Question 1

Which information regarding race should the nurse consider when collecting assessment data?

Accepted Answer

Racial intermixing over generations has led to a diversity in physical attributes within populations, making it difficult to determine one's race based solely on physical characteristics such as skin, hair, and eye color.

Question 2

How is culture defined?

Accepted Answer

Culture is defined as the accumulated learning and knowledge that is passed down through generations within societies, whether they have formal structures or not. This encompasses beliefs, practices, arts, laws, customs, capabilities, and habits of the people in these societies.

Question 3

When considering cultural diversity, what is the fastest growing group in the United States?

Accepted Answer

Hispanics are the fastest-growing ethnic group in the United States, due to both higher birth rates within the community and immigration.

Question 4

Which statement is an example of ethnocentrism?

Accepted Answer

The answer of Which statement is an example of ethnocentrism?
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Question 5

The nurse manager asks a nurse of Japanese heritage to teach others dosage calculations because, "Asians are good at math." The nurse manager is responsible for demonstrating which barrier to cultural competency nursing care?

Accepted Answer

The nurse manager is demonstrating stereotyping by assuming that all individuals of Asian heritage are good at math, which is a generalized belief about a group of people that does not consider individual differences.

Question 6

Which assessment questions demonstrate effective transcultural nursing practices? Select all that apply.

Accepted Answer

These questions are effective in transcultural nursing practices because they consider the patient's cultural, religious, and social background, as well as their personal perception of health. Asking about health perception (A), religious identification (B), the impact of a condition on life quality (C), and decision-making support (E) helps in understanding the patient's values, beliefs, and social support systems, which are crucial for providing culturally competent care.

Question 7

The roommate of a cognitively impaired client has made dinner menu selections for the client. The nurse is aware that the client is a practicing Muslim and so questions which selected item?

Accepted Answer

Pork is prohibited in the Muslim diet, so pork chops would be an inappropriate choice for a practicing Muslim.

Question 8

A nurse is caring for a Jewish client who adheres to the principles of kosher eating. The healthcare facility does not provide kosher meals. How can the nurse best ensure that the client receives healthful meals while respecting the client's religious beliefs?

Accepted Answer

The best option is to ask the client's family to bring acceptable foods to the hospital, as this respects the client's religious dietary restrictions and ensures they receive meals that adhere to kosher laws.

Question 9

A female client being treated for internal injuries has been identified as a practicing Jehovah's Witness. The client's religious beliefs could cause conflict with which component of the client's care?

Accepted Answer

Jehovah's Witnesses often refuse blood transfusions due to their religious beliefs, which would conflict with the plan to transfuse one unit of packed cells.

Question 10

The nurse has requested a language translator to help to effectively communicate with a non-English speaking client. Which statement by the nurse demonstrates an understanding of the most important impact the translator has on the effectiveness of the communication process?

Accepted Answer

The most important impact the translator has on the effectiveness of the communication process is ensuring accuracy in translation, which is best achieved by using the client's exact words. This helps in preserving the original meaning and nuances of the client's statements, ensuring effective and precise communication.

Question 11

Which is the most appropriate intervention for the nurse to implement to assure effective communication with a client who has very limited English speaking skills?

Accepted Answer

Using a professional translator ensures accurate and effective communication, especially when language barriers exist.

Question 12

Which health belief system is dominated by the belief that the forces of nature must be kept balanced?

Accepted Answer

The answer of Which health belief system is dominated by...

Question 13

What is the foundational belief held by a client who holds magicoreligious view of health?

Accepted Answer

Magicoreligious views of health are based on the belief that supernatural forces dominate and determine one's state of health. This perspective often involves the influence of gods, spirits, or magic in the health and well-being of individuals.

Question 14

A client newly immigrated to the United States is admitted for symptoms of depression. The client is resistant to the idea that the symptoms are possibly a result of a chemicalchange in the brain. Which assessment question demonstrates the nurse's understanding of a commonly held view associated with mental illness?

Accepted Answer

The question assesses the client's cultural beliefs about mental illness, which may include stigma or reluctance to discuss mental health issues openly with family.

Question 15

Which client will most likely resist being admitted to a semi-private hospital room?

Accepted Answer

British culture often values privacy and personal space, making a British businessman more likely to resist sharing a hospital room.

Question 16

The nurse touches an Asian-American child on the head while examining the head for a possible lice infestation. What response should the nurse be prepared for from the mother?

Accepted Answer

In some Asian cultures, the head is considered sacred and should not be touched without permission. Touching a child's head without the parents' consent can be seen as disrespectful and may lead to mistrust.

Question 17

The nurse is aware that making eye contact can be culturally influenced. Which client is least likely to demonstrate discomfort looking directly at the nurse during the assessment interview?

Accepted Answer

In many Western cultures, including French culture, making eye contact is considered a sign of attentiveness, honesty, and confidence. Therefore, a French tourist is least likely to demonstrate discomfort when looking directly at the nurse during an assessment interview. In contrast, direct eye contact may be considered disrespectful or aggressive in some Native American, Arab, and Southeast Asian cultures.

Question 18

The nurse notices that a female client insists on using the left hand to clean herself after elimination bowel movement. From which culture does this client most likely come?

Accepted Answer

In many Arab cultures, it is customary to use the left hand for cleaning oneself after using the bathroom, as the right hand is reserved for eating and greeting people. This practice is rooted in cultural and religious beliefs about cleanliness and purity.

Quiz 8: Transcultural Healthcare