Ch 5 Cultural Diversity

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

"Do you understand the specific diet for your HTN?"

Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain? "Asian clients have a high pain tolerance." "Males tend to overreact to pain for sympathy." "If a client needs to yell in pain, that is his or her right." "Some procedures hurt more and should have more pain reaction."

"If a client needs to yell in pain, that is his or her right."

The nurse is caring for a Native American/First Nations client who has been given a diagnosis of terminal cancer. Which reaction does the nurse anticipate? A) overwhelming grief B) loud crying and vocalization C) requesting multiple family members to be contacted immediately D) stoic listening without display of emotion

stoic listening without display of emotion

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? Look up the client's culture online and try to figure out methods to relate. Ask another nurse to take over the client's care. Ask the client how she wants to be treated based on her values and beliefs. Consult the Office of Minority Health Resource Center to help in the provision of car

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

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: A) beliefs, values, and practices B) dress, relationships, and diet. C)knowledge, skills, and norms. D)health behaviors, roles, and priorities.

A) beliefs, values, and practices Explanation Culture may be defined as a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living

Which behavior by the nurse demonstrates cultural blindness? Administering pain medication when a client shows nonverbal indicators of pain Convincing a client that traditional medicine is more effective than alternative therapy Administering antibiotics to a child whose parents do not believe in Western medicine Explaining to the client that using acupuncture to treat labor pain is ridiculous

Administering antibiotics to a child whose parents do not believe in Western medicine

A nurse is caring for a 79-year-old Appalachian woman who was placed in a long-term care facility by her son, who is no longer able to care for her. She appears disoriented and reports being bothered by the "bright lights and constant activity." The nurse appropriately documents what condition in the chart? Culture disorientation Culture assimilation Culture blindness Culture shock

Culture shock

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? A) "Yes, I agree that you should continue taking saffron for diabetes." B) "Saffron does not have any effect on blood sugar level." C) "Let me inform the physician that you are not taking your medicines." D) "Why don't you take the medicines, too, and benefit from both?"

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

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Asian. The nurse realizes the client is referring to which ancestral and cultural factor? Race Values Ethnicity Ethnocentrism

Ethnicity

Which teaching statement best exemplifies cultural competence in relation to time for the American culture? It is important to arrive within 20 minutes of your scheduled appointment time. It is important to be future-oriented when considering your appointment time. It is important to be on time for your health care appointment. It is a sign of respect to be late for your health care appointments.

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

While caring for a Hispanic client, the nurse inadvertently offends the client. What is the best action by the nurse? Examine the interaction and focus on the majority culture. Recognize that there is a cultural bias that led to the mistake. Learn from the mistake and do not repeat it. Ask the client why he is so mad.

Learn from the mistake and do not repeat it.

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? Maintain flexibility when the client requests interventions at specific times. Perform interventions at random times during shift. Have the client set all times for the interventions. Set all interventions to be done at specific times.

Maintain flexibility when the client requests interventions at specific times.

A client has recently immigrated 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? Social isolation related to culture shock and feelings of low self-worth Situational low self-esteem related to culture shock and feelings of fear and incompetence Spiritual distress related to low self-esteem Powerlessness related to the loss of familiar cultural practice

Situational low self-esteem related to culture shock and feelings of fear and incompetence

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 can't get over my feelings of legalism as a Jehovah's Witness." The client states, "Why isn't blood administration forced on all who need that treatment?" The client states, "I am glad that nurse told me what to do." The client states, "I feel like I abandoned my religion."

The client states, "I feel like I abandoned my religion."

Which nursing actions are appropriate when collecting a health history for a client whose primary language is Spanish? Select all that apply. A) Utilize the facility telephonic interpreting system. B) Have a bilingual nurse assist with the health history C) Ask the client's adolescent child to answer questions. D) Request assistance from a certified-interpreter. E) Speak in detailed sentences, using exact medical terminology.

Utilize the facility telephonic interpreting system. Have a bilingual nurse assist with the health history Request assistance from a certified-interpreter.

A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first? documents the client's view of himself identifies clues to what may be immportant asks an open-ended, general question Requests clarification of a key term

asks an open-ended, general question

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. A) burdensome to family B) cognitively enhanced C) physically impaired D)financially independent E) uninterested in intimacy

physically impaired burdensome to family uninterested in intimacy

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

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

A nurse is admitting a client to the unit. Which cultural question is most appropriate? "What are your dietary needs and preferences?" "Will you be able to eat the normal food provided?" "Will you be making requests for special food based on your religion?" "Do you have food restrictions?"

"What are your dietary needs and preferences?"

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: A) cultural assimilation. B) cultural imposition. C) cultural diversity. D) cultural blindness.

B) cultural imposition. Explanation: Cultural imposition is people imposeing their beliefs, practices, and values on another culture & believe that their ideas are superior to those of another person or group. cultural assimilation is the process of losing cultural characteristics. cultural diversity is diverse groups with varying racial classifications and national origins, religious affiliations, languages, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, and geographic location. and cultural blindness is process of ignoring differences in people

When a client states, "I only want a white doctor," the client is expressing cultural: A) relativity. B) pervasiveness. C) ethnocentrism. D) superiority.

C) ethnocentrism. Explanation ethnocentrism is the belief that one's own ideas, beliefs, and practices are best, superior, or most preferred to those of others; using one's cultural norms as the standard to evaluate others' beliefs

A nurse is developing a care plan for a Hispanic client who has diabetes. What cultural intervention is most appropriate? Spiritual counseling, as illness is often intertwined with belief in Allah Dietary counseling, as Hispanic diets are often high in carbohydrates Direct teaching to the client's wife, as she will be directing the care at home Provision of all teaching materials in writing

Dietary counseling, as Hispanic diets are often high in carbohydrates

The nurse is caring for a client of Asian descent. The client is ostoperative 3 days from coronary artery bypass graft (CABG). The client has a prescription to ambulate. What is the best action by the nurse? Allow the client to slowly ambulate independently. Instruct the family to assist the client with ambulation. Obtain a prescription for physical therapy consult to ambulate the client. Discuss with the client the need for assistance during ambulation.

Discuss with the client the need for assistance during ambulation.

A client of Arab descent has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client? Asking about the client's medical history Giving a light handshake Asking about the client's personal life Maintaining eye contact

Maintaining eye contact

A nurse is working with an interpreter to communicate with a client who speaks very little of the nurse's language. Which actions would be appropriate for the nurse to take? Select all that apply. Speak to the client rather than the interpreter. Use simple sentences to convey the verbal message. Talk quickly to ensure that the full message is sent. Use metaphors when asking questions to further understanding. Rephrase a question using different words if the answer is inappropriate.

Speak to the client rather than the interpreter. Use simple sentences to convey the verbal message.

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 the client in a one-bedroom apartment. Which consideration is the priority nursing concern? The client has no hope for the future. The client does not have air-conditioning. The client does not have running water. The client receives government assistance.

The client does not have running water.

A female Asian client is admitted to the emergency department with a fractured femur. What cultural factor might affect client care? The client may overreact to any procedure. A male provider may not be allowed. The illness may be perceived as a sign of punishment. The client may not report pain.

The client may not report pain.

he charge nurse overhears two new graduate nurses talking in the break-room. One graduate nurse states, "I hate getting reports from the older nurses; they are just too slow." The charge nurse understands that the nurse is demonstrating what? stereotyping cultural shock ethnocentrism ageism

ageism

Which factors contribute to the concept of a culture? Select all that apply. styles used for communication beliefs about health practices type of disease contracted language art and music items and clothing worn

language art and music items and clothing worn beliefs about health practices styles used for communication

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? Stereotyping Cultural conflict Culture shock Cultural imposition

Cultural imposition

A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate? belief system that guides behavior altruistic grouping cluster of individuals complete uniformity of members

belief system that guides behavior

The nurse is caring for a Haitian client. Which health belief system does the nurse anticipate? A) observing the yin/yang theory B) embracing the hot/cold theory C) living in congruence with Mother Earth D) using faith healing

using faith healing

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? 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 in the room. Ask the client their personal beliefs about family support during hospitalization.

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 religious beliefs and prayer schedules Assessment of racial identification and cultural affiliation Assessment of income level to determine poverty status Assessment of eye contact, personal space, and social taboos

Assessment of eye contact, personal space, and social taboos

A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices? A A Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation. B A black man rolls his eyes when asked how he copes with stress in the workplace. Assumption: He may feel he has already answered this question and has become impatient. C A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. D A Hasidic Jewish man listens intently to a male physician, making direct eye contact with him, but refuses to make eye contact with a female nursing student. Assumption: Jewish men consider women inferior to men.

C A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.

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. The nurse's behavior an example of: A) cultural conflict. B) cultural blindness. C) cultural imposition. D) stereotyping.

C) cultural imposition. Explanation cultural imposition, defined as the tendency to impose one's cultural beliefs, practices, and values on a person from a different culture. Stereotyping is when one assumes that all members of a culture, ethnic group, or race act alike. Cultural blindness occurs when one ignores differences and proceeds as though they do not exist. Cultural conflict occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure in their own values

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 makes direct eye contact when examining the client. The nurse provides materials for the client to take notes about the care plan. The nurse uses a low tone of voice when explaining the care plan to the client. The nurse does not include the family in the nursing care plan.

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

While completing a health history interview for a female client who practices Islam, the nurse notes that the client's spouse answers all the questions. The nurse recognizes that behavior may be due to what? The spouse does not trust the client to answer the questions. The spouse may be the dominant member of the family. The client does not want to answer the questions. The client is too sick to answer the questions.

The spouse may be the dominant member of the family.

Which examples related to eye contact are expected based on cultural variables? Select all that apply. A white man looks directly into the eyes of another while speaking. An Asian man is considered passive in nature if eye contact is not maintained. An Arabic male averts his eyes while speaking to a group. A Hispanic man looks down while speaking to his grandmother. An Asian man is considered aggressive when looking directly at another. A Hasidic Jewish man looks directly at women to connect with them.

• An American male looks directly into the eyes of another while speaking. • An Asian male is considered aggressive when looking directly at another. • A Hispanic male looks down while speaking to his grandmother. • An Arabic male averts his eyes while speaking to a group