Practice Question ch 6 Flashcards
The nurse works in a community with many Mexican American families. What is the best method for the nurse to learn about the Mexican American culture?
A. Eat at Mexican American restaurants in the area.
B. Schedule a home visit with a Mexican American family.
C. Conduct a library study or Internet search of information on the culture.
D. Observe cultural behaviors in a movie theater in the area.
3
The patient is admitted to the hospital with reports of diffuse symptoms such as nausea, vomiting, weight loss, headaches, insomnia, and chest pain, which she describes by saying, “My heart aches.” Which intervention is appropriate for this patient, whose cultural beliefs may differ from the nurse’s beliefs about physical illness?
A. Adhere to the philosophy, “l treat all my patients the same.”
B. Encourage the patient to describe her symptoms using only English.
C. Contact an adviser who is familiar with the cultural beliefs of the patient.
D. Allow the patient to continue taking herbal preparations while she is hospitalized.
3
. A Muslim patient visiting the health care provider’s office was told she had to remove her clothes and put on an examination gown. The patient said she preferred to remain in her own clothes. Why should the nurse allow the patient to remain in her clothes?
A. The patient is embarrassed.
B. Her beliefs may require her to keep as much of her body covered as possible during the examination.
C. The patient is being uncooperative.
D. The patient cannot disrobe in front of another female
2
The patient explains to the nurse that he became ill because the natural balance in his body was upset when he moved into a new apartment. He has been taking herbs and rearranging objects to change the environment. The patient is most demonstrating what health belief system?
A. Biomedical
B. Folk
C. Holistic
D. A combination of all three
2
A patient, who speaks a language different from the nurse’s, asks that her daughter remain with her while the nurse performs a history and physical examination. What action by the nurse is most appropriate?
A. Ask the daughter to leave to maintain privacy for the patient.
B. Explain to the patient that family members are not allowed to stay in the examining room because of infection control.
C. Consider that the daughter may be there to serve as an interpreter for her mother.
D. Ignore the daughter while performing the history and physical examination.
3
The student nurse tells her instructor that she does not understand why a Chinese American family is not grieving for their dying father. What behaviors are being demonstrated by the student nurse?
A. Subculture orientation
B. Stereotyping
C. Ethnocentric
D. Culturally racist
3
A male nurse is assigned to care for a female patient. The patient’s husband tells the nurse that he cannot care for his wife due to religious reasons. Which statement best describes the patient’s spouse’s position?
A. The couple are prejudiced against the nurse’s race.
B. The patient’s religion requires that women should be assigned to care for her.
C. The nurse is not the same religion as the patient and therefore cannot care for the patient.
D. The couple does not speak English.
2
The nurse is planning to do a cultural assessment of an elderly Chinese American patient. What position of the nurse is most therapeutic?
A. The nurse sits facing the patient.
B. The nurse touches the patient frequently to convey concern.
C. The nurse positions the chair so that the nurse sits at a right angle to the patient.
D. The nurse maintains good eye contact while asking questions.
3
A female nurse who is black is assigned to care for a new 86-year-old resident in a long-term care facility. When she enters his room, he makes several racially offensive remarks. What is an appropriate response?
A. The nurse should refuse to give care to the patient.
B. The nurse should understand that he is possibly less tolerant of other races because of his own cultural experiences or he perhaps has disturbed cognitive functions.
C. The nurse should become angry and retaliate by making racial statements directed at the patient.
D. The nurse should tell her supervisor that she will not take care of any other white patients.
2
Upon entering a patient’s room the nurse realizes that the patient is praying. What action by the nurse is most appropriate?
A. The nurse should stay in the room and wait until the patient is finished with his prayers.
B. The nurse should quietly leave the room and give the patient privacy to pray.
C. The nurse should interrupt the patient and tell him it is time for his care to be given.
D. The nurse should tell the patient that he cannot pray while he is in the hospital.
2
A Mexican American is pregnant with her second child. When the nurse is reviewing her diet, the patient states that she never drinks milk. What culturally related factor may explain this?
A. The patient does not like the taste of milk.
B. Milk is forbidden in her cultural diet.
C. Lactose intolerance occurs often among Mexican Americans.
D. The patient cannot afford to buy milk.
3
An elderly patient has been diagnosed with type 2 diabetes and hypertension. The student nurse tells the patient that her vegetables should be steamed and served plain. The patient responds, “l always cook my green beans with ham and salt and pepper. How can I eat them plain?” Which response by the nurse is most culturally sensitive?
A. “I’m sorry, but you will just have to change your method of cooking.”
B. “I guess you will just have to give up eating green beans.”
C. “You must follow the health care provider’s order if you want to get better.”
D. “Could you try cooking the beans with half as much ham and not add salt?”
4
When caring for a patient who speaks a foreign language, the patient problem statement Compromised Verbal Communication would be inappropriate for what reason?
A.An inability to understand each other is the problem, not impaired verbal communication.
B.The patient is using a different health belief system that interferes with communication.
C. The patient is perhaps following acceptable communication guidelines within his or her culture.
D. The patient has deficient knowledge, not impaired verbal communication.
1
What term describes a nurse who is aware of her or his own cultural beliefs and the beliefs and practices of other cultures and who has the ability to interact effectively with people from other cultures?
A. Stereotyping
B. Ethnocentric
C. Culturally aware
D. Culturally competent
4
Before implementation of any newly prescribed procedure, the nurse notices that the family of an older adult patient always consults the eldest son. What is the social organization of this family? (Select all that apply.)
A. Hispanic in origin
B. Patriarchal
C. Male dominated
D. Traditional nuclear
E. Matriarchal
2,3
