Question 1

The nurse is admitting a Hispanic woman scheduled for a cholecystectomy. The nurse uses a cultural assessment tool during the admission. Which question would be most important for the nurse to ask?

Accepted Answer

Question A is most important because it assesses the use of alternative treatments or remedies that might affect perioperative care or interact with prescribed medications. Understanding a patient's use of traditional or home remedies is crucial in providing culturally competent care and ensuring safety during medical procedures.

Question 2

The community nurse is planning to visit a family. The grandparents are helping the adult parents with child-rearing activities. For which type of family should the nurse plan care?

Accepted Answer

Extended families include not only the parents and their children but also other relatives such as grandparents. In this scenario, the grandparents are involved in child-rearing activities along with the parents, which is characteristic of an extended family structure.

Question 3

A pregnant patient from a culture that treats hot and cold conditions with food is experiencing a severe lower back ache. According to the table shown here, which food should the nurse provide to help this patient?
Table 2-2 Hot and Cold Conditions and Foods

Accepted Answer

The answer of A pregnant patient from a culture that...

Question 4

Which questions are appropriate for the nurse to ask during a cultural assessment of a client who is new to the clinic?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of Which questions are appropriate for the nurse...

Question 5

The client reports using an alternative therapy that involves the manipulation of soft tissues. This therapy has reduced the client's stress, diminished pain, and increased circulation. Which therapy has this client most likely received?

Accepted Answer

Massage therapy involves the manipulation of soft tissues and is known for reducing stress, diminishing pain, and increasing circulation, which matches the benefits described by the client.

Question 6

The nurse works in a facility that cares for clients from a broad range of racial, ethnic, cultural, and religious backgrounds. Which statement should the nurse include in a presentation to recently hired nurses on the client population of the facility?

Accepted Answer

Understanding the common values and health practices of diverse clients is crucial for providing culturally competent care, which can lead to better health outcomes.

Question 7

The nurse is teaching a class to the community on mind-based therapies. A class participant gives an example of a friend with leukemia who was taught by her complementary therapist to concentrate on making antibodies that will fight and kill the cancer cells in the bloodstream. How would the nurse identify this technique?

Accepted Answer

Guided imagery involves focusing the mind on positive images or outcomes, such as imagining one's body fighting off disease, which aligns with the example given.

Question 8

The labor and delivery nurse is caring for a laboring client who has asked for a priest to visit her during labor. The client's mother died during childbirth, and although there were no complications during her pregnancy, the client is fearful of her own death during labor. What would be the best way for the nurse to respond?

Accepted Answer

The best response is to support the client's request for spiritual support by offering to contact someone from her parish or the hospital chaplain, acknowledging her fears and providing comfort without dismissing her concerns.

Question 9

The nurse manager in a hospital with a large immigrant population is planning an in-service. Aware of how ethnocentrism affects nursing care, the nurse manager asks, "The belief that one's own values and beliefs are the only or the best values has which of the following results?"

Accepted Answer

Ethnocentrism can create barriers to communication through misunderstanding because it can lead to the assumption that everyone shares the same values and beliefs, which is not always the case.

Question 10

The nurse is reviewing a list of families scheduled for community health visits. To visit these families according to the family life cycle each is in, in which order from first to last should the nurse visit these families?

Accepted Answer

The order follows the family life cycle stages: starting with families with infants, then school-age children, teenagers, young adults, newly married children, and finally, retirement.

Question 11

A pregnant patient is attending a class to learn the movements identified in the following photo. What is the primary reason for the patient to learn these movements?

Accepted Answer

The answer of A pregnant patient is attending a class...

Question 12

The nurse is working with a client whose religious beliefs differ from those of the general population. What is the best nursing intervention to use to meet the specific spiritual needs of this family?

Accepted Answer

The answer of The nurse is working with a client...

Question 13

When teaching a culturally diverse group of childbearing families about hospital birthing options, the culturally competent nurse does which of the following?

Accepted Answer

Incorporating the specific beliefs of the cultural groups attending the class demonstrates cultural competence. It shows respect for and acknowledgment of the diverse values and practices related to childbearing among different cultures.

Question 14

During the assessment phase of a family, the community nurse recognizes that culture influences childrearing and childbearing in which of the following ways?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Culture influences childrearing and childbearing through beliefs about the importance of children, beliefs and attitudes about pregnancy, and norms regarding infant feeding. Acculturation and time orientation are broader concepts that may not directly influence these specific aspects.

Question 15

A nurse is working in a clinic where clients from several cultures are seen. As a first step toward the goal of personal cultural competence, the nurse will do which of the following?

Accepted Answer

Gaining cultural awareness is the foundational step in developing personal cultural competence. It involves recognizing one's own biases, beliefs, and attitudes about different cultures, which is essential before effectively enhancing skills, seeking encounters, or acquiring specific cultural knowledge.

Question 16

The client reports relief from headaches when she rubs the temples on each side of her head. The nurse understands that this is a form of which of the following?

Accepted Answer

Rubbing the temples to relieve headaches is a form of acupressure, which involves applying pressure to specific points on the body to alleviate pain or discomfort.

Question 17

During a home visit the nurse observes a new mother performing the following action. What should the nurse document that the mother is doing with the child?

Accepted Answer

The answer of During a home visit the nurse observes...

Quiz 2: Families, Cultures, and Complementary Therapies