1. A Hispanic client has been hospitalized for 6 days for postoperative infection. Her weightis
decreasing each day, and her nutritional intake is declining. Which nutritional assessment
question is most appropriate?
Answer
"What type of food do you eat at home?"
2. A family recently emigrated from Haiti to the United States. The mother reports that her
teenage daughter is showing signs of fear, has vague reports of stomach pain, and feels
humiliated by her peers because of her culture. What is the priority assessment for the nurse?
Answer
Assess for culture shock.
3. The nurse is assessing a client for pain and suspects that the client's culture may be affecting
her pain response. What nonverbal assessment would the nurse expect?
Answer
The client is holding pressure on her abdomen when speaking.
4. Which of the following nursing actions displays linguistic competence?
Answer
-
Learning pertinent words and phrases in the client's language
5. When a client states, "I only want an American doctor," the client is expressing cultural
Answer
ethnocentrism.
6. A family from China has recently moved to the United States. They are quickly learning
English and their children are all in American schools. Both parents are working in the United
States and adapting to the new culture.What is this family demonstrating?
Answer
,Cultural assimilation
7. Classification of illness can occur with cultural practice. What is an example of an
unnaturalillness?
Answer
Evil forces caused a client to develop schizophrenia.
8. You are a nursing researcher studying so-called "unnatural illnesses." What cause of such
illnesses would be included in your study?
Answer
Witchcraft
9. Which of the following are examples of a culturally appropriate nursing intervention?
(Select all that apply.)
Answer
• Asking the client's grandmother, who is the head of the family, to be involved in the plan of
care
• Asking for cultural assistance from clergy at the client's request
• Allowing the client to eat food from home that is consistent with her dietary plan
• Asking sincerely for the client to explain religious rituals
10. A male patient refuses to allow the nurse to draw blood for a test because he believes blood
is the body's life force and cannot be regenerated. It is likely that this patient belongs to which
ethnic group?
Answer
Asian
11. You are a community health nurse who provides care to a group of Hispanic people living in
an area that is heavily populated by white people. What are the Hispanic people in this
community an example of?
Answer
A minority
12. The nurse is caring for a client who speaks a language other than English and is using an
, interpreter to communicate. What would be the best way to choose an interpreter for this client?
Answer
Interpreter should understand the health care system.
13. A newly hired young nurse overheard the charge nurse talking with an older nurse on the
unit.The charge nurse said, "All these young nurses think they can come in late and leave early."
What cultural factor can the new nurse assess from this conversation?
Answer
Stereotyping
14. A Hispanic woman is seeking care at the local clinic. The nurse is complet- ing a cultural
assessment. Which of the following would demonstrate cultural assimilation?
Answer
The client's daughter, who is with her, learned English as her second language.
15. Which of the following is an example of cultural competence in nursing?-
Answer
Attending a conference for cultural diversity
16. A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap
operas?" This is an ethnocentric statement based on the
Answer
media
17. A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more
important than the legalistic components of religion. What client reaction may be expected
following this mandated change?
Answer
The client states, "I feel like I abandoned my religion."
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