unit 8 exam

which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism?

-physically impaired -burdensome to family -uninterested in intimacy

asian americans diets include:

-rice -rice noodles -mixtures containing beef -chicken -fish -soybean products -bok choy cabbage -bean sprouts

nurse is assigned to care for a client who does not speak the dominant 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 interpreted arrives?

using reassuring body language and making eye contact to assess needs

asian Americans prefer

when the nurse is at more than arms length away

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 like you to talk about it?

which statement best conveys the relationship between race and ethnicity?

race denotes physical characteristics, while ethnicity is rooted in a common heritage

a client refuses to allow any healthcare worker of asian descent to provide care. this client is demonstrating what practice?

racism

a nurse needs to bathe a client at the health care facility. what is the most appropriate action of the nurse before washing the clients hair?

seek permission from the client

a pre convinced and untested belief about an individual or group of individual is:

stereotyping

the labor and delivery nurse is getting report from the previous shift regarding a client with asian heritage. the nurse is told that the client did not ask for pain medication because "asian people can handle pain". the nurse receiving report understands that this is an example of:

stereotyping

which factors contribute to the factors of culture?

-language -art and music -items and clothing worn -beliefs about health practices -styles used for communication

the clinic nurse is obtaining demographic data from a client. The client states, "why do you need to know what my ethnicity is?" how should the nurse respond?

"collecting this information allows us to develop a personalized plan of care to meet your needs"

the nurse is caring for a client of a different culture and strives to deliver culturally sensitive care. which action by the nurse is most appropriate?

ASK inquisitive questions regarding the clients cultural practices.

the nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. what is the best action by the nurse?

Discuss with the client the need for assistance to ambulate the client.

how is culture learned by each new generation?

Formal and informal experiences

the nurse is admitting a client with uncontrolled hypertension and diabetes. During the initial assessment, the client informs the nurse that he has been seeking assistance and care from the shaman in the community. The nurse recognizes that the clients blood pressure and blood sugar are elevated upon admission. what is the nurses best response?

I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels

which definition of culture is most accurate?

a belief system that guides behavior

Which client admitted to the emergency department (ED) might require the nurse to include interventions aimed at addressing cultural shock in the plan of care?

a client who recently immigrated and fell from a ladder

the nurse is caring for a terminally ill client who immigrated from Mexico. which nursing intervention regarding spiritual care is appropriate?

ask the client if a spiritual leader is desired.

the nurse admits a client to the critical care unit to rule out a myocardial infraction. the client has several family members in the waiting room. which nursing action is most appropriate?

assess the clients beliefs about family support during hospitalization

a client is operated on for gallstones. on the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. when asked about analgesics, the client denies having pain. which nursing action is most appropriate?

assessing for nonverbal expressions of pain

which factor is the most important to consider when caring for clients with limited income?

basic human needs going unmet

a nurse caring for a client with bacterial pneumonia and a temperate of 104 and the client insists on warm blankets due to his:

cultural ritual

culturally competent care

does not account for CLIENTS HEIGHT

the nurse is caring for a client from another culture who is diagnosed with lung cancer. which nursing action best demonstrates culturally sensitive care?

incorporating the clients need for daily prayer into the nursing care plan

which nursing intervention reflects practice according to Madeline leiningers transcultural nursing theory?

incorporating the clients requests for complementary treatment therapy

Keloids

irregular, elevated thick scars, are more common among dark-skinned clients

a client of asian descent given birth and notes the presence of a dark blue area on the back the baby. what should be the nurses explanation to the mother?

it is normal for a baby of asian ethnicity

personal space and distance is a cultural perspective that can impact nurse-client interactions. what is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

know the clients personal space preferences.

The nurse is caring for a client who perceives time differently. what action should the nurse take for this client?

maintain flexibility when the client requests interventions at specific times.

the nurse correctly differentiates race from ethnicity by nothing that race is based on which characteristic?

biological

the client is admitted to the hospital with a ruptured ovarian cyst. the client has expressed that it is very important that the spouse be present to receive all medical information. using the concepts of culturally competent care, which is the best response?

document the clients request in the nursing care plan.

a nurse is caring for an older adult. how does the nurse demonstrate awareness of culturally competent care?

establishing effective communication

when a home-bound client expresses the clients past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

ethnic identity

the use of ones culture as a culture standard is known as:

ethnocentrism

when teaching a group of unlicensed assistive personnel (UAP) about race, which statement by a UAP requires interventions by the nurse?

people with common physical features share the same culture

the nurse is caring of several clients of different cultures. which client situation would the nurse recognize as the client with highest risk of culture shock?

the client from Ethiopia states, "all these machines attached to me scare me and I need to get them off"

the home health nurse is conducting a health history interview with a client that immigrated 3 months ago. what action observed by the nurse would indicate that the client is adapting to the majority culture ?

the client reads books in the language of the new country

an older adult client from a minority culture refuses to eat at the nursing home, stating "I just don't like the food here" what factors should the staff assess for this problem?

the food served may not be culturally appropriate

the nurse is using an interpreter to communicate with a client who speaks a different language. what would be the best way to choose an interpreter for this client?

the interpreter should understand the health care system.

a home health nurse is visiting a client who is 60 years of age. during the initial visit, the clients spouse answers all of the questions. what would the nurse assess based on this behavior?

the spouse id the domain member of the family

which is a culture norm of the health care system?

there is the use of a systemic approach and problem-solving methodology