Ch. 5 PrepU

d

A client believes that the 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? a. Ethnocentrism b. Cultural diversity c. Stereotyping d. Cultural blindness

b

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? a. The client does not speak the dominant language and requires an interpretor. b. The client's child learned the dominant lanuguage as a second language. c. The client and child cook traditional foods for the family. d. The client enjoys watching television programs from the home country.

a

The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue? a. Culture shock b. Ethnocentrism c. Generalization d. Ageism

a

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? a. The client may have a very different understanding of health promotion. b. Health promotion is a concept that is largely exclusive to Western cultures. c. A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development. d. The nurse should avoid performing health promotion education if this is not a priority in the client's culture.

a

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond? a. "You sound upset. Would like you to talk about it?" b. "Why do you think God is punishing you?" c. "Would you like me to get someone from your church to visit you?" d. "You didn't get cancer as punishment."

b

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? a. Inquire if the client desires the Sacrament of the Sick. b. Ask the client if a spiritual leader is desired. c. Do nothing unless the client requests spiritual assistance. d. Call a Roman Catholic priest to visit the client.

a

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 Ethiopia states, "All these machines attached to me scare me and I need to get them off." b. The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." c. The client from France states, "I miss my family back home." d. The client from England states, "I do not understand what all these new medications are for."

d

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

a

The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as: a. ritual. b. ethnocentrism. c. stereotyping. d. subculture.

a

What factor threatens to increase the number of people who are living at poverty level? a. Feminization of poverty b. Decreasing population of older people c. Increasing immigrant population d. Lack of health insurance

a

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

a

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? a. Assessment of eye contact, personal space, and social taboos b. Assessment of religious beliefs and prayer schedules c. Assessment of racial identification and cultural affiliation d. Assessment of income level to determine poverty status

a

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

a

Which nursing action displays linguistic competence? a. Learning pertinent words and phrases in the client's language b. Speaking loudly to a client who does not speak the dominant language c. Repeating English statements to a client who speaks Spanish d. Asking a family member to interpret for a client who does not speak the dominant language

b

Which scenario is an example of cultural competence in nursing? a. Assessing the rate at which an illness causes death in a culture b. Attending a conference for cultural diversity c. Attending one's own church d. Assuming the provider and the client share beliefs and values

d

A client tells the nurse that the only thing that helps the client sleep is a glass of warm milk. The nurse caring for the client insists that this cultural practice is a myth and tries to convince the client that reading a book would be better. What is the nurse demonstrating? a. Cultural pervasiveness b. Culture shock c. Stereotyping d. Ethnocentrism

a

A client who immigrated from another country informs the nurse of 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 imposition. b. cultural blindness. c. cultural diversity. d. cultural assimilation.

a

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? a. The client does not have running water. b. The client has no hope for the future. c. The client receives government assistance. d. The client does not have air-conditioning.

c

A nurse is assigned to care for a client who does not speak the dominant language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be most effective in reassuring the client until the interpreter arrives? a. Using gestures and symbols to communicate with the client b. Enlisting other healthcare providers to assist with communication c. Using reassuring body language and making eye contact to assess needs d. Avoiding going into the client's room until the interpreter arrives

d

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

a

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? a. Cultural conflict b. Cultural assimilation c. Cultural blindness d. Cultural diversity

c

The nurse is caring for two clients with the same ethnic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences? a. cultural norms b. cultural relativity c. ethnicity d. ethnocentrism

d

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? a. "Ethnicity begins at birth or through adoption of characteristics." b. "People of the same ethnicity share many of the same cultural and social beliefs." c."Ethnicity can often determine dialect and political interests." d. "Ethnicity and race are the same thing and are affected by cultural practice."

a

The younger nurses on a unit, 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? a. The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit. b. The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist. c. The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately. d. The charge nurse should recognize that this is cultural imposition and the younger nurses are forcing new technology on the older nurses.

c

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

c

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture? a. Acculturation b. Cultural blindness c. Cultural imposition d. Cultural taboos

a

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