Question 1

The nurse provides care to a client from Nigeria who is visiting the United States.Which should the nurse use to communicate with this client?&#10;A)Review the predominant health beliefs of the Nigerian population.&#10;B)Appraise the client's health beliefs and behaviors with a cultural assessment.&#10;C)Consult with other nurses who have taken care of clients from other countries.&#10;D)Use standard communication techniques to establish a helping relationship.

Accepted Answer

Appraising the client's health beliefs and behaviors with a cultural assessment is the best option because it allows the nurse to understand the client's unique cultural perspective on health and health care. This can help the nurse provide more effective and culturally appropriate care. Reviewing the predominant health beliefs of the Nigerian population (A) may provide some general background information, but it is not as helpful as a individual cultural assessment. Consulting with other nurses who have taken care of clients from other countries (C) may be helpful, but it does not address the specific needs of this client. Using standard communication techniques (D) is important, but it does not specifically address the cultural differences that may influence communication and health care for this client.

Question 2

The nurse provides care for a male patient.When the nurse addresses the patient,which would be most appropriate?&#10;A)Use both first and last name with each encounter.&#10;B)Ask the patient how he prefers to be addressed.&#10;C)Call the patient by his first name.&#10;D)Address the patient by his last name.

Accepted Answer

It is best to ask the patient how he prefers to be addressed to show respect for his autonomy and personal preferences. Some patients may prefer to be called by their first name, while others may prefer to use their last name or a formal title. Using both the first and last name with each encounter (A) may seem overly formal and impersonal, while using only the first name (C) may be seen as overly familiar or disrespectful. Addressing the patient only by his last name (D) may also be perceived as distant or cold. Therefore, option B is the most appropriate choice.

Question 3

The nurse observes a nursing assistant interacting with an elderly patient.Which statement by the nursing assistant requires an immediate intervention by the nurse?&#10;A)&#34;I will help you remember where your room is located.&#34;&#10;B)&#34;Would you like me to read from your Bible today?&#34;&#10;C)&#34;Tell me a story about when you were young.&#34;&#10;D)&#34;Sweetie,I will bring your coffee in a few minutes.&#34;

Accepted Answer

Using terms like "sweetie" or "honey" is not appropriate in a professional healthcare setting as it can be seen as condescending or infantilizing the patient. The nurse should intervene and remind the nursing assistant to address the patient in a respectful and professional manner.

Question 4

A female nurse discusses a concern related to client care with a male physician.Which communication strategy,if used by the nurse,is most effective?&#10;A)Assume a subservient role to the physician.&#10;B)Use a direct approach with succinct sentences.&#10;C)Ask questions instead of making recommendations.&#10;D)Be polite and expect politeness from the physician.

Accepted Answer

Using a direct approach with succinct sentences allows the nurse to clearly and effectively communicate her concern to the physician without being overly submissive or demanding. This approach demonstrates professionalism and encourages open communication between healthcare professionals.

Question 5

The nurse is interviewing a Native American client.It is most important for the nurse to take which action?&#10;A)Maintain eye contact to show respect and interest.&#10;B)Assess whether the client is comfortable with eye contact.&#10;C)Avoid prolonged eye contact with this client.&#10;D)Sit next to the patient to avoid any eye contact.

Accepted Answer

In Native American culture, direct eye contact can be viewed as a sign of disrespect or aggression. Therefore, it is important for the nurse to assess whether the client is comfortable with eye contact and adjust their own behavior accordingly. Maintaining eye contact or avoiding it altogether without considering the client's cultural background could lead to misunderstandings and mistrust in the therapeutic relationship. Sitting next to the patient to avoid eye contact is not a culturally appropriate solution and could be perceived as dismissive or dismissive of the client's communication style.

Question 6

A non-Hispanic white nurse provides care to mostly Hispanic patients.It would be most important for the nurse to take which action?&#10;A)Discover cultural influences on health care perceptions and behaviors.&#10;B)Assist the patients to adapt to American culture and health beliefs.&#10;C)Avoid confrontation of underlying issues of discrimination.&#10;D)Improve communication by learning how to speak Spanish.

Accepted Answer

It is important for the nurse to understand the cultural influences on health care perceptions and behaviors of the Hispanic population in order to provide culturally competent care. This can help the nurse to better understand the patients' health beliefs and practices, and help to establish trust and rapport with them. Assisting patients to adapt to American culture and health beliefs may not be appropriate or necessary for all patients. Avoiding confrontation of underlying issues of discrimination may perpetuate inequities in care. Improving communication by learning Spanish can also be helpful, but understanding cultural influences on healthcare is more important.

Question 7

Which characteristic would the nurse use to define culture? Select all that apply.&#10;A)Learned and shared lifeways of a particular group.&#10;B)Social identity influenced by language and religion.&#10;C)Belief in superiority of one's own ethnic group.&#10;D)Values influence both thinking and actions.&#10;E)Several generations share the same beliefs.

Accepted Answer

The answer of Which characteristic would the nurse use to...

Question 8

Which patient would most likely be uncomfortable with close personal space during an interaction with the nurse?&#10;A)19-year-old white female patient who is standing two feet in front of the nurse.&#10;B)40-year-old African-American male patient who is sitting next to the nurse.&#10;C)60-year-old Latin-American female patient who is seated across from the nurse.&#10;D)82-year-old patient from France who is lying in bed with the nurse sitting next to the bed.

Accepted Answer

The answer of Which patient would most likely be uncomfortable...

Question 9

The nurse cares for diverse clients in a community health setting.Which action should the nurse take first to learn about delivering care to diverse clients?&#10;A)Adopt a transcultural framework to develop culturally appropriate care.&#10;B)Ask clients about their personal health care beliefs.&#10;C)Develop a self-awareness of personal health care beliefs.&#10;D)Recognize ethnocentric beliefs of minorities in the community.

Accepted Answer

Developing self-awareness of personal health care beliefs is the first step in providing culturally sensitive care. It allows the nurse to recognize biases and better understand and respect the beliefs, values, and practices of diverse clients. Adopting a transcultural framework, asking clients about their personal beliefs, and recognizing ethnocentric beliefs are also important actions, but they should be done after the nurse gains self-awareness.

Question 10

The nurse needs to obtain a health history from a Spanish-speaking patient.Which action by the nurse is best?&#10;A)Ask a bilingual friend of the patient to interpret.&#10;B)Use nonverbal communication and draw pictures.&#10;C)Request a Spanish-speaking medical interpreter.&#10;D)Interview the patient's English-speaking daughter.

Accepted Answer

Requesting a Spanish-speaking medical interpreter is the best choice as it ensures accurate communication and avoids potential misunderstandings that can occur with non-professional interpreters. Using a bilingual friend or family member may not guarantee confidentiality and impartiality. Nonverbal communication and drawing pictures may not be effective in obtaining a comprehensive health history. Interviewing the patient's English-speaking daughter would not be useful as the patient and daughter may have different perspectives or knowledge regarding the patient's health history.

Deck 4: Understanding Each Other: Communication and Culture