Deck 15: Culture Ethnicity

Question 1

The nurse is performing an assessment on an adult patient who appears to be of Asian descent. As part of the nurse's cultural assessment, which question is most appropriate for the nurse to ask prior to documenting the patient's race?
1)"You appear to be Asian. Am I correct?"
2)"Can you tell me a little about your oriental background?"
3)"What race do you identify with and what name do you call it?"
4)"Which Asian country are you from?"

Answer 1

3

Question 2

The nurse is aware a client incorporates alternative healthcare into regular health practices. The nurse self-identifies as being culturally competent. For which alternative therapy is the nurse aware that the patient visits a formally trained practitioner?
1)Use of herbs and roots
2)Application of oils and poultices
3)Burning of dried plants
4)Acupuncture

Answer 2

4

Question 3

The nurse is providing care for a patient who emigrated from Puerto Rico. Which information about the patient will enable the nurse to best care for this patient?
1)Practices of the patient's ethnic group
2)Patient's individual cultural beliefs
3)Values of the nurse's own culture
4)Patient's Spanish-speaking culture

Answer 3

2

Question 4

Which statement is most reflective of Madeleine Leininger's theory of cultural care?
1)The goal of the theory is to guide research that will assist nurses to provide culturally congruent care.
2)The model for cultural competence stresses teamwork in providing culturally sensitive and competent care to improve outcomes for individuals, families, and communities.
3)The model focuses on five components of cultural competence: awareness, skills, knowledge, encounters, and desire.
4)The theory focuses on increasing levels of one's consciousness to improve the possibilities to provide culturally competent care.

Question 5

The nurse is aware of many terms related to culture. Which is considered a "practice" (as opposed to a "belief" or "value")?
1)Always drinking water after exercise
2)Thinking often about cleanliness
3)Placing an emphasis on success
4)Maintaining youth

Question 6

An older female patient tells the charge nurse that she wants a change in the nurse providing her care. When the charge nurse questions the patient, the patient states, "I don't want a man taking care of me." Which cultural barrier is this patient exhibiting?
1)Ethnocentrism
2)Racism
3)Sexism
4)Chauvinism

Question 7

Which statement(s) is/are most true about the concept of acculturation? Select all that apply.
1)An acculturated person accepts both their own culture and a new culture, adopting elements of each.
2)It may take years and even generations for an immigrant group to acculturate.
3)Integrating essential values, beliefs, and behaviors of the dominant culture is acculturation.
4)Acculturation results from a minority group's need to survive and flourish in a new culture.
5)Acculturation is the maintenance of a culture within the presence of a dominant culture.

Question 8

The nurse is teaching a clinic patient about hypertension. Which statement by the patient suggests the patient is present-oriented?
1)"I know I need to lose weight; I'll have to begin an exercise program right away."
2)"If I change my diet and begin exercising, maybe I can control my blood pressure without medications."
3)"I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult."
4)"I will reduce the amount of calories, salt, and fat that I eat; I certainly do not want to have a stroke."

Question 9

The nurse shares with the nurse manager, "My patient is Jewish, and when I tried to teach her about her antihypertensive medication, she said, 'I'd rather eat chicken soup than take those medications.'" Which is the most appropriate response by the nurse manager?
1)"This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup."
2)"There is no scientific evidence to support chicken soup as a substitute for antihypertensive medications. Maybe you should do some research on this."
3)"The patient can make her own choices and decisions, and there is nothing we can do about this."
4)"You can tell the patient she can eat her soup, but she needs to understand that she has to take her medications first."

Question 10

A patient who speaks a different language is being prepared for surgery and needs to sign the surgical consent form. Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient. Which action is the healthcare organization required to do?
1)Provide a licensed interpreter
2)Provide a translator approved by the organization
3)Ensure adequate resources necessary to comply with patient needs
4)Choose an interpreter, a translator, or a family member to interpret

Question 11

The nurse is providing care to a patient who had surgery 8 hours ago and has not voided. The physician has prescribed an indwelling urinary catheter be inserted. Which of the following statements should the nurse use to describe the procedure to the patient?
1)"I will put a Foley in you because you haven't voided since your surgical procedure."
2)"I will insert a tube into your bladder to drain the urine because you haven't urinated since surgery."
3)"The physician has prescribed catheterization because you haven't urinated since having your surgery."
4)"I need to place a catheter in your bladder because you haven't voided since surgery."

Question 12

At a clinical postconference, a nursing student states, "I had a Chinese patient today and while I understand some of her cultural practices, she needs to understand that she is in the United States now and should follow our practices because we use scientific evidence." Which cultural barrier is the student demonstrating?
1)Racism
2)Archetyping
3)Ethnocentrism
4)Stereotyping

Question 13

The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care?
1)Asking the family to bring in medals and amulets
2)Scheduling a visit from the local shaman
3)Providing the patient with a favorite herbal tea
4)Requesting the physician consult the patient's acupuncturist

Question 14

Vulnerable populations are those most likely to develop health problems and experience poorer outcomes because of limited access to care and a wide variety of other stressors. Which is most important for the nurse to focus on when caring for a patient from a vulnerable group?
1)Methods to connect the patient with a social worker
2)Interactions of family members in planning care
3)Consideration of the patient's difficulties and risks
4)Identification of the patient's strengths and resources

Question 15

An adult patient of Hispanic heritage is admitted for observation after sustaining injuries in a motor vehicle accident. Which view of pain by patient the does the nurse consider when assessing the patient's injuries?
1)Embraces the taboos against narcotic use to relieve pain
2)Expects immediate and effective treatment to relieve pain
3)Endures pain longer and reports it less frequently than other patients
4)Uses herbal teas, heat application, and prayers to manage the pain

Question 16

The nurse is caring for a patient of Asian heritage who refuses opioid pain medication despite the nurse's explaining its importance in the healing process. Which intervention(s) by the nurse is/are appropriate for this patient? Select all that apply.
1)Assess the patient's pain levels at less frequent intervals.
2)Document in the record that the patient does not want to take opioids.
3)Use nonpharmacological measures to help control the patient's pain.
4)Notify the primary care provider of the patient's noncompliance.
5)Ask the patient about cultural influences on pain management.

Question 17

Nurses encounter many patients from diverse cultures. When caring for a culturally diverse patient, which initial question does the nurse ask a patient that best assists the nurse with improving cultural competency?
1)"Can you tell me about your culture and cultural practices?"
2)"Do you understand how we do things here in the United States?"
3)"What matters most to you about your illness and treatment?"
4)"Can you please make me a list of your cultural preferences?"

Question 18

Which statements about race and ethnicity is/are true? Select all that apply.
1)Ethnicity refers to a person's cultural use of the indigenous healthcare system.
2)A person can have several aspects of a racial culture or be multicultural.
3)Ethnicity refers to groups whose members share a common and social heritage that is transmitted to the next generation.
4)Race primarily reflects biology and refers to grouping of people based on biological similarities.
5)People of Hispanic, Latino, or Spanish origin self-identify as members of the same race.

Question 19

Which statement(s) about culture is/are true? Select all that apply.
1)Culture exists on both material and nonmaterial levels.
2)Culture mainly influences food choices and special holidays.
3)Cultural customs change over time at different rates.
4)Culture is learned through life experiences shared by culture members.
5)Cultural practices are tightly regulated by customs.

Question 20

A patient of Asian heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs." Which possible patient view of pain is reflected as a cultural archetype in the nursing diagnosis?
1)A punishment for immoral behavior
2)An expected, normal part of life
3)Best treated with herbal teas and prayer
4)A virtue and a matter of family honor

Question 21

Which are some strategies a new nurse can use to develop skills in achieving cultural competence? Select all that apply.
1)Read the literature and study nursing theories and principles pertaining to culture.
2)Take advantage of opportunities to interact with persons from diverse cultures.
3)Reinforce the need for different cultures to follow the medical and nursing plan of care.
4)Embrace practices of common cultures, and select the best interventions from those cultures.
5)Learn and follow the culture guidelines created by regulating bodies in healthcare.

Question 22

The nurse is caring for a Native American in a rural rehabilitation facility. The nurse notices that the patient has eaten very little since admission 10 days ago. When the nurse asks the patient about eating, the patient states, "I can't eat any of this food. It just isn't what I eat at home, and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of a heart attack and that the patient has lost 7 pounds since admission. Based on this scenario, what are the most appropriate nursing diagnoses for this patient? Select all that apply.
1)Noncompliance related to difficulty adhering to the medical regimen
2)Possible Knowledge Deficit related to disease process
3)Imbalanced Nutrition: Less Than Body Requirement related to cultural dietary practices
4)Decreased Appetite related to anxiety secondary to a heart attack
5)Inability to adjust to a therapeutically prescribed diet due to cultural conflicts

Question 23

What are common beliefs and practices associated with the North American (Western) professional healthcare system? Select all that apply.
1)Values emphasize individualism and self-reliance.
2)Health is defined as living in harmony with nature.
3)Health is defined as absence or minimization of disease.
4)Primarily dominated by a biomedical healthcare system.
5)The system is run by a set of professional healthcare providers.