Test Bank for Saunders Comprehensive
Review for the NCLEX-PN Examination,
6th Edition, Linda Anne Silvestri,
, 6-2
Chapter 6: Cultural Diversity
Test Bank
MULTIPLE CHOICE
1. A nurse is providing discharge instructions to a Chinese client regarding prescribed
dietary modifications. During the teaching session the client continually turns away from
the nurse. Which of the following nursing actions is most appropriate?
1. Continue with the instructions, verifying client understanding.
2. Identify the importance of the instructions for the maintenance of health care.
3. Walk around the client so that the nurse continually faces the client.
4. Give the client a dietary booklet and return later to continue with the instructions.
ANS: 1
Rationale: Most Chinese maintain a formal distance with each other, which is a form of
respect. Many Chinese are uncomfortable with face-to-face communications, especially
when there is direct eye contact. 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 the cultural practice.
Identifying the importance of the instructions for the maintenance of health care may be
viewed as degrading. Returning later to continue with the explanation may be viewed as a
rude gesture.
Test-Taking Strategy: Understanding the characteristics of this cultural group will assist
in answering the question. Use the process of elimination. Eliminate options 2 and 4 first
because these are nontherapeutic actions. From the remaining two options, note that
option 1 is the most therapeutic. If you had difficulty with this question, review the
communication practices of this cultural group.
DIF: Level of Cognitive Ability: Application
REF: Giger, J., & Davidhizar, R. (2004). Transcultural nursing: Assessment and
intervention. St. Louis: Mosby. OBJ: Client Needs: Psychosocial Integrity
TOP: Content Area: Fundamental Skills
MSC: Integrated Process: Teaching and Learning
2. A nurse is assisting in preparing a plan of care for a client who is a Jehovah’s Witness.
The client has been told that surgery is necessary. Considering the client’s religious
preferences, the nurse documents that:
1. Surgery is prohibited in this religious group.
2. The administration of blood and blood products is forbidden.
3. Medication administration is not allowed.
4. Faith healing is primarily practiced.
ANS: 2
.
Review for the NCLEX-PN Examination,
6th Edition, Linda Anne Silvestri,
, 6-2
Chapter 6: Cultural Diversity
Test Bank
MULTIPLE CHOICE
1. A nurse is providing discharge instructions to a Chinese client regarding prescribed
dietary modifications. During the teaching session the client continually turns away from
the nurse. Which of the following nursing actions is most appropriate?
1. Continue with the instructions, verifying client understanding.
2. Identify the importance of the instructions for the maintenance of health care.
3. Walk around the client so that the nurse continually faces the client.
4. Give the client a dietary booklet and return later to continue with the instructions.
ANS: 1
Rationale: Most Chinese maintain a formal distance with each other, which is a form of
respect. Many Chinese are uncomfortable with face-to-face communications, especially
when there is direct eye contact. 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 the cultural practice.
Identifying the importance of the instructions for the maintenance of health care may be
viewed as degrading. Returning later to continue with the explanation may be viewed as a
rude gesture.
Test-Taking Strategy: Understanding the characteristics of this cultural group will assist
in answering the question. Use the process of elimination. Eliminate options 2 and 4 first
because these are nontherapeutic actions. From the remaining two options, note that
option 1 is the most therapeutic. If you had difficulty with this question, review the
communication practices of this cultural group.
DIF: Level of Cognitive Ability: Application
REF: Giger, J., & Davidhizar, R. (2004). Transcultural nursing: Assessment and
intervention. St. Louis: Mosby. OBJ: Client Needs: Psychosocial Integrity
TOP: Content Area: Fundamental Skills
MSC: Integrated Process: Teaching and Learning
2. A nurse is assisting in preparing a plan of care for a client who is a Jehovah’s Witness.
The client has been told that surgery is necessary. Considering the client’s religious
preferences, the nurse documents that:
1. Surgery is prohibited in this religious group.
2. The administration of blood and blood products is forbidden.
3. Medication administration is not allowed.
4. Faith healing is primarily practiced.
ANS: 2
.
