Question 1

The nurse is caring for an older adult Native American client who is experiencing severe chest pain. The client is accompanied by a tribesman at the insistence of the client. The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped. The client's son insists that his father be treated, and states he feels the tribe's teachings are antiquated. Which action by the nurse is the most appropriate?

Accepted Answer

The most appropriate action by the nurse is to interview the client and ascertain his wishes and beliefs. The client's autonomy and right to self-determination should be respected. The nurse should also assess the client's capacity to make informed decisions and involve the healthcare team as needed to ensure safe and ethical care. It is essential to understand the client's cultural beliefs, values, and preferences to provide culturally sensitive care. Calling the social worker or convening the ethics committee may be appropriate but should not be the first action taken without exploring the client's wishes and beliefs. Calling the nursing supervisor may not address the ethical considerations involved in this scenario.

Question 2

The nurse is completing a self-assessment to determine cultural competence. Which behavior indicates cultural competence?

Accepted Answer

Cultural competence involves recognizing and respecting the cultural practices and preferences of clients. Permitting a Bedouin to sleep on the floor respects and accommodates their cultural practices, indicating cultural competence.

Question 3

The nurse is interviewing a client and wishes to determine health practices that are important to the client's beliefs. Which statement would be appropriate for the nurse to use to obtain this information?

Accepted Answer

Asking the client to describe what they do to try to improve their health allows the client to share their beliefs about health practices, whether they are traditional or nontraditional. This question also provides the nurse with valuable information about the client's overall health promotion behaviors. Choices A, C, and D do not elicit information about the client's health practices or beliefs. Medication insurance does not relate to health practices or beliefs.

Question 4

When providing an in-service to new staff nurses, the nurse educator discusses expectations concerning the acceptance of client cultural beliefs. Which statement by a participant indicates the need for further teaching?

Accepted Answer

The answer of When providing an in-service to new staff...

Question 5

The charge nurse is making assignments for the next shift. Three of the staff members are female and one is male. Which client should be assigned to a female staff member?

Accepted Answer

The answer of The charge nurse is making assignments for...

Question 6

The nurse is caring for a client who insists on having food very hot and very cold at each meal. The nurse correctly recognizes this as a health belief in which cultural group?

Accepted Answer

Hot and cold beliefs are common in Chinese culture and are related to the concept of yin and yang. Hot foods are thought to be yang, while cold foods are thought to be yin, and balance between the two is believed to be important for overall health.

Question 7

The nurse is studying matriarchal cultures and needs to complete a report on how this aspect affects health care within the culture. Which cultures will the nurse explore as being matriarchal?

Accepted Answer

The answer of The nurse is studying matriarchal cultures and...

Question 8

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

Accepted Answer

The most appropriate response would be to ask how the nurse can accommodate the client's needs during their stay. It is important to respect the patient's religious beliefs and make necessary accommodations for them.

Question 9

The nurse is preparing to perform an assessment of the client's social support and organization. Which question will provide the needed information?

Accepted Answer

The question "Do you have a religious affiliation linked with the cultural affiliation?" is the most relevant to assessing the client's social support and organization as it provides information about the client's potential sources of community support and cultural identity. Questions A and B are more relevant to assessing the client's cultural background, while question C is not relevant to the topic at hand.

Question 10

The nurse is interviewing a client and wishes to determine the roles of various members of an extended family living together in one household. Which statements would be helpful for the nurse to use to obtain this information?

Accepted Answer

Asking about the responsibilities and decision-making within the household will provide insight into the roles of family members. Questions about language, employment, and personal satisfaction may not necessarily provide relevant information about family roles.

Question 11

The nurse is collecting data concerning the client's chief complaint. The client reports having attempted to manage the illness using herbs. Which response by the nurse is most therapeutic?

Accepted Answer

This response allows the nurse to gather important data regarding the client's use of herbs to manage their condition, which can inform their overall care plan.

Question 12

The nurse is setting up a meal tray and notes that the client refuses to look at the food and asks the nurse to take it away. The meal contains a chicken breast, green beans, fruit cocktail, and cottage cheese. Which response by the nurse is the most appropriate?

Accepted Answer

Asking the client if there is a problem with the food being sent to them opens up a dialogue for the client to express any specific dislikes, dietary restrictions, or other issues they might have with the meal, allowing the nurse to address their needs more effectively.

Question 13

The nurse is admitting a client and asks to see all medications taken on a routine basis. The client offers a long list containing prescription medications and a variety of herbal preparations that are unfamiliar names to the nurse. Which action by the nurse would be appropriate at this time?

Accepted Answer

The best action for the nurse would be to ask the client what the herbal preparations are taken for and how often, as this information can provide a better understanding of the client's overall medication regimen and potential interactions. Simply writing down the names and looking them up later may not provide enough information, while telling the client to throw away the herbals is not appropriate or respectful of the client's beliefs and practices. Informing the healthcare provider of the herbals is important, but asking the client for more information first can help provide a more complete medication history.

Question 14

The nurse manager is discussing cultural considerations with a group of staff nurses. Which statements by the staff nurses indicate an appropriate understanding of cultural concepts?

Accepted Answer

Statement B provides an accurate and comprehensive definition of culture, while statement E correctly acknowledges the significant influence that culture can have on an individual's decision-making. Statement A is somewhat accurate but is missing important details, while statement C is a stereotype and misrepresentation of culture. Statement D is incorrect and describes race or ethnicity, which is different from culture.

Question 15

The nurse is preparing an educational program for the staff on cultural considerations. The nurse includes the following definition: "The adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture." Which term is the nurse referring to?

Accepted Answer

The nurse is referring to assimilation, which is the process of adopting and incorporating the characteristics, customs, and values of the dominant culture by those new to that culture. Ethnicity refers to membership in a particular racial or cultural group. Ethnocentrism is having a belief that one's own cultural group is superior to others. Culture refers to the beliefs, values, customs, and behaviors shared by a group of people.

Question 16

A seasoned nurse notes that a novice nurse voices frustration and a lack of appreciation for clients with differing health care beliefs and practices. Which action will best assist the seasoned nurse to improve the novice nurse's practice?

Accepted Answer

Encouraging the novice nurse to look closely at their own cultural practices and beliefs will help them gain a better understanding and appreciation for the beliefs and practices of their clients. This will promote cultural competency and improve their practice. Advising them to reduce displays of frustration and lack of appreciation may not address the root of the issue and could come across as dismissive. Recommending a written reprimand or requiring them to meet with a counselor may be too harsh and may not be necessary at this stage.

Question 17

The nurse is assigned to provide care to a Muslim client who is diagnosed with diabetes. When planning the care for the shift, which factor may have the greatest impact on the care?

Accepted Answer

Muslim clients may practice religious fasting, which may affect their dietary needs and medication schedule. As the client is diagnosed with diabetes, it is essential to determine if their fasting may affect their blood sugar levels and adjust their care plan accordingly. It is important for the nurse to respect the client's religious beliefs and provide culturally sensitive care. The other options may also be important to note in the care plan but may not have as significant an impact as religious fasting on the client's immediate care.

Question 18

The female nurse is examining a Vietnamese male and notes that he will not make eye contact with her during the assessment. The client appears very uncomfortable and is sweating and flushed. Which action by the nurse would be appropriate in this situation?

Accepted Answer

The client's discomfort and avoidance of eye contact may be due to cultural norms that prohibit or discourage direct eye contact with authority figures or individuals of the opposite sex. Asking the client if he would like a male to perform the examination acknowledges the client's cultural beliefs and preferences and may make him feel more comfortable during the assessment. It is important to respect and accommodate a client's cultural beliefs and practices whenever possible to promote culturally competent care.

Question 19

The nurse manager is preparing for an accreditation visit and wants to assure that the unit is delivering culturally appropriate health care. Which action would demonstrate this approach by the nurse manager?

Accepted Answer

Providing written materials in languages spoken most commonly by clients ensures that patients can understand their care and instructions, which is a key aspect of delivering culturally appropriate health care.

Question 20

Which questions will the nurse plan to ask when assessing a client's ethnicity, which may impact their healthcare needs?

Accepted Answer

The answer of Which questions will the nurse plan to...

Quiz 4: Cultural Considerations