Ch. 5 Cultural Diversity

A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigned nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained?

The nurse should request the help of a family member if available, if not care should be administered that is in the best interest of the client.

The nurse is caring for a 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? a. "Do you understand the specific diet for your HTN?" b. "Can you tell me what foods you prefer to eat and what your family is bringing you?" c. "It is ok to eat what your family brought you, as long as we see what it is." d. "You should consider eating the food provided, which is healthier."

b. "Can you tell me what foods you prefer to eat and what your family is bringing you?"

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept? a. "Anybody on welfare is just lazy." b. "My Russian heritage is superior to all others." c. "Irish people are all heavy drinkers." d. "Asians are always the smartest in the class."

b. "My Russian heritage is superior to all others."

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? a. Health care provider b. Client c. Nurse d. Older family member

b. Client

Upon moving to another country, a college student is very confused by many local customs. He is especially bothered by the custom of men and women eating in separate areas and it makes him angry and resentful of the new culture. What are the feelings experienced by this student? a. Stereotyping b. Culture shock c. Cultural assimilation d. Ethnocentrism

b. Culture shock

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty? a. Access to affordable housing b. Access to health insurance c. Access to care d. Access to financial assistance

c. Access to care

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? a. "I will come back later and help you get up." b. "Would like to wait until your family arrives to get out of bed?" c. "You need to get up and walk to prevent complications." d. "Can you describe what you are feeling when you try to move?"

d. "Can you describe what you are feeling when you try to move?"

Which statement by the nurse demonstrates ethnocentrism? a. "That client is unlike any other Muslim client I have had in the past." b. "That client is so whiny. I am so tired of hearing the client complain about pain." c. "That client is too old to learn how to eat gluten free." d. "That client needs to learn that pain is best managed with traditional medications like morphine."

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

A client 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 now the client wants to leave. What is the most culturally appropriate response by the charge nurse? a. "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." b. "Sometimes family can cause stress, and we try to maintain a stress-free care environment." c. "Why do you think you need to leave?" d. "Would you feel more comfortable with your family with you?"

d. "Would you feel more comfortable with your family with you?"

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? a. Ask the client about personal space preferences. b. Back away from the client. c. Ask the client why he or she is backing away. d. Move closer to the client.

a. Ask the client about personal space preferences.

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether 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? a. Cultural imposition b. Cultural conflict c. Stereotyping d. Culture shock

a. Cultural imposition

A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse? a. Culture shock b. Cultural imposition c. Cultural blindness d. Cultural assimilation

a. Culture shock

A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action? a. Explain the purpose and need for assistance during ambulation. b. Ambulate the client explaining it is an expected outcome of their treatment. ​c. Instruct family members to assist in ambulating the client. d. Let the client ambulate slowly on his or her own when stable.

a. Explain the purpose and need for assistance during ambulation.

The nurse is using an interpreter to communicate with a client who speaks a different language. What would be the best way to choose an interpreter for this client? a. The interpreter should understand the health care system. b. The interpreter should conduct the conversation quickly to avoid misinterpretation. c. The interpreter should speak in a loud voice. d. The interpreter should always make direct eye contact.

a. The interpreter should understand the health care system.

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: a. client's height. b. developmental level. c. available technology. d. individual values.

a. client's height.

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 most appropriate? a. Allow all the visitors into the room. b. Insist that only one family member can be in the room at a time. c. Assess the client's beliefs about family support during hospitalization. d. Explain to the family that too many visitors will tire the client.

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

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? a. Explain to the client that the client is required to make all decisions related to the client's own health care. b. Bring the client's spouse into the hallway to discuss surgical options for the client. c. Document the client's request in the nursing care plan. d. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.

c. Document the client's request in the nursing care plan.

The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? a. The client from England states, "I do not understand what all these new medications are for." b. The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." c. The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off." d. The client from France states, "I miss my family back home."

c. The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."

A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of: a. cultural stereotyping. b. ethnocentrism. c. cultural ritual. d. cultural competence.

c. cultural ritual.