intro test 4 ch. 5 point questions
Based on cultural factors, which client would be most likely to ask the following: "Why is there a male nurse in my wife's room?"
A 43-year-old Muslim male
A nurse is caring for a postoperative client of Asian descent after knee arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action?
Explain the purpose and need for assistance during ambulation.
How is culture learned by each new generation?
Formal and informal experiences
A nursing student is providing care to a postoperative client of Asian descent. The student reports to the primary nurse that the client is "eating food from home." 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 client is admitted to the hospital and the nurse is attempting to complete an admission assessment. The client reports that her spiritual healer will be coming in soon and is upset by the admission questions. What is the most appropriate response by the nurse?
"We can wait for your healer to come and then work together to answer these questions."
A client with Asian heritage is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep his blood sugar under control. What is the mostappropriate response by the nurse?
"Why don't you take the medicines, too, and benefit from both?"
An older adult client who only speaks Cantonese has been admitted to the emergency department after suffering a fall and suspected hip fracture in the home. Who is the best person to perform translation services to the client?
A hospital translator
A male nurse is preparing to take the vital signs of a female client. Which ethnic group would consider this improper?
Arab Muslim
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
A parent informs the nurse that immunizations are against her cultural and religious beliefs and she does not want her child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that she had all of her children vaccinated. What is the nurse's behavior an example of?
Cultural imposition
A female client is a practicing Muslim and is admitted to the unit for observation. What cultural characteristic might the nurse expect?
Limited eye contact with the opposite sex
Which statement best conveys the relationship between race and ethnicity?
Race denotes physical characteristics while ethnicity is rooted in a common heritage.
A nurse is assigned the care of a client who speaks only Arabic. The nurse does not know the language. What action is appropriate for the nurse in this case?
Request a professional interpreter.
A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses:
beliefs, values, and practices
A client's husband has asked that his wife be cared for exclusively by female nurses. Knowing that the couple is originally from the Middle East, what action should the care team take in response to this request?
Take reasonable measures to accommodate the request.
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.
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.
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.
While completing a health history interview for a female client who practices Islam, the nurse notes that the client's spouse answers all the questions. The nurse recognizes that behavior may be due to what?
The spouse may be the dominant member of the family.
A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?
belief system that guides behavior
A client who immigrated from Pakistan informs the nurse of his 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
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
Health care facilities that sponsor health-promotion activities only in affluent areas are considered:
culturally blind
Upon moving to China, a North American college student is experiencing many new feelings that the student associates with placement in a different culture. What are the feelings experienced by this student?
culture shock
The delivery of culturally competent nursing practice incorporates the concept of:
planning and implementing care in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations.
Which area is typically included in a cultural assessment?
food preferences
A client of Arab descent has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client?
maintaining eye contact
Culture shock is best defined as:
the acute experience of not understanding the culture in which one is situated.
