Chapter 5

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The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group?

"It is important to monitor my blood pressure."

The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss?

"What type of food do you like to eat at home?"

The nurse cares for clients in the emergency department (ED). Which statement made by a health care professional is an indication of racism in the ED?

"White people are superior to Black people."

How is culture learned by each new generation?

Formal and informal experiences

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?

Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

Transcultural nursing is a specialty and formal area of practice. Which statements apply Dr. Madeleine Leininger's theory of Culture Care Diversity and Universality to nursing practice?

The nurse objectively assesses personal beliefs prior to the provision of culturally competent care. The nurse consults clergy for assistance in the provision of care. The nurse carefully assesses the decision maker in the care environment. The nurse will accommodate cultural dietary preferences as much as possible.

When an American client states, "I only want an American doctor," the client is expressing:

ethnocentrism: Viewing one's own culture as superior to all others

Persistent gaps between the health status of minorities and non-minorities are defined as:

health disparities


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