Term
| A client is experiencing culture shock. Which findings would the nurse likely assess? Select all that apply. |
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Definition
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Term
| Which term describes the tendency to impose one’s cultural beliefs, values, and patterns of behavior on a person from a different culture? |
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Definition
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Term
| Nurses are socialized into the: |
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Definition
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Term
| Which behavior by the nurse is stereotyping? |
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Definition
Avoiding older adult clients because their care is time consuming
Avoiding older adult clients because their care is time consuming is stereotyping. This is a mistaken belief and an overgeneralization. Some older adult clients are very healthy. Ridiculing acupuncture is cultural conflict. Assuming that Western medicine is superior is ethnocentrism. Grouping care assignments to allow ample time to provide care is an appropriate strategy in time management. |
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Term
| A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? |
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Definition
Document the request and make all reasonable efforts to honor it
Although cultural assessment in a tactful and respectful manner is likely appropriate in this situation, the care team's guiding principle and obligation should be to accommodate and respect the couple's request. It would be inappropriate for the care team to attempt to convince the couple to change their minds or assume that it is a personal preference. The nurse would not teach the couple that male nurses on the unit are empathetic, as having female nurses is the client's preference. |
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Term
| The nurse is caring for a client who does not speak the same language. To facilitate unencumbered communication with the client, the nurse will take which action(s)? Select all that apply. |
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Definition
Determine in which language the client communicates effectively.
Review facility policy on communication with clients who do not speak the same language.
Schedule a certified interpreter when collecting client health history. |
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Term
| A 35-year-old client was admitted to the hospital following an automobile accident with a fractured leg. Which action should the nurse prioritize after learning this client's family is of Italian descent? |
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Definition
monitor hemoglobin and hematocrit for possible anemia
People with Mediterranean, Asian, or African heritage commonly lack the enzyme G-6-PD which helps red blood cells metabolize glucose. This deficiency makes red blood cells vulnerable during stress, which can result in the destruction of red blood cells at a much greater rate than in unaffected people. If the production of red blood cells cannot match the rate of destruction, anemia develops. The use of aspirin is contraindicated with this disorder, because it can increase the rate of red blood center destruction. Individuals with lactase deficiency must avoid dairy products. Monitoring blood glucose is not a priority in this situation. |
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Term
| Which nursing action displays linguistic competence? |
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Definition
| Learning pertinent words and phrases in the client's language |
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Term
| A family recently immigrated to a new country. The parent reports that the adolescent is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse? |
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Definition
Culture shock
The client is experiencing symptoms associated with culture shock. Culture shock occurs when a person is immersed in a different culture that is perceived as strange. The person may feel foolish, fearful, incompetent, or humiliated, and these feelings can lead to frustration and anxiety. Cultural assimilation is when one begins to assume some characteristics of a culture outside of one’s own. Cultural blindness occurs when cultural differences are ignored. Cultural imposition occurs when one pushes his or her beliefs onto another person. |
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Term
| A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms: |
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Definition
| require an individualized approach by the nurse. |
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Term
| A new client comes to the primary care clinic and asks for help treating head lice. The interview reveals that the client lives with nine other people in a one-bedroom apartment. Which statement by the client is nurse's priority concern? |
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Definition
| "We do not have running water." |
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Term
| The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? |
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Definition
| Document the client's request in the nursing care plan. |
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Term
| The nurse overhears a colleague state, “All people from that client’s country are rude.” What is the appropriate nursing response? |
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Definition
Respond by saying, “Stereotypes keep us from accepting others as unique individuals.”
Stereotypes are preconceived ideas usually unsupported by facts. They tend to be neither real nor accurate. They can be dangerous because they interfere with accepting others as unique individuals. The nurse can professionally educate the colleague about the harm involved in stereotyping individuals. Ignoring the comment or reporting the colleague to the nurse manager would result in a missed opportunity to educate the colleague on stereotyping. Agreeing would only strengthen this harmful practice. |
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Term
| Upon moving to another country, a college student is very confused by many local customs. He is especially bothered by the custom of men and women eating in separate areas and it makes him angry and resentful of the new culture. What are the feelings experienced by this student? |
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Definition
Culture shock
The student is experiencing culture shock, which is defined as the feelings a person experiences when placed in a different culture. Stereotyping is the assumption that all members of a culture, subculture, or ethnic group act alike. Ethnocentrism is the belief that one's ideas, beliefs, and practices are the best, are superior, or are most preferred to those of others. Cultural assimilation occurs when members of a marginalized identity group live within a dominant group and lose the cultural characteristics that make them different. |
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Term
| The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue? |
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Definition
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Term
| A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert? |
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Definition
Client
When gathering cultural information, the interviewee is the expert. Other family members may provide information about the culture, but the client is the expert. The nurse and health care provider are responsible for obtaining information related to the culture. |
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Term
| A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority? |
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Definition
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Term
| A nurse is admitting a client to the unit. Which cultural question is most appropriate? |
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Definition
| "What are your dietary needs and preferences?" |
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Term
| A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change? |
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Definition
| The client states, "I feel like I abandoned my religion." |
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Term
| A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating? |
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Definition
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Term
| The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? |
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Definition
| “Culture cannot be influenced, and you are born with your culture.” |
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Term
| The nurse is caring for a client from China and assisting the client with the lunch tray. Which item on the tray should the nurse question the client about being able to ingest? |
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Definition
milk
The client may have an issue with the milk as lactase enzyme deficiency is common in China, with up to 90% of the population being lactose intolerant. Lactase enzyme persistence is what allows humans to consume dairy products in adulthood. Cramping, intestinal gas, and diarrhea may occur if this deficiency is present. Citrus fruits, chicken, and ham do not have lactase and should be tolerated in this client. |
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Term
| The nurse is teaching a family, who has recently learned a family member has a lactase deficiency, how to make healthier dietary choices to ensure the family member obtains enough calcium in their diet. The nurse determines the teaching was successful when they choose which menu as the best choice? |
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Definition
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Term
| A student nurse is not looking forward to clinical rotation on a geriatric unit, stating "How can I get them to move faster? They always seem so slow!" How should the instructor respond? |
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Definition
| “Be careful of the negative attitude in your approach. How fast an individual moves will depend on physical ability not necessarily age." |
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Term
| A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? |
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Definition
| The client's child learned the area's most common language as a second language. |
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Term
| A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, “All these young nurses think they can come in late and leave early.” What cultural factor can the new nurse assess from this conversation? |
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Definition
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Term
| The nurse is using an interpreter to communicate with a client who speaks a different language. What would be the best way to choose an interpreter for this client? |
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Definition
| The interpreter should understand the health care system. |
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Term
| The nurse is caring for a client whose language skills are very limited in the language the nurse speaks, 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? |
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Definition
| Speak privately with the interpreter and instruct them to only provide language interpretation. |
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Term
| Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: |
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Definition
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Term
| The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse? |
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Definition
| Discuss with the client the need for assistance during ambulation. |
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Term
| The nursing researcher is studying so-called “unnatural illnesses.” What cause of such illnesses would be included in the study? |
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Definition
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Term
| Which scenarios are examples of cultural competence? Select all that apply. |
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Definition
Attending a cultural diversity lecture series in the community
Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client
Having a one-on-one conversation with a client regarding prayer needs and practices
Performing a self-assessment of one's own personal biases |
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Term
| The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? |
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Definition
| Maintain flexibility when the client requests interventions at specific times. |
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Term
| A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? |
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Definition
"What type of food do you eat at home?"
Cultural food preferences often put the client at risk for inadequate nutrition. By exploring what foods the client eats at home, the nurse can assess the client's cultural dietary preferences and work to incorporate these foods into the meal plan. The other choices are judgmental and indicate that the client should eat what is presented regardless of cultural preference. |
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Term
| The nurse is teaching a family, who has recently learned a family member has a lactase deficiency, how to make healthier dietary choices to ensure the family member obtains enough calcium in their diet. The nurse determines the teaching was successful when they choose which menu as the best choice? |
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Definition
| baked salmon patty, steamed spinach, sweet potato, salad with romaine lettuce, hard-boiled egg slices, carrots, celery, cucumber, and vinegar vinaigrette dressing, apple slices, ice tea |
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Term
| How is culture learned by each new generation? |
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Definition
Formal and informal experiences
Culture is a shared system of beliefs, values, and behavioral expectations that provide social structure for daily living. Culture includes the beliefs, habits, likes, dislikes, customs, rituals, and ethnic heritage that are learned through formal and informal experiences within one's family and within the cultural group to which one belongs. Involvement in religious experiences can be part of the culture learned through formal and informal experiences. |
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Term
| A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock? |
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Definition
“I am very stressed now because I do not understand how things work on this unit.”
The nurse is experiencing culture shock because of the new environment. When the culture one has learned differs from the culture in one's environment, a person can become disoriented and stressed. The acute experience of not comprehending the culture of the current environment is called culture shock. Asking for an orientation to a new unit is proper procedure for a float nurse. The third statement indicates ethnocentrism, not culture shock. The fourth statement indicates stereotyping. |
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Term
| 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. |
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Definition
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 |
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Term
| A nurse is providing care to a client from a culture different from the nurse's own. The nurse is having difficulty relating to the client. What intervention by the nurse is most appropriate? |
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Definition
| Ask the client how the client wants to be treated based on the client's values and beliefs. |
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Term
| The nurse obtains a health history interview on a client with lung cancer. The client states, "I became too focused at work; I did not have time to rest. I usually work 8 hours per day but, for the past few months, I have been spending at least 12 hours per day at the office. That is probably the reason why I was diagnosed with cancer. Maybe when I try to go back to my usual schedule, the cancer will go away. I did not want to be here but my wife is insistent. I do not think medications work. My brother-in-law died of cancer. He took a lot of medicines and prayed really hard, but he died just the same." |
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Definition
The nurse determines that the client believes in the HOLISTIC
cause of illness as manifested by BELIEVING ONE CAN BE CURED OF CANCER BY WORKING LIMITED HOURS |
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Term
| The nurse is assessing an older adult who immigrated at the age of 3 years. The client speaks the same language as the nurse and lives in a neighborhood with many households from the country of origin. Which action by the nurse is most appropriate? |
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Definition
| Ask the client about special cultural beliefs or practices. |
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Term
| The nurse is preparing the discharge plan for a new mother and her newborn son. Which new teaching should the nurse ensure is included after noting the family is Jewish? |
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Definition
| care following the scheduled circumcision |
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Term
| What factor threatens to increase the number of people who are living at poverty level? |
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Definition
Feminization of poverty
The feminization of poverty threatens to increase those at poverty level. This is caused by the increase in female-headed households through divorce, abandonment, unmarried motherhood, and changes in abortion laws. The older population is increasing. The immigrant population does not directly increase or decrease poverty level. Lack of health insurance is an issue for those who are in a poverty culture but does not increase those at the federal poverty level. |
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Term
| 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. |
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Definition
"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."
The nurse determines that the client understands and can apply the education provided when the client states the intention to substitute milk for non-dairy coffee creamer, substitute milk for a lactose-free milk product, and use kosher parve (kosher neutral) products, which are not made with milk products. The statement about drinking a large glass of milk once daily instead of several times a day indicates the client requires further education, because the client should avoid milk or only drink small amounts. Dry milk solids contain milk and should be avoided; examples include some bread, cereals, puddings, gravy mixes, caramels, or chocolate. |
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Term
| The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which is an individual need? |
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Definition
Safety
Safety is an individual need and a part of Maslow's hierarchy. Educational, socialization, and political needs are provided by the family. |
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Term
| A community health nurse is providing care to several farming families in a rural community. Which concept would be most important for the nurse to integrate into the plans of care for these families? |
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Definition
Family structures may change over time.
Nurses must remember that there are no absolutes, such as "rights" or "wrongs," about what makes a family. The structure of an individual's family may change several times over a lifetime, and the nurse must learn to address clients' needs throughout these changes. The traditional nuclear family is not the norm. Each type of family structure creates different issues and problems that, in turn, influence a family's ability to perform basic functions. |
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Term
| The parents of a blended family have a male infant age six months who is due for immunizations. The clinic closest to their home has recently closed, and they feel intimidated by the prospect of going to the large, university hospital near their home. Which type of factor is the primary influence on this aspect of the family's health? |
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Definition
Community health care structure
The size, location, and services of health care offerings in a geographical area are components of the community health care structure and its influence on health. Family functioning, lifestyle, and economic considerations are not primary influences on the family's actions. |
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Term
| The wife of a comatose client wishes to wash the client’s hair. Washing the client's hair meets which basic human need? |
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Definition
Physiologic
Washing the client’s hair meets physiological needs of hygiene. |
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Term
| The epidemiology nurse finds a lower occurrence of influenza cases in a section of a large metropolitan city. Further research reveals higher influenza immunization rates in that section of the city. The nurse determines which probable cause for this occurrence? |
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Definition
Immunization has become a community norm.
The most probable cause for this occurrence is that immunization has become a community norm. People tend to do what others in their community do. Free or low-cost immunizations are given in many areas without increasing the immunization rate. Education has little to do with immunization or vaccination rates. Tobacco use may complicate course of illness for those who contract influenza but is not likely to positively impact immunization rates. |
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Term
| A client is admitted to the emergency department following a tornado in which multiple people were killed or injured. The nurse applies direct pressure to an open wound on the client’s thigh while assuring the client that the weather has cleared. Which of Maslow’s basic human needs is the nurse addressing with the actions? Select all that apply. |
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Definition
Physiologic
Safety and security |
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Term
| During the client assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent? |
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Definition
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Term
| A client comes to the health center for a follow-up visit. Assessment reveals that the client is experiencing problems ambulating and moving about due to degenerative joint disease; in addition, the client is feeling isolated due to the limitations in mobility. The client also reports feeling anxious about the future related to the mobility issues and being unable to fulfill the role as the major provider. Which need would the nurse identify as the priority? |
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Definition
Mobility
Although all of the needs listed need to be addressed, the nurse would identify mobility issues as the priority need based on Maslow's hierarchy. In addition to it being a physiologic need, it also appears to be the underlying issue related to the client's other needs. Addressing mobility may have a positive impact on the client's other needs. |
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Term
| A family that consists of two LGBTQ+ parents and three children living in the same house is an example of which type of family? |
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Definition
Nuclear
A nuclear family is a group of people united by partnership and parenthood which consists of a pair of adults and their socially recognized children. An extended family includes aunts, uncles, and grandparents. A blended family is also a traditional family formed when parents bring unrelated children from previous relationships together to form a new family. A single-parent family involves one parent and may be the result of marital separation or divorce, the death of a spouse, or the parent never having been married. |
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Term
| Which intervention performed by the nurse is most appropriate for assisting a client in meeting safety and security needs based on Maslow’s hierarchy of needs? |
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Definition
Providing the mother the phone number for the poison control center
The nurse is meeting safety needs by providing a mother with the phone number for the poison control center. Cutting up food and opening drink containers for the client would meet the most basic need for food. The nurse seeking input from the client regarding preferences for a snack is showing respect to the individual and meeting self-esteem needs. When assisting the client to validate feelings regarding treatment options, the nurse is acknowledging the uniqueness of the client and respecting the client’s knowledge and feelings in solving problems to attain self-actualization. |
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Term
| A nurse is assessing a client with stress-related problems. Which factor influences responses to stressors? |
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Definition
social support
A person's response to stressors depends on social support, intensity of the stressor, number of stressors, duration of the stressor, physical health status, life experiences, coping strategies, personal beliefs, attitudes, and values. A person's response to stressors is independent of education, eating habits, economic status, or personal hygiene. |
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Term
| A family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which aspect of the family's structure and function would be considered a psychosocial risk factor? |
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Definition
The parents have a tumultuous relationship, with frequent separations in the past.
Conflict is an example of a psychosocial risk factor. Chemical dependency is considered a lifestyle risk factor, whereas a lack of adequate housing is an environmental risk factor. Lack of electricity is an economic risk factor. |
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Term
| Nursing, as a profession, has long held the belief that providing nursing care to an individual client means providing nursing care to the entire family. What does this mean when put into a holistic framework of client care? |
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Definition
Active participation by individuals and families in health promotion is integral to this framework of client care.
Active participation by individuals and families in health promotion supports the self-care model historically embraced by the nursing profession. This model is congruent with the philosophy that seeks to balance and integrate the use of traditional medicine and advanced technology with the influence of the mind and spirit on healing. Families are not always caretakers when the client is not acutely ill; it is not necessary for the nurse, client and the client's family to integrate the physical and emotional environment of the client. It is necessary for the client to integrate their physical and emotional environment. The holistic framework of client care is not a model that is congruent with the philosophy of traditional patriarchal medicine. |
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Term
| Client care dealing with nutrition and metabolism should include which factors? Select all that apply. |
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Definition
Knowledge about the value of the MyPlate diagram
Understanding food preferences of clients from the Jewish community
Information on the client's financial status related to meal provisions
Ability of the client to prepare food at home |
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Term
| A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment? |
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Definition
Limited time in learning to be a marital partner
Tasks that the family does not complete at any one developmental stage can produce chronic difficulties as the family struggles to master tasks at the next stage. The couple is struggling due to them only being together married for less than a year and the difficulty of a having a child in this short time frame. Nothing in the stem alludes to the couple having issues with the stress of education, job, and parenting nor economic difficulties or involvement with significant others. |
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Term
| A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not taken the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse? |
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Definition
“What would you think about taking the medicines, too, and benefitting from both?”
Although the nurse may disagree with the client's beliefs concerning the cause of health or illness, respect for these beliefs helps the nurse to achieve health care goals. Asking the client to consider the benefits of medicine is appropriate because the nurse, without disrespecting the client's beliefs, persuades the client to have medicines also. Stating that saffron does not have any effect on blood sugar level is inappropriate, as it disregards the client's beliefs. Agreeing with the client may encourage him or her and indicate low faith in the present treatment. It is inappropriate to call the health care provider and report on the client. |
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Term
| In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? |
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Definition
The client may have a very different understanding of health promotion.
As a component of cultural assessment, the nurse should seek to understand the cultural lens through which the client may understand health promotion. Health promotion is not a concept exclusive to Western cultures, though it may be considered differently among non-Western cultures. Even if health promotion is not a priority in a client's culture, the nurse should still address issues related to health promotion in a respectful and relevant manner. Health promotion is not directly linked to socioeconomic development levels. |
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Term
| When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? |
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Definition
Ask the client about personal space preferences.
It is most appropriate to ask the client what is preferred in regard to personal space. If the nurse needs to invade the client's personal space to do an examination or take vital signs, it is important to discuss the matter. It is not appropriate to back away without assessing preference. It may make the client feel judged if the nurse asks why he or she is backing away. Moving closer to the client just perpetuates the problem. |
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Term
| Which scenario is an example of cultural competence in nursing? |
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Definition
Attending a conference for cultural diversity
Cultural competence can be shown by actively learning about culture through attending a conference. Assessing the rate at which an illness leads to death does not develop cultural competence. One's own church is a familiar culture, and attending it does not breed cultural expansion or competence. The provider should never assume that beliefs or values are shared. |
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Term
| The nurse is teaching a Black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? |
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Definition
“It is important to monitor my blood pressure.”
Monitoring the blood pressure is important for identifying the risk for hypertension and stroke, which are common health conditions among the Black population. The other statements are correct for preventing diabetes, breast cancer, and osteoporosis, but these diseases are not disproportionately common health conditions for the population. |
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Term
| A client who immigrated from another country informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of: |
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Definition
cultural imposition.
The nurse's response is an example of cultural imposition, which is defined as the belief that everyone should conform to the majority belief system. Cultural blindness is the result of ignoring differences and proceeding as though they do not exist. In this situation, the nurse did not ignore the request but inappropriately responded to it. Cultural diversity is defined as a diverse group in society, with varying racial classifications and national origins, religious affiliations, languages, physical sizes, genders, sexual orientations, ages, disabilities, socioeconomic statuses, occupational statuses, and geographic locations. Cultural assimilation occurs when members of a minority group live within a dominant group and lose the cultural characteristics that make them different. |
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Term
| The nurse is preparing to complete the admission assessment on a new client. Which factor(s) should the nurse include when assessing the client's cultural needs? Select all that apply. |
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Definition
Does the client wear special clothing?
What method does the client prefer to use to make decisions?
Is the client comfortable with accepting help from strangers? |
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Term
| 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? |
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Definition
consulting the family member prior to performing post-mortem care
Only family members may touch or wash the body of a deceased individual who practiced the Islamic faith, so the nurse should ask for permission prior to providing post-mortem care. The family may choose to remain, but the nurse will not be allowed to wash the body. It will be the nurse's responsibility to arrange for transport to the funeral home after care is rendered by the family. |
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Term
| A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, “You can call it whatever you believe, but you have a metabolic disorder.” What is this nurse demonstrating? |
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Definition
Cultural blindness
The nurse is demonstrating cultural blindness, which occurs when one ignores differences and proceeds as though they do not exist. |
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Term
| A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that the nurse had all of the nurse's own children vaccinated. The nurse’s behavior an example of: |
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Definition
cultural imposition.
The nurse’s behavior is an example of cultural imposition, defined as the tendency to impose one’s cultural beliefs, practices, and values on a person from a different culture. Stereotyping is when one assumes that all members of a culture, ethnic group, or race act alike. Cultural blindness occurs when one ignores differences and proceeds as though they do not exist. Cultural conflict occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure in their own values. |
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Term
| 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. |
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Definition
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 |
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Term
| Which area is typically included in a cultural assessment? |
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Definition
Food preferences
Dietary tolerance is associated with both cultural food preferences and biologic variation. A client's marital status and employment status are aspects of demographic information recorded in the client's health record but would not be pertinent, in and of themselves, to a cultural assessment. Ethics would not be typically covered in a cultural assessment, although one's religious affiliation might be. |
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Term
| A Native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What nursing concern should the nurse identify for this client's care plan? |
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Definition
powerlessness related to the inability to make health care providers understand the client's symptoms
Peyote is a hallucinogenic drug that is legal when used as part of religious ritual. Use of the drug does not warrant dismissing the client's health concerns. The nurse should identify the nursing concern as powerlessness, because the client feels as though no one will listen. The other nursing concerns are not related to the given situation. |
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Term
| An unlicensed assistive personnel (UAP) has made a disparaging comment about a client from another culture, stating that the client's hygiene practices are "oddly completed". When questioned by the nurse, it becomes clear that this characterization stems from differences between the client's culture and the UAP's culture. What is the nurse's best response? |
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Definition
Initiate a dialogue with the UAP about the potential harms of ethnocentrism
Viewing one's own culture as the point of reference to all others is ethnocentrism. The UAP's statement provides a teachable moment for the nurse and would not be considered egregious to the extent that an incident report, documentation or removal from care is necessary. |
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Term
| Which is a cultural norm of the health care system? |
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Definition
There is the use of a systematic approach and problem-solving methodology.
Cultural norms of the health care system include the use of a systematic approach and problem-solving methodology; the omnipotence of technology; the dislike of tardiness, disorderliness, and disorganization; and the use of certain procedures attending birth and death. |
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Term
| A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change? |
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Definition
The client states, "I feel like I abandoned my religion."
When clients are forced to participate in care that conflicts with their values, feelings of guilt and abandonment are likely. These feelings may deepen and threaten the client's well-being. The other answer choices are not related to mandated change. |
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Term
| The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care? |
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Definition
| Incorporating the client’s need for daily prayer into the nursing care plan. |
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Term
| Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. |
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Definition
Physically impaired
Burdensome to family
Uninterested in intimacy
Ageism, a form of negative stereotypical thinking about older adults, promotes false beliefs about older adults being physically and cognitively impaired, lacking interest in sex, and being burdensome to families and society. Ageism is not associated with concepts of cognitive enhancement or financial independence. |
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Term
| Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain? |
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Definition
"If a client needs to yell in pain, that is his or her right."
Clients have a right to respond to pain in their own manner. Pain reactions should not be stereotypical, such as males overreact or Asians have a higher pain tolerance. "Some procedures hurt more" is a nurse's perception of pain rather than the client's perception. |
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Term
| Which nursing actions are appropriate when collecting a health history for a client whose language differs from the nurse's language? Select all that apply. |
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Definition
Request assistance from a certified interpreter.
Have a bilingual nurse assist with the health history.
Use the facility telephonic interpreting system. |
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Term
| A client who immigrated from another country informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of: |
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Definition
cultural imposition.
The nurse's response is an example of cultural imposition, which is defined as the belief that everyone should conform to the majority belief system. Cultural blindness is the result of ignoring differences and proceeding as though they do not exist. In this situation, the nurse did not ignore the request but inappropriately responded to it. Cultural diversity is defined as a diverse group in society, with varying racial classifications and national origins, religious affiliations, languages, physical sizes, genders, sexual orientations, ages, disabilities, socioeconomic statuses, occupational statuses, and geographic locations. Cultural assimilation occurs when members of a minority group live within a dominant group and lose the cultural characteristics that make them different. |
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Term
| The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? |
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Definition
“Culture cannot be influenced, and you are born with your culture.”
Culture is learned through life experiences from one generation to the next. Culture helping to define identity, language being the primary way that people share their culture, and culture being seen in attitudes of certain populations are correct options; these are all components that define culture. |
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Term
| While caring for a client from a culture different from the nurse's, the nurse inadvertently offends the client. What is the best action by the nurse? |
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Definition
Learn from the mistake and do not repeat it.
All nurses make mistakes at some time when caring for culturally diverse clients. The best action is to learn from the mistake and not repeat the offense. Although it may be appropriate to discuss with the client, asking why the client is so mad is aggressive and may make the situation worse. The mistake was inadvertent and may not be the result of cultural bias. Focusing on your own majority culture will not help bring about learning associated with the mistake. |
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Term
| Which term describes the tendency to impose one’s cultural beliefs, values, and patterns of behavior on a person from a different culture? |
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Definition
Cultural imposition
Cultural imposition is the tendency to impose one’s cultural beliefs, values, and patterns of behavior on a person from a different culture. Cultural blindness occurs when one ignores differences and proceeds as though they do not exist. Acculturation is the process by which members of a cultural group adapt to, or learn how to, take on the behaviors of another group. Cultural taboos are activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group. |
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Term
Have you experienced flashbacks to your military years?
How do you control your pain?
How much alcohol do you use daily?
How do you express emotions or feelings?
Are you part of a faith community? |
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Definition
Cultural Sanctions/Restrictions
Cultural Sanctions/Restrictions
Health Beliefs/Practices
Cultural Sanctions/Restrictions
Health Beliefs/Practices |
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Term
| A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, “You won’t need acupuncture. We have pain medications.” Which characteristic has the nurse displayed? |
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Definition
Cultural imposition
The nurse has demonstrated cultural imposition by assuming that traditional pain relief measures are superior and the client should conform to the nurse’s belief regarding pain control. This is not an example of cultural conflict because the nurse did not ridicule the request; it was simply dismissed. The nurse is not stereotyping, as no generalization is made about a group of people. The nurse is not demonstrating culture shock because the view of pain medications that the nurse expresses is consistent with the majority, Western culture. |
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Term
| A client has recently immigrated to the country and is exhibiting symptoms of culture shock. The client reports feeling unaccepted in the new culture. The client states, "I cannot do anything correct here." What is the priority nursing concern for care planning? |
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Definition
Incorporating the client’s request for complementary treatment therapy
Leininger’s theory of transcultural nursing includes assessing a cultural nature, accepting each client as an individual, having knowledge of health problems that affect particular cultural groups, and planning of care within the client’s health belief system to achieve the best health outcomes. Therefore, incorporating the client's request for complementary treatment therapy is an example of this theory. The others do not support this theory. |
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Term
| Which nursing intervention reflects practice according to Madeline Leininger’s transcultural nursing theory? |
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Definition
| Incorporating the client’s request for complementary treatment therapy |
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Term
| The nurse discovers that a recently admitted client does not speak the same language as the nurse. Which action would the nurse take? |
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Definition
Arrange for a trained language interpreter.
When a client does not speak the same language as the nurse, the hospital is required by law to obtain the services of a trained interpreter. Because of confidentiality issues, the nurse would not ask the client’s adult child to interpret. Medical language is confusing, so asking a nonclinical employee to interpret may lead to misunderstandings and confusion. |
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