Question 1

Being cared for by a nurse of the opposite gender would be an especially important issue for women from which of the following cultures?

Accepted Answer

Modesty is a strong value among Afghan and Arab women.
Modesty is not an especially important issue for Filipino women.
Modesty is not an especially important issue for Native American women.
Modesty is not an especially important issue for African American women.

Question 2

Traditional Western medicine,in contrast to alternative therapy,uses:

Accepted Answer

Traditional Western medicine uses medication administration as a method of treatment.
Acupuncture is an alternative therapy often used in non-Western cultures such as the Chinese and Southeast Asians.Herbal therapy is an alternative therapy often used in non-Western cultures,but not in traditional Western medicine.Spiritual advising is not used in traditional Western medicine,but it may be seen in the African-American cultural group.

Question 3

The nurse recognizes that ethnicity differs from race in that ethnicity:

Accepted Answer

Ethnicity refers to a shared identity related to social and cultural heritage,such as values,language,geographical space,and racial characteristics.Race refers to biological attributes.
Subcultures refer to subgroups within a race.A variant cultural pattern is a unique factor within a cultural group.Ethnocentrism is the root of biases and prejudices comprising beliefs and attitudes associating negative permanent characteristics with people who are perceived to be different from the valued group.

Question 4

When faced with a scenario where it is believed that a client from another cultural background is using herbal remedies along with the prescribed medication to treat her arthritis.The nurse's first action should be to:

Accepted Answer

Rather than first dismissing the practice as dangerous and incompatible with Western medicine,practitioners need to investigate further whether the practice needs changing.Although educating the client may be appropriate,this cannot be determined until the herb has been identified and it is determined to be harmful in this situation.Asking the client why additional remedies are being used may make the client feel defensive.The nurse needs to first determine what herbs are being used.While alerting the physician is appropriate,it is not the first action to be taken by the nurse.The nurse should initially determine what herbs are being used.

Question 5

An example of a nurse imposing his/her own cultural beliefs on a client is evident in which of the following examples?

Accepted Answer

Holding back more potent pain medication for a client who had a minor procedure is an example of a cultural imposition of the nurse on a client.Adaptation of the client's room to accommodate extra family members is not an example of cultural imposition on a client,but rather is meeting the client's need by providing culturally congruent care.Seeking information on gender-congruent care for an Egyptian client is an example of the desire to provide culturally congruent care.Encouraging family to assist with the client's care is not an example of cultural imposition on a client.Western culture tends to follow a pattern of caring that focuses on self-care and self-determination,whereas non-Western cultures typically have care provided by others.

Question 6

The nurse is completing an assessment of an Asian-American client.Recognizing that there are commonly seen problems in individuals from this background,the nurse observes for particular signs and symptoms of:

Accepted Answer

Lactose intolerance is frequently observed among Asians,Africans,and Hispanics.Hypertension is commonly seen in African Americans.Aboriginal Canadians descended from native North American Indians and living on reservations have a higher incidence of tuberculosis.Diabetes mellitus is commonly seen among Ute,Pima,and Papago Indians.

Question 7

An example of a culture where a male relative will regularly decline to observe the birth process is:

Accepted Answer

Religious beliefs may prohibit the presence of males,including husbands,in the delivery room.This may be observed among devout Muslims,Hindus,and Orthodox Jews.Hispanic men typically do not have religious or cultural beliefs that would prohibit them from the delivery room.Korean men typically do not have religious or cultural beliefs that would prohibit them from the delivery room.Asian men typically do not have religious or cultural beliefs that would prohibit them from the delivery room.

Question 8

Within transcultural nursing,sensitivity to social organization is the recognition of the client's:

Accepted Answer

Cultural groups consist of units of social organization delineated by kinship,status hierarchy,and appropriate roles for their members.Sensitivity to social organization is the recognition of the client's status and role in the family.Sensitivity to communication patterns would be the recognition of the client's language usage.Culture is the framework used in defining social phenomena such as when a person is considered to be healthy or in need of intervention.The way an individual defines health and health practices needs to be understood by the nurse to best meet the needs of the client.Sensitivity to social organization is not met by recognizing the definition of health for an individual.Psychological characteristics and coping mechanisms may be expressed in a variety of ways across cultures.Sensitivity to social organization is not demonstrated by the recognition of psychological characteristics and coping mechanisms of a particular culture.

Question 9

There are cultural context of health and illness differences in comparing Western versus non-Western cultures.The nurse is aware that in Western culture the overall treatment is:

Accepted Answer

The overall treatment in Western culture is specialty-specific.The treatment in some non-Western cultures is herbal.The treatment in non-Western cultures is holistic in nature.Some non-Western cultures use a naturalistic approach for the method of diagnosis.

Question 10

The nurse recognizes that changes in demographics have an influence on health care delivery.One of the expectations in the United States by the year 2020 is:

Accepted Answer

By 2020 the population of Hispanic and Latino populations is predicted to triple.Population projections beyond 2000 show Hispanics/Latinos,Asian-Americans,and African-Americans outpacing the growth of white,European-descended groups.The African-American group is projected to double by 2020.By 2020 the population of African Americans is predicted to double and that of Asian Americans and Hispanics/Latinos to triple.

Question 11

The nurse recognizes that the family of a deceased Buddhist client will:

Accepted Answer

Some Buddhists may refuse to move the dead body after death because of their belief that the spirit of the dead takes some time to leave the body.They define death as the absence of consciousness and loss of body warmth.Among Orthodox Jews,the body is generally buried before sundown.Some Asian Indians regard seeing the deceased as adding to the suffering of the family.Hindus and Buddhists believe that the soul lives on and the dead body without the soul is but an empty shell,and therefore may not want to see the body.Muslims prefer burial rather than cremation.

Question 12

The nurse observes a religious charm hanging from the wrist of a client being prepared for surgery.The nurse's best initial approach is to:

Accepted Answer

The nurse should first determine if it is permissible for the item to remain in place during the procedure.Removing the bracelet may create unnecessary stress for the client.Initially the nurse should determine if removal is necessary.Taping the bracelet in place may be appropriate after the nurse determines that the item may remain in place during the procedure.Asking the client to remove the item may create unnecessary stress for the client.Initially the nurse should determine if removal is necessary.

Question 13

Following a surgical procedure,an older Chinese woman refuses to perform the range of motion and breathing exercises requested,in addition is hesitant to complete her hygienic care and grooming.The nurse recognizes that this is most likely related to:

Accepted Answer

Non-Western cultures traditionally rely heavily on family members to provide care.Although it may be related to dependence on health care providers for care,it is not as likely because non-Western cultures depend on family members to assist with care.While it may be related to lack of personal motivation to participate in self-care,the client's behavior is more likely a result of her cultural background rather than a lack of motivation.While the client's behavior may be a result of reluctance to cooperate with Western medical treatments,it is more likely indicative of her cultural dependence on family members.

Question 14

Regarding a client who is an Orthodox Jew and maintains a Kosher diet,the nurse will make sure that the client's menu does not include:

Accepted Answer

Jewish clients who follow a Kosher diet will avoid meat from carnivores,pork products,and fish without scales or fins.Therefore shellfish should not be included in the menu of a client who is an Orthodox Jew and maintains a Kosher diet.Beef may be included in a Kosher diet.Eggs may be included in a Kosher diet.Milk may be included in a Kosher diet.

Question 15

For a client who is a Buddhist and maintains a traditional diet,the nurse will make sure that a sufficient quantity of which of the following is included in the menu?

Accepted Answer

Many Buddhists are vegetarians.The nurse should ensure that a sufficient quantity of vegetables is included in the menu when caring for a Buddhist who maintains a traditional diet.Beef is not a traditional component of a Buddhist's diet.A sufficient quantity of milk is not necessary for the traditional Buddhist's diet.A sufficient quantity of fish is not necessary for the traditional Buddhist's diet.

Question 16

One aspect of a culture is invisible,or less observable,to others.A nurse wanting to develop an awareness of the practices of different cultures within that community would have which of the following as an example of this component?

Accepted Answer

An example of an invisible (less observable)component of a culture is having a belief in supernatural influences.An example of a visible (easily seen)component of culture is the wearing of an amulet or charm.An example of a visible (easily seen)component of culture is using prayer beads or candles.Using cotton undergarments for clothing is a visible (easily seen)component of culture.

Question 17

From culture to culture time often takes on different meanings.In exploring the relationship of time to nursing interventions,the nurse should:

Accepted Answer

Because time has different meanings from one culture to another,the nurse should maintain a flexible attitude and not become emotionally upset when the client requests procedures to be done at different times.When making appointments and referrals,anticipated barriers to time adherence should be explored and managed with the client.For organizational purposes,nurses should seek clients' input and together the nurse and client may set a time to do procedures.Maintaining set times for treatments and informing the client of the schedule do not take into consideration the client's time orientation.Although the client's input should be sought,it is not realistic to have clients set their own times for nursing care activities regardless of the schedule.Some procedures may be required more frequently than the client would set,or the nurse may be unable to meet the needs of several clients on the unit at the same time.

Question 18

A nurse that has the knowledge of the biocultural history of clients and aware that individuals with a greater potential for and incidence of hypertension are:

Accepted Answer

Malignant hypertension is found more frequently in African Americans.Lactose intolerance is frequently observed among Asians.Hispanics have a higher incidence of lactose intolerance.Native Americans have a higher incidence of tuberculosis and diabetes mellitus.

Question 19

The nurse recognizes the following as an appropriate strategy for communicating with clients who are not fluent in English?

Accepted Answer

An appropriate strategy for communicating with clients who are not fluent in English is to incorporate hand gestures and pictures.Speaking in a louder tone of voice will not help the client understand the English language.Responding to the client by his or her first name may demonstrate a lack of respect.The nurse should introduce him or herself and then request the client to introduce himself or herself.An interpreter is not necessary for all communication.However,an interpreter must be used for communicating to the client information about his or her medical condition.It is not acceptable for family members to translate health care information,but they can assist with ongoing interaction during the client's care.

Question 20

While going through the process of acculturation a client will be:

Accepted Answer

Acculturation is the process of adapting to and adopting a new culture.Biculturalism occurs when an individual identifies equally with two or more cultures.Assimilation occurs when an individual gives up his or her ethnic identity in favor of the dominant culture.Socialization into one's primary culture as a child is known as enculturation.

Quiz 9: Culture and Ethnicity