diversity prep u

A patient with a visual impairment would benefit from which of the following teaching strategies?

Magnifying lenses

A school nurse is working with a 13-year-old female student with depression. Which statement made by the student would alert the nurse to refer them to a health care professional specializing in the diagnosis of gender dysphoria?

"I wrap a tight bandage around my breasts, so they are not visible."

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not taken the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse?

"What would you think about taking the medicines, too, and benefitting from both?"

A nurse in a rural community completed a workshop on traditional Chinese culture and how to incorporate traditional Chinese values into one's healthcare practice. One nurse notes caring for a client with Chinese heritage who did not act the way the nurse would anticipate based on the workshop. The nurse asks why the client's behavior differs from what is being taught. What is the most appropriate response by the presenter?

"You have to remember that not all members of a culture share identical beliefs."

Which scenario is an example of cultural competence in nursing?

Attending a conference for cultural diversity

A 67-year-old client is admitted for diagnostic studies to rule out cancer. The patient is white, married, has been employed as a landscaper for 40 years, and has a 36-year history of smoking a pack of cigarettes daily. What significant risk factors does the nurse recognize this patient has?

Cigarette smoking Occupation Age

Which factor contributes to UTI in older adults?

Immunocompromise

The nurse understands that which of the following physiologic changes that influence the pain response occur in the gerontologic population?

Increased sensitivity to medications

Of the following nurse theorists, which one is considered the founder of transcultural nursing?

Madeline Leininger

The nurse is assessing an Asian client who presents with pigmented birthmarks on the buttocks and sacral area. The nurse would document this assessment as:

Mongolian spots

An older adult client has been brought to the emergency department by her daughter, who states that the client may have a urinary tract infection. What principle should guide the care team's plan of treatment?

Older adults' signs and symptoms of infection may differ from those of younger people

The nurse would screen a client from which ethnic background hypertension at an early age?

Population of African descent

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?

The client's child learned the dominant language as a second language.

The nurse is caring for four clients who will all be undergoing moderate sedation procedures today. The health care provider (HCP) has ordered midazolam to be given to all four clients. The nurse notifies the HCP to clarify the prescription for which client?

a 30-year-old client who is pregnant

A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of:

alternative medicine.

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. The nurses at the facility should recognize this as an example of what?

cultural blindness

A nurse has migrated to a different country and started working there. Which factor is important for effective functioning?

cultural habituation

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:

cultural imposition.

Healthcare facilities that sponsor health promotion activities only in affluent areas are considered:

culturally blind.

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

ethnic identity.

While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying:

his faith.

A female-to-male (FTM) transgender individual who has undergone breast surgery wants to become a parent. During the teaching session, which instruction is essential for the client to understand to achieve the goal of pregnancy?

stopping current testosterone hormone therapy

A nurse is caring for a client after internal fixation of a compound fracture in the tibia. The nurse finds that the client has not had 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 mother of a Black newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response?

"These areas are normal and should disappear by early childhood."

In providing culturally competent care to a laboring woman, which is a priority?

Identify how the client expresses labor pain.

Which of the following would be incorporated as a teaching strategy for a hearing-impaired person?

Use slow, directed, and deliberate speech

What term is defined as "those practices that do not form part of the dominant system for managing health and disease"?

alternative medicine

A nurse needs to encourage a client who is Hispanic and has severe depression to express the client's feelings. What distance between the nurse and the client may help facilitate therapeutic communication?

3 to 6 feet

The nurse should determine the adult client's learning readiness by assessing ____ followed by ______ followed by ______, and followed by _________

intelligence personal values attention to detail emotions

Which client would the nurse assess as having the priority need for attendance at a life and social skills group?

A 38-year-old homeless man with a history of chronic paranoid schizophrenia

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of?

A minority

What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?

Access to care

When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?

Ask the client about personal space preferences.

The nurse who is preparing a Native American client for surgery notes that the client is wearing a medicine bag. What intervention should the nurse implement to best address the client's spiritual needs with respect to presurgical care needs?

Ask the client how the medicine bag can be respected while preparing for surgery.

Which of the following teaching strategies may be used with a patient diagnosed with a developmental disability?

Demonstrate information followed by return demonstration. Encourage active participation. Use nonverbal cues as needed. Use simple explanations.

Which questions may help the nurse assess his or her ability to relate to various groups in society?

"Do I have the experience to help this person?" "Can I genuinely try to help this person and be comfortable enough to listen?" "Can I welcome this person sincerely?"

A nurse reads in a client's chart that he or she has gender dysphoria. The nurse determines that the client understands the diagnosis when making what statement?

"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria."

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

Ask the client to identify who is considered family.

The nurse is discussing traditional cultural beliefs relating to skin care and healing with a group of nursing students. Which remark by a participant indicates the need for further instruction?

Body image is of little importance to the traditional French cultural beliefs.

A home care nurse is visiting a pregnant client from the Arab culture. During the health history the husband frequently answers questions for the client. How should the nurse respond?

Continue with the health history.

A nurse is caring for a client with a urinary tract infection. The client is anemic and has a hemoglobin count of 8 mg/dL. Taking into consideration that the client is from a Mediterranean country, what should the nurse's most appropriate action be?

Ensure that drugs exacerbating anemia are not given.

A nurse is working as part of a team developing a community-based care program for the local homeless population. Which of the following would be important to keep in mind when developing the program?

Ill homeless people often deteriorate more rapidly than those who are not homeless. Health problems are often related to a person's living situation. Homeless people often have no or insufficient health insurance.

A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation?

Intimate partner violence in lesbian, gay, bisexual, transgender, queer (LGBTQ) relationships may go unreported for fear of harassment.

An occupational therapist conducts daily relaxation exercises with clients who are receiving treatment on the psychiatric unit of a hospital. Stimulation of which of the following components of the nervous system will result in relaxation for the clients?

Parasympathetic nervous system

A nurse caring for older adults in a long-term care facility is teaching a novice nurse characteristic behaviors of older adults. Which statement is not considered ageism?

Personality is not changed by chronologic aging.

A client presents to the ED with acute abdominal pain, fever, nausea, and vomiting. During the client's examination, the lower left abdominal quadrant is palpated, causing the client to report pain in the RLQ. This positive sign is referred to as ________ and suggests the client may be experiencing ________.

Rovsing sign; acute appendicitis

The nurse should consider which during a psychiatric assessment of a newly immigrated client who is being evaluated for possible religious delusions?

Some cultures hold religious beliefs that might be confused with delusional thought

A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?

Stereotyping

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 is the most appropriate step for the nurse to take to help the client?

Support the client in developing attainable socialization goals.

A college's nursing program has added an elective in forensic nursing to the curriculum. Which phenomenon underlies the expectation of an expanded role for forensic nursing in the future?

There are high rates of mental illness among incarcerated populations.

A client admitted with tuberculosis reports concerns about paying for needed medications. The nurse should:

collaborate with the social worker to investigate possible availability of funds.

A new client is admitted to the unit, and the nurse's initial assessment will include a systematic appraisal of the client's cultural characteristics, health practices, and beliefs. What type of assessment will the nurse perform to gather this information?

cultural

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

ethnocentrism.

A client tells a nurse that she's in a nontraditional same-sex relationship. The woman's partner is the healthcare 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 healthcare decisions for the fetus, who's responsible for making them?

the client's partner

A nurse provides care to pregnant women and their families from a wide range of cultural backgrounds and considers their culture and traditions when providing care. As the nurse communicates with the families, the nurse integrates understanding of communication as being more than just speaking and listening. Which aspect must the nurse also consider?

touching

When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate?

Assess for cultural differences.

Which approach to care best reflects cultural competence?

Assess the culturally mediated beliefs of each client on an individual basis.

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate?

Assessment of eye contact, personal space, and social taboos

The nurse is caring for a child from a different culture. Which statement(s) by the nurse demonstrates an understanding of how culture impacts a client?

"Culture can impact who a client chooses to see for health care needs." "A client's cultural beliefs should be incorporated into the care a client receives. "A client's cultural beliefs can impact spirituality and/or religion." "Culture can impact the diet a client follows."

A client admitted to the hospital asks the nurse whether it would be acceptable for the client to bring food from home to eat that better meets the client's cultural preferences. What is the nurse's best response?

"Food from home is fine as long as it does not violate hospital policy or contradict the prescribed diet."

A family recently immigrated to a new country. The parent reports that the adolescent 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?

Culture shock

Ageism refers to

bias against older people based solely on chronological age.

Clients from which continent or country may have symptoms of somatization disorder that include the nondelusional sensation of worms in the head or ants under the skin?

Africa

Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for a planned hospital admission?

Allow the child to put on surgical attire and "operate" on a doll to teach what will be happening.

A nurse is reading a journal article about the U.S. health care delivery system. When reading this article, which topics would the nurse expect to find?

View of a person's state of health as ever-changing Diverse cultural backgrounds affecting responses to health care Increased ethical issues related to technological advancements

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

The client may have a very different understanding of health promotion.