Question 1

The nurse is planning to conduct a physical assessment with a client from a different culture.What is the best way for the nurse to show cultural sensitivity when addressing the personal questions required of the nursing history?

Accepted Answer

Breaking the assessment into shorter intervals and discussing general topics first shows cultural sensitivity by respecting the client's time and allowing them to adjust to the assessment process.

Question 2

The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day.How should the nurse address the cultural issue?

Accepted Answer

Instructing the client to change the dressing after breakfast and before going to bed is a culturally sensitive approach that aligns with the client's present-oriented perspective.

Question 3

The nurse needs to determine the apical pulse of a client from a different culture.In order to show appropriate sensitivity to the client,the nurse should take which action?

Accepted Answer

It is important to be respectful of cultural practices and values, and seeking permission before performing any physical assessment is considered appropriate in many cultures. Therefore, the nurse should explain the procedure and wait for permission before continuing with the assessment.

Question 4

A client makes the following statement: "I must be paying for all the wrongs I did in my life,to have such a diagnosis as this." The nurse suspects that this client views health from which type of belief?

Accepted Answer

The client's statement suggests a belief in magico-religious health, which implies that symptoms or illnesses are punishments for past sins or wrongdoings.

Question 5

During the admission interview,the culturally diverse client averts her eyes and refrains from answering questions for long periods of time.The culturally sensitive nurse should take which action?

Accepted Answer

In some cultures, direct eye contact is considered disrespectful or intrusive, and silence may be valued over constant talking. The culturally sensitive nurse should respect these behaviors and take cues accordingly. It is important for the nurse to understand and respect diverse cultural differences in communication styles.

Question 6

The school nurse is conducting head lice screenings.Before checking the head of an Asian child,the nurse should first take which action?

Accepted Answer

Asking permission from the child and/or the child's guardian is respectful and promotes trust. It also allows the child to feel comfortable and in control of the situation.

Question 7

A client has requested that she have a special item present in her room and explains that it gives her a feeling of comfort and a sense of organization.On which psychosocial component is this client focusing?

Accepted Answer

The answer of A client has requested that she have...

Question 8

The nurse manager is concerned that a staff nurse provides client care with a cultural prejudice.Which situation did the manager observe to come to this conclusion?

Accepted Answer

The answer of The nurse manager is concerned that a...

Question 9

A Chinese client is hospitalized with a fever of unknown origin and follows a very traditional,cultural view of illness.Which food should the nurse offer the client?

Accepted Answer

The answer of A Chinese client is hospitalized with a...

Question 10

A community health nurse is learning about the REACH initiative and has decided to implement community education on this approach.What topics should the nurse include in this education?
Standard Text: Select all that apply.

Accepted Answer

The answer of A community health nurse is learning about...

Question 11

A non-English-speaking client is needs to have an emergency surgical procedure.The hospital has an interpreter available.When the interpreter arrives to explain the procedure and help with the consent form,the nurse provides the best support when

Accepted Answer

The interpreter should translate the information as closely as possible to what the professional staff says to ensure accurate communication and understanding.

Question 12

A female client is being discharged after a lengthy hospitalization.The family is from a male-dominated culture.Before discharge instructions are given,which action should the nurse take?

Accepted Answer

In male-dominated cultures, it may be more appropriate for the spouse or another male family member to receive and understand medical instructions. Therefore, arranging for teaching when the spouse is available can increase the likelihood of the client receiving adequate follow-up care. It is important to involve the client in the decision-making process, but in this situation, involving the spouse or male family member may be more effective. Making sure the instructions are understood by the client should also be done, but it should be in addition to involving the spouse or male family member. Making sure the physician gives the instructions may not be practical or feasible. Asking the client when the best time for teaching would be may not take into account cultural norms and expectations.

Question 13

A new graduate nurse is moving from a small rural college town to a metropolitan area to begin work in a county hospital.The nurse has had limited prior experience with the various cultural groups that are served by the hospital.What might be this nurse's greatest challenge?

Accepted Answer

The answer of A new graduate nurse is moving from...

Question 14

A new graduate nurse is working in a busy emergency department of a hospital,situated in a culturally diverse area of the city.In striving to be culturally sensitive,what should the nurse do?

Accepted Answer

Learning about the attitudes toward health care and traditions of different cultures helps the nurse provide culturally sensitive care by understanding the specific needs and preferences of diverse patients.

Question 15

The nurse is preparing a menu for a Jewish client who observes kosher customs.Which food items would be appropriate to serve this client,assuming all have been properly inspected and prepared?

Accepted Answer

Kosher dietary laws prohibit the consumption of certain animals, such as pigs, and require the separation of meat and dairy products. Fish and vegetables are considered kosher, and hot tea is a suitable beverage option. Hamburger (made from beef) is acceptable, but only if it has been properly slaughtered and prepared according to kosher law. Fruit and milk can be served separately, but not together. Ham and sausage are not permitted in kosher dietary laws.

Question 16

A client is the child of an African American father and Asian American mother.The client has been exposed to cultural foods,traditions,and customs from both parents throughout life.What term should the nurse use to describe this client's cultural development?

Accepted Answer

The term "multicultural" describes the client's exposure to and incorporation of multiple cultural traditions and perspectives from both parents' backgrounds. "Diversity" refers to the variety of cultural experiences that exist within a larger society, "Subculture" refers to a smaller subset of a larger culture, and "Cultural sensitivity" refers to understanding and respecting cultural differences in general.

Question 17

A newly immigrated client is constantly attended to by family members.This has presented a problem to the nursing staff and the delivery of nursing care.In order to address this issue in a culturally sensitive manner,the nurse should take which action?

Accepted Answer

It is important for the nurse to understand the cultural values and norms of the client's family and evaluate the benefits of involving them in the client's care. Rather than limiting visitors, the nurse can work with the family to establish boundaries and encourage their participation in the care plan. By understanding and respecting the client's cultural beliefs, the nurse can provide more effective and sensitive care. It is not appropriate for the nurse to assume that the physician will limit visitors without first addressing the issue with the client and family.

Question 18

A community health nurse works with a variety of cultures providing health care services that include preventive care,acute treatment,and education.Of the following clients,which is most likely to use folk medicine?

Accepted Answer

The client who speaks little English and does not have a job is most likely to use folk medicine because they may not have access to mainstream healthcare services.

Question 19

A nurse is working with a home health client whose spouse was not born in the United States.During the home visit,the nurse realizes that the client has acquired the identity of her spouse's culture and has adopted some of the health practices of that culture.Which process should the nurse identify as occurring with the spouse?

Accepted Answer

Assimilation is the process by which individuals adopt the cultural norms of another group, losing their original cultural identity in the process. In this scenario, the client has adopted the identity and health practices of her spouse's culture, indicating assimilation.

Question 20

Before a client goes to surgery,he requests to have his spiritual leader present and pray over him.According to the HEALTH traditions model,which traditional method is the client invoking?

Accepted Answer

The client is invoking the traditional method of Restoring HEALTH, which involves actions taken to regain one's health after an illness or injury. In this case, the client is seeking spiritual support before undergoing surgery.

Quiz 18: Culture and Heritage