Deck 4: Cultural Considerations

Question 1

The nurse is interviewing a client and wishes to determine the roles of various members of an extended family living together in one household.Which of the following statements would be helpful for the nurse to use to obtain this information?
1)"What language is spoken in your house?"
2)"Are all of your family members working?"
3)"Tell me about the responsibilities of family members in your home."
4)"Who makes the decisions for your family members?"
5)"Are you happy with your place in the family?"

Answer 1

3,4

Question 2

The nurse is preparing an educational program for the staff on cultural considerations.The nurse includes the following definition: "The adoption and incorporation of characteristics,customs,and values of the dominant culture by those new to that culture." The nurse is referring to which of the following terms?
1)Ethnicity
2)Assimilation
3)Ethnocentrism
4)Culture

Answer 2

2

Question 3

The nurse is admitting a client and asks to see all medications taken on a routine basis.The client offers a long list containing prescription medications and a variety of herbal preparations that are unfamiliar names to the nurse.Which of the following actions would be appropriate for the nurse at this time?
1)Write down all the names of the herbals and look them up later.
2)Tell the client that herbals are ineffective and to throw them away.
3)Inform the healthcare provider of the herbals.
4)Ask the client what they are taken for and how often.

Answer 3

4

Question 4

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan.The client tells the nurse that he must fast during this time.Which of the following would be an appropriate response by the nurse?
1)"What can we do to accommodate your needs during your stay here?"
2)"I will let your doctor know so he can discharge you."
3)"Fasting is harmful to your body."
4)"You must have food during times of illness."

Question 5

The nurse is completing a self-assessment to determine cultural competence.The nurse would identify which of the following behaviors as part of being culturally competent?
1)Obtaining a ham sandwich for a Jewish client admitted to the hospital unit after trays have been delivered
2)Referring to the Asian client as an Oriental
3)Permitting a Bedouin to sleep on the floor
4)Advising a Catholic client that being taken to the chapel for noon Mass is impossible because lunch times have been assigned

Question 6

The nurse is caring for an elderly Native American client who is experiencing severe chest pain.A tribesman has accompanied him to the hospital at the insistence of the client.The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped.The client's son insists that his father be treated,and states he feels the tribe's teachings are antiquated.What is the best action for the nurse to take in this situation?
1)Call the social worker to plan a family meeting without the tribesman.
2)Interview the client and ascertain his wishes and beliefs.
3)Convene the hospital ethics committee.
4)Call the nursing supervisor.

Question 7

The female nurse is examining a Vietnamese male and notes that he will not make eye contact with her during the assessment.The client appears very uncomfortable and is sweating and flushed.Which of the following actions would be appropriate for the nurse in this situation?
1)Obtain a blood sugar reading.
2)Ask the client if he would like a male to perform the examination.
3)Assure the client that the exam will be over quickly.
4)Continue with the examination.

Question 8

The nurse is caring for a client who insists on having food very hot and very cold at each meal.The nurse correctly recognizes this as a health belief in which of the following cultural groups?
1)Cuban Americans
2)Jewish Americans
3)Chinese Americans
4)Native Americans

Question 9

The nurse is collecting data concerning the client's chief complaint.The client reports having attempted to manage the illness using herbs.Which of the following responses by the nurse is most therapeutic?
1)"What herbs have been used to manage your condition?"
2)"Does your healthcare provider know about your herbal remedies?"
3)"Don't you realize your recovery may have been impeded by these herbal preparations?"
4)"When was the last dosage of the herbal remedies taken?"

Question 10

The nurse manager is discussing cultural considerations with a group of student nurses.Which of the statements by the nursing students indicates a lack of understanding about cultural concepts?
1)"Culture can best be described as an awareness of belonging to a group in which certain characteristics differentiate the members of one group from another."
2)"A good description of culture is one that recognizes it's the socially transmitted beliefs,behaviors,values,customs,lifestyles and ways of thinking of a specific population that guides an individual's worldview."
3)"Culture is the belief that one's own beliefs,way of life,values,and customs are superior to others."
4)"Culture is the identification of an individual or group by shared genetic heritage and biologic characteristics."
5)"Decisions made by an individual are largely influenced by culture."

Question 11

The nurse is studying matriarchal cultures and needs to complete a report on how this aspect affects health care within the culture.The nurse identifies which of the following groups as most likely to be patriarchal?
1)Appalachian
2)American Indian
3)African American
4)Italian
5)Arab American

Question 12

The nurse is preparing to perform an assessment of the client's social support and organization.Which of the following questions will provide the needed information?
1)Where was the client born?
2)What is the primary language spoken in the family home?
3)What nonverbal communication behaviors are observed during the nurse-client interaction?
4)Is there a religious affiliation linked with the cultural affiliation?

Question 13

The nurse is interviewing a client and wishes to determine health practices that are important to the client's beliefs.Which of the following statements would be appropriate for the nurse to use to obtain this information?
1)"Do you use any nontraditional medicine?"
2)"Tell me what you do to try to improve your health."
3)"How many times have you been sick in your life?"
4)"Do you have medical insurance?"

Question 14

The nurse is charge nurse for the shift.Three of the staff members are female and one is male.Which of the following clients should be assigned to a female staff member?
1)The African American female
2)The African American male
3)The Arab American male
4)The Arab American female

Question 15

While acting as a preceptor for a graduate nurse,the registered nurse notices the graduate nurse voices frustration and a lack of appreciation for the health care beliefs and practices of clients whose beliefs differ from her own.Which of the following actions will best assist the preceptor to improve the graduate's practice?
1)The nurse should advise the graduate to reduce displays of frustration and lack of appreciation for the values of others.
2)The nurse should encourage the graduate to look closely at the graduate's own cultural practices and beliefs.
3)The graduate should receive a written reprimand.
4)The graduate should be required to meet with a counselor concerning her ethnic biases.

Question 16

When preparing to perform a cultural assessment for a client,the nurse is aware of the numerous components that will aid in the identification of ethnicity.When preparing to ask appropriate questions to assess unique needs,which of the following questions will be beneficial?
1)"What is your religious preference?"
2)"Can you identify any food practices that will impact your prescribed plan of care?"
3)"To what ethnic group do you identify yourself?"
4)"Does your mother practice the same religion as you?"
5)"What political party do you belong to?"

Question 17

When providing an inservice to new graduate nurses,the nurse educator discusses expectations for the nursing staff concerning the acceptance of client cultural beliefs.Which of the following statements by a participant indicates further teaching is needed?
1)"The acceptance of different cultural values is needed to provide quality nursing care."
2)"Cultural values may dictate my client assignments on the nursing unit."
3)"My own cultural values are irrelevant to the acceptance of the values of others."
4)"My knowledge of the cultural values of others will increase in time."

Question 18

The nurse is setting up a meal tray.She notes that the client refuses to look at the food and tells the nurse to take it away.The meal contains a chicken breast,green beans,fruit cocktail,and cottage cheese.The nurse's most appropriate response to the client at this time is which of the following?
1)"I know you are not hungry so just let me know when you want your tray."
2)"The hospital food is horrible here."
3)"Is there a problem with the food being sent to you?"
4)"I will get you some juice and crackers from the unit kitchen."

Question 19

The nurse manager is preparing for an accreditation visit and wants to assure that the unit is delivering culturally appropriate health care.Which of the following would demonstrate this approach by the nurse manager?
1)Insisting the staff teaches clients English during their hospitalization.
2)Examining the process used to admit clients.
3)Providing written materials in languages spoken most commonly by clients admitted to the unit.
4)Limiting education and training to the bedside nurses.

Question 20

The nurse is assigned to provide care to a diabetic client who indicated being a Muslim on the admission assessment.When planning the care for the shift,which of the following factors may have the greatest impact on the care?
1)The client has a strong respect for the elders in the family.
2)Pork in the diet is forbidden.
3)The client may practice religious fasting.
4)Lamb and chicken are the main sources of protein.

Question 21

The nurse caring for a Navajo woman notices the client is often quiet when she is attempting to interact with her.What inferences can best be made about this behavior?
1)The client likely does not understand the nurse's attempts to engage her.
2)The client is demonstrating disapproval with the nurse through the use of silence.
3)The client is uneasy speaking with the nurse without the male head of her household.
4)The client is illustrating agreement with the nurse's actions by using silence.

Question 22

When planning care to manage osteoporosis in an African American client,which of the following must be taken into consideration?
1)The daily dietary intake contains bread at every meal.
2)Snacks often replace meals beginning in adolescence.
3)Lactose intolerance may be a factor.
4)Pork is not allowed in the diet.

Question 23

While working in an ambulatory care clinic,a Hispanic client who speaks limited English seeks care.When preparing to provide the discharge instructions to the client,what are the responsibilities of the nurse?
1)The nurse is required to provide the client with an English-to-Spanish translation dictionary.
2)The nurse should provide instructions written in English along with the contact number for a translator.
3)The nurse has the responsibility to seek all available resources to provide information the client will understand.
4)The nurse is expected to provide a translator fluent in the client's primary language.

Question 24

A Filipino American client is discussing concerns related to osteoporosis with the nurse educator.When considering the information to be presented,the nurse is aware that which of the following traditional characteristics may pose problems for this client's plan of care and will need to be incorporated into the information provided?
1)Potential for lactose intolerance
2)Pork is a primary source of protein
3)Heavy use of salt and vinegar
4)Chicken is a primary source of protein

Question 25

The nurse is assigned to provide postoperative care to a Chinese American client.Which of the following traditional Chinese cultural concepts may impact the nurse-client interaction?
1)The client may dislike being touched by strangers.
2)Health is associated with being overweight.
3)There is a strong belief in the use of herbs to manage illness.
4)Ceremonies are an important part in the recognition of illness and disease.

Question 26

The nurse is caring for a Vietnamese female client.When planning to provide care the nurse should include understanding of which of the following concepts?
1)The client will be most respectful of the nurse if direct eye contact is maintained.
2)The client may require a greater than usual amount of personal space.
3)The client will use periods of silence to indicate acceptance of the care interventions proposed.
4)The client will appreciate the nurse's attempt to engage in a casual discussion about her feelings.

Question 27

A Filipino American is preparing for discharge from the hospital.While providing instructions concerning follow-up care,the nurse notes the client is nodding in agreement in response to the nurse's statements.After completing the exchange of information,which of the following actions should the nurse take first?
1)The client's understanding of the discharge instructions should be documented.
2)The nurse should ask the client if she understood the information being relayed.
3)The nurse should ask the client questions to assess understanding of the information provided.
4)The client should be asked to sign the discharge paperwork.

Question 28

The nurse is caring for a Jewish client with type 1 diabetes mellitus who has been taken to another department for testing.The nurse recognizes the client will be due for an insulin injection and will need to eat immediately upon arrival back to the unit.The nurse orders the client's meal tray.Which of the following will be the best selection?
1)BLT sandwich,potato salad,fruit wedge,and unsweetened tea
2)Roast beef sandwich,potato chips,and 2% milk
3)Egg salad sandwich,side salad,applesauce,and diet soda.
4)Pork tenderloin sandwich,fruit cup,and milk.

Question 29

The nurse educator is discussing culture and ethnicity with a group of student nurses.Which statement by a student indicates the need for further education?
1)"The gene pool in the United States has become less diverse over the past decade."
2)"I have found it easiest to classify individuals with cultural groups by assessing their skin tones and facial features."
3)"When identifying individuals of the same race,they will have shared genetic heritage,biologic and physiologic characteristics."
4)"Ethnic groups share common values over generations."
5)"An individual may self-identify with an ethnic group that is different from the ethnic group of their birth or race."