Nursing: Cultural Diversity Prep-U

Which of the following is the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture?

Cultural imposition

Upon moving to China, an American college student is experiencing many new feelings that she associates with her placement in a different culture. What are the feelings experienced by this student?

Culture shock

A client has recently immigrated to the United States 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 Hispanic single parent is having difficulty finding employment because she does not have a car and she speaks primarily Spanish. Which of the following is a barrier to health care?

Spanish as primary language

A client's husband has asked that his wife be cared for exclusively by female nurses, a request that the client 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.

A family has moved from Spain to a primarily Spanish-speaking neighborhood near a large metropolitan area in the United States. The nurse caring for this family recognizes that which of the following family members will likely require the greatest amount of time to learn the English language?

The 45-year-old mother in the family who does not work outside the home

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 her in a one-bedroom apartment. Which of the following is a primary 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.

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."

A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which of the following would demonstrate cultural assimilation?

The client's daughter, who is with her, learned English as her second language.

A nurse is caring for patients in a predominantly African American community. What are values or beliefs commonly shared by members of this culture? (Select all that apply.)

• Oriented to the present • Frequently highly religious • Clergy members highly respected

When conducting an in-service on Arab-American cultural attributes, the nurse correctly identifies which relevant factors? Select all that apply.

• Touch acceptable if done by same-sex health care practitioner • Females to avoid eye contact with males

An Asian client 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 caring for a female patient of Hawaiian descent. Which interview question would be appropriate based on the cultural beliefs of Hawaiians?

"Do you use any medicinal plants or minerals?"

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."

An elderly Cantonese-speaking client has been admitted to the emergency department after suffering a fall and suspected hip fracture in her home. Emergency medical services personnel have reported to the nurse that the client speaks no English. Who is the best person to perform translation services to the client?

A hospital translator

You are a community health nurse who provides care to a group of Hispanic people living in an area that is heavily populated by white people. What are the Hispanic people in this community an example of?

A minority

A nurse is performing nutritional assessments of new residents of a long-term care facility. Which resident would the nurse assess as being at greater risk for having lactose intolerance?

African American male

A male patient 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 patient 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 cultural response?

Ask the client about his personal space preferences.

A family recently emigrated from Haiti to the United States. 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?

Assess for culture shock.

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate?

Assessment of eye contact, personal space, and social taboos

A Malaysian client is admitted to the health care facility with complaints 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 of the following is an example of cultural competence in nursing?

Attending a conference for cultural diversity

A client who speaks Spanish is admitted to the hospital. What cultural interventions would be most appropriate by the nurse?

Call for a translator who is familiar with health care.

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.

The nurse is caring for a client who speaks a language other than English and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client?

Interpreter should understand the health care system.

Which statement best conveys the relationship between race and ethnicity?

Race denotes physical characteristics while ethnicity is rooted in a common heritage.

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

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.

The nurse is assessing a client for pain and suspects that the client's culture may be affecting her pain response. What nonverbal assessment would the nurse expect?

The client is holding pressure on her abdomen when speaking.

A non-English-speaking client has been admitted to the health care facility reporting chest pain. Since the assigned nurse does not know the client's language, what would be the most appropriate solution in this case?

The nurse should request the help of a professional interpreter.

Which of the following is a cultural norm of the health care system?

There is the use of a systematic approach and problem-solving methodology.

You are a nursing researcher studying so-called "unnatural illnesses." What cause of such illnesses would be included in your study?

Witchcraft

A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

belief system that guides behavior

A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses which of the following?

beliefs, values, and behavioral expectations

A client from Pakistan informs the nurse of his cultural dietary requests. The nurse responds to the special dietary needs by stating, "You are now living in the United States, and you should try to start eating those foods common to an American diet." This inappropriate response is an example of:

cultural imposition.

When a client states, "I only want an American doctor," the client is expressing cultural:

ethnocentrism.

Nursing students are socialized into the:

health care culture.

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 client is completing a health history form and asks the nurse, "Why does this ask for my ethnicity instead of my race?" What is the appropriate nursing response?

"Ethnicity is a social category that is being used to replace racial categories."

A nursing student is providing care to a postoperative client who is Asian. The student reports to the primary nurse that the client is "eating food from home." What is the nurse's best response?

"Food from home is fine as long as it does not violate hospital policy or contradict the ordered diet."

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."

A client is admitted to the hospital and the nurse is attempting to complete an admission assessment. The client reports that her spiritual healer will be coming in soon and is upset by the admission questions. What is the most appropriate response by the nurse?

"We can wait for your healer to come and then work together to answer these questions."

A Hispanic client has been hospitalized for 6 days for postoperative infection. Her weight is decreasing each day, and her nutritional intake is declining. Which nutritional assessment question is most appropriate?

"What type of food do you eat at home?"

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 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

A nurse is providing care to a client from a different culture. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate?

Ask the client how she wants to be treated based on her values and beliefs.

A family from China has recently moved to the United States. They are quickly learning English and their children are all in American schools. Both parents are working in the United States and adapting to the new culture. What is this family demonstrating?

Cultural assimilation

The delivery of culturally competent nursing care incorporates the concept of:

planning and implementing care in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations.

A parent informs the nurse that immunizations are against her cultural and religious beliefs and she does not want her child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that she had all of her children vaccinated. What is the nurse's behavior an example of?

Cultural imposition

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

A nurse is caring for a postoperative Asian American client after knee arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action?

Explain the purpose and need for assistance during ambulation.

Which teaching statement best exemplifies cultural competence in relation to time?

It is important to be on time for your health care appointment.

Which of the following nursing actions displays linguistic competence?

Learning pertinent words and phrases in the client's language

A female Muslim client is admitted to the unit for observation. What cultural characteristic might the nurse expect?

Limited eye contact with the opposite sex

A nurse is assigned the care of a client who speaks only French. The nurse does not know the language. What action is appropriate for the nurse in this case?

Request a professional interpreter.

Which of the following are examples of cultural competence? (Select all that apply.)

• Attending a cultural diversity lecture series in the community • Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client • Having a one-on-one conversation with a Muslim client regarding prayer needs and practices • Performing a self-assessment of one's own personal biases