NURS 311 EXAM 3 Flashcards
The nurse is caring for a frail elderly client who is an immigrant from china. The client is able to speak english but has lived in a chines neighborhood with family since she moved to the US. Which factor should influence the nurse when planning care for this client?
Health care practices, rituals, religious beliefs and food patterns need to be identified.
An American client is in a small hospital in a town in Mexico. The nurse notices the patient is feeling anxious, and frustrated because care is easier to obtain where he comes from. What is this patient showing signs of?
Culture Shock
A young Russian woman is admitted for high blood pressure. Which of the following approaches is essential for the delivery of culture-sensitive care?
Nonjudgemental attitude
A nurse is providing discharge instructions for a client who is of Chinese heritage. Throughout the teaching, the client avoids eye contact. How should the nurse respond?
Continue teaching and verify client understanding
A client has recently immigrated from India. Which action by the nurse is most appropiate when developing the nursing care plan?
Perform a cultural assessment
A caucasian nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibility that this is?
An important item used in native healing practices
Nurse is caring for a young girl from a Middle Eastern country who is dying. Her parents ask the nurses to allow their daughter to be prepared for death by being dressed in a special garment and headdress that needs to be put on everyday. The parents are not able to be at the hospital everyday so they ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care?
Learning how to apply the garment and headdress properly.
An english speaking nurse gave a non-english speaking asian patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of povidone-iodine was to be used in cleansing the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error?
Using a medical interpreter to give the preoperative instructions
The nurse is caring for a patient that does not speak English. When is it imperative that the nurse have an interpreter present for this patient?
When consent for treatment is needed
The nurse is caring for an Asian patient in active labor. The nurse states to a co-worker, “I don’t think that patient wants any pain medication. Asian women are very stoic, you know”. What is the nurse expressing?
A stereotype
Patient-Centered Care
Recognize patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
Culture vs. Race
Race is a form of social catergorization often based on physical appearance and culture is a shared set of beliefs, values, and behaviors that members of the group express themselves.
Cultural competency
The attitudes, knowledge, and skills necessary for providing quality care to diverse populations.
Ethnicity
Racial and skin color identity of particular groups related to specific and obvious features based on national origins; common ancestry that leads to shared values and beliefs. Culture and ethnicity are not the same
Ethnocentrism
View that your culture is superior to others. Differences in other cultures are viewed negatively
