Deck 3: Cultural Influences

Question 1

The nurse is working in the respiratory clinic. In assessing children for cystic fibrosis, the nurse recognizes that children from which genetic and biologic racial background are more likely to have assessment findings characteristic of cystic fibrosis?

A)Asian
B)White
C)Hispanic
D)Black

Answer 1

White

Question 2

The nurse is working with a child whose religious beliefs differ from those of the general population. The best nursing intervention to use to meet the specific spiritual needs of this child and family is to:

A)Ask, "What do you think caused the child's illness?"
B)Show respect while allowing time and privacy for religious rituals.
C)Identify health care practices forbidden by religious or spiritual beliefs.
D)Ask, "How do the child and family's religious and spiritual beliefs impact their practices for health and illness?"

Answer 2

Show respect while allowing time and privacy for religious rituals.

Question 3

The nurse is reviewing the charts from a multicultural health clinic. The nurse needs to know that for three cultures, the listed first name is actually the family name, while the individual's given name is placed last. The three cultures with this variation are:

A)French, German, and Irish.
B)Cambodian, Filipino, and Korean.
C)Canadian, Egyptian, and Haitian.
D)Brazilian, English, and Jewish.

Answer 3

Cambodian, Filipino, and Korean.

Question 4

The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the NANDA nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:

A)Interrupted family processes related to shift in family roles secondary to demands of illness.
B)Fear related to separation from support system during hospitalization.
C)Noncompliance related to impaired verbal communication secondary to recent immigration from a non-English-speaking area.
D)Spiritual distress related to discrepancy between beliefs and prescribed treatment.

Question 5

The nurse in a multicultural health clinic recognizes that many cultures use non-Western means in combination with Western health care prescriptions to treat illness. The nurse needs to recognize that the individuals most likely to combine curanderismo with Western health care prescriptions are:

A)African Americans
B)Native Americans
C)Asian Americans
D)Mexican Americans

Question 6

A child has been admitted to the hospital for treatment of otitis media. When explaining to the mother that the child will be treated for an ear infection, the mother states: "Oh, it is important that my child receives hot foods to help my child." Recognizing that this is a cultural preference and that ear infections are "cold conditions," the nurse will include which of the following in the child's diet?

A)Cheese and eggs
B)Chicken and fish
C)Fresh fruits and vegetables
D)Goat meat and raisins

Question 7

After reading a magazine article on complementary medicine methods, a teenager diagnosed with cancer asks the nurse about the possibility of adding CAM to the medical treatment plan. The nurse would explain to the child that prior to deciding on a CAM method, the adolescent must discuss:

A)The cost of the CAM with her parents.
B)The availability of CAM leaders with the hospital social worker.
C)The safety of the chosen CAM modality with her primary physician.
D)Alternative CAM methods with the nurse.

Question 8

A Southern, nominally Pentecostal, African American pediatric client is being assessed during admission. He has braided, black, kinky hair, and he celebrates Kwanzaa. The nurse should document his ethnicity and race on the nursing admission form as:

A)Ethnicity African American, race Black
B)Ethnicity Black, race African American
C)Ethnicity Pentecostal, race African American
D)Ethnicity Southern, race Black

Question 9

During the assessment, the nurse notices that a Black baby has a darker, slightly bluish-hued patch about 5 × 7 cm on the buttocks and lower back. What is the nurse's next action?

A)Ask the mother about the cause of the bruise.
B)Call the Department of Social Services (DSS) to report this as a sign of abuse.
C)Confer with the physician the possibility of a bleeding tendency.
D)Chart the presence of a Mongolian spot.

Question 10

Unhappy with the treatment progress for their child with cancer, the parents choose to add dietary supplements, including megavitamins, as complementary medicine to the treatment plan. What would be the priority nursing diagnosis for this child?

A)Impaired gas exchange
B)Risk for injury
C)Altered family processes
D)Altered parenting

Question 11

The nurse is working with a family who has recently immigrated to this country. The nurse has recently studied Purnell's Model for Cultural Competence (2002) and wants to respond to the family in a culturally acceptable manner. The most appropriate assessment question(s) would be:

A)"In what places have you lived?" and "What do you miss about your native land?"
B)"When I discuss your child's problem with you, how close to you should I stand?"
C)"What is the school system like in your native land?"
D)"What does eye contact indicate?" and "When do you want me to make eye contact?"

Question 12

The nurse working in a multicultural clinic recognizes that when the purpose of teaching is to promote the health of individual children, this effort should be directed to the authority responsible for the health care decisions. In certain cultural groups, health care decisions typically are made by the father. Therefore, the nurse should direct teaching efforts to the fathers in which cultures?

A)European American
B)African American
C)Native American
D)Appalachian

Question 13

The oncology nurse is working with patients from many cultural backgrounds. When assessing pain, the nurse should recall that members of which cultural group are more likely to remain quiet when experiencing severe pain?

A)Hispanic
B)Asian
C)Italian
D)Jewish

Question 14

A nurse is working with a pediatric client who is overweight. Which diseases are associated with pediatric obesity? Standard Text: Select all that apply.

A)Cardiovascular disease
B)Asthma
C)Infant mortality
D)Diabetes

Question 15

The nurse is working with a child newly enrolled in an English as a Second Language class. The nurse wants to teach the child about the importance of hand washing before meals and to not eat food dropped on the exam room floor. The best way to evaluate the child's understanding of hygienic nutrition is to:

A)Have the child repeat his interpretation of the information that was taught.
B)Schedule a medical interpreter to accompany the patient to his next visit.
C)Provide written materials in English about hygiene and diet for the client to take home.
D)Have the nurse model proper hand washing before examining the child, and throw out the dropped cookie.

Question 16

The nurse is beginning to obtain information about the present illness and medical history from the child's family. The "zone" of space that the nurse should plan to use include the:

A)Public zone.
B)Personal zone.
C)Intimate zone.
D)Social zone.

Question 17

A new nurse takes a job in a clinic that works with immigrants from many different cultures. The nurse recognizes that to be culturally sensitive, the nurse will need to: Standard Text: Select all that apply.

A)Determine means to indoctrinate the patients in the American culture.
B)Gain knowledge about the cultural groups attending the clinic.
C)Avoid the use of interpreters to reduce the impression of a bias.
D)Honor the cultural variations of the patients at the clinic.
E)Acquire information and educational media, such as pamphlets and teaching videos, that use languages spoken by the cultural groups attending the clinic.

Question 18

Access to health care often is less accessible to many groups of children and parents. Which factors can contribute to reducing access to health care? Standard Text: Select all that apply.

A)Transportation problems
B)Lack of community healthcare facilities
C)Lack of health insurance among low-income families
D)Overload of clients resulting in inability to be seen in a timely fashion
E)Communication difficulties if the family is unable to speak or read English