Question 1

Which question should the nurse ask when assessing the sociocultural aspects of a patient's family?

Accepted Answer

Family structure is a lifestyle area that is culturally determined. Citizenship, occupation, and education level are influenced by culture but on an individual basis.

Question 2

The nurse suspects that an adolescent patient from the inner city stereotypes other people. Which statement did the patient make that caused the nurse to come to this conclusion?

Accepted Answer

Stereotyping is expecting a person to act in a characteristic way without regard to his or her individual traits. Ethnocentrism is the belief one's own culture is superior to all others as exemplified by the statement, "City people are smarter than those who live in the suburbs." Discrimination is treating people differently based on their physical or cultural traits, or by performing an act. The statements that exemplify discrimination are "kids who study are just nerds" and "I stay away from people who live downtown because they look funny."

Question 3

A young patient tells the nurse that it is taboo to date before the age of 18 years. How should the nurse interpret this patient's statement?

Accepted Answer

A taboo is an action that is not acceptable to a culture. Dating before the age of 18 years being taboo means that it is not permitted to be done. This does not mean that everyone dates before the age of 18 years or that dating is done with permission or in large groups only.

Question 4

Which nursing action supports a 2020 National Health Goal that addresses cultural diversity?

Accepted Answer

One 2020 National Health Goal for cultural diversity is to increase the proportion of mothers who breastfeed their babies in the early postpartum period from a baseline of 43.5% to a target of 60.6%. Actions to enhance disease prevention, prevent accidents, and comply with health promotion activities do not support the 2020 National Health Goals for cultural diversity.

Question 5

The nurse is preparing to assess a pregnant patient who is a member of a
Non-English-speaking culture. Which areas should the nurse assess to address cultural diversity? (Select all that apply.)

Accepted Answer

When conducting an assessment, areas to include that address cultural diversity include pain, time, touch, and communication. Environment is a global term that may or may not be appropriate to for an assessment on cultural diversity.

Question 6

The nurse is beginning an assessment with a pregnant patient from a
Non-English-speaking culture. The interpreter is having difficulty understanding what the patient is trying to say and the patient is becoming frustrated. Which nursing diagnosis would be the most appropriate for this situation?

Accepted Answer

For this patient, impaired verbal communication is because of the frustration that is occurring between the patient, interpreter, and the nurse. There is no evidence to support the diagnoses of fear, anxiety, or powerlessness with this patient.

Question 7

A pregnant patient from nondominant culture arrives for a prenatal examination is escorted to an examination room. When asked to remove clothing and wear an examination gown, the patient hesitates. What should the nurse do to ensure cultural sensitivity in preparation for the examination?

Accepted Answer

The patient may be from a culture that values modesty. Because the patient hesitated to remove clothing while the nurse was in attendance, the nurse should leave the room to permit the patient to change into the examination gown. Staying in the room, assisting with clothing removal, or standing at the business distance from the patient does not respect the patient's modesty.

Question 8

The nurse teaches a pregnant patient from a nondominant culture that the health care provider wants the patient to rest for several hours every afternoon. Which patient statement indicates that teaching has been effective?

Accepted Answer

The nurse is evaluating the patient's comprehension of teaching regarding obtaining rest for several hours every afternoon. The statement about lying down after lunch and not getting up until time to prepare dinner indicates the patient understands the teaching.
The other statements indicate that additional teaching is necessary because going to sleep earlier each evening, lying in bed longer each morning, and resting before lunch and after dinner do not demonstrate understanding of the health care provider's instructions.

Question 9

The husband of a patient in active labor asks the nurse to phone him when the baby is delivered because he needs to go to work. Which nursing response respects the husband's culture?

Accepted Answer

When implementing care, the nurse needs to avoid forcing cultural values onto others. The nurse needs to appreciate that such values are ingrained and usually very difficult to change. The nurse also does not know the cultural value of work and should not assume that the patient's delivery is more important that work in that family's culture. The responses that "tell" or "insist" that the husband stay to support the patient do not respect the family's culture.

Question 10

A pregnant patient from a nondominant culture arrives 2 hours late for a scheduled sonogram. What does this patient's behavior indicate to the nurse?

Accepted Answer

The patient who is from a culture that has a different time orientation than the dominant culture will have difficulty adhering to time expectations. The patient not arriving for the diagnostic test at the scheduled time does not mean that the patient is confused. It is inconsequential if the patient does or does not wear a wrist watch. There is no enough information to determine if the patient is from a culture that focuses on the past and not the future.

Question 11

A pregnant patient from a nondominant culture explains that milk and dairy products cannot be consumed for 2 months during the pregnancy because of the need to fast for her religion. Which response should the nurse make after learning this information?

Accepted Answer

The patient is explaining a religious practice that influences the patient's culture. The nurse needs to support this practice by offering other food sources for the patient to consume which can provide the same or similar nutrients as the foods that are being abstained. Stating that religious practices do not need to be followed while pregnant is not taking the patient's cultural needs into consideration. Stating that avoiding milk and dairy products will harm the fetus is an inappropriate scare tactic to persuade the patient to follow the nurse's cultural expectations. Stating that the patient has will power has no value and should not be made by the nurse.

Question 12

The nurse is visiting a patient from a nondominant culture that was recently discharged from the hospital for complications of pregnancy. Which outcome of care would be appropriate for this patient?

Accepted Answer

Because the patient is from a nondominant culture, the best outcome of care would be for the patient to understand the signs of the complication developing again so that medical treatment can be obtained as soon as possible. An outcome that the patient will return to normal activities of daily living may not be appropriate because of the complication. The patient may consult with cultural healers about the complication, but it is unclear if the complication can be treated by them. Expecting the patient to follow medical advice and keep all scheduled appointments does not necessarily take the patient's cultural needs into consideration.

Question 13

During an assessment, a pregnant patient tells the nurse that "white foods" are not consumed in the patient's culture. What should the nurse do first after learning this information?

Accepted Answer

The patient is from a culture that avoids eating "white foods." The first thing that the nurse should do is assess what "white foods" are. From this information, the nurse could then determine appropriate diet teaching for the patient. The nurse needs to do more than document that "white foods" are avoided. The nurse needs to know what "white foods" are before explaining their nutritional value. Discussing why "white foods" are avoided demonstrates cultural insensitivity.

Question 14

A patient from a nondominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this patient?

Accepted Answer

The patient may be from a culture where it is inappropriate to respond to pain. The nurse needs to objectively assess the patient's level of pain before implementing nonpharmacologic or pharmacologic pain management measures. Offering to provide a back rub may or may not be desired by the patient. Discussing pain control measures with the physician may be premature. Doing nothing unless the patient asks for pain medication is inappropriate, considering the patient is in the second stage of labor.

Question 15

A pregnant patient from a nondominant culture wants to deliver the baby "the American way" with epidural pain management. How should the nurse describe this patient's statement about childbirth?

Accepted Answer

Assimilation occurs when people from a nondominant culture adopt the values of the dominant culture. The patient believes that epidural pain management is the American way of childbirth. Ethnocentrism is the belief one's own culture is superior to all others. The patient is not demonstrating ethnocentrism. Acculturation is losing ethnic traditions because of disuse. There is no enough information to determine if the patient is practicing acculturation. Stereotyping is expecting a person to act in a characteristic way without regard to individual traits. The patient's desire to deliver the baby the American way is not stereotyping.

Quiz 3: The Childbearing and Childrearing Family in the Community