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The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to provide an example of the concept of acculturation. The nurse educator would make which most appropriate response?

"A person who moves from China to the United States (U.S.) and learns about and adapts to the U.S. culture."

The nurse is reviewing the plan of care with a non-American client who does not speak English. The client frequently nods the head during the review. Based upon this behavior, what would be the nurse's next action?

Contact a qualified medical interpreter.

The nurse is providing discharge instructions to a client from a different culture than the nurse's regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse would implement which best action?

Continue with the instructions, verifying client understanding.

The nurse is implementing the complementary therapy of therapeutic touch when caring for clients. The nurse would implement which action when performing therapeutic touch?

Position hands 2 to 4 in (5 to 10 cm) from the body.

The nurse educator asks a student to list the five main categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, indicates a need for further teaching regarding CAM categories?

"Magnetic therapy and massage therapy are a focus of CAM."

What elements are essential for the nurse to plan to address to be able to deliver culturally competent care? Select all that apply.

1Assessing the client's health preferences 2Having knowledge of various racial and ethnic groups 3Acknowledging personal misconceptions of various ethnic groups 5Recognizing that subcultures exist and that not every characteristic of the cultural group is present

The nurse is caring for a non-English-speaking client and is attempting to integrate the client's cultural practices into Western medicine. What are some other aspects of culturally competent care the nurse can employ? Select all that apply.

1Increasing client safety 2Using spiritual practices 3Reducing health disparities 4Increasing client satisfaction 6Preventing misunderstandings between the nurse and the client

The charge nurse is educating a new nurse on culturally competent communication techniques. Which response(s) made by the new nurse indicates a need for follow-up? Select all that apply.

2 "I would use a language interpreter for all culturally diverse groups." 5 "I need to recognize my own biases and address known stereotypes with the client."

The nurse manager is giving a staff in-service on providing culturally sensitive education to clients. Which statements indicate to the nurse manager that the staff understands providing culturally sensitive education? Select all that apply.

3"The population served will determine the culturally sensitive resources to use for teaching." 4"Assessment of a client's preferred learning approach is essential to facilitate the learning process." 5"It is important to have an accurate translator when the nurse and client do not speak the same language.

Which most essential element would the nurse consider to promote client adherence to care recommendations?

Adhering to the client's cultural preferences

When communicating with a client who speaks a different language, which best practice would the nurse implement?

Arrange for an interpreter to translate

The nurse is providing discharge instructions to a non-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. Which nursing action is most appropriate?

Continue with the instructions, verifying client understanding.

The prenatal clinic nurse is performing an assessment on a culturally diverse client. Besides conversational style, what are some of the most important cultural and communication considerations the nurse must be aware of? Select all that apply

Correct Answers 1Touch 2Eye contact 3Personal space 5Time orientation

Which is the best nursing intervention regarding complementary and alternative medicine?

Educating the client about therapies currently being used or is interested in using

The nurse in a health care clinic is preparing to conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the priority?

Identify the food preferences and methods of food preparation for each client.

An older client is seen in the clinic for a physical examination. Laboratory studies reveal that the hemoglobin and hematocrit levels are low, indicating possible anemia and the need for further diagnostic studies and a blood transfusion. The client refuses to have a blood transfusion due to cultural beliefs and practices. The nurse would take which most appropriate action?

Support the client's decision not to receive a blood transfusion.

Which meal tray would the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?

Sweet and sour chicken with rice and vegetables, mixed fruit, juice