PrepU - Foundations Ch. 5

A black client refuses to allow any health care worker of Asian descent to provide care. This client is demonstrating what practice?

Racism

When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply.

Shared beliefs of origin Religious beliefs Language

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 client's husband has asked that his wife be cared for exclusively by female nurses. Knowing that the couple is originally from the Middle East, what action should the care team take in response to this request?

Take reasonable measures to accommodate the request.

A client who speaks only Japanese 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.

A nurse is caring for a Native American/First Nations woman who is receiving chemotherapy for breast cancer. Which nursing action is the best example of providing culturally sensitive care?

The nurse uses a low tone of voice when explaining the care plan to the client.

A nurse in the hospital is caring for a Native American/First Nations male. Which statement should best guide the nurse's care?

There may be a role for a tribal medicine man in the client's care.

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.

A preconceived and untested belief about an individual or group of individuals is:

stereotyping.

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

Which questions may help the nurse assess his or her ability to relate to various groups in society? Select all that apply.

• "Can I welcome this person sincerely?" • "Can I genuinely try to help this person and be comfortable enough to listen?" • "Do I have the experience to help this person?"

A Muslim client is admitted to the hospital. What cultural considerations might the nurse include in the plan of care? Select all that apply.

• Assign care providers of the same sex. • Avoid touching clients of the opposite sex. • Make accommodations for the prayer needs of the client.

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."

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."

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

"What are your dietary needs and preferences?"

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?

"My Russian heritage is superior to all others."

Which statement by the nurse demonstrates ethnocentrism?

"That client needs to learn that pain is best managed with traditional medications like morphine."

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 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?"

A client with Asian heritage is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep his blood sugar under control. What is the most appropriate response by the nurse?

"Why don't you take the medicines, too, and benefit from both?"

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?

A ritual

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?

Access to care

A nurse is providing care to a client from a culture different from her own. 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.

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.

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.

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 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 is an example of cultural competence in nursing?

Attending a conference for cultural diversity

Which 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

The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse?

Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

A client, origianlly 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

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

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

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.

A client tells the nurse that the only thing that helps him sleep is a glass of warm milk. The nurse caring for the client insists that this practice is a myth and tries to convince the client that reading a book will help make him sleepy. What is the nurse demonstrating?

Ethnocentrism

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 nurse is working in an inner city clinic with a heavy population of Hispanic migrant workers. Which nursing assessment is the priority?

Language assessment

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.

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.

When providing culturally competent care to clients, a nurse understands that cultural competence involves which characteristics? Select all that apply.

a process that requires life-long learning a commitment to promoting health equity knowledge of influences on the clients' beliefs awareness of one's own influences on responses

A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first?

asks an open-ended, general question

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

cultural imposition

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.

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

When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

ethnic identity

Nursing students are socialized into the:

health care culture.

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?

incorporating client's request for complementary treatment therapy

A community health nurse is providing 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?

minority

The nurse is caring for a client whose language skills are very limited in the dominant language. Which nursing action is appropriate when communicating with the client?

obtaining a certified interpreter

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