Exam 24: Culture and Diversity

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

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?

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 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?

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?

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 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?

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 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?

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 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 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 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?

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 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 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.

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?

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?

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?

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