Population and Community Nursing Chapter 5 Questions & Answers correct

Population and Community Nursing Chapter 5 Questions & Answers correct The nurse is assessing a client and identifies in the chart that the client is white/non-Hispanic. The nurse is addressing which aspect of the client? a. Race b. Nationality c. Culture d. Ethnicity Race Correct: Race is an artificial categorization of people based on genetic inheritance and physical characteristics such as skin color, blood type, hair color and texture, and eye color. A student nurse took a job as a certified nurse assistant while still in school and began to adopt practices of the facility, which did not always represent practice as taught in school. This job, however, made the student feel more appreciated by the rest of the staff. This student nurse is exhibiting which component of culture? a. Cultural sensitivity b. Ethnicity c. Acculturation d. Cultural competence Acculturation Correct: Acculturation or cultural assimilation is the acquisition of at least some of the beliefs, values, and behaviors of another culture. The nurse is making a direct assessment of a culture. Which of the guidelines should be followed? (Select all that apply.) a. Discover special protocols b. Obtain information, and then work on relationships within the culture c. Observe first, and then ask questions d. Ask how the group feels about being assessed e. Avoid comparing the nurse's culture to the one being assessed Discover special protocols Correct: It is important to understand any special protocols that are important to the culture. For example, who should the nurse first contact? Observe first, and then ask questions Correct: Observation aids in asking pertinent and timely questions and forestalls actions that may be inappropriate. Ask how the group feels about being assessed Correct: The nurse should explain that the reasons for studying the culture are practical and do not arise out of idle curiosity. A culturally sensitive nurse will use which techniques when assessing the skin? (Select all that apply.) a. Observe skin in artificial light b. Observe areas with highest pigmentation first c. Palpate for rashes rather than observing d. Compare client's skin to that of family members e. Compare skin in corresponding areas Palpate for rashes rather than observing Correct: Dark skin coloration may make identification of rashes difficult unless palpation is used. Compare client's skin to that of family members Correct: Comparing the client's skin to that of family members helps the nurse establish a baseline of expectation for the client's skin. Compare skin in corresponding areas Correct: Skin over corresponding areas of the body, for example the skin on the left arm and the skin on the right arm, should be the same. Which statement reveals a nurse's cultural competence? a. "Younger clients don't care about their health" b. "When hospitalized, clients should follow hospital procedures" c. "Most people are more alike that they are different" d. "I know I have difficulty providing care for atheists" "I know I have difficulty providing care for atheist." Correct: This statement reveals that the nurse has an understanding of personal culture that may make caring for a specific group more difficult. Understanding self is the first step towards understanding others. A psychiatric nurse notes that a newly admitted patient from a different culture is exhibiting findings not associated with typical biomedical symptoms. The nurse should first investigate for: a. Culture-bound syndromes b. Psychological problems c. Homeopathic practices d. Disease causation Culture-bound syndromes Correct: Culture-bound syndromes or folk illnesses are often unique to a given culture, although similar conditions can be seen in several cultural groups. The population health nurse is focusing assessment on environmental determinants. During this assessment the nurse would closely observe for which cues to these determinates? (Select all that apply.) a. Time orientation b. Personal space c. Individualism d. Intergenerational conflict e. Attitudes of fatalism Time orientation Correct: The nurse should looks for cues as to the orientation of the cultural group to time. This is part of the environmental determinants. Personal space Correct: Different cultures have different perceptions of personal space. This is part of the environmental determinants. A patient reports soaking a possibly infected foot in a salt water solution because, "that is what my grandmother would have done." What domain of health care is described by this statement? a. Professional b. Popular c. Folk d. Promotion Popular Correct: The popular domain consists of health care engaged in by individual themselves or family members.