Deck 18: Culturally Responsive Nursing Care

Question 1

The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day.How should the nurse address the cultural issue?

A)Allow the client to select the times the dressing will be changed.
B)Instruct the client to change the dressing after breakfast and before going to bed.
C)Explain that the client should complete the dressing change at 10 AM and 4 PM.
D)Suggest that the dressing change can be performed whenever the client chooses,as long as it gets done twice daily.

Answer 1

Instruct the client to change the dressing after breakfast and before going to bed.

Question 2

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

Answer 2

Restoring HEALTH

Question 3

A newly immigrated client is constantly attended to by family members.This has presented a problem to the nursing staff and the delivery of nursing care.In order to address this issue in a culturally sensitive manner,the nurse should take which action?

A)Explain to the client that he has to limit visitors.
B)Evaluate the benefits of family participation in the client's care.
C)Question the family members as to how they see their interaction with the client.
D)Have the physician limit the number of visitors the client can have.

Answer 3

Evaluate the benefits of family participation in the client's care.

Question 4

During the admission interview,the culturally diverse client averts her eyes and refrains from answering s for long periods of time.The culturally sensitive nurse should take which action?

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

Question 5

A female client is being discharged after a lengthy hospitalization.The family is from a male-dominated culture.Before discharge instructions are given,which action should the nurse take?

A)Make sure instructions are understood by the client.
B)Arrange for teaching when the spouse is available.
C)Make sure that the physician gives the instructions.
D)Ask the client when the best time for teaching would be.

Question 6

A non-English-speaking client is needs to have an emergency surgical procedure.The hospital has an interpreter available.When the interpreter arrives to explain the procedure and help with the consent form,the nurse provides the best support when

A)asking the interpreter to use words the client is familiar with for the best understanding.
B)requesting that the interpreter translate,as closely as possible,the same words used by the professional staff.
C)suggesting that the questions be directed to the interpreter,so nothing is omitted.
D)addressing the questions to the client's family.

Question 7

A community health nurse works with a variety of cultures providing health care services that include preventive care,acute treatment,and education.Of the following clients,which is most likely to use folk medicine?

A)The client who speaks little English and does not have a job
B)A family who has numerous relatives in a Spanish-American sector of the city
C)A female client whose culture is one of male dominance
D)A Chinese client who has a small,family-run business in the area

Question 8

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 suspects that this client views health from which type of belief?

A)Magico-religious belief
B)Holistic health belief
C)Biomedical health belief
D)Folk medicine

Question 9

A client is the child of an African American father and Asian American mother.The client has been exposed to cultural foods,traditions,and customs from both parents throughout life.What term should the nurse use to describe this client's cultural development?

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

Question 10

A nurse is working with a home health client whose spouse was not born in the United States.During the home visit,the nurse realizes that the client has acquired the identity of her spouse's culture and has adopted some of the health practices of that culture.Which process should the nurse identify as occurring with the spouse?

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

Question 11

A new graduate nurse is moving from a small rural college town to a metropolitan area to begin work in a county hospital.The nurse has had limited prior experience with the various cultural groups that are served by the hospital.What might be this nurse's greatest challenge?

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

Question 12

The school nurse is conducting head lice screenings.Before checking the head of an Asian child,the nurse should first take which action?

A)Ask permission.
B)Make sure the child understands the reason for the contact.
C)Put gloves on.
D)Ask the child to wait until last,to avoid embarrassing the child.

Question 13

The nurse needs to determine the apical pulse of a client from a different culture.In order to show appropriate sensitivity to the client,the nurse should take which action?

A)Explain the procedure,then wait for permission to continue.
B)Explain to the client what will occur during the assessment.
C)Ask the client to stay quiet because the nurse will be listening to the heart.
D)Take the baseline vital signs,then determine if cardiac auscultation is necessary.

Question 14

The nurse is preparing a menu for a Jewish client who observes kosher customs.Which 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

The nurse manager is concerned that a staff nurse provides client care with a cultural prejudice.Which situation did the manager observe to come to this conclusion?

A)Making an assumption that all members of each culture are alike
B)Believing that all culture 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 16

A community health nurse is learning about the REACH initiative and has decided to implement community education on this approach.What topics should the nurse include in this education?
Standard Text: Select all that apply.

A)Child and adult immunizations
B)Cardiovascular disease
C)Chronic lower respiratory disease
D)Stroke
E)Infant mortality

Question 17

A Chinese client is hospitalized with a fever of unknown origin and follows a very traditional,cultural view of illness.Which food should the nurse offer the client?

A)Hot tea
B)Warm soup
C)Spicy meat
D)Cold liquids

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.In striving to be culturally sensitive,what should the nurse do?

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

Question 19

The nurse is planning to conduct a physical assessment with a client from a different culture.What is the best way for the nurse to show cultural sensitivity when addressing the personal s required of the nursing history?

A)Break the assessment into shorter intervals and discuss general topics first.
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)Wait until the nurse-client relationship has been established.

Question 20

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 organization.On which psychosocial component is this client focusing?

A)Culture
B)Religion
C)Ethnicity
D)Socialization

Question 21

The nurse is concerned that many ethnically diverse clients are not receiving a consistently high level of health care within a community.What information should the nurse access to learn how to improve these clients' level of health care?
Standard Text: Select all that apply.

A)The National Partnership for Action to End Health Disparities website
B)The National Stakeholder Strategy for Achieving Health Equity goals
C)The Office of Minority Health's standards for cultural and linguistic programs
D)The National Center on Minority Health and Health Disparities mission statement
E)The Centers for Disease Control and Prevention website for employment opportunities

Question 22

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 take which action?

A)Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective.
B)Have the client's physician explain the care to the client in a firm but gentle manner.
C)Validate the client's practices and understand that for this client,it may be beneficial to continue with his preferences.
D)Try to negotiate with the client by exploring his views and then provide relevant scientific information.

Question 23

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 24

A nurse educator uses Madeleine Leininger's model and describes a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs,values,and patterned lifeways of cultures to provide culturally congruent,meaningful,and beneficial health care to people.What type of nursing is the educator practicing?

A)Transcultural nursing
B)Cultural competence
C)Cultural knowledge
D)Competent nursing

Question 25

The community health nurse is using the Heritage Assessment Interview tool with a group of community members.Which data indicate heritage consistent?
Standard Text: Select all that apply.

A)A client frequently visits the "old country neighborhood" he grew up in.
B)A client is raised by a single parent.
C)The client's education occurred at a religious school.
D)The client participates in religious festivals and cultural events.
E)The client has been the first of his family to earn a college degree.

Question 26

After an assessment,the nurse determines that a client of African American descent is experiencing disparities that are a part of behavioral health determinants.What assessment data did the nurse use to come to this conclusion?
Standard Text: Select all that apply.

A)Treated for asthma
B)Body mass index of 32
C)Unemployed for 9 months
D)Smokes 1 ppd of cigarettes
E)Mother diagnosed with heart disease

Question 27

A client who is from a different culture than the nurse has not been able to achieve this goal: Client will select low-fat foods from a list by the end of the month.What should the nurse do?

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

Question 28

The nurse is planning to explain the importance of culturally appropriate care to a new nursing assistant.What should the nurse include when explaining the term "culture" to this staff person?
Standard Text: Select all that apply.

A)"Culture involves groups who share biological markers."
B)"Cultures seldom have diversity within them."
C)"Male nurses are an example of a culture."
D)"A culture is primarily exhibited through shared thoughts,actions,and beliefs."
E)"A culture shapes its members' view of the world."

Question 29

The nurse is planning to provide culturally responsive care to a minority client and family.What actions should the nurse perform when providing this care?
Standard Text: Select all that apply.

A)Personally reflecting on feelings related to the client's nationality
B)Making an effort to direct all assessment questions initially to the client
C)Involving the family with the client's permission
D)Assessing the client's interest in alternative healing methods
E)Educating the client and family when appropriate