Question 1

An immigrant Chinese nurse begins working on a medical unit. The new nurse's preceptor is explaining the unit routines, including the medication administration system. When the preceptor asks if the nurse understands, the answer is always: "Yes, I understand." What is the best way to tell if the nurse really understands?

A)Have the nurse repeat the instructions.
B)Give the nurse a medication quiz.
C)Have the nurse demonstrate the procedures.
D)Ask the nurse which information is hard to understand.

Have the nurse demonstrate the procedures.

Accepted Answer

Having the nurse demonstrate the procedures is the best way to tell if the nurse really understands. This will allow the preceptor to observe the nurse actually carrying out the tasks and identify any areas where additional instruction is needed. Simply repeating the information or asking about the difficulties may not reveal whether or not the nurse truly comprehends the medication administration system. Giving a medication quiz could be helpful but may not be as comprehensive as seeing the nurse perform the tasks in real life.

Question 2

A 32-year-old Guatemalan mother brings her 10-day-old infant to a clinic for a well-baby checkup. To promote healing, she has a coin taped to the infant's umbilicus. How should the nurse respond?&#10;A)Tell the mother to remove the coin because it could cause an infection.&#10;B)Teach the mother how to clean the coin daily and reapply it.&#10;C)Explain to the mother that the coin is not necessary for healing.&#10;D)Teach the mother how to apply a dry sterile dressing in place of the coin.

Accepted Answer

Teach the mother how to clean the coin daily and reapply it.

Question 3

An unidentified comatose patient is brought to the emergency department by the paramedics. Tied to the right wrist is an emblem that looks as if it might be a religious talisman. Which of the following nursing actions is best?

A)Remove it and lock it up for safekeeping.
B)Tape it in place.
C)Place it in a clothing bag with the rest of the patient's belongings.
D)Do nothing with it.

Tape it in place.

Accepted Answer

It is important to leave the talisman in place as it may hold cultural or religious significance for the patient or their family. Taping it in place ensures that it remains with the patient and is not lost or damaged during care.

Question 4

One state's law requires that all female patients be offered a Papanicolaou smear when admitted to the hospital. A 43-year-old Egyptian patient refuses the test. Which action by the nurse is appropriate first?

A)Report the refusal to the supervisor.
B)Notify the physician.
C)Explain the rationale for and benefits of the test.
D)Tell her it is state law and that she does not have a choice.

Accepted Answer

It is important to respect the patient's autonomy and provide education about the importance of the test. The nurse should explain the rationale and benefits of the test to the patient, answering any questions she may have, and then document the patient's refusal in her medical records. The other options may be appropriate in certain situations but are not the best immediate action in this case.

Question 5

A 76-year-old Muslim patient is approaching death. The family says the patient's bed should be turned toward the opposite wall so it can face Mecca to ensure an easier passage into the next life. The wall they want the bed to face has wall suction and oxygen, which the patient is using. Which of the following actions by the nurse is appropriate?

A)Rearrange the furniture to accommodate the request.
B)Tell them it is impossible because of the short tubing on the oxygen and suction.
C)Get permission from the physician to move the bed.
D)Tell them you will move the bed when the patient is closer to death.

Accepted Answer

The nurse should accommodate the family's request to turn the bed toward Mecca, as it is an important religious practice for Muslims. This can be done by rearranging the furniture or using longer tubing for the oxygen and suction if necessary.

Question 6

A 72-year-old Arabian American patient has just been diagnosed with cancer of the colon. The family does not want the patient to be told about the diagnosis. Which action by the nurse is best initially?

A)Tell the patient anyway, because patients have a right to know.
B)Call a religious counselor.
C)Insist that the family tell the patient about the diagnosis.
D)Respect the family's wishes.

Accepted Answer

The nurse should respect the family's wishes but also explore their reasons for wanting to withhold the information. The nurse should also educate the family about the patient's right to know about their condition and the potential consequences of not sharing this information. However, the nurse must ultimately prioritize patient autonomy and informed decision-making.

Question 7

A 35-year-old woman accompanies a neighbor to the clinic for a monthly diabetes checkup. It is 35 miles to the closest health clinic, and the patient does not own an automobile. On this occasion, the clinic intake nurse discovers that the woman has never had a Papanicolaou test because of lack of time and transportation. She is agreeable to the examination. Which of the following actions should the clinic nurse take?

A)Schedule the test for the next time she accompanies her neighbor for a diabetes checkup.
B)Encourage the gynecological clinic to perform the test today.
C)Give her the telephone number of the clinic and have her make an appointment.
D)Refer her to the community health nurse practitioner.

Accepted Answer

Encouraging the gynecological clinic to perform the Papanicolaou test on the same day is the best choice as it ensures that the patient receives the necessary care in a timely manner without the need for additional transportation or scheduling. It also helps mitigate the risk of the patient forgetting or being unable to attend a future appointment.

Question 8

A 52-year-old Haitian patient with heart failure wants to have a voodoo practitioner visit and say prayers. How should the nurse respond?&#10;A)Tell the patient it is okay for the voodoo practitioner to say prayers.&#10;B)Tell the patient that this is not permitted during hospitalization.&#10;C)Report the request to the physician immediately.&#10;D)Have the patient meet with the voodoo practitioner in the hospital lobby.

Accepted Answer

It is important to respect the patient's cultural and religious beliefs, and allowing a voodoo practitioner to say prayers is not harmful to the patient's health or safety. As long as it does not interfere with medical treatment or hospital policy, the nurse should support the patient's request.

Question 9

A white female nurse is discussing a patient from another culture at the nurse's station. She says, "Why does he have to see his own health practitioner? Doctors are good enough for the rest of us." What characteristic is she exhibiting?

A)Cultural sensitivity
B)Ethnocentrism
C)Cultural generalization
D)Stereotyping

Accepted Answer

The nurse is exhibiting ethnocentrism by believing that her own culture's way of seeking medical care is superior to the patient's culture.

Question 10

The nurse notes that an Arabian patient is not eating anything on the meal trays. What is the best way to remedy this situation?&#10;A)Ask if the patient has special food preferences.&#10;B)Contact the dietitian to find out what Arabian patients like to eat.&#10;C)Wait for the patient to ask for specific foods.&#10;D)Consult with an Arabian physician on staff.

Accepted Answer

Asking if the patient has special food preferences allows the nurse to address any cultural or religious dietary needs the patient may have. This can help the nurse provide appropriate meal options for the patient. Contacting the dietitian or consulting with an Arabian physician may also be helpful, but it is best to first communicate directly with the patient to address their individual needs and preferences. Waiting for the patient to ask for specific foods may result in the patient not receiving adequate nutrition and can lead to other health problems.

Question 11

The nurse is caring for a 32-year-old male patient who refuses personal care from a female nursing assistant. Which of the following approaches by the nurse is best?&#10;A)Explain to him that males and females take care of both genders in this hospital.&#10;B)Have a registered nurse help him with his personal care.&#10;C)Assign a male assistant to help with his personal care if one is available.&#10;D)Encourage his family to talk with him about his care.

Accepted Answer

The answer of The nurse is caring for a 32-year-old...

Question 12

The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing a coin on the child's back. The coin leaves red marks. Which of the following responses by the nurse is best?&#10;A)Do not allow the mother to be alone with her child.&#10;B)Explain to the mother that she cannot do this in the hospital.&#10;C)Add a statement to the care plan that the family practices coining.&#10;D)Report the possibility of child abuse.

Accepted Answer

The answer of The mother of a 6-year-old Vietnamese child...

Question 13

The nurse is giving medication instructions to a 45-year-old patient who does not maintain eye contact. What is the most likely explanation for this behavior?&#10;A)The patient is not interested.&#10;B)The patient does not intend to follow the instructions.&#10;C)The nurse is in a hierarchical position.&#10;D)The nurse threatens the patient's ego.

Accepted Answer

The answer of The nurse is giving medication instructions to...

Question 14

A 44-year-old Spanish-speaking Mexican American patient comes to the emergency department. The patient is exhibiting signs of severe pain but does not speak any English. A Spanish-speaking secretary from Peru offers to help with the translation. How can the nurse best facilitate the translation?

A)Maintain eye contact with the patient and the secretary.
B)Ensure the secretary is not left alone with the patient.
C)Use hand signals to determine the cause of the pain.
D)Use only physical examination data; do not rely on verbal communication.

Accepted Answer

The answer of A 44-year-old Spanish-speaking Mexican American patient comes...

Question 15

The nurse is caring for a 65-year-old Jehovah's Witness who is having severe gastrointestinal bleeding. The patient's hemoglobin is dangerously low. The patient, who is fully alert and competent, refuses to accept the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?

A)Ensure the patient understands possible consequences, and then respect the patient's wishes.
B)Obtain a court order to give the blood.
C)Have the patient's spouse sign the consent to have the blood administered.
D)Administer the blood while the patient is sleeping.

Accepted Answer

The answer of The nurse is caring for a 65-year-old...

Question 16

The nurse is caring for an Asian woman who recently had surgery and needs to learn to perform her own dressing changes. Which of the following statements by the nurse indicates the nurse is culturally competent?

A)"Will you tell me about any traditional healing practices that you would like to use?"
B)"Asian people are smart, so this should be easy for you to understand."
C)"Tell me how you feel about your surgery."
D)"American surgeons are highly qualified; I'm sure you will heal quickly."

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Accepted Answer

The answer of The nurse is caring for an Asian...

Question 17

A 34-year-old Mexican patient admits to seeing a curandero for asthma. The curandero prescribes a special tea four times a day to open the airways. How should the nurse respond to this situation?&#10;A)Encourage the patient to continue drinking the tea.&#10;B)Ask the patient to bring in the tea package, and have the pharmacist check the ingredients.&#10;C)Advise the patient to stop drinking the tea because of potential interactions with other medications.&#10;D)Encourage the patient to drink only one cup of the tea each day.

Accepted Answer

The answer of A 34-year-old Mexican patient admits to seeing...

Question 18

Which of the following terms implies an appreciation and attention to arts, music, crafts, clothing, and foods of a culture?&#10;A)Cultural competence&#10;B)Cultural sensitivity&#10;C)Cultural beliefs&#10;D)Cultural awareness

Accepted Answer

The answer of Which of the following terms implies an...

Question 19

A northern European patient had an abdominal aneurysm repaired 24 hours ago. Although the patient denies pain, vital signs show an elevated pulse and blood pressure, and the patient refuses to move in bed. Which of the following actions by the nurse would best ensure comfort and timely discharge?

A)Have the physician order the analgesics around the clock.
B)Respect the patient's denial of pain, and do not encourage the pain medicine.
C)Explain that the pain medicine will help prevent complications.
D)Give the pain medicine as ordered.

Accepted Answer

The answer of A northern European patient had an abdominal...

Question 20

Which of the following activities might be practiced by individuals from cultures that are past-oriented?&#10;A)Investing time and money&#10;B)Enjoying each day as it comes&#10;C)Learning from the past to prevent making the same mistakes in the future&#10;D)Worshipping ancestors and maintaining traditions

Accepted Answer

The answer of Which of the following activities might be...

Question 21

What type of practice is illustrated by wearing copper bracelets to relieve the pain of arthritis?&#10;A)Acupressure&#10;B)Folk medicine&#10;C)Reflexology&#10;D)Allopathy&#10;Multiple Response&#10;Identify one or more choices that best complete the statement or answer the question.

Accepted Answer

The answer of What type of practice is illustrated by...

Question 22

Which cultural group generally believes in a balance of yin and yang in the body, is at high risk for stomach cancer, and frequently uses acupuncture?&#10;A)Hispanic/Latino&#10;B)American Indian/Native Alaskan&#10;C)African American&#10;D)Asian/Pacific Islander

Accepted Answer

The answer of Which cultural group generally believes in a...

Question 23

Which of the following cultural factors should the nurse be aware of in order to provide culturally competent care? (Select all that apply.?&#10;A)The patient's sense of personal space&#10;B)The prescribed medications the patient is taking&#10;C)The patient's communication style&#10;D)The patient's nutritional habits&#10;E)Complementary therapies the patient is using&#10;F)The patient's surgical history

Accepted Answer

The answer of Which of the following cultural factors should...

Question 24

The nurse is providing care in a clinic with a culturally diverse population. Which of the following will ensure care is culturally appropriate? (Select all that apply.?&#10;A)Awareness of cultural bias&#10;B)Desire to be culturally competent&#10;C)Number of face-to-face encounters with people from various cultural backgrounds&#10;D)Awareness of personal communication patterns&#10;E)Educational training related to world politics&#10;F)Fluency in multiple languages

Accepted Answer

The answer of The nurse is providing care in a...

Question 25

A female nurse is providing smoking cessation counseling and education during a community health fair. For which of the following individuals should the nurse avoid physical closeness, shaking hands, or touching during instruction? (Select all that apply.?

A)A 28-year-old Hispanic man
B)A 41-year-old American Indian woman
C)A 52-year-old African American woman
D)A 35-year-old Asian man
E)A 45-year-old Arab American woman
F)A 22-year-old European man

Accepted Answer

The answer of A female nurse is providing smoking cessation...

Deck 4: Cultural Influences on Nursing Care