Exam 4: Cultural Considerations

The nurse is completing a self-assessment to determine cultural competence.The nurse would identify which of the following behaviors as part of being culturally competent?

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,what are the responsibilities of the nurse?

The nurse educator is discussing culture and ethnicity with a group of student nurses.Which statement by a student indicates the need for further education?

The nurse is caring for a Vietnamese female client.When planning to provide care the nurse should include understanding of which of the following concepts?

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

The nurse is caring for an elderly Native American client who is experiencing severe chest pain.A tribesman has accompanied him to the hospital 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.What is the best action for the nurse to take in this situation?

The nurse caring for a Navajo woman notices the client is often quiet when she is attempting to interact with her.What inferences can best be made about this behavior?

A Filipino American client is discussing concerns related to osteoporosis with the nurse educator.When considering the information to be presented,the nurse is aware that which of the following traditional characteristics may pose problems for this client's plan of care and will need to be incorporated into the information provided?

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 of the following statements would be helpful for the nurse to use to obtain this information?

When providing an inservice to new graduate nurses,the nurse educator discusses expectations for the nursing staff concerning the acceptance of client cultural beliefs.Which of the following statements by a participant indicates further teaching is needed?

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 of the following cultural groups?

The nurse is caring for a Jewish client with type 1 diabetes mellitus who has been taken to another department for testing.The nurse recognizes the client will be due for an insulin injection and will need to eat immediately upon arrival back to the unit.The nurse orders the client's meal tray.Which of the following will be the best selection?

While acting as a preceptor for a graduate nurse,the registered nurse notices the graduate nurse voices frustration and a lack of appreciation for the health care beliefs and practices of clients whose beliefs differ from her own.Which of the following actions will best assist the preceptor to improve the graduate's practice?

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

When preparing to perform a cultural assessment for a client,the nurse is aware of the numerous components that will aid in the identification of ethnicity.When preparing to ask appropriate questions to assess unique needs,which of the following questions will be beneficial?

The nurse is admitting a client and asks to see all medications taken on a routine basis.The client offers a long list containing prescription medications and a variety of herbal preparations that are unfamiliar names to the nurse.Which of the following actions would be appropriate for the nurse at this time?

The nurse is setting up a meal tray.She notes that the client refuses to look at the food and tells the nurse to take it away.The meal contains a chicken breast,green beans,fruit cocktail,and cottage cheese.The nurse's most appropriate response to the client at this time is which of the following?

The nurse manager is discussing cultural considerations with a group of student nurses.Which of the statements by the nursing students indicates a lack of understanding about cultural concepts?

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 of the following actions would be appropriate for the nurse in this situation?

A Filipino American is preparing for discharge from the hospital.While providing instructions concerning follow-up care,the nurse notes the client is nodding in agreement in response to the nurse's statements.After completing the exchange of information,which of the following actions should the nurse take first?