Question 1

A nursing instructor is developing a lesson plan to teach about the Northern European American culture. Which of the following information should be included?

Accepted Answer

Northern European Americans have a high divorce rate, value punctuality and efficiency, and are generally future-oriented.

Question 2

Northern European Americans value punctuality, hard work, and the acquisition of material possessions and status. A nurse should recognize that these values may contribute to which form of psychopathology?

Accepted Answer

The values of punctuality, hard work, and material possessions and status may contribute to stress-related disorders, such as anxiety and depression, as individuals may feel pressure to constantly perform and achieve in order to maintain their status and possessions. This can lead to chronic stress and subsequent mental health issues.

Question 3

In which of the following cultural groups should a nurse expect to find assessment of mood and affect most challenging, owing to the characteristics of the groups?

Accepted Answer

Native Americans and Asian Americans may have cultural norms that discourage the open expression of emotions, making it challenging to assess mood and affect accurately.

Question 4

Which cultural considerations should a nurse identify as reflective of Western European Americans?

Accepted Answer

The answer of Which cultural considerations should a nurse identify...

Question 5

Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?

Accepted Answer

The Asian American culture encompasses individuals from numerous countries, resulting in the difficulty of globally classifying this culture.

Question 6

A Latin American man refuses to acknowledge responsibility for hitting his wife, stating instead, "It's the man's job to keep his wife in line." Which cultural belief should a nurse associate with this client's behavior?

Accepted Answer

This behavior reflects a cultural belief that families are male-dominated, with clear male-female role distinctions. In such societies, men are often seen as the ones who hold power and control within the household, and women are expected to obey and defer to their husbands. Furthermore, in many of these cultures, domestic violence is seen as a private matter that should not be interfered with by outsiders or authorities. As a result, it can be difficult for women to come forward and seek help or support.

Question 7

___________________ exists within each individual, regardless of belief system, and serves as a force for interconnectedness between the self and others, the environment, and a higher power.

Accepted Answer

The answer of ___________________ exists within each individual, regardless of...

Question 8

To effectively plan care for Asian American clients, a nurse should be aware of which cultural factor?

Accepted Answer

In Asian American culture, older individuals are often highly respected and maintain positions of authority within their families and communities. Understanding this cultural value is important for nurses to effectively plan care for Asian American clients.

Question 9

A Native American client is admitted to an emergency department (ED) with an ulcerated toe, secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?

Accepted Answer

Respect for cultural practices and beliefs is important in nursing care. Trying to locate a shaman who will agree to come to the ED is the most appropriate intervention as it shows respect for the client's cultural beliefs and may help the client feel more comfortable in seeking treatment from a physician.

Question 10

When interviewing a client of a different culture, which of the following questions should a nurse consider?

Accepted Answer

When interviewing a client of a different culture, it is important to consider factors such as who may be expected to be present during the interview, possible modifications to communication patterns, appropriate levels of eye contact, and cultural norms around physical contact such as handshaking. The use of perfume products may also be relevant depending on the culture, but it is not as essential as the other considerations listed.

Question 11

A Latin American woman refuses to participate in an assertiveness training group. Which cultural belief should a nurse identify as most likely to affect this client's decision?

Accepted Answer

The cultural belief that may affect the Latin American woman's decision to refuse participation in an assertiveness training group is the belief that assertiveness techniques may not be aligned with the client's definition of the female role. In some Latin American cultures, women are expected to be submissive and deferential. Asserting oneself may be perceived as aggressive or confrontational, which goes against traditional gender roles. Therefore, the woman may be resistant to participating in assertiveness training.

Question 12

The United States, viewed as a "melting pot" of multiple worldwide ethnic groups, has its own unique culture that impacts the health and care of individuals. Which of the following are characteristics common to U.S. culture?

Accepted Answer

The U.S. culture values independence and self-reliance, emphasizing personal achievement in various areas. Overconsumption of food is a known issue contributing to obesity and health problems. Constructive criticism is generally accepted, and the culture tends to be more informal rather than structured and formal.

Question 13

An African American youth, growing up in an impoverished neighborhood, seeks affiliation with a black gang. Soon he is engaging in theft and assault. What cultural consideration should a nurse identify as playing a role in this youth's choices?

Accepted Answer

The youth's choice to affiliate with a gang may be influenced by the need for belonging and identity within his social environment, which can be a significant factor in communities where social organizations, like gangs, provide a sense of community and support.

Question 14

In what probable way should a nurse expect an Asian American client to view mental illness?

Accepted Answer

In many Asian American cultures, mental illness is still associated with shame and stigma, and may be viewed as a personal weakness or disgrace to the family. This perception can deter individuals from seeking help or disclosing their condition to others.

Question 15

When working with clients of a particular culture, which action should a nurse avoid?

Accepted Answer

Assuming that all individuals who share a culture or ethnic group are similar is called stereotyping and can lead to incorrect assumptions and misunderstandings. It's important to recognize and respect the diversity within a culture.

Question 16

When planning client care, which folk belief that may affect health-care practices should a nurse identify as characteristic of the Latino American culture?

Accepted Answer

The curandero is a common folk healer in Latino American culture and is often the first contact made when illness is encountered. It is important for the nurse to identify these beliefs and practices in order to provide culturally competent care to Latino American clients.

Question 17

A nurse should recognize that clients who have a history of missed or late medical appointments are most likely to come from which cultural group?

Accepted Answer

Native Americans may have a higher likelihood of missed or late medical appointments due to factors such as historical mistrust of healthcare systems, cultural differences, and socioeconomic barriers.

Question 18

A community health nurse is planning a health fair at a local shopping mall. Which middle-class socioeconomic cultural group should the nurse anticipate would most value preventive medicine and primary health care?

Accepted Answer

Northern European Americans have a strong cultural value for preventive medicine and primary health care. They tend to prioritize good health and wellness and seek out preventive care and regular check-ups. This is likely due to their access to education and health care resources, which allows them to make informed decisions about their health. Therefore, the community health nurse should anticipate that this group will value the health fair and its focus on preventive medicine and primary health care.

Question 19

A female nurse is caring for an Arab American male client. When planning effective care for this client, the nurse should be aware of which of the following cultural considerations?

Accepted Answer

The answer of A female nurse is caring for an...

Quiz 5: Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing