Chapter 4--Culturally Sensitive Care

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Chapter 4--Culturally Sensitive Care MULTIPLE CHOICE 1. A client from a different culture is having difficulty adjusting to living in the United States. The nurse realizes this client is experi ... encing: 1. an expected reaction. 2. culture shock. 3. remorse. 4. guilt. PTS: 1 DIF: Analyze REF: Culture 2. A client from the Japanese culture tells the nurse that she is a member of an organization for Japanese information technology professionals. The nurse realizes this client is describing: 1. an ethnic group. 2. cultural norms. 3. a subculture. 4. personal preferences. PTS: 1 DIF: Analyze REF: Subculture 3. The nurse is providing care to a client from the Native American ethnic group. The nurse realizes that which of the following would be a health belief for this client? 1. Illness is punishment from God. 2. The body must be intact upon death. 3. Hospitals are a place to die. 4. Illness is a price to be paid from a past or future event. PTS: 1 DIF: Analyze REF: Table 4-2 The Health Values/Beliefs and Customs/Practices of Cultures in the United States 4. While assessing a client from a different culture, the nurse passes over several sections because of previous experience with other clients from the same culture. Which of the following is this nurse demonstrating? 1. Stereotyping 2. Diversity 3. Cultural sensitivity 4. Time management PTS: 1 DIF: Analyze REF: Values of Different Cultural Groups in the United States 5. The nurse, using an interpreter to communicate with a client from a different culture, is concerned that the client’s body language does not match the content the interpreter provides. Which of the following communication issues does this situation describe? 1. Stereotyping 2. Intrinsic distortion 3. Conflict 4. Extrinsic distortion PTS: 1 DIF: Analyze REF: Transcultural Communication 6. An interpreter who will assist in communicating with a client from a different culture will not arrive for several hours. The client has many questions and the only person available to assist with translating is the client’s adult daughter. Which of the following situations can occur with using this family member as an interpreter? 1. The daughter may alter information to protect the client. 2. The nurse will not have to wait for the interpreter to arrive. 3. The client’s care can begin sooner if the daughter is used to interpret. 4. The client will understand everything that is occurring with his health. . PTS: 1 DIF: Analyze REF: Interpreters for Transcultural Communication 7. The nurse is frustrated with a client from a different culture who is not adhering to the prescribed medication regime. Which of the following should the nurse assess in this client? 1. Hearing 2. Vision 3. Orientation 4. Literacy PTS: 1 DIF: Apply REF: Language and Literacy Barriers in Transcultural Communication 8. An elderly client’s daughter tells the nurse that she has done all that she can do to help her mother, and she needs to return home to care for her own family. The nurse realizes this client is a member of which type of family structure? 1. Linear 2. Collateral 3. Individualistic 4. Encapsulated . PTS: 1 DIF: Analyze REF: Family Role in Culture 9. The nurse is planning care for a client from a different culture. Which of the following should the nurse use when planning care for this client? 1. Plan care using the same approaches as any other client. 2. Communicate to the client that culture cannot be taken into consideration with care. 3. Accept cultural practices that could be negative for the client. 4. Preserve the cultural beliefs and practices of the client. . PTS: 1 DIF: Apply REF: Planning and Implementation 10. The nurse is providing care to a client from a different culture. Which of the following behaviors should the nurse demonstrate while providing this care? 1. Objectivity 2. Subjectivity 3. Bias 4. Judgmental attitude PTS: 1 DIF: Apply REF: Planning and Implementation 11. When the nurse is evaluating care for cultural considerations, which of the following should be done first? 1. Examine the plan of care. 2. Evaluate the outcomes of care. 3. Make revisions. 4. Review the goals and objectives set for the client. PTS: 1 DIF: Apply REF: Evaluation 12. A female client of the Middle Eastern culture is admitted to a care area with both male and female nurses. Which of the following should be done to respect this client’s cultural practices? 1. Assign only female nurses to care for the client. 2. Assign only male nurses to care for the client. 3. Assign either male or female nurses to care for the client. 4. Explain to the client that male nurses are more competent to provide care. PTS: 1 DIF: Apply REF: Table 4-2 The Health Values/Beliefs and Customs/Practices of Cultures in the United States 13. The nurse is caring for a client from the white American cultural group. Which of the following cultural considerations should the nurse ensure when providing care to this client? 1. There is minimal tolerance for delays so provide pain medication in a timely manner. 2. Submission to those in authority is a characteristic of this culture group. 3. Prayer is emphasized for prevention and treatment of health problems. 4. Illnesses are treated with hot or cold foods. PTS: 1 DIF: Apply REF: Values of Different Cultural Groups in the United States MULTIPLE RESPONSE 1. The nurse is planning care for a client from a non-English-speaking culture. Which of the following cultural factors will influence the client’s responses to the nurse? (Select all that apply.) 1. How a person acts 2. Communication pattern 3. Socioeconomic background 4. Thinking process 5. Interpretation of other’s characteristics 6. Family structure PTS: 1 DIF: Analyze REF: Culture 2. The nurse is assessing a Hispanic client. Which of the following disorders should the nurse include while conducting this assessment? (Select all that apply.) 1. Phenylketonuria 2. Chronic liver disease 3. Diabetes mellitus 4. Sickle cell anemia 5. Hypertension 6. Peptic ulcer disease PTS: 1 DIF: Apply REF: Table 4-1 Diseases and Disorders of Specific Ethnic Groups 3. The nurse is assessing a client who immigrated to the United States 10 years ago. Which of the following should the nurse assess to ensure this client maintains the highest level of health? (Select all that apply.) 1. Smoking behavior 2. Alcohol intake 3. Substance use 4. Language comprehension 5. Obesity 6. Employment status PTS: 1 DIF: Apply REF: Immigrant Population 4. When planning and providing care to a client of a different culture, the nurse utilizes techniques to enhance communication and implement appropriate and effective interactions. The nurse is utilizing the concepts of culturally competent care that are included in which of the following regulatory bodies’ expectations? (Select all that apply.) 1. American Nurses Association Core Competencies 2. International Council of Nurses Code of Nursing 3. National Patient Safety Goals 4. Joint Commission standards 5. American Academy of Nursing Professional Responsibilities 6. American Nurses Association 1991 Position Statement PTS: 1 DIF: Analyze REF: Culturally Competent Nursing Care 5. The nurse is identifying nursing diagnoses appropriate for a client from a different culture. Which of the following diagnoses would cause a potential cultural bias if used? (Select all that apply.) 1. Verbal communication: Impaired 2. Noncompliance 3. Disturbed thought processes 4. Sedentary lifestyle 5. Knowledge deficit 6. Powerlessness PTS: 1 DIF: Analyze REF: Nursing Diagnoses [Show More]

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