Quiz 6 Timby 6,9,11 Concepts 4 Flashcards
When providing nutritional education for a Mexican-American patient with newly diagnosed hypertension, the nurse notes that the patient is nodding “yes” to everything that is being said. Which action by the nurse is appropriate?
Write everything down for the patient to refer to later.
Prompt the patient further to elicit additional questions or concerns.
Call the patient’s oldest male relative for help with decision making.
Call the recognized elder for this patient.
Prompt the patient further to elicit additional questions or concerns.
The nurse is caring for a Latin-Caribbean patient who is behaving hysterically in the emergency room. The patient is crying, has uncontrollable spasms, and is trembling and shouting. What cultural bound syndrome should the nurse recognize these behaviors demonstrate?
Shenjing shaijo
Loco de la cabeza
Neurasthenia
Ataque de nervios
Ataque de nervios
Why is it important for nurses to have a broad understanding of cultural influences on health care?
Requirements of the Health Insurance Portability and Accountability Act (HIPAA)
Increasing global diversity
Litigious society
Disability entitlements
Increasing global diversity
A patient who has recently moved to this country states he is frustrated about the pressure to give up his original identity and develop a new cultural identity. Which term best describes this type of cultural change?
Ethnicity identification
Acculturation
Assimilation
Biculturalism
Assimilation
The nurse is working with a patient who has undergone transgender transformation to become a male. Which are some Western cultural masculine attributes the nurse should emphasize to the patient?
Harmonious relationships, modesty, and caretaking
Achievement, material success, and recognition
Fitness, fidelity, and stamina
Generosity, sportsmanship, and leadership
Achievement, material success, and recognition
Which of the following is the best definition of culture?
A- a group of sharped beliefs and behaviors that occur among those who live in a defined geographical region
B- a pattern of sharped behaviors among a cohesive group of individuals who may or may not be blood related
C- the way in which a common group of individuals thinks, acts, and socializes
D- a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values particular language or live in a defined geographical region
D- a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values particular language or live in a defined geographical region
Which term best describes the process by which a person learns the norms, values, and behaviors of a culture? A- acculturation B- enculturation C- assimilation D- biculturalism
B- enculturation
Which term best describes when the dominant cultural group imposes their values on the minority group? A- acculturation B- enculturation C- assimilation D- biculturalism
C- assimilation
_________ refers to a common ancestry that leads to shared values and beliefs
Ethnicity
Individuals labeled “black” are genetically distinguishable from individuals labeled “white”
A- true
B- false
B- false
Cultural norms impact a variety of aspects in life. Which of the following are influenced by culture? Select all that apply A-dietary preferences B- perceptions of illness C- religious practices D- medication adherence E- family dynamics F- genetic traits
A B C D E
Western culture typically attribute illness to natural causes like bacteria, viruses, climate, environmental irritants, and negative social interactions.
A- true
B- false
B- false
Patients may deny socially stigmatized illnesses or behaviors. Which of the following would most likely not be reveled to a health care provider?
A- a history of sexually transmitted infections
B- a history of rheumatic heart disease
C- a history of having difficulty paying medical bills
D- a history of being introverted
A- a history of sexually transmitted infections
Which of the following concepts are closely related to the concept of culture? Select all that apply A- coping B- motivation C- family dynamics D- communication E- adherence
A
C
D
True or false
A groups culture is passed from one generation to the next
True
True or false
Generalization is a supposition that a person shares cultural characteristics with others of a similar background
True
True or false
There are six major subcultures in United States
False
True or false
Cultural shock is the bewilderment over behavior that is culturally atypical
True
True or false
Cultural groups tend to share biologic and physiologic similarities
True
_________ is a term used to categorize people with genetically shared physical characteristics
Race
_______ is the belief that ones own ethnicity is superior to all others
Ethnocentrism
U.S. culture can be described as ______ or English based.
Anglicized
People from Mexico are often known as _______
Chicano
____________ are people who trace their ethnic origin to Latin or South America
Latinos
Which of the following statements is true regarding culturally competent care?
A- by treating every patient with respect and understanding nurses demonstrates culturally competent care.
B- culturally competent care means conveying acceptance of the patients health beliefs while sharing information, encouraging self efficacy and strengthening the patients coping resources
C- culturally competent care is less important today because there are many internet resources available to assist nurses with appropriate communication for patients belonging to various cultures
D- there is a weak correlation between patient centered care and culturally competent care
B- culturally competent care means conveying acceptance of the patients health beliefs while sharing information, encouraging self efficacy and strengthening the patients coping resources
A nurse at a small, rural hospital that lacks professional interpreter services has admitted a client who does not speak the dominant language. How should the nurse best communicate with this client?
Ask a family member to remain with the client at all times.
Rely on written, rather than spoken, instructions and questions when interacting with the client.
Base the client’s care on the nurse’s preexisting knowledge of the client’s culture.
Utilize a telephone-based interpreting service in order to communicate clearly with the client.
Utilize a telephone-based interpreting service in order to communicate clearly with the client.
The nurse asks a client who has recently given birth to begin breastfeeding her baby. However, the client informs the nurse that she cannot breastfeed the baby for a day because she believes that the mother’s milk on the first day is not pure. What is the appropriate action for the nurse in this case?
calling the nurse supervisor and informing him or her about the client
educating the mother about the advantages of colostrum and breastfeeding
feeding the baby with artificial milk till the mother starts breastfeeding
telling the mother that her beliefs are mere superstitions and of little value
educating the mother about the advantages of colostrum and breastfeeding
A client who practices Islam dies at the hospital surrounded by family members. Which action by the nurse demonstrates cultural sensitivity related to the client’s death?
consulting the family member prior to performing post-mortem care
having the family members consult with the funeral home for transport
allowing the family to remain present when the nurse washes the client prior to shrouding
informing the family members they may say their goodbyes so that care can be provided
consulting the family member prior to performing post-mortem care
An 8-year-old client with stunted growth, pallor, and weakness is admitted to the health care facility. On interviewing the mother, the nurse finds that the client is from the Mediterranean region and the symptoms had aggravated when the boy participated in a sports activity. Being aware of the ethnic variations, what action is most appropriate for the nurse?
ensuring that the client does not overexert himself
ensuring that the client takes a well-balanced diet
ensuring that the client regularly takes hematinics
ensuring that the client is not prescribed fluoroquinolones
ensuring that the client is not prescribed fluoroquinolones
The cardiologist advises the client to undergo angioplasty, a procedure to clear blocked coronary arteries. The client refuses the procedure and the nurse later discovers that the client believes in naturopathy and is taking herbal extracts to clear the coronary arteries. Which action should the nurse take?
Warn the client that majority of the herbalists are unqualified.
Tell the client that herbal therapy has not proven to be ineffective.
Ask the client to opt for herbal therapy and also undergo the procedure.
Tell the client that herbal medicines could lead to other complications.
Ask the client to opt for herbal therapy and also undergo the procedure.
A client of Asian descent has recently given birth and notes the presence of a dark blue area on the back of the baby. What should be the nurse’s explanation to the mother?
“It may be due to any intrauterine abnormalities.”
“It is normal for a baby of Asian ethnicity.”
“It may be due to your food habits during pregnancy.”
“I have called the doctor to check the baby.”
“It is normal for a baby of Asian ethnicity.”
A group of nurses who provide care in a large, urban hospital have attended an education session on transcultural nursing. Transcultural nursing encompasses which nursing action(s)? Select all that apply.
The nurses ensure that members of all racial and ethnic groups receive the same care.
The nurses carry out an assessment of each client’s cultural identity.
The nurses educate clients on the importance of culture, race, and language.
Each nurse builds an extensive knowledge base about cultures that are present in the region served by the hospital.
The nurses create plans of care that fit within each individual client’s belief system.
The nurses carry out an assessment of each client’s cultural identity.,
Each nurse builds an extensive knowledge base about cultures that are present in the region served by the hospital.,
The nurses create plans of care that fit within each individual client’s belief system.
Which behaviors demonstrated by the client would the nurse consider reflections of the client’s pride in ethnicity? Select all that apply.
Crying when given a diagnosis of cancer
Asking to wear unique clothing
Requesting native cuisine
Requesting assistance when transferring from bed to chair
Listening to folk music and dance
Asking to wear unique clothing,
Requesting native cuisine,
Listening to folk music and dance
The nurse is admitting a client who practices the Jewish faith to the acute care unit and calls the dietary department to order a kosher dietary tray without consulting the client about food preferences. Which behavior is the nurse demonstrating when performing this action?
generalization
ethnocentrism
stereotyping
ageism
Generalization
The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take?
Continue with the method of communication because the nurse does not speak the language.
Use a computerized application to confirm what the interpreter is saying.
Document in the medical record that the client is not making his own decisions.
Speak privately with the interpreter and instruct them to only provide language interpretation.
Speak privately with the interpreter and instruct them to only provide language interpretation.
Which factors contribute to the concept of a culture? Select all that apply.
Styles used for communication
Art and music
Language
Type of disease contracted
Items and clothing worn
Beliefs about health practices
Styles used for communication, Art and music, Language, Items and clothing worn, Beliefs about health practices
The nurse is educating a client of Chinese descent regarding the reduction and elimination of lactose in the diet. Which statement(s) made by the client indicates that the education was effective? Select all that apply.
“When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream.”
“I can use foods that use milk solids since those are not milk products.”
“If I drink milk, I should drink one large glass a day and none at any other time.”
“I should replace 2% milk with lactose-free milk.”
“I can use kosher parve foods because they are prepared without milk.”
“When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream.”,
“I should replace 2% milk with lactose-free milk.”,
“I can use kosher parve foods because they are prepared without milk.”
An 8-year-old black child is admitted to the pediatric unit for a tonsillectomy. On physical examination, the nurse finds that the child has keloid scarring on the chest. What should be the nurse’s reaction?
Consider the keloid normal for the ethnic background.
Request biochemical investigations.
Apply a dressing on the keloid.
Inform the physician and request a visit.
Consider the keloid normal for the ethnic background.
The nurse is caring for an older adult client who has been hesitant to seek health care. Which action(s) by the nurse would develop a trusting nurse–client relationship? Select all that apply.
addressing the client by title and last name
touching the client’s arm when speaking directly
following through with requests by the client
asking direct questions and waiting for responses
respecting the client’s privacy
addressing the client by title and last name,
following through with requests by the client,
respecting the client’s privacy
A nurse needs to bathe a client at the health care facility. What is the most appropriate action of the nurse before washing the client’s hair?
Acquire a special shampoo to bathe the client.
Give an oil massage before washing the hair.
Seek permission from the client.
Arrange the articles required.
Seek permission from the client
The nurse overhears a colleague state, “All people from that client’s country are rude.” What is the appropriate nursing response?
Respond by saying, “Stereotypes keep us from accepting others as unique individuals.”
Say nothing and ignore the comment.
Report the colleague to the nurse manager.
Agree and state, “Yes, I’ve noticed the same thing.”
Respond by saying, “stereotypes keep us from accepting others as unique individuals.”
The nurse is assigned to care for an older adult client and states to the charge nurse, “I do not know why I am always assigned to the old people. This client is probably confused, disoriented, and incontinent because of age too!” Which behavior is most likely informing the nurse’s statement?
Stereotyping
Ageism
Ethnocentrism
Generalization
Ageism
A nurse at a long-term care facility has completed a comprehensive assessment of an 83-year-old woman who has just moved to the facility. The assessment reveals that the new resident has a lactase deficiency. How should the nurse integrate this knowledge into the resident’s care?
The resident should be provided with supplementary dietary enzymes for the digestion of fats prior to each meal.
The nurse should liaise with the resident’s health care provider to ensure that a B-vitamin is prescribed.
The nurse should ensure that the resident is not given dairy products.
The nurse should arrange for a vegetarian diet.
The nurse should ensure that the resident is not given dairy products.
Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply.
Burdensome to family
Cognitively enhanced
Physically impaired
Uninterested in intimacy
Financially independent
Burdensome to family,
Physically impaired,
Uninterested in intimacy
A parent brings a newborn into the clinic for a 3-month wellness visit and when assessing the back, the nurse observes a dark blue area on the lower back resembling ecchymosis that does not elicit a pain response when pressure is applied. What action should the nurse take to address this finding?
notifying child protective services of the potential for abuse
questioning the parent as to the possibility of an injury to the lower back
documenting the finding as a “Mongolian spot”
asking the parent if the child has spina bifida
Documenting the finding as a “Mongolian spot”
The nurse works in an urban hospital and cares for a diverse population of clients. Which action(s) by the nurse demonstrates the delivery of culturally sensitive care to clients? Select all that apply.
asking the client questions regarding health care beliefs related to the client’s culture
allowing the client to keep a religious necklace on until going into the operating room
indicating that the cultural groups should adapt to the Anglo-American culture
integrating the client’s cultural practices when assisting with the creation of the plan of care
maintaining direct eye contact during conversations with all cultural groups
asking the client questions regarding health care beliefs related to the client’s culture,
allowing the client to keep a religious necklace on until going into the operating room,
integrating the client’s cultural practices when assisting with the creation of the plan of care
The nurse is conducting a health interview with an older adult client. Which action indicates the nurse is engaging stereotyping during the interview?
asking the client if he or she prefers to be call by first name
inferring the client’s religious practices from the cultural background
avoiding questions about history of sexually transmitted infections
ensuring the interview room is fitted with adequate light prior to starting
avoiding questions about history of sexually transmitted infections
A nurse is assessing the skin of a black client to observe the baseline skin coloring. Which body part of the client would be suitable for the performing of this assessment?
abdomen
arms
face
back
Abdomen
A nurse is assigned the care of a client who speaks a nondominant language. The nurse does not understand the client’s language. Which agency resource is best for the nurse to use in this case?
A family member
A hospital employee who speaks the client’s language
A professional interpreter.
The hospital social worker.
A professional interpreter
The nurse observes that an increasing number of clients who do not speak the dominant language are coming for inpatient treatment at the local hospital, making communication difficult. What proactive intervention would be most appropriate for the nurse to recommend to assist with the facilitation of communication?
Having a volunteer known for speaking the language interpret for the client
Having the client’s family members interpret for the client
Using a translation application on a cell phone
Training professional interpreters
Training professional interpreters
A nurse has been cautioned by a nursing educator to ensure that stereotyping does not influence the nurse’s beliefs, behaviors, and interactions with clients from other cultures. What action by the nurse would be considered stereotyping?
making adjustments to a client’s diet based on the client’s stated religion
allowing race and ethnicity to inform the nurse’s assessments and client education
arranging for an interpreter to assist with the admission assessment of a client who is a recent immigrant
ascribing attributes to members of a particular culture that are unsupported by facts
ascribing attributes to members of a particular culture that are unsupported by facts
An adolescent informs the nurse at the clinic, “I do not know what is happening to me, my skin is turning very white in spots all over my hands.” The nurse assesses hypopigmented areas on the hands and documents the finding. Following evaluation by the health care provider, what education will the nurse provide to the client?
There may be a slight stinging sensation when washing the hands.
Using a pigmented cream will help to even the skin tones.
This is due to sun exposure, so your pigmented areas should be covered in sunscreen.
The hypopigmented areas will be confined to the present location.
Using a pigmented cream will help to even the skin tones
True or false
Clients who are extremely unstable or in severe discomfort may bypass the admitting department and go directly to the nursing unit.
True
True or false
The term “rule out” is used to indicate that the medical diagnosis is confirmed
False
True or false
Discharge planning helps determine that a clients post discharge needs are met in a timely manner
True
True or false
A skilled nursing facility provides health related care and services to people who require institutional care but not 24 hour nursing
False
True or false
A basic care facility provides assistance with cooking and laundry services to clients
True
_______ is the process of helping a person become familiar with a new environment
Orientation
The primary responsibility for admission lies with a _____ nurse
Registered
_______ has been defined as a vague uneasy feeling of discomfort or dread accompanied by an autonomic response.
Anxiety
______ is the termination of care from a health care agency
Discharge
People who do not meet the criteria for hospitalization are often transferred to ________ care facilities
Extended
What do Hispanics and those from centeral America eat and drink?
Atole, piloncillo, cinnamon, vanilla, and sometimes chocolate or a fruit.
What is the diet of African America’s?
Greens, grits, cornbread, and beans cooked with a generous amount of fat or fatty meats
