Exam 5: Cultural Influences in Nursing in Community Health

A nurse is about to despair.Earlier in the week,she carefully taught a patient from a different culture exactly how much medication to take and emphasized the importance of taking the correct amount.However,the patient is back in the hospital today with symptoms of an overdose although the patient denies taking more than the label indicated.Which of the following is the most likely explanation?

An American nurse says,"I'm not going to change the way I practice nursing based on where the client is from because research shows that Western health care technology and research is best." Which of the following is being demonstrated by the nurse's statement?

A nurse gives detailed information on how to apply for Medicaid to a new mother who moved to the United States from Russia about 10 years ago.The nurse's next client is an African American mother of newborn twins who worked until the children were born.The nurse knows the woman is eligible to maintain her insurance after her employment was lost and does not discuss insurance options at all.Which of the following errors is being made by the nurse?

Mexican immigrants who take metamizole ("Mexican aspirin")for pain may experience life-threatening agranulocytosis.Which of the following actions would be taken by a nurse who employs cultural repatterning?

The nurse practitioner (NP)discovered that an immigrant client is not taking the penicillin prescribed because his illness is "hot" and he believes that penicillin,a "hot" medicine,will not provide balance.Which of the following terms best describes the action taken by the NP when the client's prescription is changed to a different yet equally effective antibiotic?

A nurse recognizes that although a patient speaks English,the patient is from a culture with which the nurse is unfamiliar.Therefore,a cultural assessment should be attempted.Which of the following questions should the nurse ask?

A 40-year-old Bosnian,Muslim woman who does not speak English presents to a community health center in obvious pain.She requests a female health care provider.Through physical gestures,the woman indicates that the pain is originating in either the pelvic or genital region.Which of the following interpreters would be the most appropriate in this situation?

For a bedridden Muslim patient,the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers.Which of the following is the nurse demonstrating through these actions?

A Buddhist patient enters the hospital for diagnostic testing just before lunch time.The nurse tells the aide to give a meal tray to the new patient,because no tests will be done until later that evening.The aide gives the patient a meal of Salisbury steak,bread,green beans,and potatoes with brown gravy.The patient eats nothing but a slice of bread and the green beans.Which of the following considerations was omitted by the nurse?

When teaching a nutrition class to a student group with a large Hispanic population,the school nurse incorporates foods such as salsa and other healthy dishes familiar to Hispanic students into the presentation.Which of the following best describes the action taken by the nurse?

Which of the following best describes most Americans' attitude toward immigrants?

At a local hospital,the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding.A new mother expresses concern that in her country,all infant care is provided by other family members so that the mother can rest and recover.Which of the following actions would be taken by a culturally competent nurse?

An undocumented immigrant comes to a physician's office to receive care.Which of the following services can the client receive?

A nurse who is explaining to a Latino client why it is important to take medication states,"The medication takes a couple of weeks to be effective,but then you should feel better." When the client is next seen,no medication has been purchased.Which of the following is the most likely explanation?

A nurse wishes to develop cultural competence.Which of the following actions should the nurse take first?

A health care worker tells a nurse,"It does no good to try to teach those Medicaid clients about nutrition because they will just eat what they want to no matter how much we teach them." Which of the following is being demonstrated by this statement?

A nurse is caring for a client of another culture.Which of the following actions would be most appropriate for the nurse to take?

A nurse states,"The best way to treat a client from another country is to care for them the same way we would want to be cared for.After all,we are all humans with the same wants and needs." What does this statement reflect in relation to culture?

A family from Mexico comes to the public health department.No one in the family speaks English,and nobody at the health department speaks Spanish.Which of the following actions should be taken by the nurse?

A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when collecting a client's history.He stopped doing this around Muslim clients after being told that Muslims were offended when he exposed the sole of his foot (shoe)to their face.Which of the following was exhibited by the nurse when he changed his behavior?