Nur 210 Cultural Diversity Quiz Practice
A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?
The client states, "I feel like I abandoned my religion."
The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?
"Ethnicity and race are the same thing and are affected by cultural practice."
The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education?
"Ethnicity and race are the same thing and are affected by cultural practice."
The staff nurse overhears the charge nurse talking to the unlicensed assistant personal (UAP). Which statement made by the charge nurse is an example of ethnocentrism?
"Italians are best at everything."
A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?
"My Russian heritage is superior to all others."
A client believes in the use of herbal therapy and asks the nurse if he can continue to use a herbal tea therapy. What is the most culturally appropriate nursing response?
"There is no reason the tea cannot be used as long as the ingredients do not interfere with the medication."
The mother of a black newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response?
"These areas are normal and should disappear by early childhood."
The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse?
"We can wait until your spiritual healer arrives and work together to answer these questions."
A nurse is admitting a client to the unit. Which cultural question is most appropriate?
"What are your dietary needs and preferences?"
An Appalachian male has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset and the client wants to leave. What is the most appropriate cultural response by the charge nurse?
"Would you feel more comfortable with your family with you?"
A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?
A ritual
The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?
Respond by saying, "Stereotypes keep us from accepting others as unique individuals."
A client has recently immigrated and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I can't do anything right here." What is the priority nursing diagnosis?
Situational low self-esteem related to culture shock and feelings of fear and incompetence
A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value?
Skin color
A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?
Stereotyping
A family has moved from Spain to a primarily Spanish-speaking neighborhood near a large metropolitan area. The nurse caring for this family recognizes that which family member will likely require the greatest amount of time to learn the dominant language?
The 45-year-old mother in the family who does not work outside the home
A female Asian client is admitted to the emergency department with a fractured femur. What cultural factor might affect client care?
The client may not report pain.
A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices?
A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.
While performing the initial assessment of an infant, the nurse notes a soiled string of yarn around the infant's neck. What action should the nurse take?
Ask the parent the purpose of the string and if it can be placed elsewhere on the infant's body.
A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating?
Cultural conflict
The nurse is interviewing a client who is Native American/First Nations. What question would be best to ask this client?
"Do you use herbal or medicinal plants?"
What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?
Access to care
A male client refuses to allow the nurse to draw blood for a test because he believes blood is the body's life force and cannot be regenerated. It is likely that this client belongs to which ethnic group?
Asian
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?
Ask the client about his personal space preferences.
The nurse is assessing an older adult of Asian decent who immigrated at the age of 3 years. The client speaks the dominant language and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate?
Ask the client about special cultural beliefs or practices.
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?
Client
A client is admitted with end stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse if an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed?
Cultural imposition
The nurse caring for several clients on a hospital unit notices that the white client makes eye contact with the staff, while an older adult client of Japanese descent does not make eye contact when speaking to the staff. What cultural concept explains this difference?
Cultural relativity
A family recently emigrated from Haiti. The mother reports that her teenage daughter is showing signs of fear, has vague reports of stomach pain, and feels humiliated by her peers because of her culture. What is the priority assessment for the nurse?
Culture shock
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
Ethnic identity
Classification of illness can occur with cultural practice. What is an example of an unnatural illness?
Evil forces caused a client to develop schizophrenia.
While studying about various cultures, the student nurse is aware that a subculture is based on which characteristics?
Gender Age Profession Hobbies Sexual preference
Which nursing intervention reflects culturally appropriate care when caring for a female Latino client?
Include the client's spouse in decision-making, if the client desires.
A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?
The client's daughter, who is with her, learned the dominant lanuguage as her second language.
The nurse is caring for a client who speaks a differnt language than herself and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client?
The interpreter should understand the health care system.
Which is a cultural norm of the health care system?
There is the use of a systematic approach and problem-solving methodology.
The new nurse is caring for a client of Asian descent. What should the nurse expect when caring for this client?
This client will require the nurse to keep an arm's length distance.
The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the priority action by the nurse?
Understand the client's personal and cultural views regarding death and dying.
The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study?
Witchcraft
A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?
belief system that guides behavior
Which behaviors demonstrated by the client would the nurse consider as reflection of the client's pride in ethnicity?
c) asking to wear person unique clothing d) requesting native cuisine e) listening to folk music and dance
Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for:
client's height.
A nurse is caring for a 55-year-old man from Thailand. The client has bacterial pneumonia and a temperature of 104°F (40.0°C); yesterday his temperature was 102°F (38.9°C). The physician on call prescribes cool compresses for the client to help lower the fever. However, the client insists that the nurse bring him warm blankets because they will help him recover more quickly. The nurse recognizes that the client's request is an example of:
cultural ritual.
When a client states, "I only want a white doctor," the client is expressing cultural:
ethnocentrism
The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond?
"Collecting this information allows us to develop a personalized plan of care to meet your needs."
The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?
"Culture cannot be influenced, and you are born with your culture."
The nursing instructor is teaching a nursing student about the definition of diversity. Which teaching will the nursing instructor include?
"Diversity demonstrates differences among groups of people."
A nurse is caring for a female client of Hawaiian descent. Which interview question would be appropriate based on the cultural beliefs of Hawaiians?
"Do you use any medicinal plants or minerals?"
A Hispanic client has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate?
"What type of food do you eat at home?"
The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate?
Ask the client if a spiritual leader is desired.
A client from Malaysia is admitted to the health care facility with reports of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client?
At more than one arm's distance
Which scenario is an example of cultural competence in nursing?
Attending a conference for cultural diversity
A nurse is assessing a client's culture. Which aspect would be the easiest for the nurse to recognize?
Attitudes
A nurse is developing a care plan for a Hispanic client who has diabetes. What cultural intervention is most appropriate?
Dietary counseling, as Hispanic diets are often high in carbohydrates
The nurse is caring for a client of Asian descent. The client is ostoperative 3 days from coronary artery bypass graft (CABG). The client has a prescription to ambulate. What is the best action by the nurse?
Discuss with the client the need for assistance during ambulation.
The client is an Inuit woman recently admitted to the hospital with a ruptured ovarian cyst. She has expressed that it is very important that her husband be present to receive all medical information. Using the concepts of culturally competent care, which is the best response?
Document the client's request in the nursing care plan.
The younger nurses who seem to adapt easily to the new technology presented are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond?
The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.
A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern?
The client does not have running water.
In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?
The client may have a very different understanding of health promotion.
The home health nurse is conducting a health history interview with a client that immigrated from Mexico 3 months ago. What action observed by the nurse would indicate that the client is adapting to the majority culture?
The client reads books in the language of the new country.
Nursing students are socialized into the:
health care culture.
A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects?
health disparities health disparities
Persistent gaps between the health status of minorities and non-minorities are defined as:
health disparities.
A nurse educator could be considered culturally as a(an):
key informant.
A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects?
less power health disparities
A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the:
media.
A preconceived and untested belief about an individual or group of individuals is:
stereotyping.
The nurse is caring for a client of Asian descent and is post-operative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond?
"Can you describe what you are feeling when you try to move?"
The nurse is caring for a black client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?
"Can you tell me what foods you prefer to eat and what your family is bringing you?"
The unlicensed assistive personnel (UAP) reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond?
"What type of food did your family prepare for you, and does it have special meaning?"
The nurse admits a Native American/First Nations client to the critical care unit to rule out a myocardial infarction (MI). The client has several family members in the waiting room. Which nursing action is most appropriate?
Ask the client their personal beliefs about family support during hospitalization.
A client originally from Asia believes that her illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating?
Cultural blindness
A nurse is working in an inner city clinic with a heavy population of Hispanic migrant workers. Which nursing assessment is the priority?
Language assessment
Which nursing action displays linguistic competence?
Learning pertinent words and phrases in the client's language
The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse?
Leave the room and return when the shaman is finished.
What cultural considerations might the nurse expect of those living in poverty?
Low levels of self-respect and feelings of worthlessness are common. • Living conditions are often crowded, with several families living together. • Family structures are often unstable and abusive. • Large numbers in the culture need government assistance.
The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?
Maintain flexibility when the client requests interventions at specific times.
A geriatric client is observed smoking a cigarette and lowering the oxygen nasal prongs away from the nostrils. Which is the priority action of the nurse?
Remind the client to avoid smoking during oxygen therapy
The emergency department (ED) nurse is caring for a client who recently immigrated from China and was injured in a motor vehicle collision (MVC). The nurse should implement interventions aimed at addressing which issue?
cultural shock
A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms:
require an individualized approach by the nurse.
The wife of a client asks the nurse if she could bring in a cream from home to apply to her husband's skin. She says, "Whenever anyone gets sick we always use this cream." The nurse interprets this as:
ritual.
The nurse is caring for a Hispanic client admitted with an upper respiratory infection. The client tells the nurse that they follow the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information?
soup, hot tea, and toast
A patient's husband has asked that his wife be cared for exclusively by female nurses, a request that the patient herself agrees with. Knowing that the couple is of Middle Eastern origin, what action should the care team take in response to this request?
take reasonable measures to accommodate the request
Which client admitted to the emergency department (ED) might require the nurse to include interventions aimed at addressing cultural shock in the plan of care?
the client who recently immigrated from Mexico who fell from a ladder
The nurse is teaching about sources of calcium for a client newly diagnosed with lactose intolerance. The client would require further teaching if which food is chosen?
yogurt
A client with Asian heritage is admitted to the unit. What cultural assessment might the nurse anticipate?
Nonverbal expressions of pain
A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care?
Not all members of the same culture act and think alike.
Which statement best conveys the relationship between race and ethnicity?
Race denotes physical characteristics while ethnicity is rooted in a common heritage.
A black client refuses to allow any health care worker of Asian descent to provide care. This client is demonstrating what practice?
Racism
A client was recently admitted to the intensive care unit following an acute gastroesophageal bleed. His native language is Spanish, and he use of the dominant language is limited. When speaking with the client, it is important that the nurse remembers to do what? Select all that apply.
Use simple sentences. Use interpretive services when communicating client instructions for discharge. Rephrase a question if the client's response does not match the original inquiry.
The charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what?
ageism
The nurse is caring for the teenage child of immigrants from China. The teenager voices distress because after living in the country for several years, he no longer wants to participate in some of the Chinese religious rituals that are important to his parents. What is the teenager experiencing?
Cultural change
