Quiz #24: Transcultural
the components and characteristics that all cultures have in common include
- family systems and economic practices - survival modes - transportation system - language
which of the following cultural differences can a nurse expect to encounter in the health profession?
- health care and treatment methods - responses to illness and death - childbirth - care of people of different age groups
What should the culturally sensitive nurse do for a Muslim woman being treated in the hospital? (Select all that apply)
-Assign only female staff to care for her -Keep her head and extremities covered as much as possible -Allow privacy for prayer
A nurse working in a long-term care facility is admitting an 85-year old resident of Hispanic descent diagnosed with Alzheimer disease. What should this nurse take into consideration when caring for the resident? (Select all that apply)
-Cultural background has an important role in determining the resident's status -Home remedies may have value when if harmful
What are some characteristics that cultures have in common? (Select all that apply)
-Economic practices -Survival modes -Transportation system -Family systems
In what alternate health care practice do Latino individuals believe? (Select all that apply)
-Use of folk healer -Folk remedies
What basic philosophy in the United States is relevant to health care?
Biomedical therapy
The nurse is caring for a Muslim patient. What dietary selection should the nurse serve to this patient?
Chicken and rice
A nurse is aware that slow drug metabolism can cause oversedation with some tranquilizers and sedatives. What culture is this characteristic most likely to represent?
Chinese
A patient of Chinese descent is in the community clinic for treatment of arthritis. The patient tells the nurse that the disease is a "hot disease." The nurse assesses that the patient is referring to the hot-cold theory. That cause is attributed to hot diseases?
Excessive blood and yellow bile
A Filipino man is admitting his elderly mother to a long-term care facility of custodial care. During the intake interview, the man is alternately tearful and defensive. To what Filipino belief does the culturally competent nurse assess this labile behavior as being related?
Families should care for the older family members at home
A nurse is caring for a neonate born to observant Orthodox Jewish parents. Who can the nurse anticipate will name the neonate?
Father
What health belief system includes a belief a supernatural force exerting influence to cause health or illness?
Folk
Which health belief system is commonly referred to as "third-world" beliefs and practices?
Folk health belief system
A nurse is preparing a meal tray for a patient who is Latter-Day Saint. What beverage should the nurse prepare?
Fruit juice
A nurse is leading a discussion with a group of residents of a Jewish long-term care facility. When discussing dietary laws and other religious practices, what should the nurse anticipate as the most prominent needed of these patients?
Having a quiet time for prayer provided before and after all meals
A nurse is caring for an Orthodox Jewish women immediately after she has given birth. What can the nurse expect regarding the spouse's participation in his wife's care?
He will avoid physical contact with the patient
Which health belief system focuses on restoring balance with physical, social, and metaphysical worlds?
Holistic health belief system
A nurse is caring for a female neonate born to observant Orthodox Jewish parents. What book does the nurse know will be used when naming this neonate?
Holy Torah
A severely injured man is brought into the emergency department after an automobile accident and is given two units of O-negative blood while waiting for a cross-match to be completed for the other 4 units of blood that the physician has ordered. The nurse discovers a card identifying the man as a Jehovah's Witness. What is the most appropriate nursing action?
Inform the physician that the patient is a Jehovah's Witness
A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement?
Use of separate cooking utensils for meat and milk products
A nursing is planning the delivery of transcultural nursing care. What is the best approach for the nurse to select?
Patient if any special foods, symbols, or practices should re respected and whether they should be included in the health care plan
the nurse is reinforcing instruction givein to an African-American regarding their nutrition. The nurse is aware that a common dietary practice of African-Americans is to eat
fried food
It is important for the nurse to know the client's religion in order to
give holistic care
it is important for the nurse to know the client's religion in order to
give holistic care
A nurse has scheduled a specific time for a group of Latino patients with diabetes to come for diabetic teaching, but the group does not come until almost an hour later. What should the culturally competent nurse suspect has occurred?
Their culture places little significance on the concept of time
a nursing instructor has lectured on cultural beliefs related to health and illness. Following the lecture the instructor asks a nursing student to describe the beliefs of an African American in regard to illness. Which of the following statements best describes those beliefs?
"illness is due to prolonged siting or lack of exercise"
when a client says to a nurse "i need to pray with my pastor to get well," the most appropriate response from the nurse is:
"may i call your pastor for you and ask him to visit you?"
what a client says to a nurse "i need to pray with my pastor to get well" to most appropriate response from the nurse is
"would you like for me to call your pastor for you and ask him to visit you?"
when communicating with a patient who has a poor grasp of the English language, the nurse should:
keep questions simple and brief
Which of the following is a component of culture
language
the Biomedical health belief system is characterized by beliefs that
life processes can be manipulated by human beings by mechanical interventions
a nurse seeks the assistance of a translator when neither the client nor the nurse speaks the same language. which action would best promote communication between the nurse and the client
looking at the client, not the translator, when asking questions
which of the following religious groups believes that blood transfusions violate God's laws
Jehovah's Witness
A nursing is caring for a young woman who is a member of the Church of Jesus Christ of Latter Day Saints (Mormon). What should be offered as an appropriate snack by the nurse?
Juice and cookies
Which statement should the biomedical health belief system is true?
Life processes can be manipulated by human beings my mechanical interventions
As breakfast trays are served, a Catholic patient asks the nurse to take it away, because a priest is coming to administer Communion. What is the best response by the nurse?
" I will leave the tray in the kitchen. You may call me to bring it back when it is time."
After a Jewish woman has given birth and returns to her room, the husband arrives with a camera. What is the best response for the culturally sensitive nurse?
"Here is a chair near the door so you can be comfortable while you visit."
a nurse seeks the assistance of a translator when neither the client nor the nurse speaks the same language. which action would best promote communication between the nurse and the client?
looking at the client, not the translator, when asking questions
the belief that illness occurs when the harmony of nature is disturbed is common among which of the following U.S cultural diverse groups:
native amerians
What is the term used to describe cultures in which women make decisions about health care and provide the care and discipline to the children?
Matriarchal
the belief that illness occurs when the harmony of nature is disturbed is common among which of the following U.S cultural diverse groups:
native americans
which of the cultural groups has a higher incidence of diabetes that be attributed to alcohol?
native-american
which of the cultural groups has a higher mortality rate from alcoholism and cirrhosis than the general population
native-american
The nurse is delivering a meal tray to female Muslim patient. What intervention is most appropriate for this patient?
Providing her with a female nurse
A nurse is caring a male neonate born to observant Orthodox Jewish parents. Who will the nurse anticipate will circumcise the neonate?
A mohel
A nurse is preparing to discuss birth control options for a Roman Catholic patient. What is the most appropriate method for the nurse to discuss with this patient?
Abstinence
A home health nurse prepares to teach a Latino patient who neither speaks nor reads English how to measure and administer insulin. Which teaching tool should be the most helpful?
Alarm clock, magazine pictures showing sunrise and sunset, several clean insulin syringes, and insulin bottles filled with colored water
The nurse is caring for a postpartum patient who requests to dry and bury the umbilical cord near an object or in a place that symbolizes what the parents want for the child's future. Which cultural beliefs does the nurse recognize this patient adhering to?
American Indian
What is a fixed concept concept of how all members of an ethnic group act or think?
Ethnic stereotypes
The father of an American Indian has just died. What should the nurse do immediately after death?
Ask about providing help with the death ceremony
What is the term for a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biologic characteristics?
Ethnicity
An Orthodox Jewish patient has died at 0300 on a Wednesday, and no family members was present. What intervention should the culturally competent nurse implement before the family arrives?
Avoid touching the body until the Orthodox Jew arrives
What is the term for when members of a particular ethnic group believe that their beliefs and practices are the best?
Ethnocentrism
A nurse is American-born and works in a large hospital with patients from many cultures. What must this nurse develop to provide the best care?
Cultural competence
What is the term for cultures and subcultures existing within the same society, as they do in the large cities of the United States
Cultural diversity
What is a set of learned values, beliefs. customs, and practices shared by a group?
Culture
Transcultural nursing care is expected for every patient. To provide this type of care, the nurse needs to understand the practices of the predominant cultures of those groups in the health care geographic area. What should this require the nurse to be aware of?
Culture influences beliefs about health, illness, and health practices
What should be included in a patient's care plan in consideration of cultural similarities?
Culture is learned, shared, and expressed similarly among members
A Japanese patient, hospitalized for arteriosclerosis heart disease and hypertension, is allowed to have a regular diet with cultural provision of Asian food. A diuretic, antibiotic, bronchodilator, and vasodilator have been prescribed. Which medication would be hampered by an Asian diet?
Diuretic
The nurse is caring for a Mexican American patient who is in labor. How can this nurse best demonstrate cultural sensitivity?
Encourage the female family members to be present for the delivery
A nurse is preparing for an Orthodox Jewish patient's tray during Passover. What intervention is appropriate for this patient?
Encourage time for prayer
The nurse is caring for a Mexican American patient. What nursing intervention would best demonstrate cultural sensitivity?
Encouraging consultation of male members of the family regarding health care decisions
A nurse learns at report that a patient is a member of a Seventh-Day Adventist group. At mealtime, which trays should be served to this patient?
Mixed salad with chunks of chicken, potato salad, orange juice, and a small apple
A patient requests a consultation between the physician and a religious leader known as an Imam. What is this patient's cultural belief?
Muslim
At the request of the family, an instructor makes an assignment change for a black male student who had been assigned to take care of postpartum Muslim woman. What is the most likely reason that the request was made by the family?
Muslim culture prefers that women health care providers care for Muslim women
The nurse is caring for patient who fasts during daylight hours during Ramadan. The nurse recognizes that the patient is adhering to the cultural beliefs of which culture?
Muslims
The nurse is caring for an African American patient. Who would the nurse expect to be the primary decision maker in the patient's family?
Women
A practicing Hindu patient is dying but has orders for a full diet. However, the patient will accept only soups. Which is the most appropriate food for the nurse to order for this patient?
Pureed tomatoes, carrots, celery, and potatoes in a vegetable stock
What is the term for a group of people of people who share biologic physical characteristics?
Race
A nurse is preparing a meal tray for a patient who is Latter-Day Saint. The nurse is aware members of this faith may wear sacred undergarments. What intervention is appropriate for the nursing caring for this patient?
Remove the undergarments in emergency situations only
The nurse is caring for a Chinese American patient. How should this nurse demonstrate cultural awareness?
Sit side-to-side when speaking with the patient
It is important to be aware of cultural aspects of health and disease becuase
Some disorders and diseases are more prevalent in certain cultural groups
What is the term for generalization about a form of behavior, an individual, or a group?
Stereotype
The nurse from New York is caring for a patient from Atlanta, Georgia. What difference between the nurse and patient may cause them to experience difficulty in communicating
Subculture
Two licensed practical/vocational nurses (LPN/LVNs) are colleagues on the same medical-surgical floor. They went to the same LPN/LVN school. When on break time, they discuss the holistic entries of the nursing care plans they are helping create. What does this behavior exemplify?
Subculture
Culture varies from patient to patient. Why is it important that the nurse understand and accept each person as individual?
To provide holistic care
A young Asian wife of a businessman recently transferred to the United States is brought to the hospital for an emergency appendectomy. The nurses make every effort to plan correct care. Which term best describes the integration of cultural concepts into the nursing care plan?
Transcultural nursing
All nurses should work to provide culturally appropriate nursing care. What is the integration of cultural knowledge into all aspect of care?
Transcultural nursing
a cultural assessment of a patient should include all of the following except
history of previous illness
A cultural assessment of a patient should include all of the following EXCEPT
identification of religious beliefs
A nursing assistant reports to the nurse, "The Hindu patient in room 4 is not responding but is breathing, and his skin is warm and dry." What should the culturally sensitive nurse recognize as the probable cause of this behavior?
Yoga trance
which cultural group might view lingering eye contact as an invasion of privacy
asian-amerian
the LVN is planning to complete a cultural assessment of a Chinese-American patient. It would be best if the nurse:
avoids lingering eye contact
A nurse is clearing the bedside area to give a best bath to a Muslim woman the day after a cesarean section. What action should the culturally sensitive nurse implement?
be especially protective of her modesty
When Mrs. G, a native of Mexico comes to the clinic she asks the nurse to allow her 10 year old daughter to remin with her in the examining room. The nurse should:
consider that the child may be there to serve as an interpreter for her mother
a nurse is assigned to care for an Asian-American client. the nurse plans care knowing that which of the following most appropriately describes the asian-amerian's view of illness?
illness is due to an imbalance between yin and yang
a nurse is assigned to care for an Asian-American client. the nurse plans care knowing that which of the following most appropriate describes the asian-american's view of illness
illness is due to an imbalance in harmony between yin and yang
Which of the following is a characteristics of culture
culture is learned
which of the following is a characteristic of culture?
culture is learned
a lactase deficiency is exhibited as intolerance for which of the following products
dairy products
lactose deficiency is a result of an individual's intolerance to which of the following
dairy products
the Holistic health belief system is characterized by the beliefs that
disease occurs when the forces of nature are not kept in balance. treatment is designed to restore balance with physical, social and metaphysical worlds
from the following, choose the phrase that are true regarding the way in which an individual demonstrates pride in one's ethnicity
eating food and wearing the clothing, speaking the language that represent a group
the folk health belief system is characterized by the beliefs that
everything is influenced by supernatural control, disease occurs as punishment or possession by the supernatural
Mr. W explains to the nurse that he become ill because the natural balance in his body was upset when he moved into a new apartment. He has been taking herbs and rearranging objects to change the environment. the nurse notes that mr. W's health belief system is most likely:
folk
which of the following statements best describes cultural influence on health benefits
response to health varies among different cultures
you are caring for a patient of Latino descent, which interviewing technique would be most appropriate?
sit close to partner
it is important to be aware of cultural aspects of health and disease because
some cultural groups are represented in greater numbers than others
The statement "all men are stronger than women" is an example of:
sterotyping
two groups sharing primary characteristics but having different behaviors and ideas are described as a
sub-cultural group
two groups sharing primary charactertics, but different behaviors and ideas are described
sub-cultural groups
the term trans-cultural nursing refers to
the ability to provide care within the context of another culture and beliefs
the term trans-cultural nursing refers to:
the ability to provide care within the context of another's culture and beliefs
when caring for a patient who speaks a foreign language, the nurse would be incorrect to use impaired verbal communication as a nursing diagnosis because:
the inability to understand each other is the actual problem, not the ability to speak
Hispanic-american mother brings her child to the clinic for an examination. which of the following is most important when gathering data about the child
touching the child during the examination
a hispanic-american mother brings her child to the clinic for an examination which of the following is most appropriate and important when gathering data about the child
touching the child during the examination
