Exam 1 culture, education, old Flashcards
A client who adheres to a vegetarian diet refuses to accept meat as a protein source when recovering from surgery. The nurse recognizes that this refusal reflects which? Select all that apply.
a) belief that eating meat can cause heart disease
b) perasonal preference that meat isn’t an acceptable food and unhealthy
c) example of unacceptable client behavior
d) cultural value that identifies eating meat as being unhealthy or religious practice
e) norm (standard) that meat eating is an undesirable practice
Which statement, when made by the nurse, demonstrates a biomedical view of health and wellness?
“Please tell me how your family generally treats breathing problems like the one you are having.”
“Your respiratory problems are definitely a result of a bacterial infection.”
“I understand that you believe that your breathing problems are a result of a sin you’ve committed.”
“I’ve been told that your culture considers respiratory problems as a result of being out of rhythm with nature.”
To effectively advocate for a group of clients who immigrated to the United States recently, which action would the community health nurse take first?
Become knowledgeable about their health care beliefs and practices.
Individualize the health care teaching each individual requires.
Understand what the group expects from their health care provider.
Possess excellent assessment skills.
When visiting the home of a Mexican American client, the nurse declines a cup of tea explaining that, “I’m really rushed today; maybe next time.” The nurse has demonstrated:
an understanding of need to remain professional when managing in home client care.
a lack of understanding of the tacit nature of culture and its effect on the nurse–client relationship.
an understanding of good time management regarding client care.
a lack of social skills required of appropriate cultural socializing.
A nurse demonstrates an understanding of the integrating nature of culture when:
respectfully asking a client’s Chinese grandmother when it is best to bath her grandchild.
recognizing that a Jewish client’s family will be bringing specially prepared foods to the client during her recuperation at home.
asking a client how his or her current nursing plan is addressing both his or her religious and dietary needs.
arranging for an interpreter to assist in communicating presurgical information to a client who speaks only Japanese.
A community health nurse is preparing to address a group of families who recently immigrated to the United States from Iran on the topic of child care. The nurse best demonstrates an understanding of enculturation when performing which action?
Presenting the American way of child care as being modern as well as effective
Attempting to combine their child care beliefs with those of the American woman
Asking the group to define the role of women as individuals, mothers, and wives in child care matters
Recognizing that it may be difficult to change the women’s view of child care basics
When defining culture, it is true that culture:
is concerned primarily with rituals and customs.
is a genetically linked sense of belonging.
influences values but has little effect on beliefs.
Correct option
provides individuals with a sense of right and wrong.
Which is an example of health care addressing cultural plurality?
Unanswered option
A mental hospital that provides its staff with in-services that focus on Hispanic beliefs regarding mental illness
Correct option
A health care clinic that has staff that represents its African American, Hispanic, and Latin American client populations
Unanswered option
An acute care hospital that provides interpreters for its Chinese-speaking clients
Unanswered option
A community health nurse who runs a well-baby clinic for the area’s Cuban clients
The community health nurse has identified traditional cultural practices of using herbal poultices to treat infected wounds being used in a group in the community. To address this issue effectively, which would the nurse do first?
Discuss the changes needed with the group’s leaders and healers.
Identify a member of the group who can serve as interpreter during the discussion.
Create an informational sheet on the topic at a fifth-grade level of understanding.
Become more familiar with the culture’s beliefs and values regarding use of herbs.
Which is the best way to handle unexpected challenges when teaching a special needs client?
a) Assure the client that learning is the primary goal.
b) Set limits and expectations prior to beginning the learning session.
b) Be firm but flexible when problems occur.
d) Prepare in advance to deal with a variety of common challenges.
A key consideration to achieving a successful change is that it must:
a) be popular and economic.
b) save resources and inspire hope.
c) easily implemented and timely.
d) have a purpose and be planned.
A nurse is preparing to teach a prenatal class about maintaining a healthy diet during pregnancy. Which factors should the nurse consider when teaching about this topic? Select all that apply.
a) Motivation for learning
b) Learning styles
c) Evaluation of learned concepts
d) Educational background
e) Expectations of the learners
A community health nurse is planning a neighborhood awareness program that focuses on the health risks caused by illegal drug use. The nurse demonstrates an understanding of the principle of participation and its effect on change by first:
securing a promise from at least half of the neighborhood’s residents to participate in the various activities.
petitioning the local government to provide the money necessary to stage the planned event.
planning a media campaign to convince the residents that change is possible and attainable.
inviting members of the community, teachers, clergy, health care professionals, and police to serve on the planning committee.
Which activity is considered the basis of community health nursing practice?
a) Teaching a group of older adults how to personalize an appropriate exercise routine
b) Belonging to a community taskforce that is researching health risks among urban poor
c) Surveying the health needs of newborns from minority populations
d) Attending a political rally for a pro health candidate running for local office
Helping a mother recognize the meaning of her newborn’s various types of crying is an example of what level of learning?
a) Creating
b) Understanding
c) Applying
d) Analyzing
Knowledge-level learning is best suited for which client?
a) A 10-year-old client who needs to describe when the cast is too tight
b) A 20-year-old client who must decide how to make up of a missed dose of medication
c) A 15-year-old client being taught to help manage the type 1 diabetes
d) A 5-year-old child who is learning about crossing the street safely
Which statement would be heard during the unfreezing stage of change?
a) “I really want to stop smoking.”
b) “I’m so glad I stopped smoking.”
c) “I haven’t smoked in over 72 hours.”
d) “I’ve gotten a prescription to help me stop smoking.”
When considering a change, the nurse understands the importance of selecting the appropriate goal. Which should the nurse ask?
a) “How will I determine if the goal is met?”
b) “What makes me think this will solve the problem?”
c) “Is this something I can really do?”
d) “How much time will it take to implement this change?”
Roleof PHN/CHN for mobile population
Improving exisiting services
Practice cultureal sensitivity
Advocating and newtworking
