Deck 11: Safe Cultural Caring

Question 1

A public health nurse is checking for head lice as part of a school screening process.Before checking the head of 10-year-old child who is Vietnamese-Canadian,what should the nurse do first?

A)Ask for the child's permission
B)Have the child read a pamphlet about head lice
C)Put on gloves and proceed with the check
D)Ensure the child is last in line

Answer 1

Ask for the child's permission

Question 2

A female nurse is caring for a male client from a country in which men dominate and women have little status.Which of the following options should the nurse choose during the discharge planning for this client?

A)Have a male nurse or physician do the discharge teaching and planning
B)Give written,rather than verbal,teaching
C)Insist that the client take instructions from a female nurse because they are living in Canada now
D)Give the instructions to the client's spouse,not directly to him

Answer 2

Have a male nurse or physician do the discharge teaching and planning

Question 3

Mrs.Aysel,41,who does not speak English,has recently arrived in Canada from her home in Turkey.She becomes ill and is admitted to a large urban hospital.What should the admitting nurse realize that Mrs.Aysel may be experiencing?

A)Culture shock
B)Acculturation
C)Discrimination
D)Assimilation

Answer 3

Culture shock

Question 4

A client remarks that he buys only Canadian-made cars because they are better made than any European or Asian cars.What does this remark demonstrate?

A)Stereotyping
B)Prejudice
C)Racism
D)Discrimination

Question 5

The nurse in the community health clinic has noticed that many Latin Canadian and Aboriginal clients arrive as much as one or two hours late for their appointments.What cultural interpretation would explain this pattern?

A)Rejection of the Protestant work ethic
B)Present orientation to time
C)Low value on health maintenance
D)Resistance to community health care

Question 6

What is the term used to describe the belief that one's culture is superior to all others?

A)Discrimination
B)Stereotyping
C)Ethnocentrism
D)Racism

Question 7

Mr.Tsang,76,is a Chinese client who is hospitalized with a fever of unknown origin and follows a very traditional,cultural view of illness.Which of the following foods will Mr.Tsang most likely prefer?

A)Hot tea
B)Soup and coffee
C)Spicy meat
D)Cold liquids

Question 8

Ms.Pastorat,a 21-year-old Spanish-Canadian client has just delivered her first baby.Based upon past experience,the nurse assumes that family members will gather to care for the mother and infant.What term describes this situation?

A)Discrimination
B)Ethnocentrism
C)Racism
D)Stereotyping

Question 9

Which of the following situations would illustrate prejudice on the nurse's part when working with clients from different cultural backgrounds than the nurse's own?

A)Making an assumption that all members of each culture are alike
B)Assuming that all members will have the same beliefs
C)Bringing previous negative information and experiences into this situation
D)Taking general knowledge from literature and applying it to the situation

Question 10

A nurse educator uses Madeleine Leininger's model to describe a field of nursing whose focus is to develop a body of knowledge to provide culture-specific nursing care practice.What is the nurse educator describing?

A)Transcultural nursing
B)Team nursing
C)Ethnicity
D)Cultural safety

Question 11

When beginning to care for a client from a different culture,how would a culturally sensitive nurse use touch?

A)Liberally; to communicate with the client
B)Minimally; the client may be from a culture where touch is forbidden
C)Only after observing the client's response to touch
D)Restrict touch to only when greeting the client

Question 12

How does Leininger define culture?

A)Culture encompasses the assumptions,attitudes,values,and beliefs of the dominant society.
B)Learned,shared,and transmitted values,beliefs,norms,and lifeway practices define culture.
C)Culture means the classification of people according to shared biologic characteristics.
D)A group with a common religious or geographic background best defines culture.

Question 13

Mr.Jacobson,53,is a home health client who participates in cultural health practices that the nurse feels may be considered folk medicine.In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care,what should the nurse do?

A)Explain the right and wrong of Mr.Jacobson's treatment to convince him to follow professional health care practices
B)Have Mr.Jacobson's physician explain the care to him in a firm but gentle manner
C)Negotiate with Mr.Jacobson to interface his cultural health practices with professional health care practices
D)Tell Mr.Jacobson that because he is now living in Canada,professional health care practices must be used

Question 14

A client on a medical unit is of Orthodox Jewish faith who observes kosher customs.Which of the following food items would be appropriate to serve this client,assuming all have been properly inspected and prepared?

A)Hamburger,fruit,and milk
B)Fish,vegetables,and hot tea
C)Ham,baked potato,and fresh fruit
D)Cream soup,sausage,and toast

Question 15

A student nurse is working with local First Nations people to develop a cookbook of traditional Cree foods.The past two generations have been eating only a European-Canadian diet.The student understands that these people may have lost their values,beliefs,and traditions,including their traditional foods,in response to which of the following?

A)Cultural awareness
B)Assimilation
C)Cultural identity
D)Biculture

Question 16

According to Srivastava's (2008)ABCDE approach to cultural competence,which of the following concepts are found within the Dynamics of Difference attribute of the model?

A)Rituals,customs,and practices
B)Equality,outcomes,and environment
C)Systemic oppression,discrimination,and racism
D)Biases,prejudices,and assumptions

Question 17

Mr.Mancini,47,has constantly had visitors in his room during his stay in hospital.How should the nurse address this in a culturally sensitive manner?

A)Tell Mr.Mancini that he has to limit his visitors
B)Evaluate the benefits of family participation in his care
C)Question the family as to how they perceive their interaction with the client
D)Have the physician limit the number of visitors that Mr.Mancini can have

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.What can assist her to be culturally sensitive?

A)Learning about the attitudes toward health care and traditions of the different cultures in that area
B)Understanding and attending to the nurse's own culture and the theory of power relations
C)Possessing data about the clients' personal and cultural views regarding health and illness
D)Striving to be culturally sensitive,culturally appropriate,and culturally competent

Question 19

Mrs.Kapoor,54,has moved from her village in rural India to Montreal.Which of the following characteristics of culture is being reflected when Mrs.Kapoor emails her family in India?

A)Culture is learned.
B)Culture is social.
C)Culture is adaptive.
D)Culture exists at many levels.

Question 20

Mr.Guzman,72,who speaks only Spanish,is brought to the emergency department for assessment after a fall.When the hospital's interpreter arrives,what should the nurse ensure?

A)The interpreter should speak loudly so that Mr.Guzman understands what is being said.
B)The interpreter is asked to translate the professional staff's words as closely as possible.
C)Questions are addressed by the staff to the interpreter,so that nothing is missed.
D)Mr.Guzman's family is included in the process and exchange of information.

Question 21

It is important that nurses have knowledge of Canadian law in relation to culture,as it can impact on clinical nursing practice.Which of the following is true?

A)In Canada,people are encouraged to be assimilated into the mainstream culture.
B)The Immigration Act names women,Aboriginals,and visible minorities as disadvantaged.
C)The three main groups of Indigenous peoples in Canada are French,First Nations,and Inuit.
D)In any part of Canada,clients have the right to have health care services provided in either official language.

Question 22

How is ethnorelativity described?

A)The ability to appreciate and respect the viewpoints of other cultures
B)An assumption is made that all members of a culture or ethnic group are alike.
C)Group members experience uneven access to resources,status,and power.
D)Beliefs and values of one person's own culture are deemed superior to those of other cultures.

Question 23

What should a nurse do in order to practice in a way that is culturally safe?

A)Develop an in-depth understanding of all cultures
B)Understand his or her own culture and the theory of power relations
C)Always use a model such as Giger and Davidhizar's when doing a cultural assessment
D)Encourage use of a professional health care system for new immigrants

Question 24

Eli,an RN,is taking an admission history from a female client who is from a culture unfamiliar to him.During the interview,the client averts her eyes and refrains from answering questions for long periods of time.What should the nurse do?

A)Ask her to come back at a different time,when she is feeling more communicative
B)Have another nurse finish the interview,as the client is clearly uncomfortable
C)Recognize that these behaviours may be culturally appropriate and proceed
D)Gently ask the client to give eye contact to improve communication

Question 25

The nurse is working in a clinic setting and is meeting a new client for the first time.In order to convey cultural sensitivity,how should the nurse introduce herself?

A)"I'm Jane,and I'll be your nurse today."
B)"I'm Dr.Smith's nurse,Jane."
C)"I'm Jane Brown,and I'm a nurse here at the clinic."
D)"I'm glad to meet you.You can call me Jane."

Question 26

Ella,a registered nurse,must complete a focused physical assessment on an East Indian female client who has been transferred to her nursing unit.Before performing the cardiac assessment,what should the Ella do?

A)Explain the procedure,then wait for permission to continue
B)Tell the client what is being done during each part of the assessment
C)Ask the client to stay quiet to enable listening to the heart
D)Take the baseline vital signs,then determine if cardiac auscultation is necessary

Question 27

In some countries,men dominate and women have little status.What term refers to this concept of male superiority?

A)Maurakami san
B)Machismo
C)Mahcihoyan
D)Malamig

Question 28

Appolo,7,is the child of an African-Canadian father and an Asian-Canadian mother.He has been exposed to cultural foods,traditions,and customs from both parents throughout his life.Appolo exemplifies which of the following?

A)Diversity
B)Subculture
C)Biculture
D)Cultural sensitivity