Deck 15: Culture Ethnicity

Question 1

A patient reports experiencing gas,abdominal bloating,and diarrhea after consuming milk or cheese.Lactose intolerance might immediately be suspected if the patient is of which heritage?

A) African American
B) Mexican American
C) European American
D) Arab American

Answer 1

African American

Question 2

The mother of a 15-year-old Mexican female is excited about planning the daughter's quinceañera.With which cultural term should the nurse identify this event?

A) Specific
B) Universal
C) Stereotype
D) Archetype

Answer 2

Specific

Question 3

A client's mother was Chinese and the father was Samoan and Filipino.What should the nurse do when assessing this client's race?

A) Document the mother's race as the client's race.
B) Ask with which race the client most closely identifies.
C) Document the father's primary race as the client's race.
D) Document both of the father's races as the client's race.

Answer 3

Ask with which race the client most closely identifies.

Question 4

A client from a non-American culture says that to maintain health there needs to be a balance between the body and nature.Which health belief system does this client follow?

A) Holistic
B) Scientific
C) Biomedical
D) Magico-religious

Question 5

A patient of Scandinavian heritage is admitted for observation after sustaining injuries in a motor vehicle accident.The nurse expects that he may endure pain stoically,without grimacing or vocalizing.Of what is the nurse's thinking an example?

A) Archetype
B) Bias
C) Prejudice
D) Stereotype

Question 6

An older client asks for another nurse because of not wanting a "man" to provide her with care.Which cultural barrier is this client exhibiting?

A) Ethnocentrism
B) Racism
C) Sexism
D) Chauvinism

Question 7

A young adult male client of Mexican heritage sustains injuries from a motor vehicle crash.When assessing this patient,the nurse must consider that the client may possess which view of pain?

A) A belief in taboos against narcotic use to relieve pain
B) Expectation of immediate treatment for relief of pain
C) Endurance of pain longer and report it less frequently than some patients do
D) Use of herbal teas,heat application,and prayers to manage his pain

Question 8

A patient from Italy has lived in the United States for years and practices elements from both cultures.What is this patient demonstrating?

A) Assimilation
B) Socialization
C) Acculturation
D) Immigration

Question 9

The nurse is teaching a clinic patient about hypertension.Which statement indicates the patient is present oriented?

A) "I know I need to lose weight; I'll have to begin an exercise program right away."
B) "If I change my diet and begin exercising,maybe I can control my blood pressure without medications."
C) "I know I need to give up foods that contain a lot of salt,but with teenagers in the house it is very difficult."
D) "I will reduce the amount of calories,salt,and fat that I eat; I certainly do not want to have a stroke."

Question 10

The nurse assesses a client from a non-English-speaking culture.Why should the nurse avoid using the term minority when asking this client about ethnicity and race?

A) It represents power.
B) It suggests inferiority.
C) It is the group with the most authority.
D) It explains how everyone else is inferior.

Question 11

A patient of Hispanic origin is frustrated because the healthcare team does not understand the importance of hot and cold therapies.Which nursing diagnosis is most appropriate for this patient?

A) Powerlessness
B) Impaired Verbal Communication
C) Spiritual Distress
D) Risk for Noncompliance

Question 12

The nurse is caring for a client who emigrated from Puerto Rico.What should the nurse learn to best care for this client?

A) Practices of the patient's ethnic group
B) Patient's individual cultural beliefs
C) Values of her own culture
D) Spanish-speaking community

Question 13

North American healthcare culture typically reflects which culture?

A) Asian
B) European American
C) Latino
D) African American

Question 14

The nurse collects biographical information on a client from Central America.Which information provided by the client represents ethnicity?

A) Latino
B) Catholic
C) White
D) Teacher

Question 15

A patient who has not voided for several hours is prescribed an indwelling urinary catheter.How should the nurse explain the procedure to the patient?

A) "I need to put a Foley in you because you haven't voided since your surgical procedure."
B) "I need to insert a tube into your bladder to drain the urine because you haven't urinated since surgery."
C) "I need to catheterize you because you haven't urinated since having your surgery."
D) "I need to place a catheter in your bladder because you haven't voided since surgery."

Question 16

A client incorporates alternative healthcare into regular health practices.For which alternative therapy should the patient visit a formally trained practitioner?

A) Use of herbs and roots
B) Application of oils and poultices
C) Burning of dried plants
D) Acupuncture

Question 17

A middle-aged Chinese American client,who is self-employed without health insurance,is recovering from heart surgery.Each day family members spend hours at the client's bedside.Which is the most important factor for the nurse to focus on when planning the client's discharge?

A) Ethnic background
B) Family support
C) Employment status
D) Healthcare coverage

Question 18

Which is considered a "practice"?

A) Always drinking water after exercise
B) Thinking often about cleanliness
C) Emphasizing success
D) Maintaining youth

Question 19

The nurse prepares to assess a client from a non-English-speaking culture.Which question should the nurse include to assess language?

A) "Who is in your family?"
B) "How long have you lived here?"
C) "Who makes most of the decisions?"
D) "Are you comfortable speaking English?"

Question 20

Which statement about culture is true? Select all that apply.

A) Culture exists on both material and nonmaterial levels.
B) Culture mainly influences food choices and special holidays.
C) Cultural customs change over time at different rates.
D) Culture is learned through life experiences shared by other cultural members.
E) Cultural assumptions and habits are unconscious.

Question 21

The staff development trainer creates a program on culture for a group of new nurses.What should be included about vulnerable populations? Select all that apply.

A) Vulnerable populations exist primarily in minority groups.
B) People in a vulnerable population have limited access to healthcare.
C) Individuals in vulnerable groups are more likely to have health problems.
D) Examples of vulnerable populations include the poor,very young,and very old.
E) A person in a vulnerable population is more prone to engage in high-risk behaviors.

Question 22

A client who does not speak English needs extensive care.What resources are available to maximize communication with this client? Select all that apply.

A) U.S.embassies
B) Bilingual staff
C) Telephone interpreters
D) Client's family members
E) Face-to-face interpreters

Question 23

The nurse prepares a paper on the traditional American healthcare culture to submit for publication.What should the nurse include as values of this culture? Select all that apply.

A) Significance of technology
B) Desire to conquer disease
C) Uses the problem-solving method
D) Reliance on the biomedical system
E) Defines health as absence of disease

Question 24

The nurse is caring for a patient of Japanese heritage who refuses pain medication despite the nurse's explaining its importance in the healing process.Which intervention by the nurse is appropriate for this patient? Select all that apply.

A) Assess the patient's pain levels at less frequent intervals.
B) Document in the patient's record that the patient does not want to take opioids.
C) Utilize nonpharmacological measures to help control the patient's pain.
D) Notify the primary care provider of the patient's noncompliance.
E) Provide the medication without telling the patient.