Div&Cult Prep U

A client with chronic hepatitis C is experiencing nausea, anorexia, and fatigue. During the health history, the client states that he is homosexual, drinks 1 to 2 glasses of wine with dinner, takes St. John's Wort for a "bit of depression," and takes acetaminophen for frequent headaches. The nurse should do which of the following? Select all that apply.

• Encourage the client to obtain sufficient rest. • Instruct the client to ask the health care provider about taking any other medications, because they may interact with the client's current medications. • Advise the client of the need for additional testing for HIV. Correct Explanation: Clients with chronic hepatitis C should abstain from alcohol because it can speed cirrhosis and end-stage liver disease. Clients also should check with their health care providers before taking any non-prescription or prescription medications, or herbal supplements. It is also important that clients infected with HCV be tested for HIV, because clients who have both HIV and HCV have more rapid progression of liver disease than those who have HCV alone. Clients with HCV and nausea should be instructed to eat 4 to 5 times a day to help reduce anorexia and nausea. The client should obtain sufficient rest to manage the fatigue

A nurse who provides care in a large, inner-city hospital is aware of the salient influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses which of the following?

Beliefs, values, and behavioral expectations. Explanation: Culture is defined in many ways, but at the broadest level, it can be understood to be a shared system of beliefs, values, and behavioral expectations that provide social structur

Nurses are aware that culture links a wide variety of behaviors and events uniquely. For Westerners, which of the following is a culturally linked behavior to autopsy?

The cause of death can be discovered

A nurse wants to ensure inclusiveness in language regarding family when developing a plan of care for a client. Which of the following is the most important action for the nurse to take to ensure that the plan is inclusive?

Ask the client to identify who is considered family. a client's plan of care, family consists of people identified by the client as family members

A 12-year-old African-American boy has experienced significant blood loss and may require a blood transfusion. The boy's mother, father, and sisters are currently present at his bedside in the emergency department. How should the nurse direct questions and teaching about his condition and treatment?

Assess who is the dominant member of the family and then address that person.

When assessing a dark-skinned client for cyanosis, the nurse should examine which of the following?

The client's oral mucous membranes.

The nurse is caring for an 8-year-old child with a life-threatening illness. The parents do not speak the native language and want the child discharged so they can pursue alternative therapies that they believe will be less expensive. What is the most important action by the nurse to help the family and the child?

A translator is an immediate priority. No effective health teaching or social intervention will be effective until there is an established means of communication with the family

The nurse is preparing an educational program on breast cancer for women at a Black community center. What information is important for the nurse to consider for the discussion?

Breast cancer concerns vary between socioeconomic levels of Black women. Correct Explanation: The nurse needs to consider the beliefs and concerns for all socioeconomic levels of Black women when providing education on breast cancer. Access to screening and care may differ. Black women are more likely to develop breast cancer and be diagnosed later in the disease process than Caucasian women. Not all Black women believe that breast cancer is inevitable. (less)

When caring for a primigravid client at 9 weeks' gestation who immigrated to North America from Vietnam 1 year ago, the nurse would assess the client's diet for a deficiency of which of the following?

Calcium Explanation: The Vietnamese diet typically consists of small portions of meat and ample amounts of rice. Fresh milk may not have been readily available in Vietnam, and many Asian clients are lactose intolerant.

A nurse is caring for a client of African descent. Among the following, who should the nurse use as a key informant?

Church mothers. Explanation: The nurse should use church mothers as key informants for the client

Despite the presence of a large cohort of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility should recognize this as an example?

Cultural blindness. Explanation: Cultural blindness is characterized by ignoring cultural differences or considerations and proceeding as if they do not exist

A patient from Pakistan informs the nurse of his cultural dietary requests. The nurse responds to the special dietary needs by stating, "You are now living in the United States, and you should try to start eating those foods common to an American diet." This inappropriate response is an example of

Cultural imposition .The nurse's response is an example of cultural imposition, which is defined as the belief that everyone should conform to the majority belief system.

The nurse observes a darkish blue pigment on the buttocks and back of a neonate of African descent. Which of the following actions is most appropriate?

Document this observation in the child's record. Correct Explanation: The bluish pigment on the buttocks and back of an infant of African descent is a common finding and should be documented as Mongolian spots in the child's record.

The charge nurse on the pediatric floor has assigned a 6-year-old girl of Arab ethnicity with newly diagnosed type 1 diabetes and an 8-year-old girl recovering from ketoacidosis to the same semi-private room. The 6-year-old's mother is upset because the parent staying with the other child is the father. The nurse should:

Reassign the children to different rooms. People of Arab background most frequently practice Islam. Sleeping in the same room with a person of the opposite sex most likely would be viewed as a violation of their faith. If at all possible, the charge nurse should reassign the family to a different room.

Puerto Ricans

Spiritist healers are key informants

When providing care to Aboriginal clients, it may be important for the nurse to elicit help from the

Spiritual healer. Explanation: Shamans and spiritual leaders are found among Aboriginal and many Southeast Asian groups

A client at a mental health clinic who has recently emigrated from another country identifies isolation and loneliness as current stressors. The client describes being withdrawn but does not know how to change the situation. Which of the following is the most appropriate step for the nurse to take to help the client?

Support the client in developing attainable socialization goals. Explanation: Supporting the client in goal-setting around social interaction is the first step in promoting change for wellness

A client's husband has asked that his wife be cared for exclusively by female nurses, a request with which the client herself agrees. Knowing that the couple is of Middle Eastern origin, what action should the care team take in response to this request?

Take a reasonable measure to accommodate the request. While cultural assessment in a tactful and respectful manner is likely appropriate in this situation, the care team's guiding principle and obligation in this situation is to accommodate and respect the couple's request.

Haitians

Voodoo priests are key informants for

In which areas of the United States and Canada is the incidence of tuberculosis highest?

Inner-city areas. Explanation: Statistics show that of the four geographic areas described, most cases of tuberculosis are found in inner-core residential areas of large cities, where health and sanitation standards tend to be low.

An Arab client with pneumonia has been admitted to the health care facility. What should the nurse avoid while conducting the interview of the client?

Maintaining eye contact. Explanation: While interviewing an Arab client, the nurse should avoid maintaining eye contact. In Arab culture, maintaining eye contact is sexually suggestive; if the nurse does so during the interview, it may give the wrong message to the client

A nurse is caring for a Latino client after internal fixation of a compound fracture in the tibia. The nurse finds that the client has not had his dinner, seems restless, and is tossing on the bed. What is the most appropriate response by the nurse?

Tell me what you are feeling? The nurse should ask the client to tell the nurse what he is feeling. Asking open-ended questions would encourage the client to verbalize pain. Latino men may not demonstrate their feelings or readily discuss their symptoms because they may interpret doing so as being less than manly.

A client tells a nurse that she's in a nontraditional same-sex relationship. The woman's partner is the health care surrogate for the client and her fetus. The sperm donor, who is their best friend, has waived parental rights. If the client can't make health care decisions for the fetus, who's responsible for making them?

The client's partner

When providing care on an Indian reservation (First Nations reserve), a nurse has prioritized assessments for type 2 diabetes mellitus and fetal alcohol syndrome. How should the nurse's practice be best understood?

The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population. Explanation: Because diabetes and fetal alcohol syndrome are known to have a higher incidence and prevalence among American Indians (First Nations people), the nurse is justified in reflecting this objective reality during health assessment

In addressing health promotion for a patient who is a member of another culture, the nurse should be guided by which of the following principles?

The patient may have a very different understanding of health promotion. Explanation: As a component of cultural assessment, the nurse should seek to understand the cultural lens through which the patient may understand health promotion.

Which of the following is a cultural norm of the healthcare system?

There is the use of a systematic approach and problem-solving methodology.