Deck 6: Cultural Aspects of Nursing Care

Question 1

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 that would require the nurse to be aware that:

A) Culture influences beliefs about health, illness, and health practices.
B) All members of an ethnic group have the same beliefs about health practices.
C) A patient's culture rather than individual assessments can be the basis of care.
D) Members of subcultures must be encouraged by nurses to adopt the dominant culture.

Answer 1

Culture influences beliefs about health, illness, and health practices.

Question 2

At the request of the family,the instructor makes an assignment change for a black male student who had been assigned to take care of a postpartum Muslim woman.The culturally competent nurse is aware that the request by the family was made because:

A) Muslim culture does not allow black practitioners to care for women.
B) Muslim culture prefers that women health care providers care for Muslim women.
C) The husband will be present, and he will object.
D) After childbirth, all care must be performed by women.

Answer 2

Muslim culture prefers that women health care providers care for Muslim women.

Question 3

The nurse has scheduled a specific time for a group of Latino patients who are diabetic to come for diabetic teaching,but the group does not come until almost an hour later.The culturally competent nurse is aware that:

A) Language barrier caused a miscommunication.
B) Denial about the disease has delayed arrival.
C) Their culture places little significance on the concept of time.
D) Timely arrival is rude, because it may inconvenience the hostess.

Answer 3

Their culture places little significance on the concept of time.

Question 4

A severely injured adult 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 four units of blood that the physician has ordered.The nurse discovers a card identifying the man as a Jehovah's Witness.The nurse should:

A) Inform the laboratory to hold the process on typing and cross-matching the four units of blood.
B) Call the hospital administration to obtain a court order to intervene.
C) Inform the physician that the patient is a Jehovah's Witness.
D) Remove all tourniquets and cardiac monitoring devices.

Question 5

The nurse should make her care plan to include considerations of cultural similarities that are:

A) Family, educational background, and economic level should all be considered.
B) Subtle communication involving languages should be considered.
C) Families have strong patriarchal leaders.
D) Culture is learned, shared, and expressed similarly among members.

Question 6

The 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.The integration of cultural concepts into the nursing care plan is known as which one of the following?

A) Assimilation of culture
B) Cultural diversity
C) Enculturation of the patient
D) Transcultural nursing

Question 7

The home health nurse prepares to teach a Hispanic patient who neither speaks nor reads English how to measure and administer insulin.The most helpful teaching tools would be a(n):

A) Booklet from the American Diabetes Association explaining the effects of too much or too little insulin
B) Nutrition pamphlet explanation, discussing amounts of each food group needed each day
C) Alarm clock, magazine pictures showing sunrise and sunset, several clean insulin syringes, and insulin bottles filled with colored water
D) Large sheet explaining the need for washing hands, times, amounts of insulin to inject, and the nurse's home phone number

Question 8

The nursing assistant reports to the nurse,"That Hindu guy in room 4 doesn't respond,but he is breathing and his skin is warm and dry." The culturally sensitive nurse recognizes this event as a probable:

A) Karma
B) Yoga trance
C) Moksha
D) Caste atonement

Question 9

A nurse,who is leading a discussion with a group of residents of a Jewish long-term care facility to discuss dietary laws and other religious practices,anticipates that the most prominent need of these patients would be:

A) Fasting every Friday night from sunset until sunset on the following Saturday and not taking them to the dining room.
B) Having a quiet time for prayer provided before and after all meals.
C) Serving meat and milk products at the same time but on separate plates.
D) Allowing Jewish men to shave before their Sabbath.

Question 10

The nurse is clearing the bedside area to give a bed bath to a Muslim woman the day after a cesarean section.The culturally sensitive nurse would:

A) Pick up and move the copy of the Koran so that it will not be soiled with bath water.
B) Ask the patient to remove the taviz to prevent it from being touched by a non-Muslim.
C) Offer a quiet time after the bath for prayer.
D) Be especially protective of her modesty.

Question 11

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.This behavior is an example of:

A) Subculture
B) Democracy
C) Diversity
D) Ethnicity

Question 12

As breakfast trays are served,a Catholic patient asks the nurse to take it away,because a priest is coming to administer Communion.The response by the nurse should be:

A) "You really need this nutrition. I have to leave it for you. Regardless, you must eat."
B) "I will leave the tray in the kitchen. You may call me to bring it back when it is time."
C) "You must eat your breakfast before it gets cold. If the priest comes, tell him to wait for you."
D) "Communion is only another piece of bread, so it will go just fine with your eggs."

Question 13

A Filipino man is admitting his elderly mother to a long-term care facility for custodial care.During the intake interview,the man is alternately tearful and defensive.The culturally competent nurse assesses the labile behavior as being related to the Filipino belief that:

A) Medical facilities are a place of death.
B) Families should care for the older family members at home.
C) His language barrier is causing him to be misunderstood.
D) Such facilities will limit visitations from the family.

Question 14

A Japanese patient,hospitalized for arteriosclerotic heart disease and hypertension,is allowed to have a regular diet with cultural provisions of Asian food.A diuretic,antibiotic,bronchodilator,and vasodilator have been prescribed.The medication that would be hampered by an Asian diet would be a(n):

A) Bronchodilator
B) Vasodilator
C) Diuretic
D) Antibiotic

Question 15

A patient of Chinese descent is in the community clinic for treatment of his arthritis.The patient tells the nurse that his disease is a "hot disease." The nurse assesses that he is referring to the hot-cold theory,which holds that hot diseases are caused by:

A) His body's reaction to hot weather
B) Excessive blood and yellow bile
C) Invasion of hot or evil thoughts, causing his body to react
D) Overeating cold foods

Question 16

A practicing Hindu patient is dying but has orders for a full diet.However,the patient will accept only soups.The nurse should order which one of the following from the diet kitchen?

A) Beef broth with bits of tomatoes and potatoes
B) Puréed tomatoes, carrots, celery, and potatoes in a vegetable stock
C) Chicken stock with rice noodles and celery
D) Finely chopped roast beef and mashed rice with vegetable broth gravy

Question 17

After a Jewish woman has given birth and returns to her room,the husband arrives with a camera.The culturally sensitive nurse would say:

A) "Here is a chair near the door so you can be comfortable while you visit."
B) "I'll give you all some privacy because I know you want to give your wife a big hug."
C) "Let me get some instructions for you to follow in her home care after she is discharged this afternoon."
D) "Sit on the bed and put your arm around your wife, and I will take your photograph."

Question 18

To help with effective planning for the delivery of transcultural nursing care,the nurse selects an approach that asks the:

A) Facility's chaplain if anything special should be included in the care plan.
B) Patient if any special foods, symbols, or practices should be respected and whether they should be included in the health care plan.
C) Family if anything special exists in the patient's culture or religion that should be included in care planning.
D) Other staff if they have ever had this type of patient before and how they modified the care plan.

Question 19

The nurse learns at report that the patient is a member of a Seventh-Day Adventist group.At mealtime,which of the following trays should be served to this patient?

A) Corn flakes with whole milk, cranberry and orange juices, buttered muffin, and coffee
B) Mixed salad with chunks of chicken, potato salad, orange juice, and a small apple
C) Scrambled eggs and crisp bacon, melon slice, wheat toast, and hot tea
D) Broiled flounder, scalloped potatoes, yellow squash, green bean salad, rice pudding, and coffee

Question 20

A nurse who is caring for a young woman who is a member of the Church of Jesus Christ of Latter Day Saints (Mormon)would offer an appropriate snack of:

A) Juice and cookies
B) Tea and a piece of fruit
C) Coffee and a cinnamon roll
D) Cola drink and chips

Question 21

Many Latino individuals believe in alternate health care practices,among which are:

A) Use of a folk healer
B) Folk remedies
C) Self-mutilation
D) Sweating in a smoke tent
E) Use of peyote

Question 22

The Orthodox Jewish patient has died at 3 AM on a Wednesday and no family member was present.Before the family arrives,the culturally competent nurse should:

A) Avoid touching the body until an Orthodox Jew arrives.
B) Call the hospital chaplain to come and stay with the body.
C) Place the patient's copy of the Koran at the bedside.
D) Wash the body, and straighten up the room.

Question 23

When many cultures and subcultures exist within the same society,as they do in the large cities of the United States,these groups are referred to as:

A) Cultural diversity
B) Cultural ethnicity
C) Mixed society
D) Cultural immigration

Question 24

The Asian theory of hot and cold as a source of illness is based on the imbalance of the four ____________________.

Question 25

The nurse explains that a Hindu refers to the record of his or her life and its accomplishments as ____________________.

Question 26

The process in which children mature and take on the values of their families and their society is called ____________________.

Question 27

The nurse is aware that slow drug metabolism,which can cause oversedation with some tranquilizers and sedatives in individuals of other cultures,is a characteristic of:

A) Chinese
B) Indian
C) Native Americans
D) Hispanics