Nursing Fundamental-Chapter 5: Cultural Diversity

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

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?

cultural imposition

A patient 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:

Media

A patient 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

Belief system that guides behavior

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

Culturally blind

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

Healthcare culture

Nursing students are socialized into the

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

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

The client is holding pressure on her abdomen when speaking.

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?

Native Americans

What culture is less likely to have lactose intolerance?

Feminization of poverty

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

Maintaining eye contact

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?

Nonverbal expressions of pain

Asian client is admitted to the unit. What cultural assessment might the nurse anticipate?

-Heart Disease -Cirrhosis of the liver -Diabetes mellitus -Fetal Alcohol syndrome

Common Health Problems of Native Americans

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

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?

Interpreter should understand the healthcare system.

You are caring for a patient who speaks a language other than English and are using an interpreter to communicate. What would be the best way to choose an interpreter for this patient?

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

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

Native American

- Families are large and extended - Grandparents are official and symbolic leaders and decision makers - A child's namesake may become the equivalent to another parent to the child. - Medicine men (shaman) are heavily used - Use of herbs and psychological treatments, ceremonies, fasting, meditation, heat and massages. - Present oriented. Taught to live in the prsent and not to be concerned about the future.Values finishing current business before doing something else - Value is placed on working together and sharing resources - Failure to achieve a personal goal is frequently believed to be the result of competition -High respect is given to a person who gives to others. The accumulation of money and goods is frowned upon. - The family is expected to be part of the nursing care plan. - Note taking is TABOO. - Indirect eye contact is acceptable - A low tone of voice is considered respectful - May expect the caregiver to deduce the problem though instinct instead of asking many questions and history taking. - It may help to use declarative sentences rather than direct questioning

ask the pt to opt for herbal therapy and under go surgery

A Chinese client is admitted to the health care facility with blockage in the coronary arteries. The cardiologist advises the client to undergo angioplasty. The client refuses the procedure. Later the nurse discovers that the client believes in naturopathy and is taking herbal extracts to de-clog his coronary arteries. Which of the following suggestions should the nurse give to the client?

The client does not have running water.

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. What is a primary nursing concern?

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

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?

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

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 more curious the nurse is about the client's culture, the more the client will want to share

A nurse has recently completed a seminar on cultural diversity. Which statement regarding development of cultural knowledge indicates a need for additional teaching?

Requesting the assistance of a trained interpreter

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?

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

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?

Learning pertinent words and phrases in the client's language

What nursing actions displays linguistic competence?

Ethnicity

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?