Deck 5: Cultural Influences

Question 1

A nurse is caring for an Arab American patient in the hospital.The patient has many visitors who seem to be tiring the patient.What action by the nurse is best?

A)Limit the number of visitors the patient can have.
B)Only allow family members to visit the patient.
C)Suggest shorter visits to the patient's visitors.
D)Require visitors to check in at the front desk.

Answer 1

Suggest shorter visits to the patient's visitors.

Question 2

When attempting to provide culturally sensitive care according to the explanatory model,the nurse asks the patient:

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?"

Answer 2

"Has this illness changed your life?"

Question 3

While caring for an older Korean patient,the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact.Being culturally sensitive,the nurse recognizes that the patient's actions are 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.

Answer 3

sign of respect for the wisdom and expertise of the nurse.

Question 4

A geriatric nurse practitioner working with a tribe of Native Americans 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 tribe's belief systems.
C)learning the language of the tribe.
D)residing among the tribe members.

Question 5

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

A)not having a treatment scheduled during a 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.

Question 6

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

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

Question 7

A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication,so the patient's prescription has not been filled.Which action by the nurse illustrates cultural accommodation?

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

Question 8

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

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

Question 9

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

A)requesting the bridge group only use the game room for 2 hours at a time.
B)encouraging Christian residents to attend mass or church services.
C)repeatedly confiscating herbs and food products used in healing.
D)telling potential patients who are Jewish that the facility does not have a kosher kitchen,

Question 10

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 beliefs are most influenced by the:

A)biomedical model.
B)magico-religious model.
C)balance/harmony model.
D)personal experience.

Question 11

The student learns that which of the following is the best definition of culture?

A)A group of similarly appearing individuals
B)Shared beliefs,behaviors,and expectations of groups
C)Group beliefs about what is right and wrong
D)Groups that come from the same part of the world

Question 12

A director of nursing works in a hospital that serves many Jehovah's Witness patients.What action by the nurse would best facilitate culturally appropriate health care?

A)Establish a bloodless surgery program.
B)Create an immunization clinic for children.
C)Employ spiritual leaders from this faith.
D)Allow faith healing ceremonies.

Question 13

A student nurse expresses frustration to the faculty member regarding an ethnic older adult who appears to be noncompliant.The student states,"Why can't the patient just do what we teach her to do?" What response by the nurse is best?

A)"Yes,I realize how frustrating this must be for you."
B)"People from her culture are never compliant."
C)"Maybe you can find a different way to get through."
D)"Culture dictates how people respond to others."

Question 14

The nurse uses the LEARN model when providing care.What event best demonstrates that this model has been successful?

A)The nurse learns about the patient's culture and how it impacts care.
B)The patient and nurse agree on a mutually acceptable plan of action.
C)The nurse listens carefully to the patient's concerns and beliefs.
D)The patient understands how medical care will be beneficial.

Question 15

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

A)calling an interpreter to assure the patient is making an informed decision.
B)assuring the patient that his spiritual advisor will meet him at the hospital.
C)arranging for admission to a hospital that is familiar with this patient's culture.
D)offering to phone the patient's family and ask them to come in and discuss the hospitalization.

Question 16

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

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

Question 17

A new nurse is caring for a patient from Appalachia.The patient seems guarded and secretive,which frustrates the new nurse.What advice from the mentor is most appropriate?

A)"Maybe you should ask to change your assignment."
B)"This is a normal behavior for this patient's cultural group."
C)"You could try to apologize for anything you may have done."
D)"Ask the patient why she is acting so strangely around you."

Question 18

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

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

Question 19

An incapacitated older adult with dementia is brought to the emergency department by a rescue squad after falling and breaking an arm.When the patient's children arrive,they are adamantly against the patient having any medical care and insist that prayer will heal the broken arm.What action by the nurse is most appropriate?

A)Allow the family to pray with the patient then escort them to the waiting room.
B)Call security to keep the family from interfering with medical care.
C)Check facility policies and contact the hospital social worker.
D)Call the police who can force the family to accept medical care.

Question 20

A patient from a culture that differs from that of the nurse is hospitalized and near death.What action by the nurse best demonstrates cultural care preservation?

A)Allowing the family to remain at the bedside
B)Pinning a healing amulet to the patient's gown
C)Offering the family food and drink in the room
D)Giving the family time to be alone with the patient

Question 21

What does the nurse working with older adults from many different cultures know about the demographics of culture in the United States? (Select all that apply. )

A)Hispanics will become the largest minority group by 2030.
B)Many persons of color are not counted in the census.
C)The percentage of Native Americans/Native Alaskans will decrease.
D)The number of refugees and immigrants is expected to decrease.
E)Some Native Americans want to identify as specific tribal members.

Question 22

A nurse working in the emergency department is seeing an older patient who does not speak English well.The nurse calls for an interpreter.The student wants to know why the patient's minor child,who speaks English,cannot interpret.What response by the nurse is best? (Select all that apply. )

A)The child may not accurately translate.
B)The child and older adult may be embarrassed.
C)The patient has the right to interpretation.
D)Having a child interpret takes too much time.
E)Privacy laws prohibit this practice.

Question 23

When attempting to reflect about personal cultural awareness,the nurse asks himself or herself which of the following quetions? (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 patient's culture rely on solid science to direct health care?