Deck 19: Culture, Nursing and Indigenous Health

Question 1

A client is the child of an Indigenous father and non-Indigenous mother. The client has been exposed to cultural foods, traditions and customs from both parents throughout life. This client exemplifies which of the following?

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

Answer 1

Biculture.

Question 2

A nurse educator uses Madeleine Leininger's model (Leininger & McFarland, 2005) and describes a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifestyles of cultures to provide culturally congruent, meaningful and beneficial health care to people. This is a definition of ________.

Answer 2

transcultural nursing

Question 3

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

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

Answer 3

Bringing previous negative information and experiences into the situation.

Question 4

A Chinese client is hospitalised with a fever of unknown origin and follows a traditional cultural view of illness. Which of the following foods might the client prefer?

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

Question 5

Which of the following would represent the biomedical model of care?

A) Elimination of fever by having sweat baths.
B) Visiting an exorcist.
C) Wearing a charm or amulet.
D) Having a chemotherapy treatment.

Question 6

Time can take on different meanings in different cultural settings. When a nurse is teaching a client about a dressing change that should be done twice a day, and the client is from a culture that is "present oriented", the nurse should instruct the client to perform the dressing change at which of the following times?

A) At 10 a.m. and 4 p.m.
B) After breakfast and before going to bed.
C) At times that the client selects.
D) Whenever the client chooses, as long as it gets done twice daily.

Question 7

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 understands that this client views health from which of the following beliefs?

A) Folk medicine.
B) Holistic health belief.
C) Biomedical health belief.
D) Spiritual health belief.

Question 8

A community health nurse is exploring the concept of heritage consistency among clients the nurse works with. Which of the following examples are indicative of heritage consistency?

A) A client frequently visits the "country" to perform ceremonies.
B) A client was raised by a single parent.
C) The client's childhood development occurred in an extended family setting.
D) The client participates in religious festivals and cultural events.

Question 9

A client from a culture different from the nurse's has just been admitted to a unit. The unit is busy and the nurse has limited time to complete the nursing admission assessment. The best way for the nurse to show cultural sensitivity is to:

A) wait until there is adequate time to complete the assessment.
B) thoroughly explain the reason for asking many questions before beginning the assessment.
C) pick a time when the family is present and can help with the admission assessment questions.
D) break the assessment into shorter intervals and discuss general topics first.

Question 10

Match the following terms (only one answer per term).
1. Diversity
2. Prejudice
3. Stereotyping
4. Ethnocentrism
5. Acculturation
6. Assimilation
A. Belief that one's own culture is better than any others
B. Developing a new cultural identity
C. A negative belief that is based on a generalised culture
D. Adoption of traits from another culture
E. Belief that all members of a culture are alike
F. State or fact of being different

Question 11

A client from a different culture than the nurse's has had numerous visitors during his stay. In fact, there are visitors in the room at all times. In order to address this in a culturally sensitive manner, the nurse should:

A) evaluate the benefits of family participation in the client's care.
B) question the family as to how they see their interaction with the client.
C) tell the client that he has to limit visitors.
D) have the doctor limit the number of visitors the client can have.

Question 12

A nurse is working with a home health client whose spouse was not born in Australia. During the home visit, the nurse realises that the client has acquired the identity of her spouse's culture and has adopted some of the health practices of that culture. The nurse understands this process as which of the following?

A) Assimilation.
B) Acculturation.
C) Heritage consistency.
D) Diversity.

Question 13

Which of the following is not a component of heritage consistency?

A) Culture.
B) Socialisation.
C) Ethnicity.
D) Tradition.

Question 14

The school nurse is doing school screening on children and checking for head lice is part of the screening process. A Thai child seems reluctant to allow the nurse within close contact. Before checking the child, the nurse should first:

A) ask permission.
B) ask the child to wait until last, to avoid embarrassing the child.
C) make sure the child understands the reason for the contact.
D) put gloves on.

Question 15

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 organisation. This client is focusing on which component of heritage consistency?

A) Socialisation.
B) Culture.
C) Religion.
D) Ethnicity.

Question 16

A female client is being discharged after a lengthy hospitalisation. The family is from a male-dominated culture. Before discharge instructions are given, the nurse should:

A) arrange for teaching when the spouse is available.
B) ask the client when the best time for teaching would be.
C) make sure that the doctor gives the instructions.
D) make sure instructions are understood by the client.

Question 17

A client is brought to the emergency department, does not speak English, and needs to have an emergency surgical procedure. The hospital has an interpreter available to explain the procedure and help with the consent form. When the interpreter arrives, the staff should make sure that:

A) the interpreter uses words the client is familiar with for the best understanding.
B) they address the questions to the interpreter, so nothing is missed.
C) the client's family is included in the process and exchange of information.
D) they ask the interpreter to translate as closely as possible the same words used by the professional staff.

Question 18

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?

A) Protecting HEALTH.
B) Changing HEALTH.
C) Restoring HEALTH.
D) Maintaining HEALTH.

Question 19

A nurse is taking an admission history from a client of a different cultural group than the nurse's own. During the interview, the client averts her eyes and refrains from answering questions for long periods of time. The nurse should:

A) leave the room and come back after having learned more about this particular culture.
B) come back at a different time, when the client is feeling more communicative.
C) understand that this may be completely appropriate and take cues accordingly.
D) have another nurse finish the interview, since there is something uncomfortable the client senses.

Question 20

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, the nurse will:

A) possess the underlying background knowledge that will provide these clients with the best possible health care.
B) try to learn about the attitudes toward health care and traditions of the different cultures in that area.
C) understand and attend to the total context of the client's situation, using knowledge, attitudes and skills.
D) strive to be culturally sensitive, culturally appropriate and culturally competent.

Question 21

A new graduate nurse is moving from a small rural town to a metropolitan area to begin work in a public hospital. The nurse has had limited prior experience with the various cultural groups served by the hospital. This nurse is at risk for which of the following?

A) Culture shock.
B) Prejudice.
C) Discrimination.
D) Stereotyping.

Question 24

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

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

Question 25

The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who is from a different culture, has not been able to achieve this goal. The nurse should:

A) consider whether the client's belief system has been an influencing factor.
B) make sure that the client understands the importance of the goal.
C) select a different goal.
D) extend the time frame and give the client a longer period to achieve the goal.

Question 26

A home health client participates in cultural health practices that the nurse feels may be detrimental to his health. In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care, the nurse should:

A) have the client's doctor explain the care to the client in a firm but gentle manner.
B) validate the client's practices and understand that for this client, it may be beneficial to continue with his preferences.
C) try to negotiate with the client by exploring his views and then ensure the client is fully informed about the possible outcomes of his decision.
D) explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective.

Question 27

The purpose of undertaking cultural assessment is to:

A) plan the client's acculturation.
B) notify the right immigration department.
C) determine heritage consistency.
D) determine stereotyping issues.

Question 28

The nurse must complete a focused, physical assessment on a client after coming to the unit from another floor. Before performing the cardiac assessment, the nurse should:

A) ask the client to stay quiet since the nurse will be listening to the heart.
B) tell the client what they are doing during the assessment.
C) take the baseline vital signs, then determine if cardiac auscultation is necessary.
D) explain the procedure, then wait for permission to continue.

Question 29

A client on a medical unit is a Jew 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) Fish, vegetables and hot tea.
B) Hamburger, fruit and milk.
C) Ham, baked potato and fresh fruit.
D) Cream soup, sausage and toast.

Question 30

Match the following terms in relation to a cultural assessment with the relevant description.
1. Social customs
2. Rituals
3. Non-verbal communication
4. Spiritual
A. Eye contact meaning
B. Special prayer times
C. Special greetings
D. Christenings