Chapter 6 Flashcards
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?
A.
Most African American homes are headed by strong, dominant father figures.
B.
Most African Americans choose to remain within their own social organization.
C.
Most African Americans are uncomfortable expressing emotions and need group affiliations.
D.
Most African Americans have limited religious beliefs which contribute to criminal activity.
B
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? A. Dissociative disorders B. Alzheimer’s dementia C. Stress-related disorders D. Schizophrenia-spectrum disorders
C
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? A. Northern European Americans B. Native Americans C. Latino Americans D. African Americans
A
Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?
A.
Extremes of emotional expression prevent accurate assessment of this culture.
B.
Suspicion of Western civilization has resulted in minimal cultural research.
C.
The small size of this subpopulation makes research virtually impossible.
D.
The Asian American culture includes individuals from many different countries.
D
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?
A.
Future orientation causes the client to devalue assertiveness skills.
B.
Decreased emotional expression makes it difficult to be assertive.
C.
Assertiveness techniques may not be aligned with the client’s definition of the female role.
D.
Religious prohibitions prevent the client’s participation in assertiveness training.
C
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?
A.
Families are male dominated with clear male–female role distinctions.
B.
Religious tenets support the use of violence in a marital context.
C.
The nuclear family is female dominated and the mother possesses ultimate authority.
D.
Marriage dynamics are controlled by dominant females in the family.
A
When working with clients of a particular culture, which action should a nurse avoid?
A.
Maintaining eye contact based on cultural norms
B.
Assuming that all individuals who share a culture or ethnic group are similar
C.
Supporting the client in participating in cultural and spiritual rituals
D.
Using an interpreter to clarify communication
B
To effectively care for Asian American clients, a nurse should be aware of which cultural norm?
A.
Obesity and alcoholism are common problems.
B.
Older people maintain positions of authority within the culture.
C.
“Tai” and “chi” are the fundamental concepts of Asian health practices.
D.
Asian Americans are likely to seek psychiatric help.
B
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?
A.
Try to locate a shaman that will agree to come to the ED.
B.
Explain to the client that “voodoo” medicine will not heal the ulcerated toe.
C.
Ask the client to explain what the shaman can do that the physician cannot.
D.
Inform the client that refusing treatment is a client’s right.
A
When planning client care for a Latino American, the nurse should be aware of which cultural influence that may impact access to health care?
A.
The root doctor may be the first contact made when illness is encountered.
B.
The “yin” and “yang” practitioner may be the first contact made when illness is encountered.
C.
The shaman may be the first contact made when illness is encountered.
D.
The curandero may be the first contact made when illness is encountered.
D
In what probable way should a nurse expect an Asian American client to view mental illness?
A.
Mental illness relates to uncontrolled behaviors that bring shame to the family.
B.
Mental illness is a curse from God related to immoral behaviors.
C.
Mental illness is cured by home remedies based on superstitions.
D.
Mental illness is cured by “hot and cold” herbal remedies.
A
Which cultural considerations should a nurse identify with Western European Americans?
A.
They are present-time oriented and perceive the future as God’s will.
B.
They value youth, and older adults are commonly placed in nursing homes.
C.
They are at high risk for alcoholism due to a genetic predisposition.
D.
They are future oriented and practice preventive health care.
A
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? A. African Americans B. Asian Americans C. Native Americans D. Jewish Americans
C
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?
A.
The nurse’s action should be evaluated as unacceptable due to breech of cultural norms.
B.
The nurse’s action should be evaluated as empathetic; encouraging expressions of feelings.
C.
The nurse’s action should be evaluated as the technique of offering self.
D.
The nurse’s action should be evaluated as inappropriate due to poor timing.
A
A nursing instructor is teaching about cultural characteristics. Which statement by the student indicates the need for further instruction?
A.
“All cultures communicate freely within their group.”
B.
“All cultures embrace light therapeutic touch.”
C.
“All cultures view the importance of timeliness differently.”
D.
“All cultures display biological variations.”
B
