NCLEX - PN - Cultural

The nursing instructor is providing a session on cultural beliefs related to health and illness and gives some examples. A client of African-Caribbean descent tells the nurse that the present illness may have resulted from a curse from a competitor. Which statement describes the belief of this client?

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

The nurse educator is providing an in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. Which response is appropriate?

"It is a process of learning a different culture to adapt to a new or changing environment."

The nurse is assigned to care for an Asian-American client. The nurse, when planning care for this client, considers that the client may believe what is the cause of illness if they follow traditional beliefs?

Illness is caused by an imbalance between yin and yang.

The nurse educator is describing the yin and yang theory of the ancient Chinese philosophy of Tao to a group of nursing students. The nurse educator explains that in this theory, foods are classified as hot and cold and are transformed into yin and yang energy when metabolized by the body. The nursing student understands this theory when the student makes which statement?

The client consumes cold foods when a "hot" illness is present.

A Hispanic-American mother brings her child to the clinic for an examination.Which is most important when gathering data about the child?

Touching the child during the examination

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "I have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement?

"Tell me what you know about complementary therapies."

The nurse is caring for a group of clients who are taking herbal medications at home. Which client should be given instructions with regard to avoiding the use of herbal medications?

A 10-year-old female client with a urinary tract infection

The nurse is caring for an older Appalachian client recovering from open heart surgery. In order to provide culturally appropriate care, the nurse should be aware that which aspects of reporting pain may be impacted by the Appalachian culture? Select all that apply.

Appalachian clients may want to appear to be stoic. Appalachian clients may be afraid of addiction tendencies. Appalachian clients may not want to appear to be complainers.

The nurse is reinforcing instructions to a Native-American client regarding the procedure for collecting a urine sample. The nurse observes that the client continually stares at the floor during the instructional session. The nurse interprets this as being indicative of which behavior?

Attentiveness

The nurse determines that which herbal therapies can be prescribed for use as an antispasmodic? Select all that apply.

Chamomile Peppermint oil

The nurse is assigned to care for a client who is traditional Chinese. The nurse enters the room and following a greeting and introduction to the client, the nurse begins to discuss the plan of care for the day. During the discussion, the client turns away from the nurse. The nurse should take which action?

Continue with the discussion.

The nurse is caring for an African-American client admitted for a planned surgery. The nurse enters the room and after a greeting and introduction to the client describes the routine for preparing for surgery. The client looks away from the nurse. Which nursing action is appropriate?

Continue with the explanation.

The nurse is reinforcing discharge instructions to a Chinese client regarding prescribed dietary modifications. During the teaching session, the client continually turns away from the nurse. Which nursing action is most appropriate?

Continue with the instructions, verifying client understanding.

A 24-year-old Chinese-American who delivered her baby yesterday is breastfeeding her infant girl. The client's mother asked the nurse not to include cold foods on her daughter's tray because they are not good for the baby. The nurse responds by telling the client that she can have what she wants; it is not up to her mother. This response of the nurse demonstrates which cultural characteristic?

Ethnocentrism

An Asian-American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method?

Foods considered to be yin

The nurse is planning to reinforce nutrition instructions to an African-American client. When reviewing the plan, the nurse is aware that which food may be a common dietary practice of clients with African-American heritage?

Fried foods

The nurse caring for a Chinese-American client plans to use communication according to Chinese-American cultural beliefs and practices. Which techniques are considered disrespectful in the Chinese-American's view of communication? Select all that apply.

Maintaining eye contact Closing the conversation abruptly Touching the opposite sex in public

The nurse is providing care to a client diagnosed with multiple sclerosis. The nurse knows that which populations are affected by this disease? Select all that apply.

Multiple sclerosis occurs in adults between the ages of 20 and 50 years. Multiple sclerosis most often affects Caucasians of Northern European ancestry. Multiple sclerosis affects women twice as often as men

The nurse knows that spatial behavior is related to territoriality in many Latino cultures. Which client needs are associated with territoriality? Select all that apply.

Privacy Security Autonomy Self-identity

The nurse is caring for a Southeast Asian woman who presented to the emergency department with complaints of a headache and nausea. The client is accompanied by her adult son. Upon examination, the nurse notes long pale red welts on both arms. Which actions should the nurse take next? Select all that apply.

Recognize the redness is a result of a traditional form of healing. Ask if she has used any home remedies. Assess cultural health beliefs and practices.

A client is seen in the clinic for a physical examination. Laboratory studies are performed and reveal that the hemoglobin and hematocrit are low, indicating the need for further diagnostic studies and possibly a blood transfusion. The client is a Jehovah's Witness and states he will never have a blood transfusion. Which would be an appropriate action by the clinic nurse?

Support the client's decision not to receive a blood transfusion.

The nurse is planning to reinforce instructions to the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse is aware of which related fact?

This ethnic group views food as a primary form of socialization.

An Appalachian family has brought a toddler to the emergency department with a fractured arm. The nurse knows that nonverbal communication is important to evaluate with assessing the family. Which factors are involved in nonverbal communication? Select all that apply.

Touch Body posture Use of space Eye behavior Facial expressions

Which statement made by the nursing student indicates a need for further teaching by the nursing instructor on the concept of ethnocentrism?

"It is imposing one's beliefs on individuals from another culture."

The nurse is caring for an elderly Hispanic client who is a migrant farm worker and has been admitted for asthma. The nurse is unfamiliar with the cultural practices and beliefs of the client's home land. Which questions are appropriate for the nurse to ask when caring for this client? Select all that apply.

Are there any remedies you have used in the past? Who do you usually see for help when you are sick? What do you believe is causing your illness?