4:2

The nurse is conducting a health interview for a patient. Which assessment question is an example of an open-ended question? Select all that apply. One, some, or all responses may be correct.

"How do you want us to help you with your problem?" "What do you think caused your illness?"

While measuring the vital signs of a Muslim patient, the nurse observes that the patient is anxious. Which statement by the nurse indicates a good understanding of transcultural nursing?

"I know modesty is very important for you. Is there any way I can make you comfortable?"

The registered nurse is evaluating the student nurse for the teach-back technique. Which statement made by the student nurse indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct.

"I should ask the patient whether he or she understood the teaching." "I should avoid using models during the teaching process."

The nurse is performing a cultural assessment of a patient. Which question by the nurse reflects a focused question?

"Is there someone with whom you want us to talk about your care?"

What does the nurse teach the student nurse about quality health care to prevent health disparities?

"Quality health care should be effective."

While assessing a patient of a different culture, the nurse wants to know the patient's perception of the etiology of the disease. Which is the mostappropriate question asked by the nurse using a patient's explanatory model?

"What do you call your problem?"

Which question does the nurse ask a patient to assess the beliefs and practices of the patient?

"What do you do to keep yourself well?"

The nurse is carrying out an assessment of a patient with pain in the abdomen. Which question by the nurse is open-ended?

"What do you think of your problem?"

Which is required in the delivery of culturally congruent care?

Acquiring specific knowledge, skills, and attitudes

Which criterion listed by a nursing student as covered under engagement, continuous improvement, and accountability as per the Culturally and Linguistically Appropriate Standards (CLAS) indicates a need for further teaching?

Advance and sustain organizational governance and leadership that promotes CLAS.

The nurse has to examine a patient and administer an intravenous medication that is not a lifesaving drug. The patient is a devout Muslim. When the nurse goes to administer the medication, the nurse finds that patient is getting ready for namaz (prayers). The nurse understands that the patient prays at certain times, as specified in his culture. What should the nurse do in this scenario?

Allow the patient to pray and come back later to administer the medication.

According to the Campinha-Bacote model of cultural competency, what measure is the nurse least likely to take to deliver effective patient-centered culturally competent care?

An in-depth examination of diverse backgrounds

The nurse uses an interpreter to facilitate communication with a non-English-speaking patient. Which nursing action during this process will help promote a good nurse-patient relationship?

Direct the questions to the patient.

The nurse at an outpatient clinic asks a Chinese American patient with newly diagnosed hypertension if he is limiting sodium intake as directed. The patient nods his head but does not make eye contact with the nurse. Which action would the nurse take next?

Ask the patient how much salt he is consuming each day.

The nurse is using an interpreter to communicate with a patient who does not speak English. Which action by the nurse may hamper the communication between the nurse and the patient?

Asking the patient's family members to serve as interpreters

Which statement describes cultural skill according to Campinha-Bacote's model of cultural competency?

Assessing social, cultural, and biophysical factors before initiating the treatment

An Arab woman is admitted to the hospital. A male nurse is assigned to examine this patient. The patient is uncomfortable and expresses displeasure at being assigned a male nurse. What should the nurse manager do?

Assign a female nurse to carry out the examination.

To enhance cultural awareness, which should the nursing students include in their self-examination?

Background, personal biases, and prejudices

Which term best describes the type of elements that people in Western cultures believe cause illness?

Biomedical

Which type of cultural competency recognizes biases, prejudices, and assumptions about other people?

Cultural awareness

How is cultural competence different from patient-centered care? Select all that apply. One, some, or all responses may be correct.

Cultural competence aims to increase health equity. Cultural competence emphasizes reducing disparities. Cultural competence concentrates on disadvantaged groups.

A patient is diagnosed with a diabetic ulcer with gangrene to his foot. The health care provider advises surgery, but the patient refuses because removal of a body part is not permitted according to his or her religion. Which concept justifies this scenario?

Iceberg analogy

Which is least appropriate when communicating with a non-English-speaking patient who has complete hearing loss?

Informing the patient that language assistance services are provided at a low cost

What is the definition of cultural awareness in Campinha-Bacote's model of cultural competency?

It is the in-depth self-examination of one's own background, recognizing biases, prejudices, and assumptions about other people.

A Haitian patient is admitted to the hospital for arthritic pain. During the nursing assessment, the nurse learns that the patient is using a therapy called cupping for palliation of pain along with traditional Western medicine. Cupping involves placing heated cups on the skin. Which is the most appropriate action by the nurse?

Learn about this therapy and avoid imposing own beliefs.

Which concept of intersectionality refers to limited access to certain facets of society?

Marginalization

The nurse is incorporating the patient's religious dietary preferences into the care plan. Which step of the LEARN mnemonic is the nurse applying?

Negotiate

The registered nurse prepares a mutually agreeable, culturally oriented patient-centered plan. Which step of the LEARN communication technique is the nurse using?

Negotiation

The senior nurse observes that a newly appointed nurse is having trouble relating to a patient from a different culture. What advice can the senior nurse give this nurse to enhance cultural competency?

Obtain sufficient knowledge about a patient's cultures and beliefs.

Under supervision of the registered nurse, a nursing student is caring for a patient from a different cultural background. Which action performed by the student nurse indicates the need for further teaching on transcultural nursing?

Offering generalized opinions during the assessment of the patient's world view

The nurse is caring for a Muslim patient who is recovering from a motor vehicle accident. The patient is observing Ramadan, the ninth lunar month, in which Muslims fast during daylight for 28 days. The nurse understands that a good diet is important for the patient's wounds to heal. What should the nurse do when planning the patient's diet? Select all that apply. One, some, or all responses may be correct.

Respect the cultural beliefs and assure the patient that medical needs will be taken care of. Reschedule meals

An older Chinese woman is admitted to the hospital after a hip fracture. Once the fracture has healed, the nurse encourages the patient to walk around the room. The patient refuses to walk without her son. What should the nurse do in this scenario?

Respect the patient's wish and ask her to walk when her son is present.

The registered nurse is teaching a patient of a different cultural background the procedure to self-administer insulin. After teaching, the nurse asks the patient to self-administer insulin. Which type of technique does the nurse use in this situation?

Teach-back

The nurse finds that a patient has not understood the health education provided on personal hygiene. How does the nurse ensure that the patient understands the teachings?

The nurse clarifies the information and requests a teach-back.

Which statement is true regarding the goal of core measures?

They help reduce mortality, complications, and inpatient readmissions

What is the goal of culturally congruent care?

To provide care to fit a patient's own values, beliefs, and traditions

What is the primary goal of patient-centered care?

To provide individualized care and restore an emphasis on personal relationships

The nurse is explaining the concept of being culturally competent to another nurse. Which is a component of cultural competence? Select all that apply. One, some, or all responses may be correct.

awareness knowledge skills encounters desire

When the nurse has a prejudice against a particular culture, which type of behavior is likely to result?

discrimination

The nurse is caring for a Korean woman who has just delivered her first baby. Which soup would the nurse anticipate the family to provide as the first meal to the woman?

seaweed soup

What factor is the nurse least likely to associate with health disparities among marginalized groups?

self-care