Exam 4: Cultural Considerations

The nurse is collecting data concerning the client's chief complaint. The client reports having attempted to manage the illness using herbs. Which response by the nurse is most therapeutic?

The female nurse is examining a Vietnamese male and notes that he will not make eye contact with her during the assessment. The client appears very uncomfortable and is sweating and flushed. Which action by the nurse would be appropriate in this situation?

The nurse is setting up a meal tray and notes that the client refuses to look at the food and asks the nurse to take it away. The meal contains a chicken breast, green beans, fruit cocktail, and cottage cheese. Which response by the nurse is the most appropriate?

The nurse is preparing an educational program for the staff on cultural considerations. The nurse includes the following definition: "The adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture." Which term is the nurse referring to?

The nurse caring for a Navajo client notes a lack of verbal communication when attempting to interact with the client. Which inference can be made about this behavior?

The nurse is discharging a Chinese American client the hospital. The nurse notes the client is nodding in agreement in response to the nurse's statements during discharge teaching. After completing the exchange of information, which is the priority action by the nurse?

When planning care to manage osteoporosis in an African American client, which must be taken into consideration?

The nurse is studying matriarchal cultures and needs to complete a report on how this aspect affects health care within the culture. Which cultures will the nurse explore as being matriarchal?

The nurse is providing postoperative care to a Chinese American client. Which traditional Chinese cultural concepts may impact the nurse-client interaction?

The nurse is caring for a client who insists on having food very hot and very cold at each meal. The nurse correctly recognizes this as a health belief in which cultural group?

While working in an ambulatory care clinic, a Hispanic client who speaks limited English seeks care. When preparing to provide the discharge instructions to the client, which is a responsibility of the nurse?

The charge nurse is making assignments for the next shift. Three of the staff members are female and one is male. Which client should be assigned to a female staff member?

The nurse is interviewing a client and wishes to determine health practices that are important to the client's beliefs. Which statement would be appropriate for the nurse to use to obtain this information?

The nurse is interviewing a client and wishes to determine the roles of various members of an extended family living together in one household. Which statements would be helpful for the nurse to use to obtain this information?

The nurse manager is discussing cultural considerations with a group of staff nurses. Which statements by the staff nurses indicate an appropriate understanding of cultural concepts?

A seasoned nurse notes that a novice nurse voices frustration and a lack of appreciation for clients with differing health care beliefs and practices. Which action will best assist the seasoned nurse to improve the novice nurse's practice?

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

The nurse is caring for an older adult Native American client who is experiencing severe chest pain. The client is accompanied by a tribesman at the insistence of the client. The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped. The client's son insists that his father be treated, and states he feels the tribe's teachings are antiquated. Which action by the nurse is the most appropriate?

The nurse educator is discussing culture and ethnicity with a group of student nurses. Which student statements indicate appropriate understanding of the material presented?

The nurse is preparing to perform an assessment of the client's social support and organization. Which question will provide the needed information?