Deck 24: Culture and Diversity

Question 1

A male nurse enters the room of a female client to obtain the client's vital signs.The client's spouse appears uncomfortable with the nurse and moves closer to the client.Which action by the nurse is most appropriate?

A) Ask a female staff member to obtain the client's vital signs.
B) Ask the client's spouse to leave the client's room.
C) Perform the intervention without discussion.
D) Explain the procedure to both the client and client's family member.

Answer 1

Explain the procedure to both the client and client's family member.

Question 2

The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month.The client,who has different beliefs about food,has not been able to achieve this goal.Which action by the nurse is appropriate?

A) Extend the time frame and give the client a longer period to achieve the goal.
B) Select a different goal.
C) Make sure that the client understands the importance of the goal.
D) Modify the plan of care to be consistent with the client's beliefs regarding food.

Answer 2

Modify the plan of care to be consistent with the client's beliefs regarding food.

Question 3

Which acculturation behavior will the nurse observe in a client who has emigrated from Mexico to the United States?

A) The client buys all needed products from the local store owned by people from Mexico.
B) The client lives in a neighborhood that is populated predominantly with people from Mexico.
C) The client speaks Spanish only.
D) The client attends church in the neighboring community to meet new people.

Answer 3

The client attends church in the neighboring community to meet new people.

Question 4

The nurse is reviewing the discharge instructions for administration of home medications with an older adult client.In considering the normal changes experienced with aging,which activity should the nurse incorporate into the teaching plan?

A) Giving written materials to compensate for short-term memory losses
B) Considering holding sessions for longer periods than usual so the client can learn
C) Using tools that repeat the information until the information is understood
D) Providing instruction to relatives so that the client will not need to learn everything

Question 5

The novice nurse working in an inner-city hospital that serves a diverse client population states "I want to learn everything possible about all of the clients." Which response by the seasoned nurse is appropriate?

A) "I will give you a great book that describes all of the critical factors."
B) "You should always be nonjudgmental."
C) "This will come with time as you get to know clients and then encounter problems."
D) "You need to first understand who you are."

Question 6

The nurse notices that a client,who is from another country,appears uncomfortable when the nurse asks to look at the client's abdominal incision from a recent surgery.Which nursing action is the most culturally competent?

A) Close the client's curtain to maintain privacy.
B) Ask the client to explain why she is uncomfortable.
C) Explain the reason for the intervention using lay terms.
D) Wait until the next assessment time to observe the incision.

Question 7

A nurse working in an assisted care facility is preparing an educational program regarding ageism for the colleagues on the unit.Which statements reflect ageism? Select all that apply.

A) "If the client is competent to make decisions I should not go to other members of the family for care decisions."
B) "The elderly are just lazy and that is why they need help with activities of daily living."
C) "All elderly people are sickly."
D) "Addressing an elderly client as 'Honey' or 'Sweetie' is disrespectful."
E) "The elderly are less likely to recover from illness."

Question 8

The nurse places a client,of Islamic descent,in a treatment room of the emergency department for treatment of abdominal pain and vaginal bleeding.The spouse,speaking for the client,asks that only a female provider examine his wife for the pelvic exam.Which is the most culturally-appropriate statement by the nurse?

A) "Your spouse will be covered with a sheet so it will not matter whether the examiner is male or female."
B) "The male and female providers both respect privacy."
C) "The request is unreasonable and cannot be honored."
D) "Every attempt will be made to honor your request."

Question 9

A nurse is explaining the need to obtain laboratory tests on client who has an infection and is of a cultural group different from the nurse's.During the interview,the client averts eye contact and refrains from answering questions for long periods of time.Which does this behavior indicate to the nurse?

A) In this client's culture direct eye contact may show disrespect.
B) Come back at a different time, when the client is feeling more communicative.
C) Have another nurse finish the interview, because there is something uncomfortable the client senses.
D) Leave the room and come back after having learned more about this particular culture.

Question 10

A nurse is working at a healthcare clinic serving the needs of an inner-city,predominantly African-American population.A neighbor says the nurse must be brave because most of "those" people have guns and are in gangs.Which response by the nurse is appropriate?

A) "It's very difficult for me when you discriminate like that."
B) "It's okay because I'm not a gang member so I will be okay."
C) "Hey, it's a job like any other job. All jobs have problems."
D) "That's an unfortunate stereotype. Can we talk about the reality?"

Question 11

Which treatment program would be most appropriate for homeless clients whose type 1 diabetes requires daily insulin injections?

A) Home health care
B) Outpatient clinic
C) Partial hospitalization programs
D) Inpatient hospital-based care

Question 12

The nurse is caring for a Chinese client who just had abdominal surgery.The client's nonverbal cues indicate pain,but the client denies the need for pain medication.Which action by the nurse is appropriate?

A) Seek out a family member to convince the client to take the medication.
B) Consult with the healthcare provider about providing pain medication without the client's knowledge.
C) Offer the pain medication to the client again, stating that providing comfort is the nurse's most important responsibility.
D) Allow the client to suffer in silence.

Question 13

A nurse is interviewing a client at a clinic near a shelter for the homeless.Understanding the lack of resources this client has available,which should the nurse assess during the intake phase of the health history? Select all that apply.

A) Social support available
B) Access to medication
C) Access to nutritious meals
D) Number of times married
E) Any personal resources

Question 14

A female client,from a male-dominated culture,is being discharged after a lengthy hospitalization.Which action by the nurse prior to providing discharge instructions is appropriate?

A) Assess who the decision maker is in the family.
B) Make sure that the healthcare provider gives the instructions.
C) Make sure instructions are understood by the client.
D) Ask the client when the best time for teaching would be.

Question 15

During a sexual history,the client states,"I have always felt like a man trapped in a woman's body." Which conclusion about the client is accurate?

A) Bisexuality
B) Heterosexuality
C) Homosexuality
D) Transsexuality

Question 16

The client is admitted to the hospital following a miscarriage,and she is septic.The healthcare provider orders antibiotics,which the client refuses,stating,"I don't deserve them.I lost my baby because I had sex outside of marriage." Which is the appropriate response by the nurse?

A) "I'll notify your healthcare provider about your decision."
B) "Do you think you should be punished because you had a miscarriage?"
C) "I think you need to do what is best for you."
D) "You have a serious infection and really need the medication."

Question 17

The clinic nurse is caring for an infant during a routine wellness exam.The parents and infant are of an African ethnic origin and immigrated to America 6 months ago.The mother explains that she believes that an herbal remedy,prepared by the village doctor,is the best way to treat the infant's colic.Which action by the nurse is appropriate?

A) Ask the mother what the ingredients are in the remedy.
B) Give the mother an alternate remedy for colic.
C) Explain how herbal ingredients may be harmful to the infant.
D) Tell the mother not to use the remedy because there is no way to know what the ingredients' scientific effect may be.

Question 18

A novice nurse is working in a busy emergency department of a hospital,situated in a culturally diverse area of the city.Which should the nurse do when providing culturally competent care?

A) Possess the underlying background knowledge that will provide these clients with the best possible health care.
B) Understand and attend to the total context of the client's situation, using knowledge, attitudes, and skills.
C) Strive to be culturally sensitive, culturally appropriate, and culturally competent.
D) Try to learn about the attitudes toward health care and traditions of the different cultures in that area.

Question 19

The nurse is caring for an African-American client who had a myocardial infarction and is receiving atorvastatin (Lipitor).The nurse assesses the client's diet to be very high in fat.Which is the best plan by the nurse to improve the client's diet and reduce the risk that the client may need additional medications?

A) Ask another nurse to speak to him about a low-fat diet.
B) With the client's permission, discuss the dietary with whoever prepares meals for the family.
C) Consult a dietician to teach the client about low-fat diets.
D) Give the client information specific to African Americans about low-fat diets.

Question 20

A nurse is working with a number of clients at a free clinic.Which client population is at a high risk for low levels of health care?

A) Undocumented immigrants
B) Men who have protected sex with men
C) Men who have sex with women
D) Teenagers

Question 21

The nurse caring for an adult client from another country notices that the client consults with her mother on all healthcare decisions.What action by the nurse is the most culturally competent?

A) Ask the client why the parent is being consulted for every decision.
B) Accept the behavior of the client and family member.
C) Ask the client's mother to leave the room to provide the client with more privacy.
D) Confront the client's mother to state the importance of the client making her own decisions.