Foundations Chapter 5
Who's Theory of Cultural Care Diversity and Universality provides the foundation for providing culturally respectful care for the patients of all ages, as well as families, groups, and communites?
Dr. Leininger
The _____ model guides providers in understanding a patient's explanatory model (a patient's conception of her or his illness), social and environmental factors, and fears and concerns, and also guides providers in contracting for therapeutic approaches?
ESFT E-Explanatory model of health and illness S-Social and environmental factors F-Fears and concerns T-Therapeutic contracting
What are some common health problems of Whites?
breast cancer heart disease hypertension diabetes mellitus obesity
The nurse is admitting a client from China to the medical-surgical unit with a diagnosis of cancer. While doing the client's assessments, the client speaks of her naturalistic beliefs related to health care and the importance of the yin/yang theory. Based on her cancer diagnoses, the idea that cancer is considered a cold illness in the culture, and her yin/yang beliefs, what meal will the patient most likely order for lunch?
chicken noodle soup with crackers, fruit crisp, and hot tea
A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly? unemployed father stay-at-home mother grandmother children
children
When a minority group lives within a dominant group, many members may lose the cultural characteristics that once made them different, and they may take on the values of the dominant culture is called?
cultural assimilation
Despite the presence of a large number of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility recognize this as an example of? cultural blindness stereotyping cultural assimilation cultural imposition
cultural blindess
What is the term that describes the inability of a person to recognize his or her own values, beliefs, and practices as well as those of others, because of strong ethnocentric tendencies?
cultural blindess
What can be defined as the coexistence of different ethnic, biological sex, racial, and socioeconomic groups within one social unit?
cultural diversity
A nurse is providing care for a Cambodian client. The nurse says, "You have to get up and walk whether you want to or not." What is this statement an example of?
cultural imposition
A nurse is telling a new mother from Africa that she shouldn't carry her baby in a sling created from a large rectangular cloth. The African woman tells the nurse that everyone in Mozambique carries babies this way. The nurse believes that bassinets are safer for infants. This nurse is displaying what cultural bias?
cultural imposition
What is the belief that everyone else should conform to your own belief system?
cultural imposition
What enables nurses to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients?
cultural respect
A Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives is taken to the ER following a fall at work. He is admitted to the hospital for observation. The nurse is aware that this client is at risk for:
cultural shock
The NIH (National Institute of Health) defines ________ as the combination of a body of knowledge, a body of belief, and a body of behavior?
culture
What can be defined as a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living?
culture
What may be defined as a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living?
culture
A nurse walks by a client's room and observes a Shaman performing a healing ritual for the client. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other clients on the floor. What feelings is the nurse displaying?
culture conflict
What occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values?
culture conflict
What may result in a psychological discomfort or disturbances, because the patterns of behavior a person found found acceptable and effective in his or her own culture may not be adequate or even acceptable in the new culture?
culture shock
What are some common health problems of Eastern European Jews?
cystic fibrosis gaucher's disease spinal muscular atrophy tay-sach's disease
What are some common health problems of Hispanics?
diabetes mellitus lactose intolerance
A nurse is caring for an elderly woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?
establishing effective communication
A client who has difficulty sleeping expresses to the nurse that watching television may help him relax and get sleep. The nurse disregards the client's concern and suggests drinking warm milk before going to bed. Which cultural characteristic is the nurse demonstrating?
ethnocentrism
The belief that the ideas, beliefs, and practices of one's own culture are superior to those of another's culutre?
ethnocentrism
What is the belief that the ideas, beliefs, and practices of one's own culture are superior to those of another's culture?
ethnocentrism
The nurse caring for a Native American client plans care understanding that one belief of Native American healing practices is that:
healing takes time
What are some common health problems of Native Americans and Alaska Natives?
heart disease cirrhosis of the liver diabetes mellitus fetal alcohol syndrome
What are some common health problems of African Americans?
hypertension stroke sickle cell anemia lactose intolerance keloids
What are some common health problems of Asians?
hypertension cancer of the liver lactose intolerance thalassemia
Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?
know the client's cultural personal space preferences
The nurse is obtaining a health history from a patient of Puerto Rican descent. Which of the following is most likely to be a health problem that has a cultural connection for this patient? lactose enzyme deficiency tuberculosis sickle cell anemia suicide
lactose enzyme deficiency
The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal team?
let me check with the doctor to make sure it is okay to drink the tea with your medicines
What refers to the ability of caregivers and organizations to understand and effectively respond to the linguistic needs of patients and their families in a health care encounter?
linguistic competence
An Anglo American client reports to the primary health care facility with care facility with symptoms of fever, cough, and running nose. What should the nurse keep in mind?
maintain eye contact while talking
The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice?
mulsim
The client in rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on other for meals and medications. What word best describes what the patient is experiencing?
shock
The focal point of nursing is the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others?
their own cultural orientation
A 40-year-old nurse is taking a health history from a Hispanic man aged 20 years. The nurse notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
this is culturally appropriate behavior
A nurse in the hospital is caring for a Native American male. What person is most important to include in the care of the client?
tribal medicine man
A nurse is caring for a client from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the client's pain?
pain is what the client says it is
A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that person space considerations vary among cultures. What person space preferences are important for the student to consider when caring for this client?
people of Asian descent prefer some distance between themselves and others
When the South Asian client arrives 25 minutes late to her appointment at the clinic, the nurse recognizes this as a sign of?
respect
When providing nursing care to an African American individual, what cultural factors should the nurse consider?
values and beliefs are often present oriented
A male nurse is preparing to take the vital signs of a female patient. Which ethnic group would consider this improper?
Arab Muslim
Most nurses have been taught to maintain direct eye contact when communicating with clients. Some cultural groups would not value direct eye contact with the nurse. Which cultural group would consider the direct eye contact impolite?
Native Americans
The nurse is caring for a Mexican American who is Catholic. The nurse wishes to learn more about culture by consulting a key informant. What religious practitioners would be most knowledgeable about the beliefs held by individuals of Mexican ethnicity?
a curandera
A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish and the nurse speaks only English. What is the appropriate nursing intervention?
ask an interpreter for help
An Asian American male client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client expresses that he does not have pain. What nursing action is most appropriate?
assessing for non-verbal expressions of pain
Puerto Ricans may demonstrate a hyperkinetic seizure-like activity known as ________.
ataques
The nurse practitioner sees patients in a community clinic that is located in a predominately White neighborhood. After performing assessments on the majority of the patients visiting the clinic, the nurse notes that many of the minority groups living within the neighborhood have lost the cultural characteristics that made them different. What is the term for this process?
cultural assimilation
What occurs when one ignores differences and proceeds as though they do not exist?
cultural blindness
A nurse states, "That patient is 78-years-old---too old to learn how to change a dressing." What is the nurse demonstrating?
stereotyping
When one assumes that all members of a culture, ethnic group, or race act alike is called?
stereotyping
When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?
stereptype
What is a large group of people who are members of the larger cultural group but who have certain ethic, occupational, or physical characteristics that are not common to the larger culture?
subculture
A nurse is caring for a client after internal fixation of a compound fracture in the tibia. The nurse finds that the client has not had his dinner, seems restless, and is tossing on the bed. Keeping in mind that the client is Latino, what is the most appropriate response by the nurse?
tell me what you are feeling
An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, "I'm just not hungry." What factors should the staff assess for this problem?
the food served may not be culturally appropriate
