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NCLEX-RN- Cultural Awareness Questions and Solutions (A+ GRADED 100% VERIFIED)
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NCLEX-RN- Cultural Awareness Questions and Solutions (A+ GRADED 100% VERIFIED)
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CulturalAwareness
-
NCLEX
Style
Questions
6.1.
The
ambulatory
care
nurse
is
discussing
preoperative
procedures
with
a
Japanese
American
client
who
is
scheduled
for
surgery
the
following
week.
During
the
discussion,
the
client
continually
smiles
and
nods
the
head.
How
should
the
nurse
interpret
this
nonverbal
behavior?
1.
Reflecting
cultural
value
2.
An
acceptance
of
treatment
3.
Client
agreement
to
the
required
procedures
4.
Client
understanding
of
the
preoperative
procedures
-
ANS
Answer:
1.
Rationale:
Nodding
or
smiling
by
a
Japanese
American
client
may
reflect
only
the
cultural
value
of
interpersonal
harmony .
This
nonverbal
behavior
may
not
be
an
indication
of
acceptance
of
the
treatment,
agreement
with
the
speaker ,
or
understanding
of
the
procedure.
Test-T aking
Strategy:
Eliminate
options
2
and
3
first
because
they
are
comparable
or
alike.
From
the
remaining
options,
select
the
correct
option
because
it
is
characteristic
of
Asian
American
cultures.
In
addition,
option
4
is
an
incorrect
interpretation
of
the
client's
nonverbal
behavior .
Reference:
Jarvis
(2012),
p.
43
&
Saunders,
p.
47.
6.2.
When
communicating
with
a
client
who
speaks
a
different
language,
which
best
practice
should
the
nurse
implement?
1.
Speak
loudly
and
slowly .
2.
Arrange
for
an
interpreter
to
translate.
3.
Speak
to
the
client
and
family
together .
4.
Stand
close
to
the
client
and
speak
loudly .
-
ANS
Answer:
2.
Rationale:
Arranging
for
an
interpreter
would
be
the
best
practice
when
communicating
with
a
client
who
speaks
a
different
language.
Options
1
and
4
are
inappropriate
and
are
ineffective
ways
to
communicate.
Option
3
is
inappropriate
because
it
violates
privacy
and
does
not
ensure
correct
translation.
Test-T aking
Strategy:
Note
the
strategic
word
best
in
the
question.
Eliminate
option
3
first
because
it
violates
the
client's
right
to
privacy .
Next,
eliminate
options
1
and
4
noting
the
world
loudly
in
these
options
and
because
they
are
non
therapeutic
actions.
Reference:
Jarvis
(2012),
p.
45-47
&
Saunders,
p.
47. 6.3.
The
nurse
educator
is
providing
in-service
education
to
the
nursing
staff
regarding
transcultural
nursing
care;
a
staff
member
asks
the
nurse
educator
to
describe
the
concept
of
acculturation.
The
nurse
educator
should
make
which
most
appropriate
response?
1.
"It
is
a
process
of
learning
a
different
culture
to
adapt
a
new
or
changing
environment."
2.
"It
is
a
subjective
perspective
of
the
person's
heritage
and
a
sense
of
belonging
to
a
group."
3.
"It
is
a
group
of
individuals
in
a
society
who
are
culturally
distinct
and
have
a
unique
identity ."
4.
"It
is
a
group
that
shares
some
of
the
characteristics
of
the
larger
population
group
of
which
it
is
a
part."
-
ANS
Answer:
1.
Rationale:
Acculturation
is
a
process
of
learning
a
different
culture
to
adapt
to
a
new
or
changing
environment.
Option
2
describes
ethnic
identity .
Option
3
describes
an
ethnic
group.
Option
4
describes
a
subculture.
Test-T aking
Strategy:
Note
the
strategic
words
most
appropriate.
Focus
on
the
subject,
acculturation.
Think
about
the
definition
of
acculturation
to
help
direct
you
to
the
correct
option.
Reference:
Jarvis
(2012),
p.
16,
Lewis
et
al
(201 1)
p.
24,
&
Saunders,
p.
47.
6.4.
The
nurse
is
providing
discharge
instructions
to
a
Chinese
American
client
regarding
prescribed
dietary
modifications.
During
the
teaching
session,
the
client
continuously
turns
away
from
the
nurse.
The
client
should
implement
which
best
action.
1.
Continue
with
instructions,
verifying
client
understanding.
2.
Walk
around
the
client
so
that
the
nurse
constantly
faces
the
client.
3.
Give
the
client
a
dietary
booklet
and
return
later
to
continue
with
instructions.
4.
Tell
the
client
about
the
importance
of
the
instructions
for
the
maintenance
of
health
care.
-
ANS
Answer:
1.
Rationale:
Most
Chinese
Americans
maintain
a
formal
distance
with
others,
which
is
a
form
of
respect.
Many
Chinese
Americans
are
uncomfortable
with
face-to-face
communications,
especially
when
eye
contact
is
direct.
If
the
client
turns
away
from
the
nurse
during
a
conversation
the
best
action
is
to
continue
with
the
conversation.
Walking
around
the
client
so
that
the
nurse
faces
the
client
is
in
direct
conflict
with
this
cultural
practice.
The
client
may
consider
it
a
rude
gesture
if
the
nurse
returns
later
to
continue
with
the
explanation.
Telling
the
client
about
the
importance
of
the
instructions
for
the
maintenance
of
health
care
may
be
viewed
as
degrading.
Test-T aking
Strategy:
Note
the
strategic
word
best.
Focus
on
the
subject,
the
behavior
of
a
Chinese
American
client.
Eliminate
options
3
and
4
first
because
these
actions
are
nontherapeutic.
To
select
from
the
remaining
options,
think
about
the
cultural
practices
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