NUR162 CH5 prepU

A nurse is assigned to care for a client who does not speak English. Which action by the nurse would be most effective when providing care for this client?

requesting the assistance of a trained interpreter

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 caring for patients of different cultures in a hospital setting attempts to make eye contact with patients when performing the initial assessment. What assumption might the nurse make based on common cultural practices?

A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.

You are a community health nurse who provides care to a group of Hispanic people living in an area that is heavily populated by white people. What are the Hispanic people in this community an example of?

A minority

A nurse is providing care to a client from a different culture. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate?

Ask the client how she wants to be treated based on her values and beliefs.

Classification of illness can occur with cultural practice. What is an example of an unnatural illness?

Evil forces caused a client to develop schizophrenia.

An Asian client 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 nurse is assigned the care of a client who speaks only French. The nurse does not know the language. What action is appropriate for the nurse in this case?

Request a professional interpreter.

The nurse is assessing a client for pain and suspects that the client's culture may be affecting her pain response. What nonverbal assessment would the nurse expect?

The client is holding pressure on her abdomen when speaking.

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 female Asian client is admitted to the emergency department with a fractured femur. What cultural factor might affect nursing care?

The client may not report pain.

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?

The client states, "I feel like I abandoned my religion."

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 behavioral expectations.

Nursing students are socialized into the:

health care culture.

Which question should the nurse include in a cultural assessment? Select all that apply.

• "What do you think is causing your illness?" • "What religion do you belong to?" • "What do you do to promote good health?" • "Do have a particular name for this illness?"

Which of the following examples related to eye contact are expected based on cultural variables? (Select all that apply.)

• An American male looks directly into the eyes of another while speaking. • An Asian male is considered aggressive when looking directly at another. • A Hispanic male looks down while speaking to his grandmother. • An Arabic male averts his eyes while speaking to a group

How is the nursing profession becoming more culturally diverse? Select all that apply.

• by the increased number of male nurses in the profession • by the increased number of foreign-born nurses in the profession

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

Ask the client about his personal space preferences.

Which disorders might a nurse screen for in an African American man based on his culture? (Select all that apply.)

• Keloid formations • Lactase deficiency • Sickle cell anemia

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

ethnocentrism.

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?

"Culture cannot be influenced, and you are born with your culture."

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 just attended a seminar on cultural diversity. Which statement by the nurse would require further education?

"Ethnicity and race are the same thing and are affected by cultural practice."

Which of the following statements by the nurse demonstrates ethnocentrism?

"That client needs to learn that pain is best managed with traditional medications like morphine."

A nurse is admitting a client to the unit. Which cultural question is most appropriate?

"What are your dietary needs and preferences?"

An Appalachian male has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset and the client wants to leave. What is the most appropriate cultural response by the charge nurse?

"Would you feel more comfortable with your family with you?"

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

Access to care

Which of the following behaviors by the nurse demonstrates cultural blindness?

Administering antibiotics to a child whose parents do not believe in Western medicine

A nurse is performing nutritional assessments of new residents of a long-term care facility. Which resident would the nurse assess as being at greater risk for having lactose intolerance?

African American male

A male patient 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 patient belongs to which ethnic group?

Asian

A family recently emigrated from Haiti to the United States. The mother reports that her teenage daughter is showing signs of fear, has vague reports of stomach pain, and feels humiliated by her peers because of her culture. What is the priority assessment for the nurse?

Assess for culture shock.

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 education about his condition and treatment?

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

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

Assessment of eye contact, personal space, and social taboos

Which of the following is an example of cultural competence in nursing?

Attending a conference for cultural diversity

A family from China has recently moved to the United States. They are quickly learning English and their children are all in American schools. Both parents are working in the United States and adapting to the new culture. What is this family demonstrating?

Cultural assimilation

An Asian client believes that her illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating?

Cultural blindness

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

Which of the following is 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

When discussing culture, the nurse educator correctly identifies which terminology to describe a health care practitioner who is respectful of the health care traditions of other cultures?

Culturally sensitive

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

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

Ethnic identity

When reviewing the chart of an elderly client, the nurse notes that the client identifies herself as Hispanic American. The nurse realizes the client is referring to which factor?

Ethnicity

What factor threatens to increase the number of people who are living at poverty level?

Feminization of poverty

A nurse is planning meals for patients in a long-term care facility. Which cultural practice should the nurse take into consideration when choosing foods for these patients?

In the Asian and Hispanic culture, diseases and foods are classified as hot or cold, and a proper balance between them promotes wellness.

The nurse is caring for a client who speaks a language other than English and is using an interpreter to communicate. What would be the best way to choose an interpreter for this client?

Interpreter should understand the health care system.

Which teaching statement best exemplifies cultural competence in relation to time?

It is important to be on time for your health care appointment.

A nurse is working in an inner city clinic with a heavy population of Hispanic migrant workers. Which nursing assessment is the priority?

Language assessment

While caring for a Hispanic client, the nurse inadvertently offends the client. What is the best action by the nurse?

Learn from the mistake and do not repeat it.

Which of the following nursing actions displays linguistic competence?

Learning pertinent words and phrases in the client's language

A female Muslim client is admitted to the unit for observation. What cultural characteristic might the nurse expect?

Limited eye contact with the opposite sex

An Arab client 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

A client has recently immigrated to the United States and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I can't do anything right here." What is the priority nursing diagnosis?

Situational low self-esteem related to culture shock and feelings of fear and incompetence

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

Take reasonable measures to accommodate the request.

The younger nurses who seem to adapt easily to the new technology presented are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond?

The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.

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 her in a one-bedroom apartment. Which of the following is a primary nursing concern?

The client does not have running water.

A nurse is caring for an African American male patient who is diagnosed with hypertension. Which nursing action is considered culturally competent care based on the beliefs/practices of patients of African American culture?

The nurse makes an appointment to meet with the patient and his spiritualist.

Which of the following is a cultural norm of the health care system?

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

A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

belief system that guides behavior

You are a nursing researcher studying so-called "unnatural illnesses." What cause of such illnesses would be included in your study?

Witchcraft

A client 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.

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the:

media

Which of the following are examples of cultural competence? (Select all that apply.)

• Attending a cultural diversity lecture series in the community • Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client • Having a one-on-one conversation with a Muslim client regarding prayer needs and practices • Performing a self-assessment of one's own personal biases

A client is completing a health history form and asks the nurse, "Why does this ask for my ethnicity instead of my race?" What is the appropriate nursing response?

"Ethnicity is a social category that is being used to replace racial categories."

A client believes in the use of herbal therapy and asks the nurse if he can continue to use a herbal tea therapy. What is the most culturally appropriate nursing response?

"There is no reason the tea cannot be used as long as the ingredients do not interfere with the medication."

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 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 caring for a 79-year-old Appalachian woman who is placed in a long-term care facility by her son, who is no longer able to care for her. She appears disoriented and complains of the "bright lights and constant activity." The nurse appropriately documents what condition in the patient chart?

Culture shock

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. Keeping in mind that the client is a Latino, how should the nurse conduct the interview?

The nurse should avoid using medical terminology.

A Hispanic woman is seeking care at the local clinic. The nurse is completing a cultural assessment. Which of the following would demonstrate cultural assimilation?

The client's daughter, who is with her, learned English as her second language.

A nursing student is providing care to a postoperative client who is Asian. 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 ordered diet."

An older adult client who speaks Cantonese has been admitted to the emergency department after suffering a fall and suspected hip fracture in her home. Emergency medical services personnel have reported to the nurse that the client speaks no English. Who is the best person to perform translation services to the client?

A hospital translator

Which of the following behaviors by the nurse is stereotyping?

Avoiding clients who are elderly because their care is time consuming.

A client is admitted with end stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse if an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed?

Cultural imposition

Upon moving to China, an American college student is experiencing many new feelings that she associates with her placement in a different culture. What are the feelings experienced by this student?

Culture shock

Which questions may help the nurse assess his or her ability to relate to various groups in society? (Select all that apply.)

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

Which of the following are examples of a culturally appropriate nursing intervention? (Select all that apply.)

• Asking the client's grandmother, who is the head of the family, to be involved in the plan of care • Asking for cultural assistance from clergy at the client's request • Allowing the client to eat food from home that is consistent with her dietary plan • Asking sincerely for the client to explain religious rituals

A Muslim client is admitted to the hospital. What cultural considerations might the nurse include in the plan of care? (Select all that apply.)

• Assign care providers of the same sex. • Avoid touching clients of the opposite sex. • Make accommodations for the prayer needs of the client.

A Hispanic client has been hospitalized for 6 days for postoperative infection. Her weight is decreasing each day, and her nutritional intake is declining. Which nutritional assessment question is most appropriate?

"What type of food do you eat at home?"

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

"Why don't you take the medicines, too, and benefit from both?"

A Malaysian client is admitted to the health care facility with complaints 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 nurse considers the culture of an Appalachian female patient when counseling her about contraceptives. Which beliefs are consistent with this culture? (Select all that apply.)

• Belief is in a divine existence rather than attending a particular church. • Isolation is an accepted way of life. • Feelings about losses or death may be fatalistic. • Independence and self-determination are valued.

Which of the following examples are considered acceptable cultural norms in health care? (Select all that apply.)

• Defining diabetes mellitus as a metabolic disorder characterized by elevated blood sugar • Encouraging adult women to conduct self-breast exams once a month • Documenting pain with every client assessment • Following a specific regimen for cardiac rehab

A nurse is caring for patients in a predominantly African American community. What are values or beliefs commonly shared by members of this culture? (Select all that apply.)

• Oriented to the present • Frequently highly religious • Clergy members highly respected