Question 1

The nurse is reviewing the temporal relationships of the Western society. Which should the nurse be mindful of when caring for clients of Western culture?

Accepted Answer

Western societies are often characterized by a future orientation, focusing on planning, goal setting, and progress towards future achievements. This contrasts with cultures that may prioritize the present moment or traditions of the past.

Question 2

The nurse is interviewing a client and wishes to determine the roles of various members of an extended family living together in one household. Which statement should the nurse use to assess this information? Select all that apply.

Accepted Answer

These statements directly inquire about the roles and responsibilities of family members and decision-making dynamics within the household.

Question 3

The nurse would like to explore to what extent acculturalization has impacted the diet of a client that has recently immigrated to the United States. Which question should the nurse ask the client?

Accepted Answer

Question B directly addresses the impact of immigration on the client's diet, which is the focus of acculturation.

Question 4

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

Accepted Answer

The most appropriate response is to ask the client how their needs can be accommodated during their stay, showing respect for their religious practices and a willingness to provide care that is sensitive to their beliefs.

Question 5

The new nurse expresses frustration to the preceptor about caring for clients with differing healthcare beliefs and practices. Which action should the preceptor take?

Accepted Answer

Encouraging the nurse to closely examine their own cultural practices and beliefs can help in understanding and respecting the diversity of healthcare beliefs and practices among clients. This self-reflection is a key step in developing cultural competence.

Question 6

The nurse is assessing the client's ethnicity. Which should the nurse understand is included in the assessment? Select all that apply.

Accepted Answer

The answer of The nurse is assessing the client's ethnicity....

Question 7

The nurse is preparing to obtain a mini heritage assessment on a client. Which question should the nurse include?

Accepted Answer

A mini heritage assessment often includes questions about a client's cultural background, including their religious preferences, as it can influence health beliefs and practices.

Question 8

The nurse is evaluating the nonmaterial culture of a client. Which should the nurse focus upon?

Accepted Answer

The answer of The nurse is evaluating the nonmaterial culture...

Question 9

The nurse manager is discussing cultural considerations with a group of staff nurses. Which statements by the staff nurses indicate an appropriate understanding of cultural concepts? Select all that apply.

Accepted Answer

B) This statement accurately describes culture as encompassing socially transmitted beliefs, behaviors, values, customs, and ways of thinking that guide an individual's worldview. E) This statement correctly acknowledges that culture significantly influences an individual's decision-making processes.

Question 10

The nurse is researching matriarchal cultures to understand how this family pattern affects healthcare. Which culture should the nurse anticipate to research?

Accepted Answer

African American culture often exhibits matriarchal family structures, where women, particularly mothers or grandmothers, play a central role in family decision-making and caregiving, which can influence healthcare dynamics.

Question 11

The nurse has asked a client if there is anyone else that should be included in the nutritional conversation. Which should the nurse recognize is the cultural importance eliciting this information?

Accepted Answer

The nurse recognizes the cultural importance of including others in the conversation because in some cultures, decisions or discussions about health, including nutrition, are often deferred to elders or other family members who hold authority or responsibility in these matters.

Question 12

During an admission assessment, the client tells the nurse that they have been taking herbs to help lower the blood pressure. Which question should the nurse ask the client?

Accepted Answer

The nurse should first identify which specific herbs the client is using to assess for any potential interactions or contraindications with prescribed medications or treatments.

Question 13

The nurse educator discusses the expectations concerning the acceptance of a client's cultural beliefs with new nurses. Which statement made by the nurse should the educator recognize indicates the need for further teaching?

Accepted Answer

The answer of The nurse educator discusses the expectations concerning...

Question 14

The nurse is evaluating the subculture of a client. Which should the nurse recognize reflects a generational subculture?

Accepted Answer

Generational subculture refers to the shared experiences, values, and norms of individuals born around the same period of time. This influences their attitudes and behaviors, distinguishing them from other generations.

Question 15

The nurse is assessing an adolescent client fluent in English that immigrated to the United States at the age of

Accepted Answer

This statement likely indicates that the adolescent has assimilated into American culture, as he identifies himself primarily as American, suggesting he has adopted this culture as his own.

Question 16

The nurse is caring for an older adult Native American client who is experiencing severe chest pain. The client is accompanied by a tribesman at the insistence of the client. The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped. The client's son insists that his father be treated and states he feels the tribe's teachings are antiquated. Which action by the nurse is the most appropriate?

Accepted Answer

Interviewing the client to ascertain his wishes and beliefs is the most appropriate action because it respects the client's autonomy and ensures that care aligns with his personal values and preferences.

Question 17

The educator has discussed with nursing staff the importance of recognizing the culturally specific roles and relationships that exist within a family. Which statement made by a nurse indicates an understanding of the information?

Accepted Answer

Cultural roles and relationships often place importance on age, with older family members typically holding more significant roles or being given more respect in many cultures.

Question 18

The nurse is preparing an educational program for the staff on cultural considerations. The nurse includes the following definition: "The adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture." Which term should the nursing staff understand this definition is being referred to?

Accepted Answer

Assimilation refers to the process by which individuals or groups adopt and incorporate the customs, values, and standards of the dominant or mainstream culture. This definition aligns with the description given in the question.

Question 19

The nurse is assessing a client's ethnicity. Which statement should the nurse recognize reflects an American subculture?

Accepted Answer

The term "Chinese American" specifically reflects an American subculture, indicating a blend of Chinese heritage with American culture.

Question 20

The nurse is reviewing overall cultural beliefs in relation to health and illness. Which should the nurse recognize is the basis for belief that centers around the cause of illness?

Accepted Answer

Nonscientific theories often form the basis for cultural beliefs about the cause of illness, incorporating elements such as supernatural forces, imbalance in body forces, or punishment for ethical or moral failures, rather than purely empirical or scientific explanations.

Quiz 3: Cultural and Spiritual Considerations