Question 1

Which acculturation behavior will the nurse observe in a patient who has emigrated from Mexico to the United States?

Accepted Answer

Attending a church service in the neighboring community to meet new people is an example of integration, which is a positive acculturation behavior. Choice A is an example of separation, where the client isolates themselves from the larger society, and choice B is an example of concentration, where the client surrounds themselves with primarily people from their own culture. Choice C is an example of assimilation, where the client adopts the culture and language of the larger society at the expense of their own culture and language.

Question 2

The nurse is providing care to an adult patient from another country and notices that the patient consults with her mother on all health-care decisions.Which action by the nurse is the most appropriate?

Accepted Answer

Accepting the behavior of the patient and family member is the most appropriate choice as it recognizes and respects cultural differences in decision-making and autonomy. The nurse can continue to provide education and support to the patient while acknowledging the involvement of their family member. Asking why the parent is being consulted (A) or confronting the parent (D) could potentially be seen as disrespectful or insensitive to the patient's cultural beliefs and may harm the therapeutic relationship between the patient and nurse. Asking the mother to leave the room (C) is not necessary unless the patient requests it or there are privacy concerns.

Question 3

The novice nurse working in an inner-city hospital that serves a diverse patient population states,"I want to learn everything possible about all of the patients." Which response by the seasoned nurse is appropriate?

Accepted Answer

D

Question 4

Which traditional Chinese medical treatment includes the insertion of needles into precise points along the channel system of flow of the qi?

Accepted Answer

Acupuncture is a traditional Chinese medical treatment that involves the insertion of needles into precise points along the channel system of flow of the qi in order to balance the body's energy and promote healing. Cupping involves placing cups on the skin to create suction, moxibustion involves burning an herb called moxa over specific acupoints, and skin pinching involves grasping and pulling the skin.

Question 5

During a sexual history the patient states,"I have always felt like a man trapped in a woman's body." Which conclusion about the patient is potentially accurate?

Accepted Answer

The patient's statement indicates a potential gender identity issue, specifically that they may identify as transgender. Bisexuality, heterosexuality, and homosexuality all refer to sexual orientation, not gender identity.

Question 6

Which patient population should the nurse plan care based on individualistic cultural attributes?

Accepted Answer

While it is important to consider cultural attributes in all patient populations, individualistic cultural attributes such as independence and self-reliance are particularly emphasized in Canadian culture. Therefore, care planning should be based on these values.

Question 7

The nurse is providing care to a Muslim patient who presents to the emergency department (ED)with abdominal pain and vaginal bleeding.The patient's spouse asks that only a female examines the patient.Which is the most culturally appropriate statement by the nurse in response to this request?

Accepted Answer

The most culturally appropriate statement is to honor the patient's request and assure them that every attempt will be made to accommodate their request. The nurse should respect the patient's cultural beliefs and practices and work with the healthcare team to provide appropriate care that aligns with their preferences.

Question 8

Which treatment program should the nurse include in the plan of care for a homeless client whose Type 1 diabetes mellitus (DM)requires daily insulin injections?

Accepted Answer

Outpatient clinic would be the best choice for a homeless client with Type 1 DM who requires daily insulin injections. This would allow the client to receive regular medical care and insulin injections while still allowing them to maintain their independence and continue living on the streets. Home health care may not be feasible for a homeless individual and partial hospitalization or inpatient care may be too restrictive and disrupt the client's ability to maintain their current living situation.

Question 9

A Vietnamese patient with a history of joint and muscle pain presents with large ecchymosis on the hips and legs.Which traditional Vietnamese medical treatment should the nurse inquire about when conducing the assessment?

Accepted Answer

Giac, also known as cupping, is a traditional Vietnamese treatment that can cause bruising or ecchymosis, which aligns with the patient's symptoms.

Question 10

Which traditional Chinese medical treatment involves the use of a heated cup used to treat joint pain?

Accepted Answer

Cupping is a traditional Chinese medical treatment that involves creating a vacuum inside a heated cup, which is then placed on the skin to create suction. It is commonly used to treat joint pain and can also be used for other conditions such as respiratory issues and muscle tension. Moxibustion involves the burning of a herb called mugwort near the skin to stimulate an acupuncture point, acupuncture involves the insertion of thin needles at specific points on the body, and skin pinching is not a traditional Chinese medical treatment.

Question 11

A male nurse enters the room of a female patient to obtain the patient's vital signs.The patient's spouse appears uncomfortable with the nurse and moves closer to the patient.Which action by the nurse is most appropriate?

Accepted Answer

In this situation, it is important to address the discomfort of the spouse and maintain a professional and respectful demeanor. The best course of action would be for the nurse to explain the procedure to both the patient and the spouse, addressing any concerns or questions they may have. This can help alleviate any discomfort and ensure that the patient's vital signs are obtained in a safe and effective manner. Asking a female staff member or asking the spouse to leave the room may not be necessary or appropriate in this situation.

Question 12

The nurse is providing care to an infant who is experiencing colic.The infant's family immigrated to the United States six months ago.The mother explains that she believes that an herbal remedy,prepared by the village doctor,is the best way to treat the infant's colic.Which action by the nurse is most appropriate?

Accepted Answer

Asking the mother what the ingredients are in the remedy will allow the nurse to better understand what the infant is being given and if there are any potential harmful ingredients. It also allows the nurse to acknowledge the mother's beliefs and culture. This will help to build a trusting relationship between the nurse and the mother, which is important for providing culturally sensitive care.

Question 13

Which traditional Chinese medical treatment includes the application of heat from different sources to various points which allows medicine to be absorbed through the skin?

Accepted Answer

Moxibustion is a traditional Chinese medical treatment that involves burning the herb mugwort on or near specific points on the body to provide heat stimulation. This heat allows medicine to be absorbed through the skin. Cupping involves placing cups on the skin to create suction and is used to promote circulation and to relieve muscle pain. Acupuncture involves inserting thin needles into specific points on the body to stimulate energy flow and promote healing. Skin pinching is not a traditional Chinese medical treatment.

Question 14

When preparing an in-service for staff nurses regarding health disparity,which definition should the nurse include in the presentation?

Accepted Answer

Health disparity refers to differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among specific populations.

Question 15

Which traditional Vietnamese medical treatment is used to treat a headache or sore throat?

Accepted Answer

Skin pinching, also known as "giác hơi" in Vietnamese, is a traditional method used to treat headaches and sore throats by stimulating circulation and relieving tension.

Question 16

The nurse is working with a number of patients at a free clinic.Which population is at the highest risk for low levels of health care?

Accepted Answer

Immigrants are often at a higher risk for low levels of healthcare due to language barriers, lack of familiarity with the healthcare system, and financial limitations. They may also face discrimination and fear seeking healthcare due to their immigration status. While all populations listed may face healthcare challenges, immigrants are often particularly vulnerable.

Question 17

Which patient population should the nurse plan care based on collectivistic cultural attributes?

Accepted Answer

Collectivism is a cultural attribute found in many Asian and Latin American cultures where family and community values take precedence over individualism. Vietnamese culture is an example of a collectivistic culture, where the patient may prioritize family involvement in healthcare decisions and value group harmony. Understanding these cultural attributes helps the nurse to plan care that is respectful of the patient's values and beliefs.

Question 18

The nurse is caring for a Chinese patient who is one day postoperative for abdominal surgery.The patient's nonverbal cues indicate pain,but the patient denies the need for pain medication.Which action by the nurse is appropriate?

Accepted Answer

The nurse should offer the medication again and emphasize that providing comfort is a priority. It is important to respect the patient's autonomy and not administer medication without their knowledge or consent. Seeking out a family member to convince the patient may be seen as intrusive and disrespectful of the patient's wishes. Allowing the patient to suffer in silence could lead to further complications and be detrimental to the patient's recovery.

Question 19

Which of these should the nurse focus on to decrease health disparities among Hispanic patients?

Accepted Answer

Providing translation services is crucial to decreasing health disparities among Hispanic patients as it can improve communication with healthcare providers and ensure that patients receive appropriate care and treatment. This can lead to better health outcomes and reduce disparities in healthcare access and quality. While the other options may also be important for improving health outcomes in Hispanic patients, translation services are a critical first step in addressing existing disparities.

Question 20

When communicating with a patient who is of Vietnamese descent,which action by the nurse is appropriate?

Accepted Answer

In Vietnamese culture, using a person's surname with a title is a sign of respect. Addressing the patient as "Mr." or "Mrs." followed by their surname is appropriate. Being straightforward is also important, but it should be done in a respectful and culturally sensitive manner. Maintaining direct eye contact may be considered disrespectful in some Vietnamese communities. Sharing intimate life details is not appropriate and would not further communication or understanding.

Quiz 3: Cultural Considerations