Deck 5: Cultural Influences

Question 1

The culturally sensitive nurse will recognize that an older adult client with a high-context ethnic background will appreciate:

A)not having a treatment scheduled during her favorite television program.
B)both a written and verbal explanation describing how to monitor her blood sugar levels.
C)a concise explanation as to why her physical therapy appointment has been canceled.
D)having a conversation about her grandchildren while her dressing is changed.

Answer 1

having a conversation about her grandchildren while her dressing is changed.

Question 2

The nurse is caring for an older adult client in need of hospitalization.The nurse is aware that he is a member of an ethnic group that holds a collectivist perspective on community.The nurse best addresses the client's medical needs by:

A)calling in an interpreter to assure the client is making an informed decision about the hospitalization.
B)assuring the client that arrangements will be made to have his spiritual advisor meet him at the hospital.
C)arranging for the client to be admitted to a hospital that is familiar with this client's ethnic culture.
D)offering to telephone the client's family and ask them to come to the clinic to discuss the hospitalization.

Answer 2

offering to telephone the client's family and ask them to come to the clinic to discuss the hospitalization.

Question 3

A geriatric nurse practitioner working with a tribe of American Indians makes the decision to acculturate in an attempt to provide culturally appropriate care.The nurse does this best by:

A)living the values of the tribe.
B)researching the belief systems of Native Americans.
C)learning the language of the tribe.
D)residing among the tribe members.

Answer 3

living the values of the tribe.

Question 4

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

A)requiring that the confused client smoke his pipe only when supervised.
B)reinforcing that the frail client use the call bell when wanting to get out of bed.
C)scheduling a hemiplegic client's bath for every Monday, Wednesday, and Friday at 11 am.
D)providing an obese client with only low-calorie snacks.

Question 5

A 61-year-old Asian client receiving physical therapy after hip surgery has developed a low-grade fever.The client explains that he believes his fever will lessen if his treatment includes the principles of yin/yang.The nurse expects to support the client by:

A)providing privacy when his shaman visits.
B)arranging for his diet to include cold foods and liquids.
C)planning his PT so it does not conflict with his meditation.
D)keeping a magical amulet under his pillow.

Question 6

A 66-year-old Hispanic client explains that she has not been taking her prescribed medication because her culture believes that dietary management would be just as effective in managing her problems.Which action by the nurse illustrates cultural accommodation?

A)Asking the client to give more details regarding this belief
B)Discussing with the client about possibly adding her dietary preferences into her treatment plan
C)Offering to have a registered nutritionist discuss the situation with the client
D)Researching the client's proposed dietary beliefs

Question 7

The nurse in an assisted living facility is preparing to admit an older adult client who speaks very little English.The nurse decides that it is most important that an interpreter be present when the client:

A)indicates that she wants to talk with her physician.
B)is being oriented to the facility.
C)is required to sign official documents.
D)begins crying and is inconsolable.

Question 8

The nurse is most effectively using the concept of future time orientation when:

A)promising to assist the client call his daughter each weekend.
B)offering to complete the health assessment history after the client eats dinner.
C)encouraging an older client to keep a follow-up clinic appointment.
D)arranging for a colorectal cancer screen for senior citizens.

Question 9

A postmenopausal black woman who has been experiencing uterine bleeding tells the nurse "I expect I'll need a total hysterectomy because when my sister had this problem that's what she had done." The nurse recognizes that this woman belongs to a cultural subgroup whose health care needs are best met by:

A)radical surgery to address the predisposition to uterine cancer.
B)familiarizing her with the various medical options available to her.
C)an in-depth family health history assessment.
D)emotional support directed toward preparing her for the surgery.

Question 10

When attempting to reflect about personal cultural awareness, the nurse asks himself or herself which of the following? Select all that apply.

A)What image do I want to project to members of other cultures?
B)What makes a culture worthy of biased treatment?
C)Have my life experiences contributed to any biases regarding other cultures?
D)Am I uncomfortable when interacting with members of other cultures?
E)Does the client's culture rely on solid science to direct the culture's health care methodology?

Question 11

When attempting to provide culturally sensitive care according to the Explanatory Model, the nurse asks the client:

A)"Who will be able to help you when you go home?"
B)"Do you think the treatment is helping?"
C)"When did you first notice the problem?"
D)"Has this illness changed your life?"

Question 12

In an attempt to be sensitive to varying cultural responses to touch, before shaking a client's hand, the nurse will:

A)offer the client his or her upturned palm.
B)wait until the client extends his hand.
C)establish eye contact.
D)address the client by his or her full name.

Question 13

While caring for an older Korean client, the nurse notes that he responses questions regarding his health history when asked but is otherwise silent.Being culturally sensitive, the nurse recognizes that the client's silence is most likely a(n):

A)sign of respect for the wisdom and expertise of the nurse.
B)indication that he has no questions regarding the care he is receiving.
C)expression of discomfort discussing personal matters.
D)means of communicating his dissatisfaction with his care.