Deck 4: Understanding Each Other: Communication and Culture

Question 1

The nurse provides care to a client from Nigeria who is visiting the United States.Which should the nurse use to communicate with this client?

A)Review the predominant health beliefs of the Nigerian population.
B)Appraise the client's health beliefs and behaviors with a cultural assessment.
C)Consult with other nurses who have taken care of clients from other countries.
D)Use standard communication techniques to establish a helping relationship.

Answer 1

Appraise the client's health beliefs and behaviors with a cultural assessment.

Question 2

The nurse provides care for a male patient.When the nurse addresses the patient,which would be most appropriate?

A)Use both first and last name with each encounter.
B)Ask the patient how he prefers to be addressed.
C)Call the patient by his first name.
D)Address the patient by his last name.

Answer 2

Ask the patient how he prefers to be addressed.

Question 3

The nurse observes a nursing assistant interacting with an elderly patient.Which statement by the nursing assistant requires an immediate intervention by the nurse?

A)"I will help you remember where your room is located."
B)"Would you like me to read from your Bible today?"
C)"Tell me a story about when you were young."
D)"Sweetie,I will bring your coffee in a few minutes."

Answer 3

"Sweetie,I will bring your coffee in a few minutes."

Question 4

A female nurse discusses a concern related to client care with a male physician.Which communication strategy,if used by the nurse,is most effective?

A)Assume a subservient role to the physician.
B)Use a direct approach with succinct sentences.
C)Ask questions instead of making recommendations.
D)Be polite and expect politeness from the physician.

Question 5

The nurse is interviewing a Native American client.It is most important for the nurse to take which action?

A)Maintain eye contact to show respect and interest.
B)Assess whether the client is comfortable with eye contact.
C)Avoid prolonged eye contact with this client.
D)Sit next to the patient to avoid any eye contact.

Question 6

A non-Hispanic white nurse provides care to mostly Hispanic patients.It would be most important for the nurse to take which action?

A)Discover cultural influences on health care perceptions and behaviors.
B)Assist the patients to adapt to American culture and health beliefs.
C)Avoid confrontation of underlying issues of discrimination.
D)Improve communication by learning how to speak Spanish.

Question 7

Which characteristic would the nurse use to define culture? Select all that apply.

A)Learned and shared lifeways of a particular group.
B)Social identity influenced by language and religion.
C)Belief in superiority of one's own ethnic group.
D)Values influence both thinking and actions.
E)Several generations share the same beliefs.

Question 8

Which patient would most likely be uncomfortable with close personal space during an interaction with the nurse?

A)19-year-old white female patient who is standing two feet in front of the nurse.
B)40-year-old African-American male patient who is sitting next to the nurse.
C)60-year-old Latin-American female patient who is seated across from the nurse.
D)82-year-old patient from France who is lying in bed with the nurse sitting next to the bed.

Question 9

The nurse cares for diverse clients in a community health setting.Which action should the nurse take first to learn about delivering care to diverse clients?

A)Adopt a transcultural framework to develop culturally appropriate care.
B)Ask clients about their personal health care beliefs.
C)Develop a self-awareness of personal health care beliefs.
D)Recognize ethnocentric beliefs of minorities in the community.

Question 10

The nurse needs to obtain a health history from a Spanish-speaking patient.Which action by the nurse is best?

A)Ask a bilingual friend of the patient to interpret.
B)Use nonverbal communication and draw pictures.
C)Request a Spanish-speaking medical interpreter.
D)Interview the patient's English-speaking daughter.