Chapter 5 PrepU Questions - Cultural Diversity
When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: A. Race. B. Assimilation. C. Subculture. D. Ethnic identity.
D. Ethnic identity.
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
D. Ethnocentrism
Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory? A. Contacting a chaplain for every client B. Providing the same care to each client who has had a myocardial infarction C. Planning dietary interventions according to physiological condition D. Incorporating the client's request for complementary treatment therapy
D. Incorporating the client's request for complementary treatment therapy
Which nursing intervention reflects culturally appropriate care when addressing a client? A. "Good morning, Mr. Smith. I am your nurse, John." B. "You can sit in this chair, Sally." C. "Thank you for coming to the clinic today." D. "I see you are here because you have a sinus infection."
A. "Good morning, Mr. Smith. I am your nurse, John."
What is the priority assessment for the nurse when developing a plan of care for a client from a poverty culture? A. Access to care B. Access to health insurance C. Access to affordable housing D. Access to financial assistance
A. Access to care
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. Culture shock B. Stereotyping C. Ethnocentrism D. Cultural assimilation
A. Culture shock
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. "You need to get up and walk to prevent complications." B. "Can you describe what you are feeling when you try to move?" C. "I will come back later and help you get up." D. "Would like to wait until your family arrives to get out of bed?"
B. "Can you describe what you are feeling when you try to move?"
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? A. Older family member B. Client C. Nurse D. Health care provider
B. Client
A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? A. "Why aren't you eating your food?" B. "Are you aware that you are losing weight?" C. "What type of food do you eat at home?" D. "Don't you like what is on your food tray?"
C. "What type of food do you eat at home?"
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
C. Cultural imposition
The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response? A. Say nothing and ignore the comment. B. Agree and state, "Yes, I've noticed the same thing." C. Report the colleague to the nurse manager. D. Respond by saying, "Stereotypes keep us from accepting others as unique individuals."
D. Respond by saying, "Stereotypes keep us from accepting others as unique individuals."
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.
D. require an individualized approach by the nurse.
The nurse is teaching about sources of calcium for a client newly diagnosed with lactose intolerance. The client would require further teaching if which food is chosen? A. green, leafy vegetables B. prunes C. egg yolks D. yogurt
D. yogurt
A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock? A. "I am very stressed now because I do not understand how things work on this unit." B. "Can someone please give me an orientation to this unit?" C. "The way we do things on the surgical unit are so much better than the procedures of this unit." D. "I was expecting all the clients on the oncology unit to be depressed."
A. "I am very stressed now because I do not understand how things work on this unit."
Which scenarios are examples of cultural competence? Select all that apply. A. Attending a cultural diversity lecture series in the community B. Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client C. Explaining to the client that therapeutic touch is not as good as the use of traditional medicine D. Having a one-on-one conversation with a client regarding prayer needs and practices E. Performing a self-assessment of one's own personal biases
A. Attending a cultural diversity lecture series in the community B. Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client D. Having a one-on-one conversation with a client regarding prayer needs and practices E. Performing a self-assessment of one's own personal biases
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. ritual.
The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? A. "Culture helps to define identity within specific groups of people." B. "Culture cannot be influenced, and you are born with your culture." C. "Language is the primary way that people share their culture." D. "Culture can be seen in attitudes and institutions of certain populations."
B. "Culture cannot be influenced, and you are born with your culture."
The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse? A. Ask the shaman to leave the room. B. Wait in the room until the shaman is done. C. Leave the room and return when the shaman is finished. D. Administer the medication while the shaman continues the ritual.
C. Leave the room and return when the shaman is finished.
A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: A. Nursing personality. B. Past history. C. Media. D. Genetics.
C. Media.
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
C. Using reassuring body language and making eye contact to assess needs
Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: A. individual values. B. developmental level. C. client's height. D. available technology.
C. client's height.
Persistent gaps between the health status of minorities and non-minorities are defined as: A. racism. B. ethnocentrism. C. health disparities. D. cultural relativity.
C. health disparities.
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? Select all that apply. A. The nurse objectively assesses personal beliefs prior to the provision of culturally competent care. B. The nurse consults clergy for assistance in the provision of care. C. The nurse carefully assesses the decision maker in the care environment. D. The nurse explains how culture does not affect the overall plan of care. E. The nurse should use curiosity and ethnocentrism when assessing the client's cultural practices. F. The nurse will accommodate cultural dietary preferences as much as possible.
A. The nurse objectively assesses personal beliefs prior to the provision of culturally competent care. B. The nurse consults clergy for assistance in the provision of care. C. The nurse carefully assesses the decision maker in the care environment. F. The nurse will accommodate cultural dietary preferences as much as possible.
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
A. Cultural conflict
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 assimilation C. Cultural imposition D. Cultural blindness
A. Culture shock
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. Culture shock
A nurse is part of an orientation team for a group of newly hired nurses. The nurse is to prepare a presentation for the group about different cultural groups common to the facility. As part of the presentation, the nurse is planning to describe how culture is communicated to provide a foundation for culturally competent care. Which methods of communication would the nurse include? Select all that apply. A. Language B. Behavior C. Symbols D. Implicit beliefs E. Lifeways
A. Language B. Behavior C. Symbols
A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? A. Language assessment B. Blood sugar assessment C. Spiritual assessment D. Blood pressure assessment
A. Language assessment
A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply. A. Less power B. Health disparities C. Greater advantages D. Improved access to care E. Increased economic privileges
A. Less power B. Health disparities
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 her in a one-bedroom apartment. Which of the following is a primary 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.
A. The client does not have running water.
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."
A. The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."
The home health nurse is conducting a health history interview with a client that immigrated 3 months ago. What action observed by the nurse would indicate that the client is adapting to the majority culture? A. The client reads books in the language of the new country. B. The client prepares traditional meals of the native country. C. The client lives in a neighborhood that has a population of immigrants from the native country. D. The client prefers to watch television in the native language.
A. The client reads books in the language of the new country.
A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information? A. Ask a bilingual family member to translate B. Enlist the services of a qualified language interpreter C. Ask another nurse who speaks the client's language to interpret D. Use a laboratory aide who is from the same country as the client
B. Enlist the services of a qualified language interpreter
Nurses are socialized into the: A. Nursing specialties. B. Healthcare culture. C. Caring paradigm. D. Diagnostic process.
B. Healthcare culture.
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 interpreter. B. The client's child learned the dominant language 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.
B. The client's child learned the dominant language as a second language.
The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the priority action by the nurse? A. Make every effort to involve the client and the client's family with the end-of-life care. B. Understand the client's personal and cultural views regarding death and dying. C. Arrange for end-of-life care to be provided by personnel familiar with the client's culture. D. Share the client's concerns regarding the dying process with the interdisciplinary care team.
B. Understand the client's personal and cultural views regarding death and dying.
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. "You should consider eating the food provided, which is healthier." B. "Do you understand the specific diet for your HTN?" C. "Can you tell me what foods you prefer to eat and what your family is bringing you?" D. "It is ok to eat what your family brought you, as long as we see what it is."
C. "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. "Irish people are all heavy drinkers." B. "Asians are always the smartest in the class." C. "My Russian heritage is superior to all others." D. "Anybody on welfare is just lazy."
C. "My Russian heritage is superior to all others."
The nurse is assessing an older adult who immigrated at the age of 3 years. The client speaks the dominant language and lives in a neighborhood with many households from the country of origin. Which action by the nurse is most appropriate? A. Contact a traditional healer as part of culturally competent care of the client. B. Avoid direct eye contact with the client when speaking. C. Ask the client about special cultural beliefs or practices. D. Contact the client's oldest son to assist with health care decision making.
C. Ask the client about special cultural beliefs or practices.
