Question 1

The nurse is performing an assessment on an adult patient who appears to be of Asian descent. As part of the nurse's cultural assessment, which question is most appropriate for the nurse to ask prior to documenting the patient's race?

Accepted Answer

Asking the patient what race they identify with and what name they call it is the most respectful and open-ended way to inquire about a patient's racial identity. It avoids assumptions and allows the patient to describe their identity in their own terms.

Question 2

The nurse is aware a client incorporates alternative healthcare into regular health practices. The nurse self-identifies as being culturally competent. For which alternative therapy is the nurse aware that the patient visits a formally trained practitioner?

Accepted Answer

Acupuncture involves visiting a formally trained practitioner who inserts needles at specific points on the body to treat various health issues. This practice requires professional training and certification, distinguishing it from the other options, which can be performed without formal training.

Question 3

The nurse is providing care for a patient who emigrated from Puerto Rico. Which information about the patient will enable the nurse to best care for this patient?

Accepted Answer

Understanding the patient's individual cultural beliefs allows the nurse to provide personalized and culturally sensitive care, respecting the unique preferences and needs of the patient.

Question 4

Which statement is most reflective of Madeleine Leininger's theory of cultural care?

Accepted Answer

Madeleine Leininger's theory, known as the Theory of Cultural Care Diversity and Universality, emphasizes the importance of nurses providing care that is culturally congruent. The goal is to guide research and practice in nursing to understand and respect the cultural differences of patients, thereby providing care that is appropriate and effective within the cultural context of the patient.

Question 5

The nurse is aware of many terms related to culture. Which is considered a "practice" (as opposed to a "belief" or "value")?

Accepted Answer

Drinking water after exercise is a specific action or behavior, which makes it a "practice." Beliefs and values are more about ideas or principles that people hold, rather than the actions they take.

Question 6

An older female patient tells the charge nurse that she wants a change in the nurse providing her care. When the charge nurse questions the patient, the patient states, "I don't want a man taking care of me." Which cultural barrier is this patient exhibiting?

Accepted Answer

The patient's preference for a female nurse over a male nurse due to her discomfort with a man taking care of her is an example of sexism. Sexism involves discrimination based on gender.

Question 7

Which statement(s) is/are most true about the concept of acculturation? Select all that apply.

Accepted Answer

Acculturation is the process of adapting to a new culture while maintaining one's own. It can take years or even generations for an immigrant group to acculturate. Acculturation results from a minority group's need to survive and flourish in a new culture.

Question 8

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

Accepted Answer

The statement reflects a focus on the current difficulty of changing diet due to the presence of teenagers, indicating a present-oriented mindset.

Question 9

The nurse shares with the nurse manager, "My patient is Jewish, and when I tried to teach her about her antihypertensive medication, she said, 'I'd rather eat chicken soup than take those medications.'" Which is the most appropriate response by the nurse manager?

Accepted Answer

The most appropriate response is to acknowledge the patient's cultural beliefs while also emphasizing the importance of adhering to prescribed medical treatments. This approach respects the patient's background and seeks to find a compromise that incorporates her beliefs without compromising her health care.

Question 10

A patient who speaks a different language is being prepared for surgery and needs to sign the surgical consent form. Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient. Which action is the healthcare organization required to do?

Accepted Answer

Healthcare organizations are required to ensure adequate resources necessary to comply with patient needs, which includes providing appropriate language assistance services to obtain informed consent.

Question 11

The nurse is providing care to a patient who had surgery 8 hours ago and has not voided. The physician has prescribed an indwelling urinary catheter be inserted. Which of the following statements should the nurse use to describe the procedure to the patient?

Accepted Answer

The nurse should use a statement that is clear and concise, and that explains the purpose of the procedure. Statement B does this by stating that the tube will be inserted into the bladder to drain the urine.

Question 12

At a clinical postconference, a nursing student states, "I had a Chinese patient today and while I understand some of her cultural practices, she needs to understand that she is in the United States now and should follow our practices because we use scientific evidence." Which cultural barrier is the student demonstrating?

Accepted Answer

The student is demonstrating ethnocentrism, which is the belief in the inherent superiority of one's own ethnic group or culture and the tendency to view other cultures from the perspective of one's own. This is evident in the student's expectation for the patient to abandon her cultural practices in favor of those common in the United States, implying those are superior because they are based on "scientific evidence."

Question 13

The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care?

Accepted Answer

The Aleut people, indigenous to the Aleutian Islands and parts of Alaska, have a rich cultural heritage that includes traditional healing practices. Involving a shaman, who is a key figure in many indigenous cultures' healthcare systems, including the Aleut, recognizes and respects the patient's cultural background and integrates traditional healing practices with modern medical care.

Question 14

Vulnerable populations are those most likely to develop health problems and experience poorer outcomes because of limited access to care and a wide variety of other stressors. Which is most important for the nurse to focus on when caring for a patient from a vulnerable group?

Accepted Answer

Focusing on the patient's strengths and resources empowers them and helps build resilience, which is crucial for improving health outcomes in vulnerable populations.

Question 15

An adult patient of Hispanic heritage is admitted for observation after sustaining injuries in a motor vehicle accident. Which view of pain by patient the does the nurse consider when assessing the patient's injuries?

Accepted Answer

Hispanic patients may endure pain longer and report it less frequently due to cultural beliefs about stoicism and enduring suffering.

Question 16

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

Accepted Answer

The answer of The nurse is caring for a patient...

Question 17

Nurses encounter many patients from diverse cultures. When caring for a culturally diverse patient, which initial question does the nurse ask a patient that best assists the nurse with improving cultural competency?

Accepted Answer

This question focuses on understanding the patient's values and priorities regarding their illness and treatment, which is crucial for providing culturally competent care.

Question 18

Which statements about race and ethnicity is/are true? Select all that apply.

Accepted Answer

Ethnicity refers to shared cultural and social heritage, while race is based on biological similarities.

Question 19

Which statement(s) about culture is/are true? Select all that apply.

Accepted Answer

Culture encompasses both tangible (material) and intangible (nonmaterial) aspects. It evolves over time, with different elements changing at varying rates. Culture is learned through shared experiences and interactions among its members.

Question 20

A patient of Asian heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs." Which possible patient view of pain is reflected as a cultural archetype in the nursing diagnosis?

Accepted Answer

The nursing diagnosis reflects the cultural archetype that pain is seen as a virtue and a matter of family honor, common in some Asian cultures, where enduring pain without complaint is valued and seeking pain relief might be viewed as a weakness.

Quiz 15: Culture Ethnicity