Fundamentals CH 5
The nurse is caring for a client who speaks a differnt language than herself and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client?
The interpreter should understand the health care system.
The new nurse is caring for a client of Asian descent. What should the nurse expect when caring for this client?
This client will require the nurse to keep an arm's length distance.
In addressing health promotion for a client 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.
A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which would demonstrate cultural assimilation?
The client's daughter, who is with her, learned the dominant lanuguage as her second language.
A client who speaks only Japanese has been admitted to the health care facility reporting chest pain. Since the assigned nurse does not know the client's language, what would be the most appropriate solution in this case?
The nurse should request the help of a professional interpreter.
Which is a cultural norm of the health care system?
There is the use of a systematic approach and problem-solving methodology.
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?
Understand the client's personal and cultural views regarding death and dying.
The nurse working on a medical unit always performs hand hygiene between contact with each client. In addition to being understood as an infection control measure, this practice can be understood as:
a ritual.
Which nursing intervention reflects culturally appropriate care when addressing a black client?
"Good morning, Mr. Smith. I am your nurse, John."
A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?
"My Russian heritage is superior to all others."
The unlicensed assistive personnel (UAP) reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond?
"What type of food did your family prepare for you, and does it have special meaning?
The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond?
"Collecting this information allows us to develop a personalized plan of care to meet your needs."
A nurse is caring for a female patient of Hawaiian descent. Which interview question would be appropriate based on the cultural beliefs of Hawaiians?
"Do you use any medicinal plants or minerals?"
The nurse is interviewing a client who is Native American/First Nations. What question would be best to ask this client?
"Do you use herbal or medicinal plants?"
Which behavior by the nurse is stereotyping?
Avoiding clients who are elderly because their care is time consuming
A male client refuses to allow the nurse to draw blood for a test because he believes blood is the body's life force and cannot be regenerated. It is likely that this client belongs to which ethnic group?
Asian
Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture?
Cultural imposition
A client who only speaks Spanish is admitted to the hospital. What cultural interventions would be most appropriate by the nurse?
Call for a translator who is familiar with health care.
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?
Client
The nurse is caring for the teenage child of immigrants from China. The teenager voices distress because after living in the country for several years, he no longer wants to participate in some of the Chinese religious rituals that are important to his parents. What is the teenager experiencing?
Cultural change
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?
Cultural conflict
A nurse is developing a care plan for a Hispanic client who has diabetes. What cultural intervention is most appropriate?
Dietary counseling, as Hispanic diets are often high in carbohydrates
The nurse is caring for a client of Asian descent. The client is ostoperative 3 days from coronary artery bypass graft (CABG). The client has a prescription to ambulate. What is the best action by the nurse?
Discuss with the client the need for assistance during ambulation.
A family has moved from Spain to a primarily Spanish-speaking neighborhood near a large metropolitan area. The nurse caring for this family recognizes that which family member will likely require the greatest amount of time to learn the dominant language?
The 45-year-old mother in the family who does not work outside the home
Which nursing actions are appropriate when collecting a health history for a client whose primary language is Spanish? Select all that apply.
Utilize the facility telephonic interpreting system. Have a bilingual nurse assist with the health history Request assistance from a certified-interpreter.
The community health nurse is developing a workshop for a group of Native American/First Nation clients. Which topic should the nurse teach?
alcohol use
A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?
belief system that guides behavior
Persistent gaps between the health status of minorities and non-minorities are defined as:
health disparities.
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.
less power health disparities
The nurse is assessing an older adult of Asian decent who immigrated at the age of 3 years. The client speaks the dominant language and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate?
Ask the client about special cultural beliefs or practices.
The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate?
Ask the client if a spiritual leader is desired.
A client from Malaysia is admitted to the health care facility with reports of cramping pain in the abdomen and loose stools. Where should the nurse be seated when interviewing the client?
At more than one arm's distance
Which is an example of cultural competence in nursing?
Attending a conference for cultural diversity
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
Ethnic identity
Which nursing action displays linguistic competence?
Learning pertinent words and phrases in the client's language
The nurse is reviewing the diets for a group of assigned. The nurse notes that a client requires an alternate meal choice if pork is being served. What cultural group would require an alternative meal choice?
Muslim
A client with Asian heritage is admitted to the unit. What cultural assessment might the nurse anticipate?
Nonverbal expressions of pain
Which statement best conveys the relationship between race and ethnicity?
Race denotes physical characteristics while ethnicity is rooted in a common heritage.
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 the client in a one-bedroom apartment. Which consideration is the priority nursing concern?
The client does not have running water.
Which client admitted to the emergency department (ED) might require the nurse to include interventions aimed at addressing cultural shock in the plan of care?
the client who recently immigrated from Mexico who fell from a ladder
In addition to understanding the culture of the client, what other actions are required to provide culturally competent nursing care? Select all that apply.
recognizing one's own culture and biases recognizing the culture of the health care system
Which behaviors demonstrated by the client would the nurse consider as reflection of the client's pride in ethnicity? Select all that apply.
requesting native cuisine listening to folk music and dance asking to wear person unique clothing
A preconceived and untested belief about an individual or group of individuals is:
stereotyping