Question 1

A patient had wrapped a tummy band around her newborn's abdomen.What should the nurse say to the new mother?

Accepted Answer

The nurse should first seek to understand the mother's reasoning by asking her to explain the purpose of the tummy band. This approach is respectful and allows for education based on the mother's understanding and beliefs.

Question 2

A baby was dehydrated because of diarrhea.The mother explained that she had finally gone to a folk healer who told her to give the baby herbal tea,which did seem to be helping a bit,but the baby still seemed ill.Which statement would be the most appropriate reply by the nurse?

Accepted Answer

The nurse acknowledges the importance of fluids, aligns with the healer's advice, and offers an appropriate solution by providing special fluids (likely oral rehydration solution) to help the baby recover from dehydration.

Question 3

A nurse was explaining a problem to the client so the client could make an informed decision about alternative treatment approaches.The client responded,"The doctor will choose the best treatment.Do whatever the doctor says." Which action should be taken next by the nurse?

Accepted Answer

D

Question 4

A client,accompanied by her son,spoke only Spanish while the nurse did not.Which action should be taken by the nurse to best meet the client's need?

Accepted Answer

Using a professional interpreter ensures accurate communication and maintains confidentiality, which is crucial in healthcare settings.

Question 5

At a military base,a family from Qatar,a Muslim Arabic country,came in to the prenatal clinic because the wife believed she was pregnant.Which provider would be the most appropriate choice for this client?

Accepted Answer

In many Muslim cultures, including Qatar, there is a preference for female healthcare providers for women, especially in sensitive situations like prenatal care. A female nurse midwife would be culturally appropriate and respectful of the family's preferences.

Question 6

A nurse became frustrated because after each interview question there was a long pause before the client responded.Which action should be taken by the nurse?

Accepted Answer

The answer of A nurse became frustrated because after each...

Question 7

A woman stood very close to the nurse and asked a question about her husband's condition.The nurse took a step back and shared the requested information.No other questions were asked.Was this a successful interaction?

Accepted Answer

The answer of A woman stood very close to the...

Question 8

A nurse tried to set up a clinic appointment for a Muslim patient on Friday of the following week,but the patient insisted the appointment be made earlier in the week.Which best explains the patient's behavior?

Accepted Answer

Muslims observe Friday as a holy day, which includes attending communal prayers at the mosque, so the patient likely wants to avoid scheduling conflicts with religious obligations.

Question 9

When a nurse visited a client's home,it was apparent that the client had not begun to implement the needed exercise program.Rather,the client had been doing drawings about his illness experience.Which action would be most appropriate for the nurse to take next?

Accepted Answer

The answer of When a nurse visited a client's home,it...

Question 10

Which statement best defines Leininger's term "culture universal"?

Accepted Answer

Culture universal refers to the commonalities of values, norms, and life patterns that are shared across all cultures.

Question 11

A nurse was responsible for setting up a health fair with free pizza being served during lunch.The nurse observed a few people who did not eat but just talked quietly during lunch.Which action should be taken by the nurse?

Accepted Answer

The nurse should engage with the group to understand their preferences and cultural considerations, ensuring future events are more inclusive and accommodating.

Question 12

A woman who spoke English was an immigrant from the Middle East,attending the clinic for the first time with two female friends.When a male nurse attempted to get a health history,the woman refused to respond to his questions.Which action should be taken by the nurse?

Accepted Answer

The woman may have cultural or personal reasons for not wanting to discuss her health history with a male nurse. Asking a female nurse to talk with the client respects her preferences and may make her more comfortable.

Question 13

A nurse felt very good about an Asian man who had responded positively to the instructions given to him.Later,the nurse heard him tell his wife that there was no way he could implement the suggestions.Which best describes the problem that the client is experiencing?

Accepted Answer

His culture may value harmonious relationships over expressing disagreement

Question 14

A nurse carefully explained that the medication had to be taken three times a day,with each meal.The patient came to the clinic with symptoms of medication overdose.How should the nurse respond?

Accepted Answer

The answer of A nurse carefully explained that the medication...

Question 15

Before interviewing an Hispanic family,what is the most important action for the nurse to take?

Accepted Answer

Establishing rapport, gaining trust, and confidence is the most important action for the nurse to take before interviewing an Hispanic family. This will help to create a comfortable and open environment for the interview, and will allow the nurse to gather accurate information from the family.

Question 16

A nurse reviewed the treatment the surgeon recommended for a woman's breast lump.When the nurse asked the woman if she could be admitted to the hospital for immediate surgery,the husband thanked the nurse for her time and said they would get back in touch after they speak with other family members.Which action would be most appropriate for the nurse to take?

Accepted Answer

The nurse should recognize the importance of family input in the decision-making process, respecting the patient's and family's need for time to discuss and consider the treatment options.

Question 17

Which statement best describes how the population of the United States is changing?

Accepted Answer

The population growth in the United States is significantly influenced by ongoing immigration, which contributes to the increase in population numbers.

Question 18

The nurse made a follow-up appointment for a client at the clinic,but the client did not come.Two days later the client presented at the clinic explaining that a temporary job had come up and he could not come back until he had finished and been paid for that job.Which action should be taken by the nurse next?

Accepted Answer

The nurse should understand the client's situation and try to accommodate them to ensure they receive the necessary care.

Question 19

In a client's culture it is exceedingly rude to ask any questions about income or wealth.Which action should be taken by the nurse to draw conclusions about the client's socioeconomic status (SES)?

Accepted Answer

Asking about education or employment position is a more culturally sensitive way to infer socioeconomic status without directly inquiring about income or wealth.

Question 20

When one woman asked her friend to stay while a painful procedure was done,it was explained that only one immediate family member could be in the room.The woman asked the nurse,"How do you define family?" Which would be the best response by the nurse?

Accepted Answer

The best response acknowledges the patient's perspective and respects their definition of family, which may not be limited to traditional or legal definitions.

Quiz 13: Cultural Diversity and Community Health Nursing