Culture & Diversity NCLEX Questions

The nurse is preparing a presentation on health disparities in the United States. Which information is appropriate for the nurse to​ include? (Select all that​ apply.) Undocumented immigrants are more likely to have diseases such as HIV and tuberculosis than those with legal status. Gay and lesbian individuals face greater discrimination in health care than transgender individuals. African American women are at greater risk for heart disease than any other single population. American Indians have a lower incidence of diabetes than any other race. Muslim individuals are less likely to be engaged in seeking preventive health measures.

Undocumented immigrants are more likely to have diseases such as HIV and tuberculosis than those with legal status. African American women are at greater risk for heart disease than any other single population. Muslim individuals are less likely to be engaged in seeking preventive health measures.

Which statement by the nurse indicates a need for cultural competence​ training? ​"The client in room 5 prefers hot beverages when​ ill." ​"The client down the hall is on welfare. She will be​ back." ​"Do not bother the client in room 2 during his​ prayers." ​"Provide the client in room 3 a female nurse because she is​ Muslim."

​"The client down the hall is on welfare. She will be​ back."

A​ non-English-speaking immigrant mother seeks care at a local outpatient clinic in an area where many immigrants have settled. The mother is accompanied by​ 15-year-old child who speaks English. How should the nurse address the language​ barrier? Use signs and gestures to communicate. Conduct a physical assessment with no explanations. Ask the local immigrant service organization to provide an interpreter. Ask the child to act as translator.

Ask the local immigrant service organization to provide an interpreter.

The nurse wants to provide culturally competent care to a client who lives on a​ long-term care unit. Which activity is appropriate for the nurse to​ implement? (Select all that​ apply.) Teaching the client about the U.S. healthcare system Asking the client and his family how the illness affects them Asking the client where he thinks illness originates Seeking to understand​ one's own​ culture, its​ beliefs, and its assumptions Memorizing which foods members of each culture eat to restore health

Asking the client and his family how the illness affects them Asking the client where he thinks illness originates Seeking to understand​ one's own​ culture, its​ beliefs, and its assumptions

The nurse is reviewing the medical records of a small urgent care clinic to identify clients who may be considered vulnerable. Which client should the nurse include as those who may be​ vulnerable? (Select all that​ apply.) A​ 42-year-old man with a psychiatric history who lives in his car in a nearby park A​ 32-year-old woman who lists the local shelter as her home address A​ 17-year-old teenager enrolled in an afterschool​ boys' and​ girls' program A​ 22-year-old woman who is crying and anxious due to fighting with her roommate An​ 82-year-old man living alone with no family nearby

A​ 42-year-old man with a psychiatric history who lives in his car in a nearby park A​ 32-year-old woman who lists the local shelter as her home address An​ 82-year-old man living alone with no family nearby

Which should the nurse include when caring for a client of a different​ culture? Enforce use of specialty practitioners. Be nonjudgmental in healthcare beliefs. Instruct client to take ordered medications. Enforce use of Western healthcare practices.

Be nonjudgmental in healthcare beliefs.

The nurse manager is planning a presentation for a group of nurses about culture and diversity. Which barrier to respecting a​ client's culture should the nurse manager include in the​ presentation? (Select all that​ apply.) Clients may not trust the current healthcare system and the providers Belief that illnesses are linked to scientific pathophysiology and not changes in energy Refusing to allow family members to be involved in managing illness and disease Incorporating the​ client's beliefs into the plan of care Refusal of Western healthcare providers to believe in minddash-body connection

Clients may not trust the current healthcare system and the providers Belief that illnesses are linked to scientific pathophysiology and not changes in energy Refusing to allow family members to be involved in managing illness and disease Refusal of Western healthcare providers to believe in minddash-body connection

The nurse belongs to a Christian denomination that considers homosexuality sinful.​ However, while working with a lesbian​ client, the nurse maintains an​ open, interpersonal rapport with the client while providing​ consistent, effective care. Which term best describes the​ nurse's behavior? Assimilation Cultural humility Enculturation Stereotyping

Cultural humility

Which aspects of culture should the nurse consider when assessing a​ client? (Select all that​ apply.) Customs are part of the culture of a client. Beliefs are a part of culture. A​ client's culture is determined by race. Culture is defined by nonphysical traits. Values are a part of culture.

Customs are part of the culture of a client. Beliefs are a part of culture. Culture is defined by nonphysical traits. Values are a part of culture.

The preceptor is monitoring a graduate​ nurse's assessment of a male client who recently immigrated to the United States from China. Which assessment activity by the graduate nurse indicates the need for​ follow-up regarding culturally competent​ care? Determine if the client has any daily spiritual practices. Inquire if the client speaks any English. Discourage use of acupuncture or cupping for pain relief. Ask the client about food preferences or food preparation needs.

Discourage use of acupuncture or cupping for pain relief.

Which is a core belief about health in​ non-Western cultures? Health is the strength to do anything you want. Health is a state of harmony that encompasses​ mind, body, and spirit. Health is an attribute of youth. Health is the absence of disease.

Health is a state of harmony that encompasses​ mind, body, and spirit.

The nurse is to provide an assessment for a client of Asian descent. Which factor would the nurse need to understand related to the​ client's worldview?​ (Select all that​ apply.) Language Healthcare beliefs Educational level Healthcare practices Values

Language Healthcare beliefs Healthcare practices Values

Which aspect of organizational governance should reflect adherence to cultural competence standards within a healthcare​ facility? (Select all that​ apply.) Organizational practice implementation Policies and procedures Translation services Staff training Mission statement

Organizational practice implementation Policies and procedures Mission statement

The nurse is researching cultures and diversity in health care. Which cultural characteristic that affects health care should the nurse classify as an environmental​ control? Preventive medicine Skin color Personal boundaries Emphasis on the past

Preventive medicine

The nurse is treating a male client from India who is recovering from surgery. The nurse is concerned that several of the​ client's family members are gathered in the hospital room throughout the​ day, and that the​ client's mother insists on caring for the client even when the nurse is present. Which intervention would indicate that nurse needs more​ teaching? Explain to both the client and his family members the necessity of early mobility. Teach the client and his family about safety issues such as crowding and​ self-medication. Provide the client with nutritional counseling and incorporate preferred foods into their meal plan. Remind the family that the nurse is equipped to provide the client with​ safe, effective care.

Remind the family that the nurse is equipped to provide the client with​ safe, effective care.

The nurse makes a​ statement, "Chinese people drink only hot​ tea, so​ don't put coffee on their​ trays." The charge nurse identifies this remark is an example of which concept associated with​ culture? Prejudice Stereotyping Diversity Ethnocentrism

Stereotyping

The nurse is providing care to a nondash-​English-speaking client who is noncompliant with care. The client has expressed a desire to use traditional culturally based therapies. Which should the nurse identify as a potential cultural barrier in the client following the recommended​ care? (Select all that​ apply.) The importance of the beliefs and cultural practices of the​ client's family and community The lack of insurance to cover the necessary medication and related supplies Lack of trust in the healthcare system and providers The belief that illness is not related to pathophysiology Cultural belief that discussing the disease can influence the disease process

The importance of the beliefs and cultural practices of the​ client's family and community Lack of trust in the healthcare system and providers The belief that illness is not related to pathophysiology Cultural belief that discussing the disease can influence the disease process

The nurse is performing a cultural assessment on an adult client. Which information should the nurse​ include? (Select all that​ apply.) The language spoken at home The cultural or religious influences in decision making The​ client's region or country of origination The kinds of food and drink the client prefers Whether the client has insurance

The language spoken at home The cultural or religious influences in decision making The​ client's region or country of origination The kinds of food and drink the client prefers

The nurse is assessing a client of a different culture who has different religious beliefs than that of the nurse. Which statement or question by the nurse demonstrates cultural competence when assessing the​ client? (Select all that​ apply.) ​"May I ask what your partner might think about this plan of​ care?" ​"Would you prefer to be examined by a nurse who is of your​ sex?" ​"Are there certain times of the day that you need privacy for prayer or​ meditation?" ​"I cannot continue with this assessment if you are not willing to be compliant with my plan of​ care." ​"How do you feel about taking medications or blood products if they are​ prescribed?"

​"May I ask what your partner might think about this plan of​ care?" ​"Would you prefer to be examined by a nurse who is of your​ sex?" ​"Are there certain times of the day that you need privacy for prayer or​ meditation?" ​"How do you feel about taking medications or blood products if they are​ prescribed?"

The nurse is preparing a presentation on social differences for colleagues. Which statement should the nurse include in the​ presentation? ​"Individuals with an external locus of control are more likely to take preventive healthcare measures than those with an internal locus of​ control." ​"Subcultures can maintain heritage and identity through​ dress, foods​ eaten, and cultural​ festivities." ​"Practices regarding proximity to​ others, body​ movements, and touch are similar across​ groups." ​"Clients from​ present-oriented cultures are generally receptive to preventive healthcare​ measures."

​"Subcultures can maintain heritage and identity through​ dress, foods​ eaten, and cultural​ festivities."