Trans Test 1
A client has recently immigrated to the United States from a refugee camp in Asia. During the exam, the male client reports symptoms suggestive of possible depression, the nurse sensitive to cultural factors affecting this population would ask: "Do you think about returning to your home country?" "Have you been able to identify a group of fellow Asians?" "Have your children adjusted well to their new environment?" "Are you satisfied with the work you have found here in the United States?"
"Are you satisfied with the work you have found here in the United States?"
What assessment question demonstrates an understanding of the most common prenatal concern reported by pregnant lesbian women? "Were you and your partner tested for possible HIV/AIDS?" "Do you feel you are receiving appropriate and effective prenatal care?" "Will you be prepared to manage the stressors of being a lesbian mother?" "Are you experiencing any financial problems related to paying for prenatal care?"
"Do you feel you are receiving appropriate and effective prenatal care?"
When an older Black woman shares with the nurse that, "It is time to think about retiring," the nurse demonstrates an understanding of a culturally created issue that would be relevant to the client by asking: "Are you planning to live with your children after you retire?" "Do you have a pension income that will allow you to retire now?" "Do you think your health will allow you to enjoy your retirement years?" "How do you really feel about retiring and changing your life so dramatically?"
"Do you have a pension income that will allow you to retire now?"
The nurse is completing the admission assessment for a 28-year-old college graduate who is labor with her first child. Which question would be the most appropriate for the nurse to ask? "Is your spouse happy the baby is finally arriving?" "Has it been worth waiting until after college to have your baby?" "Why did you wait so long to have a baby?" "Do you have anyone special who you would like to be with you during your child's birth?"
"Do you have anyone special who you would like to be with you during your child's birth?"
A nurse is attempting to help an older female client who is deciding what transition will be made concerning her health care. The client has a chronic health issue and has lived alone for the past 20 years. Which criterion(ia) will the nurse use to determine what recommendations is made to this client? Select all that apply. "Do you have trouble remembering how to do basic activities?" "Do you have someone who can provide transportation for you when you need to go the doctor, buy groceries, or get around town?" "Are you able to safely take your medications?" "If you fell, would there be someone to help you get up or call for help if you injure yourself?" "Do you have adequate finances to cover the cost?"
"Do you have trouble remembering how to do basic activities?" "Do you have someone who can provide transportation for you when you need to go the doctor, buy groceries, or get around town?" "Are you able to safely take your medications?" "If you fell, would there be someone to help you get up or call for help if you injure yourself?"
Which question demonstrates the nurse's appropriate understanding of the value the Black culture places on formal health care for a skin rash? "Have you been putting any lotions or creams on your rash?" "Do you have insurance to cover the cost of the prescribed lotion?" "Do you understand how important it is to use the medication as it is prescribed?" "Will you have any difficulty getting to the pharmacy to have this prescription filled?"
"Have you been putting any lotions or creams on your rash?"
Which assessment question shows an understanding of the impact of cultural beliefs and behaviors on a client's demonstration of pain? "Can you describe the pain you are experiencing for me?" "Do you understand the long-term effects of chronic pain?" "Have you ever taken medication to help control your pain?" "How can I help you deal with the pain you are experiencing?"
"How can I help you deal with the pain you are experiencing?"
Which assessment question will best help the nurse determine how much client of Japanese descent's view of health and illness is influenced by the client's ethnic culture? "Do you speak the Japanese language?" "How long has your family lived in America?" "Have you ever visited your family's homeland?" "Would you consider marrying a non-Japanese spouse?"
"How long has your family lived in America?"
Which question reflects an understanding regarding a middle-aged married woman's emotional willingness to undergo elective surgery? "Do you have sick leave where you work?" "Will your family be able to help you while you recover?" "How many people depend on you for help on a daily basis?" "Can your family manage financially while you recover from your surgery?"
"How many people depend on you for help on a daily basis?"
Which statement by the client assures the nurse that the client has made a positive adjustment to middle age? "My job is secure, and I will continue to work until I decide to quit." "I have taken up gardening and plan to become a master gardener." "We hope our children will move closer to us, so we can watch our grandchildren grow." "My hope is that I keep my health and do not become a burden to my family and friends."
"I have taken up gardening and plan to become a master gardener."
Which questions should the nurse ask the client when assessing culturally based care factors using Leininger's transcultural nursing principles? Select all that apply. "In your culture, what do you do to stay healthy?" "How is death handled in your culture?" "When you get sick, why don't you use Western medicine?" "How do you determine if a person has a disability?" "In your culture, what do you do when you are sick?"
"In your culture, what do you do to stay healthy?" "How is death handled in your culture?" "In your culture, what do you do when you are sick?"
Which assessment question will best provide the nurse with an understanding of how birth is viewed by an African-based culture? "Does your culture utilize folk healers and natural remedies to manage labor?" "Can you share with me the concerns you have about your pregnancy and labor?" "Will you describe for me the care you would expect to receive if you were giving birth in your homeland?" "Are you comfortable with the type of prenatal and labor care provided to all pregnant women who give birth at this hospital?"
"Will you describe for me the care you would expect to receive if you were giving birth in your homeland?"
Health care organizations are expected to be culturally competent. Which service shows the ability to best manage the difference in cultural values and practices? Attempting to assign clients of like cultures as roommates Ability to adapt special diets to meet client cultural dietary needs Educating each client to the use of a unit chapel for cultural rituals Arranging client care to support the cultural need for family involvement
Ability to adapt special diets to meet client cultural dietary needs
The nurse is caring for an older client from Japan who requires treatment for an enlarged prostate, and the primary care provider offered several treatment options. Which is the best next action to take? Ask the client which treatment option the client has decided. Answer questions about the treatment options available. Determine if the client has a living will or would like to make one. Assess who makes health care decisions for the client.
Assess who makes health care decisions for the client.
Which nursing intervention demonstrates one of the strengths of the transcultural nursing Theory of Culture Care Diversity and Universality? Planning treatments around the prayer schedule of a client who practices Islam Encouraging a client of Chinese descent to explain the concept of "Ying and Yang" Assessing for stress factors affecting a client of Haitian descent as well as the immediate family Evaluating the reading comprehension of a client for whom the dominant language is the second language
Assessing for stress factors affecting a client of Haitian descent as well as the immediate family
Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists? Evaluation of the understanding of risk factors based on cognitive function Nursing interventions planned on the basis of age and developmental norms Implementation of nursing care, respectful of the individual's economic status Assessment of woman's ability to function successfully in her role within the family
Assessment of woman's ability to function successfully in her role within the family
Which intervention will have the greatest impact on providing culturally congruent nursing care to a child whose parents speak only a minimal amount of the dominant language? Requesting that the child's health care provider be fluent in the parents' dialect Providing the services of a translator who is familiar with the parents' native language Assigning a nurse to the family who is able to communicate in the parents' dialect Assuring that all information is provided in the written form using the parents' dialect
Assigning a nurse to the family who is able to communicate in the parents' dialect
Which intervention reflects an understanding of a common negative psychosocial outcome of increased longevity? Educating family members to the symptoms of despair seen in the older adult Assisting the client to identify social activities he or she is interested in attending Educating the client on the risks involved from engaging in unprotected sex Assisting the client in preparing a reasonable, financial budget
Assisting the client to identify social activities he or she is interested in attending
Which nursing activity shows an understanding of the process of culturally competent nursing practice? Attending two in-service programs yearly on attaining cultural competency Including cultural assessment questions in an admission interview Providing a client who does not speak the dominant language with information written in the native language Encouraging the facility to provide access to language translators
Attending two in-service programs yearly on attaining cultural competency
The nurse is caring for a client in the prenatal clinic who tested positive for sickle cell trait (SST). The father is negative for the gene. Which intervention should the nurse provide? Instruct that the infant has a 1:4 chance of having the disease. Obtain a maternal and paternal cultural immigration history. Collect frequent sterile urine cultures at each visit. Prepare the client for increased risk to birth postterm
Collect frequent sterile urine cultures at each visit.
The nurse is caring for a pregnant client from a blended culture. Which action(s) should the nurse take to provide culturally congruent care? Select all that apply. Assess what cultures were blended and use printed guidelines about the cultures. Develop a birthing plan with the client that reflects the cultural preferences. Predict that the roles of the family are Western in origin when caring for family. Determine the rituals the blended family wants to follow related to the birth. Explain that outdated notions about childbearing should be replaced by modern ones.
Develop a birthing plan with the client that reflects the cultural preferences. Determine the rituals the blended family wants to follow related to the birth.
Which activity will best minimize the risk of allowing discrimination and prejudicial behaviors to impact personal nursing practice? Asking the client to explain his or her cultural-specific beliefs and practices Observing and mimicking the practice of a nurse who is viewed as being culturally sensitive Engaging in regular reflective, cultural self-assessments Asking culturally diverse clients to evaluate the care being provided
Engaging in regular reflective, cultural self-assessments
Which cultural value should be the basis for nutritional information given to the Mexican American mother of a newborn? Milk is used to supplement breast milk without recognizing the potential of triggering a milk allergy. Fat babies are considered healthy because there is little understanding of the health risks involved. Mexican American families believe in early introduction of solid foods without realizing the risk of infant choking. There is a high risk for the development of gastritis in a Mexican American child who was formula fed as an infant.
Fat babies are considered healthy because there is little understanding of the health risks involved.
Which viewpoint, regarding birth control, would be supportive of the cultural beliefs of a woman who practices the Mormon faith? Members of the Mormon faiths love children and strive for large families. Families who practice the Mormon faith avoid birth control until a son is born. Birth control is viewed as a sin by the Mormon's religious teachings. For couples who practice the Mormon faith, they have a religious responsibility to parent a large family.
For couples who practice the Mormon faith, they have a religious responsibility to parent a large family.
Which intervention associated with culturally directed infant attachment practices will best support autonomy in a 3-year-old child? Rocking the child to sleep Giving the child finger foods for lunch Taking the child for walks in the park Reading to the child as part of the bedtime ritual
Giving the child finger foods for lunch
The nurse is assessing a 5-month-old infant whose culture includes the use of a cradleboard. Which physical complication should the nurse be alert to regarding this child? Hip dysplasia Anterior skull flattening Abduction of the knees Hyperflexion of the ankles
Hip dysplasia
A nurse provides care to a vast culturally diverse population. How can the nurse best address the need to provide cultural congruent nursing care? Regularly self-reflecting on personal biases and prejudices Master the skills required to perform an effective cultural assessment Regularly attend culture awareness in-service programming Immersion into the cultures presented by the client population
Master the skills required to perform an effective cultural assessment
The nurse is caring for an unconscious client with a comfort dog at the bedside. Which member of the interprofessional health care team should provide the decision on behalf of the client for the most appropriate treatment? Physician Daughter Neighbor with medical power of attorney Spiritual or traditional healer
Neighbor with medical power of attorney
Which nursing intervention best shows compliance with offering linguistically appropriate services for a culturally diverse population? Speaking to the client in a culturally appropriate dialect Notifying the client that he or she is entitled to language translation services Identifying a family member to act as interpreter Using nonverbal communication techniques whenever possible
Notifying the client that he or she is entitled to language translation services
Which situation is especially prevalent in culturally diverse children being raised in one-parent families and so should be assessed for? Poverty-level existence Type 1 diabetes Gang membership Depression
Poverty-level existence
The nurse is caring for new immigrants and children in Nevada. Using census data, which action(s) should the nurse implement to best serve the population? Select all that apply. Provide an increased number of bilingual nurses and professional interpreters. Predict 6% of all immigrant households experience linguistic isolation. Nurses need to concentrate on Hispanic culture to best serve the clients. There should be an effort to recruit people from the cultures into nursing. The nurse should follow standardized guidelines when caring for clients.
Provide an increased number of bilingual nurses and professional interpreters. Predict 6% of all immigrant households experience linguistic isolation. There should be an effort to recruit people from the cultures into nursing.
Which activity is vital to the survival of cultural values and customs? Having affluent members of the culture support poorer members Electing representatives of the culture to governmental positions Sponsoring cultural events to be attended by the general population Providing the younger generations with opportunities to show cultural pride
Providing the younger generations with opportunities to show cultural pride
An older client who lives alone has begun to have difficulties cooking and maintaining a safe environment in the apartment she rents. Which intervention will have the most impact on the client's ability to maintain independence? Arranging for the client to receive her meals through a federally subsided meals program Requesting a social consult to help identify sources who can fund part-time in-home assistance Suggesting the client explore the possibility of having family members help with meals and cleaning Discussing the advantages of assistive living facilities to someone who is having difficulty living alone
Requesting a social consult to help identify sources who can fund part-time in-home assistance
Which nursing activity has priority when providing culturally congruent care? Identifying the client's health care expectations Assessing the client's ability to communicate effectively with staff Self-reflection concerning beliefs associated with the client's culture Evaluating the facility's ability to meet the client's cultural needs
Self-reflection concerning beliefs associated with the client's culture
The nurse is caring for a Black client in a rural obstetric/gynecological clinic. Based upon research on culturally based reasons why there is a higher risk for contracting a HIV infection, which action(s) should the nurse provide? Select all that apply. Explain the need to be frank about sexual activity with a new partner and insist on condom use. Teach about the percentages of Black women in rural settings that are infected with HIV from sexual activity. Provide a pamphlet on sterilizing syringes and needles for intravenous drug users to decrease risks. Offer places for free HIV testing and counseling and statements about the confidentiality of the findings. Use community leader's support to create a culture that encourages ways to decrease risks for HIV transmission.
Teach about the percentages of Black women in rural settings that are infected with HIV from sexual activity. Use community leader's support to create a culture that encourages ways to decrease risks for HIV transmission.
Which is the basis to support the need for transcultural nursing in a health care setting that serves a multicultural metropolitan community? The nursing responsibility to provide nursing care for each client who demonstrates respect and acceptance The ever-expanding numbers of immigrants entering the United States requiring physical and mental health care The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population The varying economic and social backgrounds represented in the population present unique barriers to health care delivery
The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population
Which outcome demonstrates the successful implementation of culturally congruent care for a pregnant client whose culture holds holistic health beliefs? The infant's father cut the umbilical cord. The mother sipped on an herbal tea to maintain hydration during the labor. Labor pain was successfully managed with nonpharmacologic interventions. : The mother sipped on an herbal tea to maintain hydration during the labor. Family members remained with the mother and infant during the entire hospitalization.
The mother sipped on an herbal tea to maintain hydration during the labor.
hich behavior supports the nurse's evaluation that an older client is successfully engaged in "active aging"? Walking 2 miles daily with a small group of friends Using the computer to communicate with family members Volunteering at the local elementary school as a classroom helper Interviewing family members in order to create a detailed genealogy tree
Volunteering at the local elementary school as a classroom helper
Which nursing intervention demonstrates an understanding of the full scope on culturally sensitive nursing care? When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed When assessing a recently immigrated client's ability to both speak and read the dominant language when preparing discharge teaching Including both Eastern traditional folk treatments and Western medical therapies into the care plan of a client of Chinese descent Directing a discussion concerning treatment options for an Arab female toward the family's elder male members
When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed
The nurse is documenting assessment data obtained from an older Hispanic client reporting pain, possibly resulting from osteoarthritis. Which notation demonstrates that the nurse implemented culturally congruent assessing techniques? The client: has been an avid knitter for last 15 years. reports that pain became significant 2 months ago. describes pain as a constant aching in the joints of all fingers of the right hand. denies using any type of traditional folk remedies to manage the pain in the right hand
denies using any type of traditional folk remedies to manage the pain in the right hand
