Question 1

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?

Accepted Answer

A)   "What herbs have been used to manage your condition?"
B)   "Does your healthcare provider know about your herbal remedies?"
C)   "Don't you realize your recovery may have been impeded by these herbal preparations?"
D)   "When was the last dosage of the herbal remedies taken?" A

Question 2

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?

Accepted Answer

A)   Obtain a blood sugar reading.
B)   Ask the client if he would like a male to perform the examination.
C)   Assure the client that the exam will be over quickly.
D)   Continue with the examination. B

Question 3

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?

Accepted Answer

A)   "I know you are not hungry so just let me know when you want your tray."
B)   "The hospital food is horrible here."
C)   "Is there a problem with the food being sent to you?"
D)   "I will get you some juice and crackers from the unit kitchen." C

Question 4

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?

Accepted Answer

A)   Ethnicity.
B)   Assimilation.
C)   Ethnocentrism.
D)   Culture.

Question 5

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?

Accepted Answer

A)   The client likely does not understand the nurse's attempts to engage her.
B)   The client is demonstrating disapproval with the nurse through the use of silence.
C)   The client is uneasy speaking with the nurse without the male head of her household.
D)   The client is illustrating agreement with the nurse's actions by using silence.

Question 6

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?

Accepted Answer

A)   Documenting the client's understanding of the discharge instructions.
B)   Asking the client if she understood the information being relayed.
C)   Asking the client questions to assess understanding of the information provided.
D)   Requesting that the client sign the discharge paperwork.

Question 7

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

Accepted Answer

A)   The daily dietary intake contains bread at every meal.
B)   Snacks often replace meals beginning in adolescence.
C)   Lactose intolerance may be a factor.
D)   Pork is not allowed in the diet.

Question 8

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?

Accepted Answer

A)   Appalachian.
B)   American Indian.
C)   African American.
D)   Italian.
E)   Arab American.

Question 9

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

Accepted Answer

A)   The client may dislike being touched by strangers.
B)   Health is associated with being overweight.
C)   There is a strong belief in the use of herbs to manage illness.
D)   Ceremonies are an important part in the recognition of illness and disease.

Question 10

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?

Accepted Answer

A)   Cuban Americans.
B)   Jewish Americans.
C)   Chinese Americans.
D)   Native Americans.

Question 11

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?

Accepted Answer

A)   Providing the client with an English-to-Spanish translation dictionary.
B)   Providing instructions written in English along with the contact number for a translator.
C)   Providing resources to provide information the client will understand.
D)   Providing a translator fluent in the client's primary language.

Question 12

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?

Accepted Answer

A)   The African American female.
B)   The African American male.
C)   The Arab American male.
D)   The Arab American female.

Question 13

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?

Accepted Answer

A)   "Do you use any nontraditional medicine?"
B)   "Tell me what you do to try to improve your health."
C)   "How many times have you been sick in your life?"
D)   "Do you have medical insurance?"

Question 14

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?

Accepted Answer

A)   "What language is spoken in your house?"
B)   "Are all of your family members working?"
C)   "Tell me about the responsibilities of family members in your home."
D)   "Who makes the decisions for your family members?"
E)   "Are you happy with your place in the family?"

Question 15

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?

Accepted Answer

A)   "Culture can best be described as an awareness of belonging to a group in which certain characteristics differentiate the members of one group from another."
B)   "A good description of culture is one that recognizes it's the socially transmitted beliefs, behaviors, values, customs, lifestyles, and ways of thinking of a specific population that guides an individual's worldview."
C)   "Culture is the belief that one's own beliefs, way of life, values, and customs are superior to others."
D)   "Culture is the identification of an individual or group by shared genetic heritage and biologic characteristics."
E)   "Decisions made by an individual are largely influenced by culture."

Question 16

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?

Accepted Answer

A)   Advising the novice to reduce displays of frustration and lack of appreciation for the values of others.
B)   Encouraging the novice to look closely at own cultural practices and beliefs.
C)   Recommending a written reprimand for the novice nurse.
D)   Requiring the novice nurse to meet with a counselor concerning ethnic biases.

Question 17

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?

Accepted Answer

A)   "What can we do to accommodate your needs during your stay here?"
B)   "I will let your healthcare provider know that you need to be discharged."
C)   "Fasting is harmful to your body."
D)   "You must have food during times of illness."

Question 18

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?

Accepted Answer

A)   Call the social worker to plan a family meeting without the tribesman.
B)   Interview the client and ascertain his wishes and beliefs.
C)   Convene the hospital ethics committee.
D)   Call the nursing supervisor.

Question 19

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

Accepted Answer

A)   "The gene pool in the United States has become less diverse over the past decade."
B)   "I have found it easiest to classify individuals with cultural groups by assessing their skin tones and facial features."
C)   "When identifying individuals of the same race, they will have shared genetic heritage, biologic and physiologic characteristics."
D)   "Ethnic groups share common values over generations."
E)   "An individual may self-identify with an ethnic group that is different from the ethnic group of their birth or race."

Question 20

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

Accepted Answer

A)   "Where were you born?"
B)   "What is the primary language spoken in your home?"
C)   "Which political party are you associated with?"
D)   "Do you have a religious affiliation linked with the cultural affiliation?"

Exam 4: Cultural Considerations