Question 1

A patient of Chinese descent is in the community clinic for treatment of his arthritis.The patient tells the nurse that his disease is a "hot disease." The nurse assesses that he is referring to the hot-cold theory,which holds that hot diseases are caused by:

Accepted Answer

Persons of Chinese descent believe that disease is caused by the four humors,which get out of balance and cause a hot or cold disease.Blood and yellow bile are considered hot.

Question 2

The nurse learns at report that the patient is a member of a Seventh-Day Adventist group.At mealtime,which of the following trays should be served to this patient?

Accepted Answer

This religion forbids the eating of pork products (bacon)and drinking strong beverages such as tea or coffee.

Question 3

The young Asian wife of a businessman recently transferred to the United States is brought to the hospital for an emergency appendectomy.The nurses make every effort to plan correct care.The integration of cultural concepts into the nursing care plan is known as which one of the following?

Accepted Answer

The health team must be sensitive to an Asian's preference for alternative health care measures such as herbalists and medication,as well as understand that pain is endured quietly,without complaint.

Question 4

The nursing assistant reports to the nurse,"That Hindu guy in room 4 doesn't respond,but he is breathing and his skin is warm and dry." The culturally sensitive nurse recognizes this event as a probable:

Accepted Answer

This Hindu man is attempting to reach the highest level of meditation in Yoga,during which he may become totally unresponsive.

Question 5

A nurse,who is leading a discussion with a group of residents of a Jewish long-term care facility to discuss dietary laws and other religious practices,anticipates that the most prominent need of these patients would be:

Accepted Answer

The Jewish religion observes a prayer ritual before and after meals.Fasting is usually done only for Yom Kippur.Jewish men retain their facial hair but only cut it with scissors,not with a shaver.

Question 6

At the request of the family,the instructor makes an assignment change for a black male student who had been assigned to take care of a postpartum Muslim woman.The culturally competent nurse is aware that the request by the family was made because:

Accepted Answer

The cultural aspects of a patient must be respected.Muslims prefer female care providers for women because of the extreme modesty of Muslim women.

Question 7

A Filipino man is admitting his elderly mother to a long-term care facility for custodial care.During the intake interview,the man is alternately tearful and defensive.The culturally competent nurse assesses the labile behavior as being related to the Filipino belief that:

Accepted Answer

Filipino culture prides itself in its ability to care for their older family members in the home.Family ties are very strong,and visits by many family members are an indication of their love and concern.

Question 8

The nurse is clearing the bedside area to give a bed bath to a Muslim woman the day after a cesarean section.The culturally sensitive nurse would:

Accepted Answer

Muslim women are extremely modest and prefer clothes that cover the entire body.The Koran is not to be handled by any non-Muslim person,and the taviz is worn at all times.Muslim women are excused from prayer for 40 days after childbirth.

Question 9

A Japanese patient,hospitalized for arteriosclerotic heart disease and hypertension,is allowed to have a regular diet with cultural provisions of Asian food.A diuretic,antibiotic,bronchodilator,and vasodilator have been prescribed.The medication that would be hampered by an Asian diet would be a(n):

Accepted Answer

The Japanese diet is rich in sodium,which may interfere with the efficacy of a diuretic medication.

Question 10

Two licensed practical/vocational nurses (LPN/LVNs)are colleagues on the same medical-surgical floor.They went to the same LPN/LVN school.When on break time,they discuss the holistic entries of the nursing care plans they are helping create.This behavior is an example of:

Accepted Answer

Professional nursing is a subculture that is learned in the professional school and experienced by practitioners in practice settings,such as a hospital break room,wherein nurses of a similar subculture can address patient care planning issues to provide holistic nursing care.

Question 11

The nurse has scheduled a specific time for a group of Latino patients who are diabetic to come for diabetic teaching,but the group does not come until almost an hour later.The culturally competent nurse is aware that:

Accepted Answer

Some cultures place little to no significance on formal time and appear late or not at all for appointments.

Question 12

A severely injured adult man is brought into the emergency department after an automobile accident and is given two units of O-negative blood while waiting for a cross-match to be completed for the other four units of blood that the physician has ordered.The nurse discovers a card identifying the man as a Jehovah's Witness.The nurse should:

Accepted Answer

Jehovah's Witnesses do not permit the infusion of blood or blood products under any circumstances.The physician who ordered the blood trAnswerfusion must be notified immediately.

Question 13

To help with effective planning for the delivery of transcultural nursing care,the nurse selects an approach that asks the:

Accepted Answer

The patient,when able,is the only person who can Answerwer this question.

Question 14

After a Jewish woman has given birth and returns to her room,the husband arrives with a camera.The culturally sensitive nurse would say:

Accepted Answer

The Jewish woman who has just given birth is considered unclean and cannot be touched by her husband until blood flow has stopped.

Question 15

The nurse should make her care plan to include considerations of cultural similarities that are:

Accepted Answer

Different cultures have some similarities and some differences.How the culture is expressed in health care settings will be diverse.

Question 16

The home health nurse prepares to teach a Hispanic patient who neither speaks nor reads English how to measure and administer insulin.The most helpful teaching tools would be a(n):

Accepted Answer

If the patient has been assessed as not being able to process written or spoken English,providing literature is futile.A nutrition pamphlet has nothing to do with injecting insulin.Pictures and a clock are universal symbols that are readily understood.Return demonstrations with the actual syringe are good learning exercises.

Question 17

As breakfast trays are served,a Catholic patient asks the nurse to take it away,because a priest is coming to administer Communion.The response by the nurse should be:

Accepted Answer

Unless in danger of death,Catholics need to fast for at least 15 minutes before and require a period of quiet time after receiving Communion.

Question 18

A nurse who is caring for a young woman who is a member of the Church of Jesus Christ of Latter Day Saints (Mormon)would offer an appropriate snack of:

Accepted Answer

The Mormon faith abstains from the use of beverages with caffeine such as cola,coffee,and tea.Juice and cookies do not violate the dietary habits.

Question 19

Transcultural nursing care is expected for every patient.To provide this type of care,the nurse needs to understand the practices of the predominant cultures of those groups in the health care geographic area that would require the nurse to be aware that:

Accepted Answer

TrAnswercultural nursing assumes that the nurse is aware of the beliefs about health,illness,and health care practices of the individual being cared for and has added these concepts into the care planning,implementation,and evaluation of practice.

Question 20

A practicing Hindu patient is dying but has orders for a full diet.However,the patient will accept only soups.The nurse should order which one of the following from the diet kitchen?

Accepted Answer

Members of certain Hindu sects are vegetariAnswer.

Quiz 6: Cultural Aspects of Nursing Care