NCLEX - Culture NCLEX - Culture
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1. The nurse is reinforcing discharge instructions to a Chinese client re- 10. The nurse is caring for a Hispanic client who reports that she is a prac-
garding prescribed dietary modifications. During the teaching session, the ticing Roman Catholic. Which actions by the nurse demonstrate spiritual and
client continually turns away from the nurse. Which nursing action is most cultural sensitivity?: - Allow the client to observe communion daily if requested.
appropriate?: Continue with the instructions, verifying client understanding. - Facilitate anointing of the client by a priest if requested.
2. The nurse is assisting in preparing a plan of care for a client who is a Jeho- 11. The nurse is caring for a non-English-speaking client. Best practices for
vah's Witness. The client has been told that surgery is necessary. Considering client safety and quality of care incorporates which actions by the nurse?: -
the client's religious preferences, the nurse should first verify with the client Use interpreters who are familiar with health care.
and then document which information?: The administration of blood and blood - Avoid the use of relatives as interpreters to prevent misinterpretation.
products is forbidden. - Use dialect-specific interpreters who are the same gender if possible.
3. The nurse is preparing to deliver a food tray to a client whose religion is - Become familiar with common health care words used in the client's language.
Judaism and follows Kosher preferences. The nurse checks the food on the 12. The nurse is caring for a Jewish client who follows a kosher diet. Which
tray and notes that the client has received a roast beef dinner with whole milk foods should the nurse use in planning meals for the client?: - Tuna
as a beverage. Which action should the nurse take?: Call the dietary department - Apples
and ask for a new meal tray without the milk. - Chicken
4. The nurse educator is describing the yin and yang theory of the ancient - Potatoes
Chinese philosophy of Tao to a group of nursing students. The nurse edu- 13. The nurse is caring for an elderly Hispanic client who is a migrant farm
cator explains that in this theory, foods are classified as hot and cold and worker and has been admitted for asthma. The nurse is unfamiliar with the
are transformed into yin and yang energy when metabolized by the body. cultural practices and beliefs of the client's home land. Which questions are
The nursing student understands this theory when the student makes which appropriate for the nurse to ask when caring for this client?: - What do you
statement?: The client consumes cold foods when a "hot" illness is present. believe is causing your illness?
5. The nurse is planning to reinforce instructions to the Hispanic-American - Are there any remedies you have used in the past?
client about nutrition and dietary restrictions. When developing the plan for - Who do you usually see for help when you are sick?
the instructions, the nurse is aware of which related fact?: This ethnic group 14. The nurse is caring for an older Orthodox Jewish client whose condition is
views food as a primary form of socialization. terminal. The nurse is implementing a plan of care and wishes to communicate
6. An Asian-American client is experiencing a fever. The nurse plans care so this plan with the family and client. The nurse should be aware of which
that the client can self-treat the disorder using which method?: Food consid- end-of-life religious practices when planning and communicating with the
ered to be yin. client and family?: - The client may demonstrate a high level of anxiety.
7. The nurse is assigned to collect data from a Hispanic-American client during - Religious laws are suspended during times of severe illness.
the hospital admission. On initial meeting of the client, the nurse should plan - If the client dies, care is given so that the body is not be touched by a person of
to do which?: Greet the client with a handshake. the opposite sex.
8. The nurse is providing care to a Cuban-American client who is terminally 15. The nurse is caring for a new immigrant from the Philippines who is in
ill. Numerous family members are present most of the time, and many of the labor. The client is 4 cm dilated and 30% effaced. This is her first child. The
family members are very emotional. Which nursing action is most appropri- mother is grimacing. Her pulse, respiratory rate, and blood pressure are ele-
ate?: Request permission to move the client to a private room, and allow the family vated. The nurse offers to check on a prescription for an epidural. The mother
members to visit. declines. The nurse hypothesizes the client may be declining the epidural for
9. The nurse is reinforcing instructions to a Native-American client regarding which reasons?: - Filipino mothers fear drug addiction.
the procedure for collecting a urine sample. The nurse observes that the client - Filipino mothers believe pain is a form of spiritual atonement for one's past deeds.
continually stares at the floor during the instructional session. The nurse 16. The nurse knows that spatial behavior is related to territoriality in many
interprets this as being indicative of which behavior?: Attentiveness Latino cultures. Which client needs are associated with territoriality?: - Privacy
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1. The nurse is reinforcing discharge instructions to a Chinese client re- 10. The nurse is caring for a Hispanic client who reports that she is a prac-
garding prescribed dietary modifications. During the teaching session, the ticing Roman Catholic. Which actions by the nurse demonstrate spiritual and
client continually turns away from the nurse. Which nursing action is most cultural sensitivity?: - Allow the client to observe communion daily if requested.
appropriate?: Continue with the instructions, verifying client understanding. - Facilitate anointing of the client by a priest if requested.
2. The nurse is assisting in preparing a plan of care for a client who is a Jeho- 11. The nurse is caring for a non-English-speaking client. Best practices for
vah's Witness. The client has been told that surgery is necessary. Considering client safety and quality of care incorporates which actions by the nurse?: -
the client's religious preferences, the nurse should first verify with the client Use interpreters who are familiar with health care.
and then document which information?: The administration of blood and blood - Avoid the use of relatives as interpreters to prevent misinterpretation.
products is forbidden. - Use dialect-specific interpreters who are the same gender if possible.
3. The nurse is preparing to deliver a food tray to a client whose religion is - Become familiar with common health care words used in the client's language.
Judaism and follows Kosher preferences. The nurse checks the food on the 12. The nurse is caring for a Jewish client who follows a kosher diet. Which
tray and notes that the client has received a roast beef dinner with whole milk foods should the nurse use in planning meals for the client?: - Tuna
as a beverage. Which action should the nurse take?: Call the dietary department - Apples
and ask for a new meal tray without the milk. - Chicken
4. The nurse educator is describing the yin and yang theory of the ancient - Potatoes
Chinese philosophy of Tao to a group of nursing students. The nurse edu- 13. The nurse is caring for an elderly Hispanic client who is a migrant farm
cator explains that in this theory, foods are classified as hot and cold and worker and has been admitted for asthma. The nurse is unfamiliar with the
are transformed into yin and yang energy when metabolized by the body. cultural practices and beliefs of the client's home land. Which questions are
The nursing student understands this theory when the student makes which appropriate for the nurse to ask when caring for this client?: - What do you
statement?: The client consumes cold foods when a "hot" illness is present. believe is causing your illness?
5. The nurse is planning to reinforce instructions to the Hispanic-American - Are there any remedies you have used in the past?
client about nutrition and dietary restrictions. When developing the plan for - Who do you usually see for help when you are sick?
the instructions, the nurse is aware of which related fact?: This ethnic group 14. The nurse is caring for an older Orthodox Jewish client whose condition is
views food as a primary form of socialization. terminal. The nurse is implementing a plan of care and wishes to communicate
6. An Asian-American client is experiencing a fever. The nurse plans care so this plan with the family and client. The nurse should be aware of which
that the client can self-treat the disorder using which method?: Food consid- end-of-life religious practices when planning and communicating with the
ered to be yin. client and family?: - The client may demonstrate a high level of anxiety.
7. The nurse is assigned to collect data from a Hispanic-American client during - Religious laws are suspended during times of severe illness.
the hospital admission. On initial meeting of the client, the nurse should plan - If the client dies, care is given so that the body is not be touched by a person of
to do which?: Greet the client with a handshake. the opposite sex.
8. The nurse is providing care to a Cuban-American client who is terminally 15. The nurse is caring for a new immigrant from the Philippines who is in
ill. Numerous family members are present most of the time, and many of the labor. The client is 4 cm dilated and 30% effaced. This is her first child. The
family members are very emotional. Which nursing action is most appropri- mother is grimacing. Her pulse, respiratory rate, and blood pressure are ele-
ate?: Request permission to move the client to a private room, and allow the family vated. The nurse offers to check on a prescription for an epidural. The mother
members to visit. declines. The nurse hypothesizes the client may be declining the epidural for
9. The nurse is reinforcing instructions to a Native-American client regarding which reasons?: - Filipino mothers fear drug addiction.
the procedure for collecting a urine sample. The nurse observes that the client - Filipino mothers believe pain is a form of spiritual atonement for one's past deeds.
continually stares at the floor during the instructional session. The nurse 16. The nurse knows that spatial behavior is related to territoriality in many
interprets this as being indicative of which behavior?: Attentiveness Latino cultures. Which client needs are associated with territoriality?: - Privacy
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