Question 1

A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?

Accepted Answer

The most appropriate nursing intervention is to respect the client's cultural beliefs and try to locate a shaman to come to the ED, as this may help the client feel more comfortable and cooperative with the treatment plan.

Question 2

A Latin American woman refuses to participate in an assertiveness training group. Which cultural belief should a nurse identify as most likely to have influenced this client's decision?

Accepted Answer

In many Latin American cultures, the traditional gender roles emphasize submissiveness and deference to authority figures, which may conflict with assertiveness techniques that promote self-advocacy and equal power dynamics. Therefore, it is likely that the client's decision has been influenced by her belief that assertiveness techniques may not be aligned with her cultural expectations of the female role.

Question 3

A community health nurse is planning a health fair at a local shopping mall. Which middle-class socioeconomic cultural group should the nurse anticipate would most value preventive medicine and primary health care?

Accepted Answer

Northern European Americans are generally well-educated, have access to information about health, and value preventive medicine and primary health care. They are likely to attend health fairs and be interested in learning about ways to maintain their health. Native Americans, Latino Americans, and African Americans may also value preventive medicine and primary health care, but the question specifically states a middle-class socioeconomic cultural group, so Northern European Americans are the most appropriate answer.

Question 4

During the first interview with a man from Syria who has just lost his son in a car accident, in sympathy for the man's loss, the female nurse reaches out and hugs him. Which is an accurate evaluation of the nurse's action?

Accepted Answer

The nurse's action of hugging the man may be seen as inappropriate in certain cultures, especially in Middle Eastern cultures where physical contact between unrelated men and women is not common. The nurse should have respected the cultural norms of the patient and refrained from hugging him. Instead, the nurse could have expressed empathy and offered condolences verbally.

Question 5

In what probable way should a nurse expect an Asian American client to view mental illness?

Accepted Answer

Many Asian American cultures place a strong emphasis on family honor and shame. Mental illness may be viewed as a personal failure that brings shame to the family. There may also be a belief that mental illness is caused by supernatural forces or past wrongdoings, leading to stigmatization and reluctance to seek professional help.

Question 6

An African American youth, growing up in an impoverished neighborhood, seeks affiliation with a black gang. Soon he is engaging in theft and assault. What cultural consideration should a nurse identify as playing a role in this youth's choices?

Accepted Answer

The youth's choice to affiliate with a gang may be influenced by the need for belonging and identity within his own social organization, which can be a significant cultural factor in African American communities.

Question 7

A female nurse is caring for an Arab American male client. When planning effective care for this client, the nurse should be aware of which of the following cultural considerations? (Select all that apply.)

Accepted Answer

Arab American cultural considerations often include limited touch between opposite sexes, devout Muslim men may avoid shaking hands with women, and traditionally, the man is considered the head of the household.

Question 8

Which cultural considerations should a nurse identify with Western European Americans?

Accepted Answer

The nurse should identify that most Western European Americans are present oriented and perceive the future as God's will.Older adults are held in positions of respect and are often cared for in the home instead of nursing homes.

Question 9

A nursing instructor is teaching about cultural characteristics. Which statement by the student indicates the need for further instruction?

Accepted Answer

Not all cultures embrace light therapeutic touch, as some may find it invasive or inappropriate. It is important to recognize and respect varying cultural beliefs and practices.

Question 10

To effectively care for Asian American clients, a nurse should be aware of which cultural norm?

Accepted Answer

In many Asian cultures, respect for elders is emphasized, and older members of the community maintain positions of authority. Therefore, nurses should be aware of this cultural norm and show respect and deference to older Asian American clients. Obesity and alcoholism are not specific cultural norms for Asian Americans, and while some Asian health practices may incorporate Tai Chi or Qi Gong, it is not a fundamental concept for all Asian cultures. Finally, seeking psychiatric help is not a cultural norm unique to Asian Americans, and is dependent on individual beliefs and attitudes towards mental health.

Question 11

A nurse should recognize that clients who have a history of missed or late medical appointments are most likely to come from which cultural group?

Accepted Answer

Native Americans are more likely to have a history of missed or late medical appointments due to a variety of reasons such as distance to healthcare centers, distrust of modern medicine, and cultural beliefs about health and illness. It is important for healthcare providers to understand and respect these cultural differences in order to provide effective care to Native American clients.

Question 12

When working with clients of a particular culture, which action should a nurse avoid?

Accepted Answer

Assuming that all individuals who share a culture or ethnic group are similar can be stereotyping and discriminatory. Cultural competence requires understanding and respecting individual differences within a cultural group.

Question 13

When planning client care for a Latino American, the nurse should be aware of which cultural influence that may impact access to health care?

Accepted Answer

Curanderos are traditional healers in Latino American culture who use a combination of herbal remedies, prayers, and other methods to cure illness. Therefore, it is important for the nurse to be aware of this cultural influence, which may impact access to conventional healthcare.

Question 14

Because of cultural characteristics, in which of the following cultural groups would a nurse's assessment of mood and affect be most challenging? (Select all that apply.)

Accepted Answer

The nurse should expect that both Native Americans and Asian Americans might be difficult to assess for mood and affect.In both cultures,expressing emotions is difficult.Native Americans are encouraged to not communicate private thoughts.Asian Americans may have a reserved public demeanor and may be perceived as shy or uninterested.

Question 15

Which cultural group is correctly matched with the disease process for which this group is most susceptible?

Accepted Answer

A number of genetic diseases are more common in the Arab American population,including sickle cell disease,tuberculosis,malaria,trachoma,typhus,hepatitis,typhoid fever,dysentery,parasitic infestations,thalassemia,and cardiovascular disease.

Question 16

A nurse is preparing to establish a therapeutic relationship with a grieving family from China. Which nursing intervention would be considered most appropriate?

Accepted Answer

In the Asian culture,eye contact is often avoided,as it connotes rudeness and lack of respect.

Question 17

A Latin American man refuses to acknowledge responsibility for hitting his wife, stating instead, "It's the man's job to keep his wife in line." Which cultural belief should a nurse associate with this client's behavior?

Accepted Answer

The man's statement reflects a cultural norm of patriarchy and male dominance in Latin American societies, where men are often expected to have control over women and maintain their obedience.

Question 18

Northern European Americans value punctuality, hard work, and the acquisition of material possessions and status. A nurse should recognize that these values may contribute to which form of psychopathology?

Accepted Answer

The values of punctuality, hard work, and material acquisition can lead to high levels of stress and pressure, which can ultimately contribute to stress-related disorders such as anxiety, depression, and burnout.

Question 19

When interviewing a client of a different culture, which of the following questions should a nurse consider asking? (Select all that apply.)

Accepted Answer

When interviewing a client from a different culture,the nurse should consider who might be with the client during the interview,modifications of communication patterns,amount of eye contact,and hand-shaking acceptability,since these are cultural variables.

Question 20

Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?

Accepted Answer

The Asian American culture is not a homogeneous group and includes individuals from many different countries such as China, Japan, Korea, Vietnam, and the Philippines with varying traditions, customs, beliefs, and values. Therefore, it can be challenging to globally classify this culture.

Quiz 6: Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing