Question 1

A male nurse is preparing to take the vital signs of a female patient. Which ethnic group would consider this improper?

Accepted Answer

Arab Muslim culture can have strict laws regarding gender interactions and physical contact. Taking vital signs of a female patient may be considered inappropriate or offensive.

Question 2

A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of which of the following as a characteristic?

Accepted Answer

Professional rituals serve to standardize practice and ensure efficiency, particularly in healthcare settings. As part of these rituals, the nurse integrates an understanding of common and observable expressions of culture. This includes recognizing and respecting the diversity of patients' cultural backgrounds, beliefs, and practices, and adapting care accordingly. Options A, B, and D do not accurately represent characteristics of professional rituals in nursing.

Question 3

The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice?

Accepted Answer

Muslims do not eat pork due to religious beliefs, so they would require an alternative meal choice when pork is offered on the menu.

Question 4

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

Accepted Answer

The best way for the nurse to interact with a client who has a different cultural perspective on space and distance is to first become aware of the client's cultural personal space preferences. This will allow the nurse to respect the client's cultural values and preferences, and adapt their approach accordingly. This will help ensure that the nurse-client interactions are culturally sensitive and appropriate. The other options are not necessarily correct or appropriate, as they do not take into account the client's cultural background or preferences.

Question 5

When the South Asian client arrives 25 minutes late to her appointment at the clinic, the nurse recognizes this as a sign of which of the following?

Accepted Answer

In many South Asian cultures, time is perceived more fluidly, and arriving late may not carry the same connotations of disrespect as it might in more time-sensitive cultures. Instead, it can be seen as a sign of respect, as the individual may have been taking their time to prepare adequately for the appointment or may have been delayed by other commitments, reflecting a different prioritization of time rather than an intention to disrespect.

Question 6

A nurse in the hospital is caring for a Native American male. What person is most important to include in the care of the client?

Accepted Answer

In many Native American cultures, the tribal medicine man holds a significant role in health and healing practices. Including a tribal medicine man in the care of a Native American patient can be crucial for culturally competent care, respecting the patient's beliefs and practices.

Question 7

The nurse caring for a Native American client plans care understanding that one belief of Native American healing practices is which of the following?

Accepted Answer

Native American healing practices emphasize the importance of patience and allowing healing to take its natural course. They believe that healing is a process that takes time and cannot be rushed. This is in contrast to the Western medical model which often relies on quick fixes and immediate results.

Question 8

When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

Accepted Answer

The nurse is expressing a stereotype, a widely held but oversimplified and generalized belief about a particular group. The statement that Asian women are "typically stoic" suggests that the nurse believes that all Asian women share this trait, which is not necessarily true.

Question 9

The focal point of nursing is the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others?

Accepted Answer

The answer of The focal point of nursing is the...

Question 10

What is the term that describes the inability of a person to recognize his or her own values, beliefs, and practices as well as those of others, because of strong ethnocentric tendencies?

Accepted Answer

Cultural blindness refers to the inability to recognize one's own values, beliefs, and practices as well as those of others due to strong ethnocentric tendencies. It can result in a lack of understanding and appreciation for diversity, leading to misunderstandings and negative attitudes towards other cultures.

Question 11

The nurse is caring for a Mexican American who is Catholic. The nurse wishes to learn more about the culture by consulting a key informant. Which of the following religious practitioners would be most knowledgeable about the beliefs held by individuals of Mexican ethnicity?

Accepted Answer

A curandera is a traditional healer in Mexican culture who uses a combination of Catholicism and indigenous beliefs to provide spiritual and physical healing. As such, a curandera would be most knowledgeable about the religious beliefs and practices of Mexican Americans who are Catholic. Church mothers are influential female members of African American churches, voodoo is a religion practiced in Haiti and parts of Africa, and peyote is a sacrament used in certain Native American religious ceremonies, none of which are directly related to Mexican American Catholicism.

Question 12

Most nurses have been taught to maintain direct eye contact when communicating with clients. Some cultural groups would not value direct eye contact with the nurse. Which cultural group would consider the direct eye contact impolite?

Accepted Answer

Native Americans often consider direct eye contact impolite as it can be seen as a sign of confrontation or disrespect. Instead, they may prefer to maintain indirect eye contact or look down as a sign of respect. It is important for nurses to be aware of cultural differences and adapt their communication style accordingly to provide culturally sensitive care.

Question 13

The client in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the patient is experiencing?

Accepted Answer

The patient is likely experiencing "shock" due to the sudden change in their routine and the need to rely on others, which can be overwhelming and difficult to adjust to initially.

Question 14

A nurse is caring for an elderly woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?

Accepted Answer

Establishing effective communication is the best choice as it demonstrates cultural competence by recognizing the importance of understanding the patient's cultural background and communication style in order to provide patient-centered care. Maintaining eye contact, trying to speak louder, and using touch may not be appropriate or acceptable in some cultures and may even be perceived as disrespectful or aggressive.

Question 15

The nurse is admitting a client from China to the medical-surgical unit with a diagnosis of cancer. While doing the client's assessments, the client speaks of her naturalistic beliefs related to health care and the importance of the yin/yang theory. Based on her cancer diagnoses, the idea that cancer is considered a cold illness in the culture, and her yin/yang beliefs, which meal will the patient most likely order for lunch?

Accepted Answer

In traditional Chinese medicine, cancer is considered a cold illness and yin/yang balance is important. Chicken noodle soup and hot tea are considered warming foods in this culture and would be the most appropriate choice for someone with a cold illness according to their beliefs. The fruit crisp could also be considered warming due to its sweet and sour flavors. The other options do not include as many warm or nourishing foods.

Quiz 5: Cultural Diversity