NUR 1068 Health Assessment- Ch 11 Assessing Culture

Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

A nursing instructor is teaching about cultural awareness and sensitivity in client care. The student demonstrates understanding of the above when making which of the following statements?

"Cultural awareness happens first when the nurse obtains culturally specific information from the client's health history."

The student nurse is aware that culturally competent care is described as which of the following?

Following five constructs of cultural awareness, knowledge, skill, encounters, and desire

A nurse is assessing a Navajo client, who has presented to the health clinic with complaints of feeling endangered, confusion, bad dreams, and hallucinations. Which culture-bound syndrome should the nurse suspect in this client?

Ghost sickness

While assessing the medication history of a client from a non-English-speaking culture, the nurse will include: (Select all that apply.)

Herbal remedies used by the client Methods of self-treatment

When caring for a client from a culturally different background, what is the goal for incorporating the client's health beliefs and practices into the nursing plan of care?

Improvement of the client's health outcomes

When the nurse tells the client that she will return in 1 hour to administer an intravenous antibiotic, the nurse is showing that she values time in which of the following orientations?

Future

What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.

whether there are any existing language barriers nutritional or dietary considerations alternative medicine practices

What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds?

Develop a cultural habit and build effective relationships

Which characteristic demonstrates the nurse's understanding and practice of cultural competent nursing? Select all that apply.

states, "I'm really interested in learning about the dietary practices of the Hasidic Jews." recognizes the need to provide all clients holistic care

A new nurse asks her preceptor if the new baby she is caring for is breast- or bottle-feeding. The preceptor tells the new nurse that the mother is Hispanic and to give the baby a bottle because Hispanics do both until the mother's milk comes in. This is an example of:

stereotyping.

A nursing instructor is teaching students about communication in different cultures. When discussing the meaning of hand gestures and body language in different cultures, the nurse realizes that further instruction is necessary when a student makes which statement?

"I can make a circle with my thumb and forefinger and people of all cultures know it means OK."

Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?

"I need to understand the client's cultural background to best interpret the client's needs."

A nursing assistant working in a small rural hospital, states to the charge nurse, "The Jewish client in room 124 says that they are not able to eat the food because it is not kosher. That is ridiculous. There is nothing wrong with this food, I eat it!" What is the best response by the nurse?

"It is important that we are culturally sensitive to other beliefs. Let's see how we can accommodate the client's food preferences."

A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover?

A focus on maintaining balance between yin and yang

A nurse administrator is leading a seminar on cultural awareness in health care, beginning the seminar by defining culture. Which of the following elements should the nurse administrator include, based on the definition provided by Purnell and Paulanka (2008)? Select all that apply.

Affects decision making Forms worldview Characteristic of a population or people Socially transmitted

A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?

Assessing if the client speaks and understands English

A nurse assesses a 4-year-old boy who experiences gas, a stomachache, and diarrhea after consuming lactose products. The nurse recognizes the data as what type of biological variation?

Biochemical

The client comes to the health care provider stating he has a sore throat and believes he needs an antibiotic. This is an example of what type of model for health?

Biomedical

Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?

Conduct a cultural assessment to better understand the client's perception of pain and illness

The nurse is caring for a client who is from another country, and states to the charge nurse, "I just don't know if the client really understands what I am saying, and I am not understanding the client either, even though he speaks English." What stage of cultural awareness is the nurse experiencing?

Conscious incompetence

A client has religious or cultural restrictions on eating certain foods while in the hospital. The best action for the nurse to take is which of the following?

Consult a nutritionist/dietician to make culturally acceptable food choices.

When the nurse asks a client of African origin for the reason for coming to the health clinic, the client responds by saying, "Bad blood." The nurse recognizes that the client is most likely referring to which of the following?

Sexually transmitted infection

A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?

Cultural desire

The nurse knows that she will be caring for a client from Southern Korea who has been visiting with a family member. The nurse obtains some information about the Korean culture so that she will be able to meet the clients needs. What is the nurse demonstrating?

Cultural knowledge

The nurse spends a day off in a part of a non-English speaking community in order to learn more about the culture to improve interactions when providing client care. What cultural activity is this nurse demonstrating?

Desire

A new graduate nurse, attending a hospital orientation, is asked to explain what the goals of a cultural assessment include. What would be the graduate nurse's best answer?

Developing and implementing a culturally congruent plan of care

A nurse is assessing a client from India who complains of panic, sexual dysfunction, fatigue, weakness, and loss of appetite. Which culture-bound syndrome should the nurse suspect in this client?

Dhat

A client requests to be cared for by a nurse who is a member of his own culture. The nurse recognizes that which barrier exists in regards to this client's nursing care?

Ethnocentrism

A nurse recognizes that the belief that one's worldview is the only acceptable truth and that one's beliefs, values, and sanctioned behaviors are superior to all others is called what?

Ethnocentrism

Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?

Mediterranean and Africa.

A nurse realizes that when assessing beliefs about health and illness among clients from different cultures, which of the following is true?

Most clients hold a combination of beliefs when it comes to illness.

Which of the following statements is true of cultural groups and magico-religious beliefs in their health belief systems?

No culture is without an element of magico-religious beliefs.

A client of a different culture than the nurse is enjoying the afternoon in the park playing with her daughter. She later arrives 30 minutes late to her doctor's appointment and does not understand the problem when the receptionist tells the client that she will have to reschedule. This client views time in which context?

Present

A nurse provides care for a client who experiences anxiety, gastrointestinal complaints, and a fear of being poisoned or killed. The nurse recognizes this as which culture-bound syndrome?

Rootwork

When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client's culture and personal life experiences.

The nurse is conducting a health history of the client who presents to the urgent care with complaints of shortness of breath. The nurse asks, "Who lives with you?" Which type of assessment is the nurse conducting?

Social assessment

A client has been admitted to a medical floor with a diagnosis of pneumonia. Upon admission, the client is talkative and friendly to the nurse. When the nurse approaches the bed to listen to the client's lung sounds, the client becomes quiet and starts to pull away. The nurse understands that this reaction is most likely related to the client's perception of what?

Space

The nurse is educating a client from another country about the medications they will be taking. The client continually interrupts the nurse during the conversation. When the nurse considers the many ways cultural differences can affect communication, how should the nurse interpret the client's interruptions?

The client is deeply engaged in the conversation.

Suzie is a 16-year-old daughter in the Hanes family. She is the youngest of five children. She has had a series of illnesses and does not seem to be regaining her strength. She likes school but is falling behind a bit. Her mother is very attentive to her needs but does not seem overly concerned with the continuing pattern of illness. Which of the following is most likely a Hanes family belief?

The family values taking sick roles and caregiver roles.

The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?

The new mother may believe buying infant clothing before the delivery is bad luck.

What must occur before a client will be willing to teach the nurse about her culture?

The nurse needs to establish rapport and trust

Which of the following statements is true of sickle cell disease and other hemoglobinopathies?

They are associated with high-malaria environments.

In the assessment of a Chinese client, a nurse asks the client several questions pertaining to the client's culture. The client asks the nurse why she is asking questions about her culture. Which of the following should the nurse mention? Select all that apply.

To learn about the client's beliefs and usual behaviors associated with health and illness To compare and contrast the client's beliefs and practices to standard Western health care To avoid stereotyping To assess the client's health relative to diseases prevalent in the client's cultural group

Concerning the RESPECT model of cross-cultural communication, which intervention on the part of the nurse demonstrates attention to the development of the nurse-client relationship?

avoiding making assumptions about the client's expectations and needs

A male nurse is caring for an elderly woman who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the client, she refuses to allow it. The best explanation for her actions would be which of the following?

cultural differences

The culturally competent nurse knows that culture includes among its elements the following things: (Check all that apply.)

family structure family function spirituality religion community

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.

The nurse desires to learn more about a population of clients from a non-English speaking culture. Which action should the nurse perform as a first step to becoming more culturally aware?

perform self-reflection

The most effective way for a nurse to learn about an ethnic group within the community in which he/she practices is

spend time with a variety of individuals of that ethnic group.

When performing a cultural assessment, an important point to remember would be

that definitions of family differ

A nurse understands that culture heavily influences diet and nutrition. Which of the following can seriously affect a client's appetite?

time the meal is served