prep u chapter 5

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice? Ethnic identification Racism Ethnocentrism Stereotyping

Racism

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Chicken salad, water, and a frozen fruit juice bar Turkey sandwich, milk, and gelatin Soup, hot tea, and toast Fruit salad, apple juice, and pudding

Soup, hot tea, and toast

Which is a cultural norm of the health care system? -The omnipotence of technology is yet to be recognized. -There is the use of a systematic approach and problem-solving methodology. -There is a tolerance of tardiness, disorderliness, and disorganization. -There are rigid procedures attending birth and death.

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

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study? Cold air Food Witchcraft Impurities in water

Witchcraft

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

ethnocentrism.

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."

While performing the initial assessment of an infant, the nurse notes a soiled string of yarn around the infant's neck. Which response from the nurse would facilitate culturally competent care?

"I see you have a string tied to your child's neck. Can you explain why you do this?"

The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group?

"It is important to monitor my blood pressure."

A nurse is admitting a client to the unit. Which cultural question is most appropriate?

"What are your dietary needs and preferences?"

The nurse is caring for a client who is postoperative 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 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." "Insurance companies requires us to ask all clients." "We require the information for identification purposes." "Understanding your background will prevent us from doing anything to offend you."

"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 can be seen in attitudes and institutions of certain populations." "Culture cannot be influenced, and you are born with your culture." "Language is the primary way that people share their culture." "Culture helps to define identity within specific groups of people."

"Culture cannot be influenced, and you are born with your culture."

The unlicensed assistive personnel 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? "I will need to get permission from your health care provider for you to eat the food your family brought in." "You can only eat the food that we serve you." "Do you understand that you are on a strict diet and any variation can cause you harm?" "What type of food did your family prepare for you, and does it have special meaning?"

"What type of food did your family prepare for you, and does it have special meaning?"

The nurse cares for clients in the emergency department (ED). Which statement made by a health care professional is an indication of racism in the ED? "Asians are too stoic and bear their pain silently." "Emergency department nurses have to be very patient and caring people to deal with these people." "Mexicans are just here seeking drugs." "White people are superior to Black people."

"White people are superior to Black people."

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 assimilation Cultural blindness Cultural diversity Cultural conflict

Cultural conflict

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse 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.

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? Determine whether the request is based on a valid reason or cultural preference Document the request as a knowledge deficit and address the couple's educational needs Document the request and make all reasonable efforts to honor it Assess the couple's rationale for making the request

Document the request and make all reasonable efforts to honor it

A client who practices Islam dies at the hospital surrounded by family members. Which action by the nurse demonstrates cultural sensitivity related to the client's death? consulting the family member prior to performing post-mortem care having the family members consult with the funeral home for transport allowing the family to remain present when the nurse washes the client prior to shrouding informing the family members they may say their goodbyes so that care can be provided

consulting the family member prior to performing post-mortem care

Persistent gaps between the health status of minorities and non-minorities are defined as: cultural relativity. racism. health disparities. ethnocentrism.

health disparities.

Nurses are socialized into the: nursing specialties. healthcare culture. diagnostic process. caring paradigm.

healthcare 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

Which scenario is an example of cultural competence in nursing?

Attending a conference for cultural diversity

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? Select all that apply. Improved access to care Health disparities Less power Greater advantages Increased economic privileges

Health disparities, Less power

Which disorders might a nurse screen for in a black client, based on race? Select all that apply. Sickle cell anemia Gout Lactase deficiency Cystic fibrosis Keloid formations Tay-Sachs disease

Sickle cell anemia, Lactase deficiency, Keloid formations

The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take?

Speak privately with the interpreter and instruct them to only provide language interpretation.

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is mostappropriate? Assess the client's beliefs about family support during hospitalization. Insist that only one family member can be in the room at a time. Explain to the family that too many visitors will tire the client. Allow all the visitors into the room.

Assess the client's beliefs about family support during hospitalization.

A preconceived and untested belief about an individual or group of individuals is: stereotyping. racism. culturally competent care. cultural relativity.

stereotyping

A nurse is providing care for clients of different cultures in a blended community clinic. Which characteristics of culture should the nurse consider when planning culturally competent care? Select all that apply. -There are differences both within cultures and among cultures. -Culture guides behavior into acceptable ways for people in a specific group. -Subcultures exist within most cultures. -Culture influences the way people of a group view themselves. -Cultural practices and beliefs are constantly evolving and changing over time to satisfy a group's needs. -Culture is not affected by a group's social and physical environment.

-There are differences both within cultures and among cultures. -Culture guides behavior into acceptable ways for people in a specific group. -Subcultures exist within most cultures. -Culture influences the way people of a group view themselves.

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms: require an individualized approach by the nurse. allow nurses to predict a client's response. can be generalized to anyone of that culture. are fairly consistent across cultural groups.

require an individualized approach by the nurse.

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information? Enlist the services of a qualified language interpreter Ask another nurse who speaks the client's language to interpret Ask a bilingual family member to translate Use a laboratory aide who is from the same country as the client

Enlist the services of a qualified language interpreter