Question 1

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 addresses the client's present orientation by providing specific times that are tied to daily routines.

Question 2

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, as he is seeking support from his spiritual leader to improve his well-being during the surgery.

Question 3

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

Evaluating the benefits of family participation in the client's care would be the most appropriate choice as it takes the client's cultural background into consideration and acknowledges the importance of family support. Limiting visitors or having the physician do so would not be culturally sensitive and may not be necessary if involving the family is ultimately beneficial for the client's care. Questioning the family members could be appropriate, but it should not be the only action taken as it may not fully address the issue of balancing family involvement with the delivery of nursing care.

Question 4

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

Accepted Answer

Averting eye contact and delaying responses can be signs of cultural differences in communication styles. The nurse should be understanding and take cues from the client's behavior, rather than assuming discomfort or jumping to conclusions. Pausing, allowing the client time to communicate at her own pace, and being patient can help build trust in the relationship. Coming back at another time or having another nurse finish the interview may not be necessary or productive. Leaving the room to learn more about the culture may be helpful in the long run, but it is not a necessary immediate action.

Question 5

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 is often the husband who makes decisions regarding the woman's health. Therefore, it would be best to arrange for teaching when the spouse is available to ensure that the client receives the necessary information and that the spouse understands it as well. Additionally, it is important to remember to communicate directly with the client and ensure that she understands the information being given to her.

Question 6

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

Requesting that the interpreter translate as closely as possible the same words used by the professional staff ensures accurate and clear communication, maintaining the integrity of the medical information being conveyed.

Question 7

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 have limited access to conventional healthcare services and may rely on traditional practices for their health needs.

Question 8

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 belief, which holds that illness is a punishment for wrongdoing or the result of supernatural forces.

Question 9

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 best term to describe the client's cultural development is multicultural, as they have been exposed to and influenced by two distinct cultures – African American and Asian American. The term diversity refers to a range of different cultural backgrounds, and subculture refers to a group within a larger culture with their own unique values and customs. Cultural sensitivity is important for healthcare providers to ensure that they are aware and respectful of diverse cultures, but it does not accurately describe the client's development. Therefore, option C is the best choice.

Question 10

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 traits or social patterns of another group, often losing aspects of their original culture.

Question 11

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 12

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 is an important cultural consideration in many Asian cultures. It shows respect and can help to avoid any misunderstandings or discomfort.

Question 13

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 respect the client's cultural beliefs and practices. Asking for permission before beginning the assessment shows sensitivity and respect for the client's autonomy.

Question 14

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

According to kosher customs, meat and dairy cannot be consumed together, pork is forbidden, and certain types of seafood are also prohibited. Therefore, option B which includes fish, vegetables, and hot tea is the best choice as it adheres to these restrictions. Option A includes meat and dairy together, option C includes pork, and option D includes sausage which is a prohibited meat.

Question 15

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 16

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?
(Select all that apply)

Accepted Answer

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

Question 17

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 18

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 19

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 s required of the nursing history?

Accepted Answer

Breaking the assessment into shorter intervals and discussing general topics first allows the nurse to build rapport with the client and establish trust. This is important for creating a comfortable environment for the client and ensuring that they are comfortable answering personal questions.

Question 20

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 client is focusing on religion because she believes that the special item gives her a feeling of comfort and a sense of organization.

Quiz 18: Culturally Responsive Nursing Care