PrepU Assignment Chapter 5

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

A 12-year-old Black client has experienced significant blood loss and may require a blood transfusion. The client's mother, father, and sisters are currently present at the bedside in the emergency department. How should the nurse direct questions and education about the client's condition and treatment? Address the mother, because Black families are commonly matriarchal. Assess who is the dominant member of the family and then address that person. Direct questions to the family collectively to avoid presuming who is dominant. Ask the child's father what should be done, but make eye contact with everyone in the room.

Racism

A White client has requested that they not receive any care from Black nurses. This client is demonstrating what practice? racism ethnic identification ethnocentrism stereotyping

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

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 want to leave. What is the MOST culturally appropriate response by the charge nurse? "Why do you think you need to leave?" "Would you feel more comfortable with your family with you?" "If you leave, you will be asked to sign a form indicating that you are leaving against medical advice." "Sometimes family can cause stress, and we try to maintain a stress-free care environment."

"What would you think about taking the medicines, too, and benefiting from both?"

A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not taken the prescribed medicines. The client believes that eating saffron will keep blood sugar u under control. What is the MOST appropriate response by the nurse? "Saffron does not have any effect on blood sugar level." "Yes, I agree that you should continue taking saffron for diabetes." "Let me inform the health care provider that you are not taking your medicines." "What would you think about takin the medicines, too, and benefitting from both?"

Cultural imposition

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 characteristics has the nurse displayed? Stereotyping Culture shock Cultural imposition Cultural conflict

Disorientation Stress

A client is experiencing culture shock. Which findings would the nurse likely assess? Select all apply. Disorientation Stress Weakness Increased activity Calm demeanor

Cultural imposition

A client who immigrated from another country informs the nurse of 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 blindness Cultural assimilation Cultural imposition Cultural diversity

Consulting the family member prior to performing post-mortem care

A client who practices Islam dies at the hospital surrounded by family members. Which action by the nurse demonstrates cultural sensitivity related to the client's death? Having the family members consult with the funeral home for transport Allowing the family to remain present when the nurse washes the client prior to shrouding Informing the family members they may say their goodbyes so that care can be provided Consulting the family member prior to performing post-mortem care

Document the request and make all reasonable efforts to honor it

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

A marginalized identity group

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by White people. What are the Hispanic people in this community an example of? A marginalized identity group A majority A subculture A subgroup

Culture shock

A family recently immigrated to a new country. The parent reports that the adolescent 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? Cultural imposition Culture shock Cultural assimilation Cultural blindness

Ensure the client is focused on you, the interpreter Will be familiar with medical terminology Demonstrate proper respect for all involved Convert information from one language into another without adding comments

A high school senior is considering seeking the necessary training to become certified as an interpreter for the local hospital. Which factor(s) would be important for the student to ensure would be included in the training program? Select all that apply. Ensure the client is focused on you, the interpreter Will be familiar with medical terminology Always understand what is attempted to be communicated Demonstrate proper respect for all involved Convert information from one language into another without adding personal comments

Powerlessness related to the inability to make health care providers understand the client's symptoms

A native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What nursing concern should the nurse identify for this client's care plan? Social isolation related to living in a tribal unit that is decreasing in size Unproductive management of therapeutic regimen related to mistrust of traditional health care personnel Powerlessness related to the inability to make health care providers understand the client's symptoms Situational low self-esteem related to the repeated use of peyote

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

A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices? Black man rolls his eyes when asked how he copes with stress in the workplace. Assumption: He may feel he has already answered this question and has become impatient. A Hasidic Jewish man listens intently to a male health care provider, making direct eye contact with him, but refuses to make eye contact with a female nursing student. Assumption: Jewish men consider women inferior to men. A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. A Native American/First Nations man stares at the floor while talking with the nurse. Assumption: The client is embarrassed by the conversation.

Less power Health disparities

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about marginalized identity groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply. Health disparities Improved access to care Increased economic privileges Greater advantages Less power

Using reassuring body language and making eye contact to assess needs

A nurse is assigned to care for a client who does not speak the same language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be MOST effective in reassuring the client until the interpreter arrives? Avoiding going into the client's room until the interpreter arrives Using reassuring body language and making contact to assess needs Using gestures and symbols to communicate with the client Enlisting other healthcare providers to assist with communication

Explain the purpose and need for assistance during ambulation

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? Let the client ambulate slowly on his or her own when stable. Instruct family members to assist in ambulating the client Ambulate the client explaining it is an expected outcome of their treatment Explain the purpose and need for assistance during ambulation.

Language assesment

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the PRIORITY? Blood pressure assessment Spiritual assessment Language assessment Blood sugar assessment

Cultural imposition

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: stereotyping cultural blindness cultural imposition cultural conflict

Formal and informal experiences

How is culture learned by each new generation? Formal and informal experiences Belonging to a subculture Involvement in religious activities Ethnic heritage

The client may have a very different understanding of health promotion

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 should avoid performing health promotion education if this is not a priority in the client's culture A culture's conceptualization of health promotion is a result of the culture's level of socioeconomic development Health promotion is a concept that is largely exclusive to Western cultures

client's height.

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: developmental level. individual values. available technology. client's height.

Healthcare culture

Nurses are socialized into the: nursing specialties Diagnostic process Caring paradigm Healthcare culture

Ethnic identity

The community health nurse is assessing a home-bound client. The client expresses their own past-oriented ancestral heritage and family rituals. The nurse recognizes that the client is expressing: ethnic identity a subculture assimilation ethnocentrism

Alcohol use disorder

The community health nurse is developing a workshop for a group of Native American/First Nation clients. Which topic should the nurse teach? Alcohol use disorder Preventing diabetes Signs of stroke Heart-healthy diets

Stereotyping

The labor and delivery nurse is getting report from the previous shift regarding a client with Asian heritage. The departing nurse states that the client did not ask for pain medication because "Asian people can handle pain." The nurse receiving report understands that this an example of what? Ageism Culture shock Stereotyping Ethnocentrism

Assess the client's beliefs about family support during hospitalization.

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

"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? "Culture can be seen in attitudes and institutions of certain populations." "Language is the primary way that people share their culture." "Culture helps to define identity within specific groups of people." "Culture cannot be influenced, and you are born with your culture."

Write notes after the interview

The nurse is admitting a new client who is a member of the Navajo Nation. Which action should the nurse consider while conducting the interview? Write notes after the interview Allow client to view notes after interview Include the shaman in the assessment process Ask which family member should also be included

Press lightly on the pigmented area and observe the infant's reaction.

The nurse is assessing an infant of Asian descent and notes dark blue spots in the infant's lower back. What action should the nurse take NEXT? Document and report the findings to authorities. Ask the parents to leave the room and conduct a thorough assessment. Press lightly on the pigmented area and observe the infant's reaction. Contact the health care provider.

"Can you describe what you are feeling when you try to move?"

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

"You sound upset. Would you like to talk about it?"

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond? "You sound upset. Would you like to talk about it?" "You didn't get cancer as punishment." "Would you like me to get someone from your church to visit you?' "Why do you think God is punishing you?"

"When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream." "I can use kosher parve foods because they are prepared without milk.: "I should replace 2% with lactose-free milk.:

The nurse is educating a client of Chinese descent regarding the reduction and elimination of lactose in the diet. Which statement(s) made by the client indicates that the education was effective? Select all that apply. "I can use foods that use milk solids since those are not milk products." "When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream." "I can use kosher parve foods because they are prepared without milk." "If I drink milk, I should drink one large glass a day and none at any other time." "I should replace 2% milk with lactose-free milk."

Unless asked to stay, leave the room and return when the healer is finished.

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a tribal traditional healer performing a healing ritual for the client. What action would be the MOST appropriate by the nurse? Unless asked to stay, leave the room and return when the healer is finished. Ask the healer to leave the room. Administer the medication while the healer continues the ritual. Wait in the room until the healer is done.

"It is important to monitor my blood pressure."

The nurse is teaching a Black client about common health condition. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? "I need to watch the amount of high-density lipids I eat." "Getting a mammogram in my thirties is important." "It is important to monitor my blood pressure." "Increasing dairy will improve my bones."

Baked salmon patty, steamed spinach, sweet potato, salad with romaine lettuce, hard-boiled egg slices, carrots, celery, cucumber, and vinegar vinaigrette dressing, apple slices, ice tea

The nurse is teaching a family, who has recently learned a family member has a lactase deficiency, how to make healthier dietary choices to ensure the family member obtains enough calcium in their diet. The nurse determines the teaching was successful when they choose which menu as the best choice? Grilled steak, baked potato with butter, corn-on-the-cob, coleslaw (cabbage, carrots, onions, and dressing), s'mores (graham crackers, marshmallows, and chocolate bar), water Baked salmon patty, steamed spinach, sweet potato, salad with romaine lettuce, hard-boiled egg slices, carrot, celery, cucumber, and vinegar vinaigrette dressing, apple slices, ice tea Salad containing iceberg lettuce, spinach, tuna fish, zucchini, squash, radishes, carrots, celery, red onion and ranch dressing, an orange, saltine crackers, coffee with nondairy creamer Fried hamburger patty with lettuce, onion slices, tomato, mayonnaise, ketchup, whole wheat bun, french fries, low-fat yogurt, diet soda

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

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? "Ethnicity begins at birth or through adoption of characteristics." Ethnicity and race are the same thing and are affected by cultural practice." "Ethnicity can often determine dialect and political interests." "People of the same ethnicity share many of the same cultural and social beliefs."

Witchcraft

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study? Cold air Impurities in water Witchcraft Food

Language or medical terminology used to communicate Legal authorization to provide health care to others Uniforms worn based on place of employment

What are characteristics of nurses that make them a subculture? Select all that apply. Uniforms worn based on place of employment Language or medical terminology used to communicate Legal authorization to provide health care to others View of work as a reward; shared work ethnic Sensitivity to the importance of time

Assessment of eye contact, personal space, and social taboos

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? Assessment of income level to determine poverty status Assessment of religious beliefs and prayer schedules Assessment of eye contact, personal space, and social taboos Assessment of racial identification and cultural affiliation

Language Shared beliefs of origin Religious beliefs

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. Eye shape Skin color Language Shared beliefs of origin Religious beliefs

Shared beliefs of origin Religious beliefs Language

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. Skin color Eye shape Shared beliefs of origin Religious beliefs Language

Ethnicity

When reviewing the chart of an older adult client, the nurse notes that the client identifies as Japanese. The nurse realizes the client is referring to which ancestral and cultural factor? values ethnicity race ethnocentrism

Ask the client about personal space preference

When talking with a client, the nurse notes that the client keeps backing up. What would be the MOST appropriate response? Ask the client about personal space preferences. Back away from the client. Ask the client why he or she is backing away. Move closer to the client.

Food preferences

Which area is typically included in a cultural assessment? Employment status Marital status Food preferences Ethics

Avoiding older adult clients because their care is time consuming

Which behavior by the nurse is stereotyping? Grouping care assignments to allow ample time to care for complex clients Avoiding older adult clients because their care is time consuming Openly ridiculing the practice of acupuncture Explaining to others that Western medicine is always superior

Learning pertinent words and phrases in the client's language

Which nursing action displays linguistic competence? Repeating statements to a client who speaks a different language than the nurse Speaking loudly to a client who does not speak the same language Learning pertinent words and phrases in the client's language Asking a family member to interpret for a client who speaks a different language than the nurse

Use the facility telephonic interpreting system. Request assistance from a certified interpreter. Have a bilingual nurse assist with the health history.

Which nursing actions are appropriate when collecting a health history for a client whose language differs from the nurse's language? Select all that apply. Ask the client's adolescent child to answer questions. Use the facility telephonic interpreting system. Request assistance from a certified interpreter. Have a bilingual nurse assist with the health history. Speak in detailed sentences using exact medical terminology.

"Good morning Mr. Smith. I am your nurse, John."

Which nursing intervention reflects culturally appropriate care when addressing a client? "Thank you for coming to the clinic today." "Good morning, Mr. Smith. I am your nurse, John." "You can sit in this chair, Sally." "I see you are here because you have a sinus infection."

"What religion do you belong to?" "What do you do to promote good health?" "What do you think is causing your illness?

Which questions should the nurse include in a cultural assessment? Select all that apply. "Do have a particular name for this illness?" "What religion do you belong to?" "What do you think about religions other than your own?" "What do you do to promote good health?" "What do you think is causing your illness?"

Assessing the rate at which an illness causes death in a culture

Which scenario is an example of cultural competence in nursing? Assuming the provider and the client share beliefs and values Attending a conference for cultural diversity Assessing the rate at which an illness causes death in a culture Attending one's own church

"If a client needs to yell in pain, that is his or her right."

Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain? "If a client needs to yell in pain, that is his or her right." "Asian clients have a high pain tolerance." "Some procedures hurt more and should have more pain reaction." "Males tend to overreact to pain for sympathy."

Cognitively enhanced Physically impaired Burdensome to family Uninterested in intimacy

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply.

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

Which teaching statement BEST exemplifies cultural competence in relation to time for the American culture? It is a sign of respect to be late for your health care appointments. It is important to arrive within 20 minutes of your scheduled appointment time. It is important to be future-oriented when considering your appointment time. It is important to be on time for your health care appointment.

Learn from the mistake and do not repeat it.

While caring for a client from a culture different from the nurse's, the nurse inadvertently offends the client. What is the BEST action by the nurse? Ask the client why the client is so mad. Learn from the mistake and do not repeat it. Examine the interaction and focus on the majority culture. Recognize that there is a cultural bias that led to the mistake.