarians. b. avoid milk and meat at the same meal. c. eat only meat that has been slaughtered according to their religious law. d. avoid shellfish.

eat only meat that has been slaughtered according to their religious law.

A patient who is Native American and visiting a health care clinic for the first time keeps his eyes on the floor and seldom makes eye contact with the nurse. The nurse would be correct in thinking that the patient: a. is depressed and concerned about his health status. b. would be more comfortable with an elder from his tribe present. c. is uncomfortable talking about health issues with a woman. d. finds direct or sustained eye contact rude or disrespectful.

finds direct or sustained eye contact rude or disrespectful.

The nurse understands that acupuncture and acupressure are alternative therapies based on: a. healing through spiritual practices. b. concepts of hot and cold and balancing those against the illness. c. the power of suggestion and autohypnosis. d. interrupting or changing the flow of energy fields in the body.

interrupting or changing the flow of energy fields in the body.

A single African American working mother of three children who is in a state of poverty often misses appointments for the children's immunizations or well child checkups. The nurse understands that the likely reason for this could be that she: a. is more concerned with surviving day-to-day problems than with taking a child to a clinic when there is no obvious illness. b. would rather enjoy her time off in leisure activities than taking the children to a clinic. c. is from a culture that values nontraditional medical care from curanderos and faith healers. d. belongs to a religious group that is opposed to immunizations and medical treatment.

is more concerned with surviving day-to-day problems than with taking a child to a clinic when there is no obvious illness.

A nurse who practices in a culturally competent manner is one who is able to: a. work in a large facility where there are a variety of diverse cultures. b. assist a patient from another culture to change and adapt to the medical culture. c. look at the world through the eyes of the culturally diverse patient. d. recognize which cultural traits are harmful in the health care culture.

look at the world through the eyes of the culturally diverse patient.

A young African American man is admitted to the hospital in sickle cell crisis. He is unmarried and lives with an extended family headed by his grandmother. The nurse takes into consideration that this type of family arrangement is: a. egalitarian. b. patriarchal. c. matriarchal. d. transcultural.

matriarchal.

When a devout Muslim dies, the nurse makes arrangements to: a. notify a family member to come bathe the patient. b. extinguish all light and leave the room in darkness. c. cover the body with the patient's prayer rug. d. place an open Koran over the patient's heart.

notify a family member to come bathe the patient.

A nursing instructor is educating a group of nursing students about cultural values practiced by Arab Americans. The nursing instructor would recognize the need for further patient education if a nursing student states, "I will: a. offer Arab American patient's items using my left hand." b. make sure all females are cared for by females." c. refrain from sitting with the sole of my shoe visible." d. refrain from offering Arab American patient's pork."

offer Arab American patient's items using my left hand."

A young Hindu woman who is part of a traditional Hindu family is in a coma and is going to be transferred to the ICU. The family member whom the nurse should consult about this health matter would be the: a. oldest woman in the family. b. family council. c. patient's husband. d. the older siblings.

oldest woman in the family.

A nurse is caring for a patient of the Muslim faith. The nurse would send the food tray back if it contains: a. pork chops and sweet potatoes. b. beef patty with mushroom sauce. c. liver and mashed potatoes. d. crab cakes and rice with almonds.

pork chops and sweet potatoes.

Laura is a nurse who is not answering the requests of a patient based on the fact that she is scheduled for an abortion. This is an example of: a. cultural relativism. b. cultural imposition. c. cultural blindness. d. racism

racism

The nurse supervisor becomes concerned when observing the nurse caring for an Orthodox Jewish patient preparing to trim the patient's beard with a(n): a. pair of scissors. b. electric razor. c. razor blade. d. barber's straight razor

razor blade.

A woman who is part of a traditional Muslim family is hospitalized after an accident. It is most important for the nurse to include in the care to: a. provide privacy when the priest comes to administer the sacrament of the sick. b. respect her need for modesty in keeping her body covered. c. keep her hair covered at all times. d. refrain from touching the soles of her feet.

respect her need for modesty in keeping her body covered.

The nurse is sensitive to the fact that Hispanics believe that some foods and fluids have "hot and cold" properties that affect their health by: a. destroying the pathogen causing the disease. b. restoring equilibrium to the body. c. strengthening the mind to dispel an evil spirit. d. ensuring healing.

restoring equilibrium to the body.

A nurse referring to an older Asian man says, "He probably uses acupuncture and believes in yin and yang." This remark is an example of: a. stereotyping of the patient. b. ethnocentrism of the patient. c. cultural sensitivity on the part of the nurse. d. a worldview of the nurse.

stereotyping of the patient.

A practicing member of the Church of Jesus Christ of Latter Day Saints is being prepared for surgery on his left knee. The nurse should remove all the personal possessions with the exception of: a. the wedding ring. b. the religious medallion around the neck. c. undergarments. d. linen socks.

undergarments.

A person who believes and practices the Christian Science religion is most likely to: a. seek the latest technological medical and surgical care available. b. use medicinal herbs and drugs rather than surgery to treat illness and disease. c. use spiritual practices and altered thinking to correct the causes of illness and disease. d. require the dead to be buried within 24 hours of the death.

use spiritual practices and altered thinking to correct the causes of illness and disease.