Deck 4: Cultural Diversity

Question 1

The nurse is caring for an older client that has requested time to pray. Which interventions are most appropriate to facilitate the client's ability to perform the ritual? Select all that apply.
1) Request a chaplain
2) Defer scheduled activities
3) Remain with the client during prayer
4) Encourage the client to pray when family are visiting
5) Ask questions about the client's beliefs

Answer 1

2, 5

Question 2

The nurse learns that a client of the Jewish faith does not eat certain types of foods and fasts on religious holidays. Which intervention would help support the client's cultural practice?
1) Research the client's practices.
2) Obtain a consult with the dietician.
3) Document the client's preferences on the assessment form.
4) Communicate the client's practices to the healthcare team.

Answer 2

2

Question 3

The nurse is assessing a client's ability to speak and understand the English language. Which assessment findings are indicative of a language barrier? Select all that apply.
1) The client answers with a minimal response.
2) The client's family member answers the questions.
3) The client does not make eye contact when spoken to.
4) The client moves away from the nurse when approached.
5) The client nods the head in agreement with everything the nurse says.

Answer 3

2, 5

Question 4

The nurse that lives in a predominantly Spanish-speaking community is learning to speak Spanish. Which describes the best use of learning Spanish?
1) The nurse will be able to communicate better with the clients' families.
2) Speaking a second language will facilitate the professional growth of the nurse.
3) A second language will help when communicating with others in the community.
4) The nurse can gain a great deal of personal accomplishment after learning a second language.

Question 5

The family of an older adult, requiring end of life care, is planning on caring for the client in the home. Which intervention should the nurse implement to meet the cultural needs of the client?
1) Encourage the family to allow a hospice nurse in the home to care for the client.
2) Explore the resources available to the family to meet the client's needs in the home.
3) Ask the client when the family is not present if the client wants to stay in the hospital.
4) Explain to the family the importance of allowing the healthcare team to direct the client's care.

Question 6

The nurse is preparing to admit an elderly patient who is deaf. What should the nurse do to ensure effective communication with the patient?
1) Use the hospital-approved interpreter program.
2) Use the patient's family members to communicate with the patient.
3) Ask the patient to read assessment questions off of the computer screen.
4) Ask if anyone who is currently working could help communicate with the patient.

Question 7

An infant of African origin is being cared for by parents who immigrated to the United States 6 months prior. The mother is using an herbal paste to treat the baby's diaper rash. What should the nurse do to ensure cultural competence?
1) Instruct the mother to stop using the paste.
2) Ask the mother to explain the ingredients in the paste.
3) Provide the mother with another cream to use for the diaper rash.
4) Explain to the mother that herbal ingredients are harmful to the baby.

Question 8

The nurse has provided education for a nursing assistant on culturally competent care. Which statement made by a nursing assistant is the most correct about culturally competent care?
1) "I will respect my client's daily prayer ritual."
2) "I will ask my clients how they would like to be addressed."
3) "I will provide my client uninterrupted time to visit their family."
4) "I will ask my client if they would like to participate in any activities."

Question 9

The husband of a female patient of the Islamic culture asks that only a female doctor examine his wife. How should the nurse respond to the husband?
1) A female doctor will be provided.
2) The request is unreasonable and cannot be honored.
3) Both male and female doctors respect the patient's privacy.
4) The patient's body will be covered during any examinations.

Question 10

The nurse is caring for an older patient who only speaks Spanish. To meet the national standards for culturally and linguistically appropriate services in healthcare, what will the nurse do? Select all that apply.
1) Offer language assistance services to the patient.
2) Post signs in the patient's room written in Spanish.
3) Encourage the patient's family members to serve as interpreters.
4) Explain the cost to employ an interpreter to help the patient with language needs.
5) Provide a written notice in the patient's language informing of the right to receive language assistance services.

Question 11

The nurse is completing a heritage assessment with an older patient from a non-English-speaking culture. Which question would not be a part of this assessment?
1) Where was your mother born?
2) Did you live in an extended family?
3) Where did your father go to school?
4) Do you belong to a religious institution?

Question 12

The preceptor taught a new nurse about the concepts of ethnocultural heritage. Which statement made by the new nurse indicates an understanding?
1) "A client that cannot acculturate is displaying ethnocultural heritage."
2) "A person can only value characteristics that are heritage consistent."
3) "As the client becomes Americanized, their cultural beliefs will change."
4) "Feeling disconnected from one's culture is a loss of ethnocultural heritage."

Question 13

The charge nurse has provided a staff inservice on the cultural triad and nursing care. Which statement, made by a staff nurse, best indicates an understanding of a healthcare team's difficulty with cultural literacy?
1) "Our healthcare team has limited knowledge of each others' backgrounds."
2) "Each of our perspectives of our own heritage interferes with cultural literacy."
3) "A feeling of being disconnected from our own culture has resulted in cultural illiteracy."
4) "The lack of healthcare policies have contributed to the current state of cultural illiteracy."

Question 14

The nurse is caring for an older client. Which assessment finding best indicates that the client is practicing heritage consistency?
1) The client attends secular religious services.
2) The client is very well versed in many cultures.
3) The client plans to visit their childhood neighborhood.
4) The client occasionally contacts extended family members.

Question 15

The nurse is developing a plan of care for a client with a language barrier that is recovering from surgery and has not requested any pain medication. Which of the following interventions should the nurse include in the care plan?
1) Assess the client for non-verbal signs of pain and medicate the client if signs are noted.
2) Become familiar with the client's culture and how the culture typically demonstrates signs of pain.
3) Obtain a prescription for the client to have a patient-controlled analgesic pump so the client can be in control of their own pain management.
4) Utilize an interpreter to explain the faces pain scale for assessing and evaluating the client's pain level now and throughout the hospitalization.

Question 16

The nurse is planning care for a client who is 82 years old, male and Hispanic. Which of the following should the nurse identify as potential conflicts when considering the cultural-care triad? Select all that apply.
1) Appropriate introductions between the nurse and client
2) Cultural differences in education among the caregivers
3) Difficulty accessing electronic health information by the client
4) Generational differences among the client, caregiver, and nurse
5) Language barriers between the nurse and the caregiver and client

Question 17

The nurse is assessing life trajectory of an older client admitted to the unit. Which of the following would be the best question by the nurse to obtain information about life trajectory?
1) "Tell me about your spouse and children?"
2) "How do you feel about your treatment plan?"
3) "Would you like me to contact a chaplain for you?"
4) "Do you have an advanced directive or living will?"

Question 18

The nurse is caring for an older adult in a long-term care facility. Which statement made by the client best indicates that the client practices heritage consistency?
1) "I look forward to my family visits every Sunday."
2) "The younger generation does not understand me."
3) "My parents were so happy that my spouse shares our culture."
4) "I was so excited to learn English when I came to this country."

Question 19

The staff development instructor is preparing a presentation on the cultural-care triad. Which information should the instructor include?
1) Life perspective solely impacts the triad.
2) The triad consists of the nurse, patient, and family.
3) The cultural diversity of nursing impacts the accessibility to care.
4) Demographic disparities between the client and the triad minimally impact care.
5) The increased use of technology can negatively impact the client's ability to access health information.

Question 20

The nurse overhears a student nurse discussing the three areas of focus of cultural care nursing. Which statement by the student best indicates a lack of understanding of cultural care nursing?
1) "The nurse must understand the client's background."
2) "A nurse must acknowledge the total context of the client's situation.
3) "When caring for clients, the nurse should be familiar with the client's cultural health practices."
4) "Nursing considerations regarding the client's culture should be incorporated into the care plan."

Question 21

The nurse has identified the diagnosis of Risk for Impaired Verbal Communication for a patient with limited English skills. Which intervention would be appropriate for this diagnosis?
1) Asking a family member to act as an interpreter
2) Writing questions on a clipboard for the patient to read
3) Using an interpreter when communicating with the patient
4) Speaking loudly and slowly when attempting to communicate with the patient

Question 22

The nurse is admitting a client to the unit who states, "I am very uncomfortable with males. My religion does not permit me to have physical contact with them." Which statement made by the nurse would be most appropriate?
1) "We have many male assistants on this unit."
2) The nurse should have care arranged by a person of the same sex as much as possible and protect the person's personal privacy at all times.
3) "I can see if we can transfer you to another floor."
4) "I will put a sign on your door so that no males enter your room."

Question 23

The nurse is conducting a heritage assessment with an older client and wants to understand the client's beliefs on expectations for healthcare. Which question is most appropriate during the assessment?
1) "What was your prior occupation?"
2) "Do you have an advanced directive?"
3) "Do you have a specific dietary practice?"
4) "Would you like to participate in your morning care?"

Question 24

A student nurse is preparing a presentation to explain the steps in developing cultural competency. What questions should the student ask to become more aware of personal ethnocultural heritage? Select all that apply.
1) "Do you value stoic behavior?"
2) "Where were your parents and grandparents born?"
3) "What are examples of your ethnocultural life trajectories?"
4) "What do you see as seminal cultural events of your lifetime?"
5) "Which life experience stands out as an event in your heritage?"

Question 25

The nurse is admitting an older client to the unit. Which of the following should the nurse include in the admission process to provide culturally competent care?
1) Assess the client's level of pain
2) Identify the client's life trajectories
3) Allow the client to see the prescribed plan of care
4) Encourage family involvement in as much of the client's care as possible