Nursing 201 Mastery Chapter 5

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?

**A. Cultural blindness B. Ethnocentrism C. Stereotyping D. Cultural diversity

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority?

**A. Language assessment B. Blood sugar assessment C. Spiritual assessment B. Blood pressure assessment

Which statement best conveys the relationship between race and ethnicity?

**A. Race denotes physical characteristics, while ethnicity is rooted in a common heritage. B. Race and ethnicity can be considered to be synonymous in the context of health care. C. Race is based on an individual's cultural history and is independent of ethnicity. D. Race and ethnicity are both culturally determined concepts.

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?

**A. Racism B. Ethnic identification C. Stereotyping D. Ethnocentrism

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?

**A. The client does not have running water. B. The client does not have air-conditioning. C. The client receives government assistance. D. The client has no hope for the future.

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:

**A. cultural ritual. B. cultural stereotyping. C. ethnocentrism. D. cultural competence.

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

**A. culturally blind. B. culturally different. C. culturally sensitive. D. culturally affluent.

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?

A. "Ethnicity is a sense of identity with a collective cultural group." B. "Race is based on physical characteristics, and ethnicity is specific to where you live." **C. "Ethnicity is a social category that is being used to replace racial categories." D. "Race and ethnicity are the same thing."

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

**A. "Ethnicity and race are the same thing and are affected by cultural practice." B. "Ethnicity can often determine dialect and political interests." C. "People of the same ethnicity share many of the same cultural and social beliefs." D. "Ethnicity begins at birth or through adoption of characteristics."

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?

**A. "It is important to monitor my blood pressure." B. "Increasing dairy will improve my bones." C. "I need to watch the amount of sugar that I eat." D. "Getting a mammogram in my thirties is important."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the bestresponse by the nurse?

**A. "We can wait until your spiritual healer arrives and work together to answer these questions." B. "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives." C. "These questions need to be answered so we can provide you with the best care." D. "I can wait until your spiritual healer arrives, but you are the only one who can answer these questions."

A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate?

**A. "What type of food do you eat at home?" B. "Don't you like what is on your food tray?" C. "Why aren't you eating your food?" D. "Are you aware that you are losing weight?"

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?

**A. Ask the client about special cultural beliefs or practices. B. Contact a shaman as part of culturally competent care of the client. C. Contact the client's oldest son to assist with healthcare decision making. D. Avoid direct eye contact with the client when speaking.

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?

**A. Assess the client's beliefs about family support during hospitalization. B. Explain to the family that too many visitors will tire the client. C. Allow all the visitors into the room. D. Insist that only one family member can be in the room at a time.

The staff nurse overhears the charge nurse, who is of Italian heritage, talking to the unlicensed assistive personnel. Which statement made by the charge nurse is an example of ethnocentrism?

A. "Hispanics are usually lazy." B. "Asian people are bad drivers." C. "People who are Irish are usually alcoholics." **D. "Italians are best at everything."

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?

A. "I will come back later and help you get up." B. "You need to get up and walk to prevent complications." C. "Would like to wait until your family arrives to get out of bed?" **D. "Can you describe what you are feeling when you try to move?"

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?

A. "Irish people are all heavy drinkers." B. "Anybody on welfare is just lazy." C. "Asians are always the smartest in the class." **D. "My Russian heritage is superior to all others."

A client 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 now the client wants to leave. What is the most culturally appropriate response by the charge nurse?

A. "Sometimes family can cause stress, and we try to maintain a stress-free care environment." B. "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." C. "Why do you think you need to leave?" **D. "Would you feel more comfortable with your family with you?"

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?

A. Ask a bilingual family member to translate B. Ask another nurse who speaks the client's language to interpret **C. Enlist the services of a qualified language interpreter D. Use a laboratory aide who is from the same country as the client

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

A. Ask the client why he or she is backing away. B. Back away from the client. **C. Ask the client about personal space preferences. D. Move closer to the client.

Which nursing action displays linguistic competence?

A. Asking a family member to interpret for a client who does not speak the dominant language **B. Learning pertinent words and phrases in the client's language C. Speaking loudly to a client who does not speak the dominant language D. Repeating English statements to a client who speaks Spanish

Which scenario is an example of cultural competence in nursing?

A. Assessing the rate at which an illness causes death in a culture B. Attending one's own church **C. Attending a conference for cultural diversity D. Assuming the provider and the client share beliefs and values

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

A. Cultural assimilation **B. Culture shock C. Cultural blindness D. Cultural imposition

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?

A. Cultural conflict B. Cultural blindness **C. Stereotyping D. Cultural imposition

A nurse is providing care to a client who is from a different culture. Which aspect about culture would be most important for the nurse to integrate into the client's care?

A. Culture is relatively static and unchanging. B. Individuals learn culture in a purposeful manner. C. Individuals can easily describe their culture. **D. Not all members of the same culture act and think alike.

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan?

A. Document the request as a knowledge deficit and address the couple's educational needs B. Assess the couple's rationale for making the request C. Determine whether the request is based on a valid reason or cultural preference **D. Document the request and make all reasonable efforts to honor it

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?

A. Explain to the client that the client is required to make all decisions related to the client's own health care. **B. Document the client's request in the nursing care plan. C. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter. D. Bring the client's spouse into the hallway to discuss surgical options for the client.

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?

A. Say nothing and ignore the comment. B. Agree and state, "Yes, I've noticed the same thing." C. Report the colleague to the nurse manager. **D. Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

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?

A. The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist. **B. The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit. C. The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately. D. The charge nurse should recognize that this is cultural imposition and the younger nurses are forcing new technology on the older nurses.

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

A. The client does not speak the dominant language and requires an interpreter. B. The client enjoys watching television programs from the home country. **C. The client's child learned the dominant language as a second language. D. The client and child cook traditional foods for the family.

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?

A. The client states, "I am glad that nurse told me what to do." B. The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." **C. The client states, "I feel like I abandoned my religion." D. The client states, "Why isn't blood administration forced on all who need that treatment?"

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

A. The nurse should avoid performing health promotion education if this is not a priority in the client's culture. B. Health promotion is a concept that is largely exclusive to Western cultures. C. A culture's conceptualization of health promotion is a result of that culture's level of socioeconomic development. **D. The client may have a very different understanding of health promotion.

A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms:

A. are fairly consistent across cultural groups. B. allow nurses to predict a client's response. C. can be generalized to anyone of that culture. **D. require an individualized approach by the nurse.

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

A. cultural relativity. B. racism. C. cultural pervasiveness. **D. 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:

A. genetics. **B. media. C. nursing personality. D. past history.