Deck 2: Culture and the Family

Question 1

A woman of Korean descent has just given birth to a son. Her partner wishes to give her sips of hot broth from a thermos they brought with them. They have refused your offer of ice chips or other cold drinks for the client. What should the nurse do?
1) Explain to the client that she can have the broth if she will also drink cold water or juice.
2) Encourage the client to have the broth, after the nurse takes it to the kitchen and boils it first.
3) Explain to the couple that food is not allowed to be brought from home, but that the nurse will make hot broth for them.
4) Encourage the partner to feed the client sips of their broth. Ask if the client would like you to bring her some warm water to drink.

Answer 1

4

Question 2

The nurse is caring for clients in a major urban community health clinic. For which cultural groups should the nurse make assessing for lactose intolerance a priority? Select all that apply.
1) Asians
2) Mediterranean descent
3) American Indians
4) African Americans
5) Mexican Americans

Answer 2

1, 3, 4, 5

Question 3

The nurse wants to teach an adolescent newly enrolled in an English as a Second Language class about the importance of handwashing before meals and not eating food dropped on the floor. What is the best way to help the client assimilate the nurse's values about hygienic nutrition?
1) Schedule a medical interpreter to accompany the client to his or her next visit.
2) Have the child repeat her or his interpretation of the information that was taught.
3) Provide written materials in English about hygiene and diet for the client to take home.
4) Have the nurse model proper handwashing before examining the child and throw out the dropped cookie.

Answer 3

2

Question 4

The nurse notes a general increase in clients' use of complementary and alternative therapies. What should the nurse identify as reasons for the increase in these therapies? Select all that apply.
1) Increased media attention
2) The advent of the Internet
3) Increased international travel
4) The use of traditional Western medicine for treatment
5) Increased consumer awareness of the limitations of conventional medicine

Question 5

A client of Hmong descent who immigrated to the United States 5 years ago asks for the regular hospital menu because she likes American food. To which cultural concept should the nurse attribute this client's request?
1) Stereotyping
2) Acculturation
3) Enculturation
4) Ethnocentrism

Question 6

A pregnant client is interested in using herbs during her pregnancy. How should the nurse counsel this client? Select all that apply.
1) Do not take any herbs with other medication.
2) Refer to the list to learn which herbs to avoid during pregnancy.
3) Most herbs are harmless and can be safely taken while pregnant.
4) Refer to the list to learn which herbs to avoid during breastfeeding.
5) Consult with your healthcare provider before taking any herbs, even as teas.

Question 7

A 7-year-old client says, "Grandpa, mommy, daddy, and my brother live at my house." In what type of family should the nurse identify that this child lives?
1) Extended
2) Binuclear
3) Traditional
4) Gay or lesbian

Question 8

The maternity nurse is planning to incorporate complementary and alternative therapies when providing care to clients in labor. What should the nurse do before implementing these therapies? Select all that apply.
1) Find evidence-based research for the use of the therapies.
2) Identify the therapies that are within the scope of nursing practice.
3) Document the use of therapies within the context of nursing practice.
4) List the therapies that are permitted according to the nurse practice act.
5) Determine which therapies are appropriate for a client's health problem.

Question 9

A client says that she is taking a preparation that enhances the symptoms of her illness. Which type of complementary and alternative therapy is this client using?
1) Naturopathy
2) Homeopathy
3) Herbal therapy
4) Chinese medicine

Question 10

The nurse is preparing to assess a client who is from a non-English-speaking culture. What should the nurse review about the client's culture before beginning the assessment? Select all that apply.
1) Touch
2) Employment
3) Personal space
4) Physical differences
5) Use of nonverbal communication

Question 11

During an assessment, the nurse notices that an African American baby has a darker, slightly bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?
1) Record the presence of a Mongolian spot.
2) Ask the mother about the cause of the bruise.
3) Confer with the physician about the possibility of a bleeding tendency.
4) Call the Department of Social Services (DSS) to report this sign of abuse.

Question 12

The nurse is preparing a teaching session for staff nurses on cultural influences of childbearing practices. Which topics should the nurse include? Select all that apply.
1) Gender of children
2) Number of children
3) Use of contraception
4) Achievement of developmental milestones
5) Pregnancy as an illness or expected condition

Question 13

The nurse is reviewing a client's use of complementary and alternative therapies. Which situations should the nurse identify as being risky for the client? Select all that apply.
1) Trying out a homeopathic medicine obtained from a friend to reduce swelling in the legs
2) Joining a group that practices tai chi weekly to help with physical fitness and movement
3) Taking an herbal preparation suggested by a health food store worker for treatment of leg pain
4) Getting a massage from a licensed massage therapist for back pain, when such treatment has been prescribed by the primary healthcare provider
5) Getting a chiropractic treatment for lower back pain due to discomforts of pregnancy without telling the primary healthcare provider

Question 14

The nurse is comparing several different families' developmental stages. What serves as a marker for a family's developmental stage according to Duvall?
1) The father's age
2) The mother's age
3) The oldest child's age
4) The youngest child's age

Question 15

The nurse is working in a clinic where children from several cultures are seen. What should the nurse do as a first step toward the goal of personal cultural competence?
1) Enhance cultural skills.
2) Gain cultural awareness.
3) Seek cultural encounters.
4) Acquire cultural knowledge.

Question 16

The nurse is working with a child whose religious beliefs differ from those of the general population. What should the nurse do to meet the specific spiritual needs of this child and family?
1) Ask, "What do you think caused the child's illness?"
2) Show respect while allowing time and privacy for religious rituals.
3) Identify healthcare practices forbidden by religious or spiritual beliefs.
4) Ask, "How do the child's and family's religious/spiritual beliefs impact their practices for health and illness?"

Question 17

The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?
1) Fear related to separation from support system during hospitalization
2) Spiritual Distress related to discrepancy between beliefs and prescribed treatment
3) Interrupted Family Processes related to a shift in family roles secondary to demands of illness
4) Impaired verbal communication related to recent immigration from non-English-speaking area

Question 18

A pregnant client wants natural childbirth and asks what approaches can be used to keep the mind and body relaxed during labor. Which mind-based therapies should the nurse review with this client? Select all that apply.
1) Qigong
2) Massage
3) Hypnosis
4) Visualization
5) Guided imagery

Question 19

The nurse is performing a family assessment. What type of family should the nurse identify when both parents work?
1) An extended family
2) An extended kin family
3) A traditional nuclear family
4) A dual-career/dual-earner family