Deck 7: Cultural and Pharmacogenetic Considerations

Question 1

A nurse conversing with a client is aware that the majority of the message may be nonverbal in some clients from which culture?

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

Answer 1

Asian

Question 2

The nurse is caring for a client with type 1 diabetes. The nurse is aware that this illness requires scheduled meals, blood glucose monitoring, and medications. Which of the following cultural traits may provide the greatest challenge to health maintenance?

A) Focus on health and well-being
B) Lack of emphasis on time and routine
C) Belief in a higher being
D) Personal philosophy of self-care

Answer 2

Lack of emphasis on time and routine

Question 3

The nurse is caring for an African-American client who is scheduled to be treated with a beta-blocker medication. The nurse should recognize that this client may:

A) have a hyperactive response to this medication.
B) develop a hypersensitivity reaction to this medication.
C) respond poorly to treatment with this medication.
D) develop multiple side effects in response to this medication.

Answer 3

respond poorly to treatment with this medication.

Question 4

The nurse is caring for a postoperative 35-year-old Asian man. What should the nurse expect the client's pain level to be?

A) Greater than usual, since he may not respond well to the pain medication
B) Less than usual, since he responds exceptionally well to the pain medication
C) Greater than usual, since he will tend to have a reaction to the pain medication
D) Less than usual, since his stoicism will cause him to require less pain medication

Question 5

The nurse is caring for a client who is a member of the local Hispanic community. The client asks if she can see her traditional healer while she is hospitalized. What is the most appropriate response from the nurse?

A) "Yes, we can certainly arrange for you to see the healer while you're here."
B) "Yes, but only with one of the nurses or your physician present."
C) "No, I'm afraid that Security wouldn't allow that to happen."
D) "No, we can't include someone like that in your plan of care."

Question 6

The nurse is caring for a client who is of Filipino descent. He arrived at the hospital with his entire extended family, who indicated that they intended to remain in his room to assist in his care. What should be the highest priority action on the part of the nurse?

A) Call the physician for an order to limit the number of family members allowed in the room.
B) Ask the client to ask his family members to limit themselves to only two in the room.
C) Ask the nurse manager to be present when the nurse explains the situation to the family.
D) Recognize that this is a behavior that may be part of the Filipino culture.

Question 7

The nurse is caring for a 62-year-old African-American woman who has been placed on Coumadin. The nurse should expect the client's response to this medication to be:

A) greater than usual; she may respond exceptionally well to the medication.
B) less than usual; she will probably have a decreased therapeutic effect.
C) greater than usual; she should be monitored closely for bleeding irregularities.
D) less than usual; she will tend to experience a hypersensitivity reaction.

Question 8

The nurse is caring for several clients. Which client is most likely to be found to have a low calcium level?

A) 56-year-old Vietnamese man
B) 38-year-old Hispanic woman
C) 25-year-old African-American man
D) 70-year-old Caucasian man

Question 9

The client is being admitted to the hospital for a surgical procedure. He lives with his spouse and 11 children, all of whom are younger than 18 years. What should the nurse recognize may be a major concern for this client?

A) A need for increased verbal communication from the nurse
B) A change in the social organization of his family
C) Insecurity because he is used to a more dense living area
D) Lack of modesty in the semiprivate hospital room