Question 1

The nurse is completing a self-assessment to determine cultural competence. Which behavior indicates cultural competence?

Accepted Answer

A)  Obtaining a ham sandwich for a Jewish client admitted to the hospital unit after trays have been delivered. 
B)  Referring to the Asian client as an Oriental. 
C)  Permitting a Bedouin to sleep on the floor. 
D)  Advising a Catholic client that being taken to the chapel for noon Mass is impossible because lunch times have been assigned.

Question 2

The nurse is caring for a Vietnamese client. When providing care, the nurse should include which action?

Accepted Answer

A)  Maintaining direct eye contact. 
B)  Providing greater than the usual amount of personal space. 
C)  Using periods of silence to indicate positive emotion. 
D)  Engaging in a casual discussion about feelings.

Question 3

The nurse must order a meal tray for a Jewish client who is off the unit for testing and will require insulin administration immediately upon returning to the unit. Which dietary selection is the most appropriate for this client?

Accepted Answer

A)  BLT sandwich, potato salad, fruit wedge, and unsweetened tea. 
B)  Roast beef sandwich, potato chips, and 2% milk. 
C)  Egg salad sandwich, side salad, applesauce, and diet soda. 
D)  Pork tenderloin sandwich, fruit cup, and milk.

Question 4

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 action by the nurse would be appropriate at this time?

Accepted Answer

A)  Write down all the names of the herbals and look them up later. 
B)  Tell the client that herbals are ineffective and to throw them away. 
C)  Inform the healthcare provider of the herbals. 
D)  Ask the client what they are taken for and how often.

Question 5

Which questions will the nurse plan to ask when assessing a client's ethnicity, which may impact their healthcare needs?

Accepted Answer

A)  "What is your religious preference?" 
B)  "Are there any foods or dietary practices that will impact your care?" 
C)  "Which ethnic group do you identify yourself as belonging to?" 
D)  "Does your mother practice the same religion as you?" 
E)  "What political party do you belong to?"

Question 6

The nurse manager is preparing for an accreditation visit and wants to assure that the unit is delivering culturally appropriate health care. Which action would demonstrate this approach by the nurse manager?

Accepted Answer

A)  Insisting the staff teaches clients English during their hospitalization. 
B)  Examining the process used to admit clients. 
C)  Providing written materials in languages spoken most commonly by clients admitted to the unit. 
D)  Limiting education and training to the bedside nurses.

Question 7

A Filipino American client is discussing concerns related to osteoporosis with the nurse educator. Which concept related to cultural nutrition may pose problems for this client's plan of care and will need to be incorporated into the information provided?

Accepted Answer

A)  Potential for lactose intolerance. 
B)  Pork is a primary source of protein. 
C)  Heavy use of salt and vinegar. 
D)  Chicken is a primary source of protein.

Question 8

The nurse is assigned to provide care to a Muslim client who is diagnosed with diabetes. When planning the care for the shift, which factor may have the greatest impact on the care?

Accepted Answer

A)  The client has a strong respect for the elders in the family. 
B)  Pork in the diet is forbidden. 
C)  The client may practice religious fasting. 
D)  Lamb and chicken are the main sources of protein.

Question 9

When providing an in-service to new staff nurses, the nurse educator discusses expectations concerning the acceptance of client cultural beliefs. Which statement by a participant indicates the need for further teaching?

Accepted Answer

A)  "The acceptance of different cultural values is needed to provide quality nursing care." 
B)  "Cultural values may dictate my client assignments on the nursing unit." 
C)  "My own cultural values are irrelevant to the acceptance of the values of others." 
D)  "My knowledge of the cultural values of others will increase in time."

Exam 4: Cultural Considerations