Exam 4: Cultural Influences on Nursing Care

The nurse is planning care for a patient from a non-English speaking culture.Which cultural factors should the nurse be aware of in order to provide culturally competent care to this patient? (Select all that apply.)

A female Caucasian nurse,overhead discussing a patient from another culture,asks why the patient wants to see a practitioner from his own culture,since everyone sees physicians when they are ill.What characteristic is the nurse exhibiting?

A patient who is a Jehovah's Witness has severe gastrointestinal bleeding and a dangerously low hemoglobin level.The patient is fully alert and competent and refuses to accept the blood transfusion ordered by the physician.Which action by the nurse is most appropriate?

The nurse is caring for a patient of Spanish descent who is experiencing pain,but does not speak English.An interpreter is located to help with the assessment.What should the nurse do to facilitate communication with this patient?

The staff development instructor is planning a seminar on improving cultural sensitivity when providing patient care.What should the instructor include in this seminar? (Select all that apply.)

The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing a coin on the child's back.The coin leaves red marks.What should the nurse do about this observation?

The nurse is providing care in a clinic with a culturally diverse patient population.Which actions should the nurse take to ensure care is culturally appropriate? (Select all that apply.)

An unconscious victim of a house fire is brought to the emergency department by the paramedics.Tied to the right wrist is an emblem that appears be a religious talisman.Which action should the nurse take?

During a home visit to a family of a non-English speaking culture,the nurse observes the male parent becoming upset when the youngest child refuses to speak the native language in the home.What should the nurse realize is occurring within the family at this time?

A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby checkup.To promote healing,she has a coin taped to the infant's umbilicus.What should the nurse do about this situation?

The nurse is assessing a patient who believes in a balance of yin and yang in the body,has a brother with stomach cancer,and frequently uses acupuncture for headache treatment.The nurse should validate that the patient is a member of which cultural group?

A nurse who emigrated from China begins working on a medical unit.The preceptor explains the unit routines,including the medication administration system.When the preceptor asks if the nurse understands,the answer is always: "Yes,I understand." What should the preceptor do to measure the nurse's comprehension?

A patient with diabetes mellitus who comes to the clinic for a routine examination agrees to have a diagnostic test,but is concerned that her transportation will not wait for the test to be performed.What should the nurse do?

The nurse is caring for a young adult male patient who refuses personal care from a female nursing assistant.Which approach by the nurse is best?

The nurse is preparing to teach a patient of the Asian culture to perform postoperative dressing changes at home after discharge.Which statement made by the nurse indicates cultural competence?

A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo practitioner visit to say prayers.How should the nurse respond to this request?

An older patient is observed wearing a copper bracelet to relieve the pain of arthritis.What type of practice should the nurse realize this patient is demonstrating?

The nurse is providing medication instructions to a 45-year-old patient who does not maintain eye contact.What should this patient's behavior indicate to the nurse?

The nurse is preparing discharge teaching for an older patient who immigrated to the United States a few years ago.What should the nurse remember when preparing these instructions?

A female nurse is providing smoking cessation counseling and education during a community health fair.The nurse should avoid physical closeness,shaking hands,or touching during instruction with which of the following? (Select all that apply.)