Deck 10: Application of the Three Modes of Culture Care Decisions and Actions ,in Advanced Practice Primary Care

Question 1

Your diabetic Muslim patient is fasting and refuses to take her Glucotrol as she is not allowed to eat or drink from dawn to dusk during Ramadan. You rearrange her medication schedule for her meds to be administered during the nighttime so as she can continue to fast during the day. This is an example of:

A)cultural care preservation and/or maintenance.
B)cultural care accommodation and/or negotiation.
C)cultural care repatterning and/or restructuring.
D)assimilation.
E)enculturation.

Answer 1

B

Question 2

Facilitative professional actions that help people of a particular culture to retain relevant care values reflect which nursing care mode?

A)cultural care preservation and/or maintenance
B)cultural care accommodation and/or negotiation
C)cultural care repatterning and/or restructuring
D)none of the above

Answer 2

A

Question 3

You provide your Jewish patient with kosher meals. This is an example of:

A)generalized culture care.
B)culture care preservation and /or maintenance.
C)culture care accommodation and/or negotiation.
D)assimilation.

Answer 3

B

Question 4

You notice that your Middle Eastern patient is applying kohl on the eyes of her newborn. She explains that kohl makes the eyes get bigger in size which is a sign of beauty in her culture.You explain to the patient that kohl has lead in it which is harmful to her baby and may result in lead poisoning. The patient agrees to abstain from applying kohl to her baby's eyes after understanding the potential effects.This is an example of:

A)cultural care maintenance or preservation.
B)cultural care accommodation or negotiation.
C)cultural care repatterning or restructuring.
D)cultural imposition.
E)acculturation.

Question 5

The church plays a central role in the life of Mrs. Pollard, an African American woman from the Southern United States, who is seeing a nurse practitioner for management of her diabetes and depression.The nurse practitioner caring for Mrs. Pollard encourages her to continue to attend church services and to engage in spiritually-enriching practices like choir and Bible study. This is an example of:

A)culture care preservation and/or maintenance.
B)culture care accommodation and/or negotiation.
C)culture care repatterning and/or restructuring.
D)none of the above.

Question 6

Absence of handwashing after diaper changes and / or before bottle or breastfeeding is sometimes encountered among women from indigenous cultures where access to clean water is severely limited. Providing education about the importance of handwashing as a care practice that protects infant health would be:

A)culture care accommodation and / or negotiation.
B)culture care restructuring and / or repatterning.
C)ethnocentrism.
D)stereotyping.
E)discrimination.