Deck 8: Transcultural Healthcare

Question 1

Which information regarding race should the nurse consider when collecting assessment data?

A) Skin, hair, and eye color are reliable indicators of race.
B) Genetic diseases are often restricted to a particular race.
C) Racial intermixing has blurred cultural originating physical attributes.
D) One's race is equivalent to one's culture and ethnicity.

Answer 1

Racial intermixing has blurred cultural originating physical attributes.

Question 2

How is culture defined?

A) Common heritage that is shared by a specific ethnic group
B) Genetic characteristics associated with having ancestors from a specific part of the world
C) Accumulated learning passed down from generational groups that are within structured or nonstructural societies
D) Groups that are formed from within a dominant culture

Answer 2

Accumulated learning passed down from generational groups that are within structured or nonstructural societies

Question 3

When considering cultural diversity, what is the fastest growing group in the United States?

A) Hispanics
B) Asian/Pacific Islanders
C) Native Americans
D) Africans

Answer 3

Hispanics

Question 4

Which statement is an example of ethnocentrism?

A) "All Irish drink too much."
B) "Women make the best nurses."
C) "If you are late for work the first day, you'll always be late."
D) "You can't trust anyone who lives in a big city."

Question 5

The nurse manager asks a nurse of Japanese heritage to teach others dosage calculations because, "Asians are good at math." The nurse manager is responsible for demonstrating which barrier to cultural competency nursing care?

A) Prejudice
B) Ethnocentrism
C) Stereotyping
D) Subculture belief

Question 6

Which assessment questions demonstrate effective transcultural nursing practices? Select all that apply.

A) "Would you describe yourself as being healthy?"
B) "Do you identify with a particular religious group?"
C) "Do you feel that your heart condition affects your quality of life?"
D) "Have you ever attended a college or university?"
E) "Is there anyone who helps you make decisions about your health care?"

Question 7

The roommate of a cognitively impaired client has made dinner menu selections for the client. The nurse is aware that the client is a practicing Muslim and so questions which selected item?

A) Beef tacos
B) Coffee with cream
C) Pork chops
D) Fish filets

Question 8

A nurse is caring for a Jewish client who adheres to the principles of kosher eating. The healthcare facility does not provide kosher meals. How can the nurse best ensure that the client receives healthful meals while respecting the client's religious beliefs?

A) Apologize to the client when explaining that the dietary department is not equipped to provide kosher foods
B) Ask the client's family to bring acceptable foods to the hospital
C) Arrange for the client to have vegetarian only menu
D) Assist the client in selecting a menu that is fruit-based

Question 9

A female client being treated for internal injuries has been identified as a practicing Jehovah's Witness. The client's religious beliefs could cause conflict with which component of the client's care?

A) A liquids only diet
B) Care being provided by male nurses
C) Being admitted to a semi-private room
D) One unit of packed cells to be transfused over 6 hours

Question 10

The nurse has requested a language translator to help to effectively communicate with a non-English speaking client. Which statement by the nurse demonstrates an understanding of the most important impact the translator has on the effectiveness of the communication process?

A) 'Please tell me what the client is saying using his exact words."
B) "Are you familiar with common medical terms and phrases?"
C) "I will need you to paraphrase what I said to be sure the client understands completely."
D) "Am I speaking loudly and clearly enough for you to translate effectively?"

Question 11

Which is the most appropriate intervention for the nurse to implement to assure effective communication with a client who has very limited English speaking skills?

A) Requesting that a female professional translator be made available
B) Asking the client closed ended questions that can be answered with a "yes" or "no"
C) Avoiding the use of technical terms or English slang during conversations
D) Using simple words in short sentences and speaking slowly

Question 12

Which health belief system is dominated by the belief that the forces of nature must be kept balanced?

A) Scientific/biomedical
B) Magicoreligious
C) Holistic medicine
D) Yin-yang and hot-cold theories

Question 13

What is the foundational belief held by a client who holds magicoreligious view of health?

A) Supernatural forces dominate and determine one's state of health
B) Physical and biomedical processes can be studied and manipulated to control life and one's health
C) The forces of nature must be kept balanced to assure physical and emotional health
D) Illness always develops when life forces are out of balance

Question 14

A client newly immigrated to the United States is admitted for symptoms of depression. The client is resistant to the idea that the symptoms are possibly a result of a chemicalchange in the brain. Which assessment question demonstrates the nurse's understanding of a commonly held view associated with mental illness?

A) "Are you comfortable talking about your symptoms with your family?"
B) "Do you have enough money to meet your needs for food, clothing and shelter?"
C) "Has moving to the United States been hard on you and your family?"
D) "Are there any other family members who feel like you do?"

Question 15

Which client will most likely resist being admitted to a semi-private hospital room?

A) A British businessman
B) A Latin American tourist
C) A Japanese woman
D) A Middle Eastern grandfather

Question 16

The nurse touches an Asian-American child on the head while examining the head for a possible lice infestation. What response should the nurse be prepared for from the mother?

A) Pride since touching a child's head shows respect for the family
B) Mistrust since this action is believed to cause illness in children
C) Trust since doing so is a sign of great affection
D) Fear since touching the head indicates a serious illness

Question 17

The nurse is aware that making eye contact can be culturally influenced. Which client is least likely to demonstrate discomfort looking directly at the nurse during the assessment interview?

A) The French tourist
B) The Native American
C) The Arab woman
D) The Southeast Asian child

Question 18

The nurse notices that a female client insists on using the left hand to clean herself after elimination bowel movement. From which culture does this client most likely come?

A) European
B) Native American
C) Arab
D) Southeast Asian