Exam 4 (Ch 13 Test Questions)

Question 1

1. North American health care culture typically reflects which culture?

1) Asian
2) European American
3) Latino
4) African American

Answer 1

2

Question 2

2. A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident. When assessing this patient, the nurse must consider that he may possess which view of pain? He may:

1) Believe in taboos against narcotic use to relieve pain.
2) Expect immediate treatment for relief of pain.
3) Endure pain longer and report it less frequently than some patients do.
4) Use herbal teas, heat application, and prayers to manage his pain.

Answer 2

3

Question 3

3. The nurse is caring for a 42-year-old, Chinese-American patient who underwent emergency coronary artery bypass graft surgery. He is self-employed and has no health insurance. Each day members of his family spend hours at his bedside. Which is the most important factor for the nurse to focus on when planning the patient’s discharge?
   1) Ethnic background
   2) Family support
   3) Unemployment
   4) Health care coverage

Answer 3

2

Question 4

4. A patient who came from Central America is admitted with diabetes mellitus. The nurse is collecting biographical information. Which information provided by the patient represents his ethnicity?
   1) Latino
   2) Catholic
   3) White
   4) Teacher

Answer 4

1

Question 5

5. A patient who moved to the United States from Italy comes to the clinic for medical care. The patient has been in this country for several years and has adopted some elements of her new country. Yet she still retains some customs from her homeland. This patient is experiencing:
   1) Assimilation.
   2) Socialization.
   3) Acculturation.
   4) Immigration.

Answer 5

3

Question 6

6. Which of the following is considered a “practice” (as opposed to a belief or value)?
   1) Always drinking water after exercise
   2) Thinking often about cleanliness
   3) Emphasis on success
   4) Maintaining youth

Answer 6

1

Question 7

7. The nurse is caring for a patient who emigrated from Puerto Rico. She can best care for this patient by learning about the:
   1) Practices of the patient’s ethnic group.
   2) Patient’s individual cultural beliefs.
   3) Values of her own culture.
   4) Spanish-speaking community.

Answer 7

2

Question 8

8. The nurse is teaching a clinic patient about hypertension. Which statement by the patient suggests that he is present-oriented?
   1) “I know I need to lose weight; I’ll have to begin an exercise program right away.”
   2) “If I change my diet and begin exercising, maybe I can control my blood pressure without medications.”
   3) “I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult.”
   4) “I will reduce the amount of calories, salt, and fat that I eat; I certainly do not want to have a stroke.”

Answer 8

3

Question 9

9. A patient of Japanese heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of “Pain related to reluctance to take medication secondary to cultural beliefs.” If the cultural archetype is true for this particular patient, this probably means that the patient views pain as:
   1) A punishment for immoral behavior.
   2) A part of life.
   3) Best treated with herbal teas and prayer.
   4) A virtue and a matter of family honor.

Answer 9

4

Question 10

10. The physician prescribes metoprolol tartrate (a beta blocker) for an African American patient with hypertension. Based on the patient’s ethnicity, the nurse should monitor the effectiveness of therapy closely, because:
    1) Higher doses of the drug may be needed to be effective.
    2) More gastrointestinal side effects occur with this group.
    3) Flushing and palpitations are common among African Americans.
    4) Rebound hypotension commonly occurs in this group.

Answer 10

1

Question 11

11. The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient’s indigenous health care system and should be included in the plan of care?
    1) Asking the family to bring in medals and amulets
    2) Scheduling a visit from the shaman
    3) Providing the patient with her favorite herbal tea
    4) Requesting that the physician consult the patient’s acupuncturist

Answer 11

2

Question 12

12. A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?
    1) Use of herbs and roots
    2) Application of oils and poultices
    3) Burning of dried plants
    4) Acupuncture

Answer 12

4

Question 13

13. An elderly patient tells the charge nurse that she wants another nurse to take care of her. When the charge nurse questions the patient, she states “I don’t want a man taking care of me.” Which cultural barrier is this patient exhibiting?
    1) Ethnocentrism
    2) Racism
    3) Sexism
    4) Chauvinism

Answer 13

3

Question 14

14. A patient who had surgery 8 hours ago has not voided. The nurse notifies the physician for an order to insert an indwelling urinary catheter. Which of the following statements should the nurse use to describe the procedure to the patient? “I need to:
    1) “put a Foley in you because you haven’t voided since your surgical procedure.”
    2) “insert a tube into your bladder to drain the urine because you haven’t urinated since surgery.”
    3) “catheterize you because you haven’t urinated since having your surgery.”
    4) “place a catheter in your bladder because you haven’t voided since surgery.”

Answer 14

2

Question 15

15. A Hispanic patient is frustrated because the healthcare team does not understand the importance of hot and cold therapies. Which nursing diagnosis is most appropriate for this patient?
    1) Powerlessness
    2) Impaired Verbal Communication
    3) Spiritual Distress
    4) Risk for Noncompliance

Answer 15

1

Question 16

16. A patient of Scandinavian heritage is admitted for observation after sustaining injuries in a motor vehicle accident. The nurse expects that he may endure pain stoically, without grimacing or vocalizing. The nurse’s thinking is an example of a/an:
    1) Archetype
    2) Bias
    3) Prejudice
    4) Stereotype

Answer 16

1

Question 17

17. A patient reports experiencing gas, abdominal bloating, and diarrhea after consuming milk or cheese. Lactose intolerance might immediately be suspected if the patient is of which heritage?
    1) African American
    2) Mexican American
    3) European American
    4) Arab American

Answer 17

1

Question 18

1. Which statement(s) about culture is/are true? Choose all that apply.
   1) Culture exists on both material and nonmaterial levels.
   2) Culture mainly influences food choices and special holidays.
   3) Cultural customs change over time at different rates.
   4) Culture is learned through life experiences shared by other cultural members.

Answer 18

1,3,4

Question 19

2. The nurse is caring for a patient of Japanese heritage who refuses pain medication despite the nurse’s explaining its importance in the healing process. Which intervention(s) by the nurse is/are appropriate for this patient? Select all that apply.
   1) Assess the patient’s pain levels at less frequent intervals.
   2) Document in the patient’s record that the patient does not want to take opioids.
   3) Utilize nonpharmacological measures to help control the patient’s pain.
   4) Notify the primary care provider of the patient’s noncompliance.

Answer 19

2,3