Nurs222 Chapter 5 CoursePoint
When describing the concept of ethnicity, which statement would be most appropriate to use? 1) Ethnicity is an alternative term that implies the same ideas as culture 2) Ethnicity allows people to define themselves and others to define them 3) Culture involves self-consciousness while ethnicity does not 4) Ethnicity is a present-oriented form of identity
Ethnicity allows people to define themselves and others to define them
A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action? 1) Let the client ambulate slowly on his or her own when stable 2) Explain the purpose and need for assistance during ambulation 3) Instruct family members to assist in ambulating the client 4) Ambulate the client explaining it is an expected outcome of the treatment
Explain the purpose and need for assistance during ambulation.
Which area is typically included in a cultural assessment? 1) Marital status 2) Employment status 3) Food preferences 4) Ethics
Food preferences
The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as: 1) ritual 2) ethnocentrism 3) stereotyping 4) subculture
ritual
The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond? 1) "You need to get up and walk to prevent complications." 2) "Can you describe what you are feeling when you try to move?" 3) "I will come back later and help you get up." 4) "Would like to wait until your family arrives to get out of bed?"
"Can you describe what you are feeling when you try to move?"
The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse? 1) "You should consider eating the food provided, which is healthier." 2) "Do you understand the specific diet for your HTN?" 3) "Can you tell me what foods you prefer to eat and what your family is bringing you?" 4) "It is ok to eat what your family brought you, as long as we see what it is."
"Can you tell me what foods you prefer to eat and what your family is bringing you?"
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? 1) "Collecting this information allows us to develop a personalized plan of care to meet your needs." 2) "We require the information for identification purposes." 3) "Understanding your background will prevent us from doing anything to offend you." 4) "Insurance companies requires us to ask all clients."
"Collecting this information allows us to develop a personalized plan of care to meet your needs."
The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? 1) "Ethnicity begins at birth or through adoption of characteristics." 2) "People of the same ethnicity share many of the same cultural and social beliefs." 3) "Ethnicity can often determine dialect and political interests." 4) "Ethnicity and race are the same thing and are affected by cultural practice."
"Ethnicity and race are the same thing and are affected by cultural practice."
The nurse is teaching a black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? 1) "I need to watch the amount of sugar that I eat." 2) "It is important to monitor my blood pressure." 3) "Getting a mammogram in my thirties is important." 4) "Increasing dairy will improve my bones."
"It is important to monitor my blood pressure."
A client is admitted to the hospital and the nurse is attempting to complete an admission assessment. The client reports that the spiritual healer will be coming in soon and is upset by the admission questions. What is the most appropriate response by the nurse? 1) "These questions are important and must be answered." 2) "We can wait for your healer to come and then work together to answer these questions." 3) "When your spiritual healer gets here, please have him or her complete this admission information." 4) "We can wait for your healer, but the healer cannot do anything to provide care in this care environment."
"We can wait for your healer to come and then work together to answer these questions."
A nurse is admitting a client to the unit. Which cultural question is most appropriate? 1) "Will you be able to eat the normal food provided?" 2) "What are your dietary needs and preferences?" 3) "Do you have food restrictions?" 4) "Will you be making requests for special food based on your religion?"
"What are your dietary needs and preferences?"
The nurse cares for clients in the emergency department. Which statement made by a health care professional is an indication of racism? 1) "Mexicans are just here seeking drugs." 2) "Emergency department nurses have to be very patient and caring people to deal with these people." 3) "Asians are too stoic and bear their pain silently." 4) "White people are superior to Black people."
"White people are superior to Black people."
A client 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 blood sugar under control. What is the most appropriate response by the nurse? 1) "Saffron does not have any effect on blood sugar level." 2) "Why don't you take the medicines, too, and benefit from both?" 3) "Yes, I agree that you should continue taking saffron for diabetes." 4) "Let me inform the health care provider that you are not taking your medicines."
"Why don't you take the medicines, too, and benefit from both?"
When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply. 1) Language 2) Religious beliefs 3) Shared beliefs of origin 4) Skin color 5) Eye shape
1) Language 2) Religious beliefs 3) Shared beliefs of origin
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. 1) Less power 2) Health disparities 3) Greater advantages 4) Improved access to care 5) Increased economic privileges
1) Less power 2) Health disparities
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? 1) Ask the client about personal space preferences 2) Back away from the client 3) Ask the client why he or she is backing away 4) Move closer to the client
Ask the client about personal space preferences
The nurse is assessing an older adult who immigrated at the age of 3 years. The client speaks the dominant language and lives in a neighborhood with many households from the country of origin. Which action by the nurse is most appropriate? 1) Contact a shaman as part of culturally competent care of the client 2) Avoid direct eye contact with the client when speaking 3) Ask the client about special cultural beliefs or practices 4) Contact the client's oldest son to assist with healthcare decision making
Ask the client about special cultural beliefs or practices.
A nurse is providing care to a client from a culture different from the nurse's own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate? 1) Ask the client how the client wants to be treated based on the client's values and beliefs 2) Ask another nurse to take over the client's care 3) Look up the client's culture online and try to figure out methods to relate 4) Consult the Office of Minority Health Resource Center to help in the provision of care
Ask the client how the client wants to be treated based on the client's values and beliefs
The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? 1) Inquire if the client desires the Sacrament of the Sick 2) Ask the client if a spiritual leader is desired 3) Do nothing unless the client requests spiritual assistance 4) Call a Roman Catholic priest to visit the client
Ask the client if a spiritual leader is desired
The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? 1) Allow all the visitors into the room 2) Explain to the family that too many visitors will tire the client 3) Insist that only one family member can be in the room at a time 4) Assess the client's beliefs about family support during hospitalization
Assess the client's beliefs about family support during hospitalization
When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? 1) Assessment of eye contact, personal space, and social taboos 2) Assessment of religious beliefs and prayer schedules 3) Assessment of racial identification and cultural affiliation 4) Assessment of income level to determine poverty status
Assessment of eye contact, personal space, and social taboos
Which scenario is an example of cultural competence in nursing? 1) Assessing the rate at which an illness causes death in a culture 2) Attending a conference for cultural diversity 3) Attending one's own church 4) Assuming the provider and the client share beliefs and values
Attending a conference for cultural diversity
Which behavior by the nurse is stereotyping? 1) Avoiding older adult clients because their care is time consuming 2) Openly ridiculing the practice of acupuncture 3) Explaining to others that Western medicine is always superior 4) Grouping care assignments to allow ample time to care for complex clients
Avoiding older adult clients because their care is time consuming
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? 1) Older family member 2) Client 3) Nurse 4) Health care provider
Client
Upon moving to another country, a college student is very confused by many local customs. The student is especially bothered by the custom of men and women eating in separate areas and it makes the student angry and resentful of the new culture. What are the feelings experienced by this student? 1) Culture shock 2) Stereotyping 3) Ethnocentrism 4) Cultural assimilation
Culture shock
A client believes that the 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? 1) Ethnocentrism 2) Cultural diversity 3) Stereotyping 4) Cultural blindness
Cultural blindness
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? 1) Cultural conflict 2) Cultural assimilation 3) Cultural blindness 4) Cultural diversity
Cultural conflict
A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether 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? 1) Stereotyping 2) Cultural conflict 3) Cultural imposition 4) Culture shock
Cultural imposition
Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture? 1) Acculturation 2) Cultural blindness 3) Cultural imposition 4) Cultural taboos
Cultural imposition
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse? 1) Allow the client to slowly ambulate independently 2) Instruct the family to assist the client with ambulation 3) Discuss with the client the need for assistance during ambulation 4) Obtain a prescription for physical therapy consult to ambulate the client
Discuss with the client the need for assistance during ambulation
The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? 1) Explain to the client that the client is required to make all decisions related to the client's own health care 2) Document the client's request in the nursing care plan 3) Bring the client's spouse into the hallway to discuss surgical options for the client 4) Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter
Document the client's request in the nursing care plan
A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information? 1) Ask a bilingual family member to translate 2) Enlist the services of a qualified language interpreter 3) Ask another nurse who speaks the client's language to interpret 4) Use a laboratory aide who is from the same country as the client
Enlist the services of a qualified language interpreter
A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? 1) Language assessment 2) Blood sugar assessment 3) Spiritual assessment 4) Blood pressure assessment
Language assessment
Which nursing action displays linguistic competence? 1) Learning pertinent words and phrases in the client's language 2) Speaking loudly to a client who does not speak the dominant language 3) Repeating English statements to a client who speaks Spanish 4) Asking a family member to interpret for a client who does not speak the dominant language
Learning pertinent words and phrases in the client's language
The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? 1) Set all interventions to be done at specific times 2) Maintain flexibility when the client requests interventions at specific times 3) Have the client set all times for the interventions 4) Perform interventions at random times during shift
Maintain flexibility when the client requests interventions at specific times
The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? 1) Soup, hot tea, and toast 2) Turkey sandwich, milk, and gelatin 3) Chicken salad, water, and a frozen fruit juice bar 4) Fruit salad, apple juice, and pudding
Soup, hot tea, and toast
The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take? 1) Continue with the method of communication because the nurse does not speak the language 2) Speak privately with the interpreter and instruct them to only provide language interpretation 3) Document in the medical record that the client is not making his own decisions 4) Use a computerized application to confirm what the interpreter is saying
Speak privately with the interpreter and instruct them to only provide language interpretation
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? 1) Stereotyping 2) Cultural blindness 3) Cultural conflict 4) Cultural imposition
Stereotyping
The younger nurses on a unit, 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? 1) The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit 2) The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist 3) The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately 4) The charge nurse should recognize that this is cultural imposition and the younger nurses are forcing new technology on the older nurses
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 the client in a one-bedroom apartment. Which consideration is the priority nursing concern? 1) The client does not have running water 2) The client has no hope for the future 3) The client receives government assistance 4) The client does not have air-conditioning
The client does not have running water
The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock? 1) The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off." 2) The client from Mexico states, " I am having difficulty reading these pamphlets you gave me." 3) The client from France states, "I miss my family back home." 4) The client from England states, "I do not understand what all these new medications are for."
The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."
The nurse is assessing a client for pain and suspects that the client's culture may be affecting the pain response. What nonverbal indicator of pain would the nurse expect to observe? 1) The client is laughing loudly with family 2) The client is holding pressure on the abdomen when speaking 3) The client requests to take a walk outside 4) The client is praying with members of the clergy
The client is holding pressure on the abdomen when speaking
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? 1) The client states, "I feel like I abandoned my religion." 2) The client states, "I am glad that nurse told me what to do." 3) The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." 4) The client states, "Why isn't blood administration forced on all who need that treatment?"
The client states, "I feel like I abandoned my religion."
Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: 1) individual values 2) developmental level 3) client's height 4) available technology
client's height
A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the 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 the nurse had all of the nurse's own children vaccinated. The nurse's behavior an example of: 1) stereotyping 2) cultural blindness 3) cultural imposition 4) cultural conflict
cultural imposition
A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of: 1) cultural ritual 2) cultural competence 3) cultural stereotyping 4) ethnocentrism
cultural ritual
Healthcare facilities that sponsor health promotion activities only in affluent areas are considered: 1) culturally sensitive 2) culturally blind 3) culturally affluent 4) culturally different
culturally blind
When an American client states, "I only want an American doctor," the client is expressing: 1) ethnocentrism 2) cultural relativity 3) cultural pervasiveness 4) racism
ethnocentrism
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: 1) nursing personality 2) past history 3) media 4) genetics
media
