Question 1

The nurse has just completed discharge teaching about self-injection of insulin to a patient who speaks little English.How can the nurse best determine that the teaching has been successful?&#10;A) Ask the patient if there are any questions about the procedure.&#10;B) Provide written instructions in the patient's preferred language.&#10;C) Have the patient watch a video about how to self-inject insulin.&#10;D) Watch the patient self-administer the next scheduled dose of insulin.

Accepted Answer

The best way for the nurse to determine that the teaching has been successful is to watch the patient self-administer the next scheduled dose of insulin.This way the nurse can observe for any difficulties and provide feedback immediately.Asking the patient if there are any questions is not recommended due to the patient's language difficulty.Written instructions and videos will not determine if the patient is able to self-administer insulin correctly.

Question 2

The patients with health insurance receive higher dosages of pain medications than patients who are uninsured.Which term best describes this problem?&#10;A) Health disparity&#10;B) Intersectionality&#10;C) Cultural dissonance&#10;D) Linguistic incompetence

Accepted Answer

Health disparity occurs when a population is treated differently as a result of a cultural,financial,or ethnic characteristic.Administration of lower pain medication dosages to uninsured patients is an example of a health disparity.Intersectionality is the coming together of a person's cultural,political,financial,educational,and ethnic contexts.Culturally congruent care is tailored to meet the ethnic,cultural,and linguistic needs of the individual.Dissonance is an incompatibility between a person's beliefs and actions.Linguistic competence is the ability to effectively communicate with individuals or groups from other cultural or ethnic backgrounds.

Question 3

The emergency room staff insists that a female Muslim patient disrobe completely and put on a hospital gown before being treated by the physician.Which nursing diagnosis is most applicable in this situation?

A) Risk for compromised human dignity related to cultural attire requirements
B) Ineffective role performance related to inadequate direction and preparation
C) Noncompliance related to expected behavior of patients in the emergency room
D) Impaired environmental interpretation syndrome related to busy emergency room

Accepted Answer

Many female Muslim patients believe in covering the entire body at all times except for the face,hands,and feet.If the emergency room staff insists that the patient disrobe completely for the physician,the patient's human dignity may be put at risk.The patient has not demonstrated any noncompliance behaviors and has not shown any difficulty interpreting the emergency room environment.The ineffective role performance diagnosis does not apply to the patient.

Question 4

A Muslim patient has requested to have only female nursing staff provide personal care.Which is the appropriate response of the nurse?&#10;A) &#34;I know that it may be difficult to understand but both male and female nurses are employed at this hospital.&#34;&#10;B) &#34;I will make sure that the charge nurse is notified about your request so that it can be accommodated.&#34;&#10;C) &#34;It will be difficult for people like you to adjust to our ways,but there are limitations for all of us.&#34;&#10;D) &#34;You may be perceived as a 'difficult patient' if you insist on limiting which nurses can take care of you.&#34;

Accepted Answer

Nurses who provide culturally competent care bridge cultural gaps to provide meaningful and supportive care for all patients.The Muslim patient's request to have female nursing staff members provide personal care should be accommodated.The patient should not be threatened with a perception of being labeled as difficult.Even though both male and female nurses are employed at the hospital,female nurses can be assigned to provide personal care for the Muslim patient.

Question 5

Which assessment findings are social determinants of health?&#10;A) Living in a house containing lead paint&#10;B) Genetic predisposition to spinal osteoarthritis&#10;C) Growing up in a neighborhood without grocery stores&#10;D) Annual income 125% above the federal poverty level&#10;E) Completed high school and 1 year of community college

Accepted Answer

Genetic makeup is not a social determinant of health.Living conditions,neighborhood,annual income,and educational level are all social determinants of health.

Question 6

Which technique is most appropriate when performing a physical assessment for a male Muslim patient?&#10;A) Use short,simple sentences and complete the physical assessment as quickly as possible.&#10;B) Have a male nurse perform the assessment and expose only the body part being examined.&#10;C) Stand close to the patient,speak clearly,and be careful not to exaggerate lip movements or facial expressions.&#10;D) Use therapeutic touch to reassure the patient and convey the nurse's sense of concern.

Accepted Answer

The male Muslim patient must not expose himself to women other than his wife.It is important for a male nurse to perform the assessment.Modesty is also extremely important so the body should remain covered except for the part being examined.There is no need to complete the assessment quickly or limit facial expressions.Therapeutic touch is not the priority assessment technique and should be used sparingly with patients from other cultures.

Question 7

Which intervention is most appropriate for the patient with the nursing diagnosis Noncompliance related to the patient's preference for cultural therapies rather than prescription medications?&#10;A) Create a clearly written medication schedule and instruction list with dosages and side effects.&#10;B) Describe the negative health outcomes that will be experienced if the cultural therapies are continued.&#10;C) Attempt to coordinate the patient's cultural therapies with the prescribed treatments.&#10;D) Inform the patient that the hospital will not be able to continue providing care if the noncompliant behavior continues.

Accepted Answer

The best option for the nurse is to attempt to coordinate the patient's cultural therapies with the prescribed treatments.The nurse needs to start with the patient's own beliefs and then try to coordinate prescribed treatments so that they will be congruent.Threatening discontinuation of care and negative health outcomes will alienate the patient and worsen noncompliance.Creating a medication schedule will not increase compliance as it does not address the patient's cultural beliefs.

Question 8

Which statement indicates the patient's world view?&#10;A) &#34;My religion prohibits me from eating meat or drinking alcohol.&#34;&#10;B) &#34;My family has a strong history of hypertension and type 2 diabetes.&#34;&#10;C) &#34;A doctoral degree will allow me to advance my professional career.&#34;&#10;D) &#34;The government is not interested in caring for immigrants to the United States&#34;

Accepted Answer

The patient's world view includes how others are perceived and their beliefs about life around them including opinions about the federal government.Personal religious beliefs,family medical history,and educational plans for career advancement are not examples of world views.

Question 9

Which patient populations are at risk for being marginalized?&#10;A) Recent immigrants to the United States&#10;B) Individuals with type AB positive blood&#10;C) Professionals with a master's or doctoral degree&#10;D) Individuals who speak at least three different languages&#10;E) Individuals who have undergone sexual reassignment surgery

Accepted Answer

Recent immigrants and transgender individuals are considered to be marginalized and at risk for having poor health outcomes.Blood type,advanced education,and fluency in multiple languages are not criteria for marginalization.

Question 10

Which situations demonstrate oppression in health care?&#10;A) A pediatrician who refuses to treat children of parents in same-sex marriages&#10;B) A medical practice refuses to interpret for patients who do not speak English&#10;C) An emergency room physician refuses to administer opiates for minor pain&#10;D) A pediatrician who refuses to treat children whose parents refuse vaccinations&#10;E) A social services agency refuses to allow any Asian couples to adopt children

Accepted Answer

Oppression in health care occurs when providers treat patients unfairly on the basis of ethnic,cultural,financial,or other characteristics.Refusing to treat children of same-sex parents,refusing to interpret for patients,and refusing Asian couples to adopt children are examples of oppression.It is appropriate for an emergency room physician to refuse to administer opiates for minor pain.Pediatricians may refuse to treat children whose parents refuse vaccinations as they can endanger the health of the other patients in the practice.

Question 11

Which action of the nurse demonstrates culturally competent care?&#10;A) Helping a Hindu patient to eat meatloaf and gravy for dinner&#10;B) Cutting up ham and vegetables for an orthodox Jewish patient&#10;C) Bringing a grieving Mormon family a tray of coffee and snacks&#10;D) Adding fruit to a Buddhist patient's bowl of oatmeal for breakfast

Accepted Answer

The answer of Which action of the nurse demonstrates culturally...

Deck 21: Cultural Awareness