Test Bank Transcultural Nursing Assessment and Intervention 6th Edition Giger

Test Bank Transcultural Nursing Assessment and Intervention 6th Edition GigerTable of Contents Chapter 1: Introduction to Transcultural Nursing .......................................................................................... 1 Chapter 2: Communication .......................................................................................................................... 6 Chapter 3: Space ....................................................................................................................................... 11 Chapter 4: Social Organization .................................................................................................................. 14 Chapter 5: Time ......................................................................................................................................... 22 Chapter 6: Environmental Control .............................................................................................................. 25 Chapter 7: Biological Variations ................................................................................................................. 27 Chapter 8: African-Americans .................................................................................................................... 31 Chapter 9: Mexican Americans .................................................................................................................. 34 Chapter 10: Navajos .................................................................................................................................. 37 Chapter 12: American Eskimos: The Yup'ik and Inupiat ............................................................................. 39 Chapter 13: Japanese Americans .............................................................................................................. 41 Chapter 14: Afghans and Afghan Americans ............................................................................................. 43 Chapter 15: Russian Americans ................................................................................................................ 45 Chapter 16: Chinese Americans ................................................................................................................ 47 Chapter 17: Filipino Americans .................................................................................................................. 49 Chapter 18: Vietnamese Americans .......................................................................................................... 51 Chapter 19: East Indian Hindu Americans ................................................................................................. 54 Chapter 21: Jewish Americans .................................................................................................................. 56 Chapter 22: Korean Americans .................................................................................................................. 58 Chapter 24: Puerto Rican Americans ......................................................................................................... 59 Chapter 25: Nigerian Americans ................................................................................................................ 61 Chapter 26: Ugandan Americans ............................................................................................................... 63 Chapter 27: Jordanian Americans .............................................................................................................. 65 Chapter 28: Cuban Americans ................................................................................................................... 67 Chapter 30: Irish Americans ...................................................................................................................... 69 Chapter 1: Introduction to Transcultural Nursing MULTIPLE CHOICE 1. The use of transcultural nursing knowledge is founded on the goal of: A . B . 1 | P a g e Increasing client compliance to the Western medical model. Delivering culturally sensitive care that is free of inherent biases.C . D . Eliminating cultural differences. Establishing system-centered health policy. ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Safe, Effective Care Environment 2. The major purpose of culturally congruent nursing care is to enable the nurse to: A . B . C . D . Be aware of his or her own cultural beliefs and values. Change his or her beliefs to meet the patient’s needs. Provide care in a culturally sensitive manner. Refrain from making judgments when patients are wrong. ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Health Promotion and Maintenance 3. Transcultural nursing is viewed as a culturally competent practice field that is: A . B . C . 2 | P a g e Nurse centered and research focused. Client centered and research focused. Spiritually centered and research focused.D . Concerned with differences between but not within cultural groups. WWW.THENURSINGMASTERY.COM ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Safe, Effective Care Environment 4. The principle that is most important to the provision of culturally competent care is the nurse’s: A . B . C . D . Awareness of personal stereotypes based on culture. Knowledge of specific behavior that is typical of persons in a given culture. Sensitivity to what the physician says about persons in the cultural group of the patient. Awareness of actions that can be expected of persons in a given culture. ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 5. Which of these cultural phenomena are among those considered essential and are evidenced among all cultural groups? Mark all that apply. A Communication - 3 | P a g e. B . C . D . E . F . Space Social organization Time Environmental control Biological variations ANS: F DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 6. The nurse responding to patients from diverse cultures with interpersonal awareness, knowledge, skill, and sensitivity is known as having: A . B . Enculturation. Culture care preservation. WWW.THENURSINGMASTERY.COM C . D . Cultural competence. Culture care accommodation. ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Implementation MSC: NCLEX Category: Health Promotion and Maintenance 4 | P a g e7. The nurse is preparing a healthy diet plan for Mrs. O. In doing so, she takes the time to include the Polish foods that Mrs. O. favors. This is an example of the nurse’s demonstrat ing: A . B . C . D . Cultural competence. Bicultural values. Ethnocentrism. Assimilation. ANS: A DIF: Cognitive Level: Application KEY: Nursing Process: Planning MSC: NCLEX Category: Health Promotion and Maintenance A . B . C . C D . M Using a lot of hand gestures. Asking questions that require a yes or no response. Repeating the message with different words. Speaking slowly and distinctly. 5 | P a g eChapter 2: Communication MULTIPLE CHOICE 1. Communication approaches the nurse can use while providing culturally appropriate nursing care for a client with limited understanding of English include all of the follow- ing except: A . Using a lot of hand gestures. B . C . D . Asking questions that require a yes or no response. Repeating the message with different words. Speaking slowly and distinctly. ANS: B DIF: Cognitive Level: Application KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 2. To determine if a client with a limited English vocabulary understands the pre- operative teaching related to coughing and deep breathing, the nurse should ask the client to: A . Verbalize what was learned regarding coughing and deep breathing. B . C . D . Verbalize to an interpreter how to cough and breathe deeply. Demonstrate how to cough and breathe deeply postoperatively. Interpret the meaning of the client’s facial expressions and nonverbal cues. ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Assessment MSC: NCLEX Category: Physiological Integrity 3. While planning discharge teaching, the nurse knows the client with which of the following family backgrounds is most likely to hold to traditional values? A . Chinese B Indian 6 | P a g e. C . D . Amish African American ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Planning MSC: NCLEX Category: Psychosocial Integrity 4. The nurse is working with a culturally diverse patient population in a clinic. In order to deliver culturally competent care, it is essential for the nurse to: A . Do a physical examination on each patient. B . C . D . Do a cultural assessment on each patient. Have “lived experience” with the culture of the patients served. Observe each patient for his or her unique behavior. ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Health Promotion and Maintenance 5. Cultural groups vary greatly. Which of the following is false concerning these differences? A . Environmental control refers to the ability of a group to plan activities that con- trol nature. B . C . D . Social organization refers to the differences that exist within the family unit in a culture. Verbal communication differences exist among cultures, and nonverbal commu- nication differences exist between cultures. The personal space and its meaning vary from one culture to another. ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 6. When planning nursing care for a client with a different cultural background, the nurse should: A . Identify how cultural variables affect the health problem. B Try to explain how the client can adapt to hospital routines. 7 | P a g e. C . D . Speak slowly and clearly to ensure effective communication. Allow the family to provide care during the hospital stay. ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Planning MSC: NCLEX Category: Psychosocial Integrity 7. Which of the following interventions is helpful in communicating with a client who speaks a language other than yours? A . Reassure the client that you have friends of his ethnic or racial background. B . C . D . Speak to the client using his ethnic dialect. Ask the client for clarification if you don’t understand what he is saying. At the initial meeting, address the client by his first name. ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Implementation MSC: NCLEX Category: Health Promotion and Maintenance 8. Mr. Cappelini is a 40-year-old Italian man who just arrived in the United States. His English is limited, and the nurse does not speak Italian. Which intervention would be helpful in communicating with Mr. Cappelini? A . The nurse tells him, “I have Italian friends, so I have a good idea what you mean.” B . C . D . The nurse responds, “Please explain that to me again.” Explain in Italian dialect, “I’ma not understandinga you.” The nurse greets him with, “Well, Gino, how are you today?” ANS: B DIF: Cognitive Level: Application KEY: Nursing Process: Intervention MSC: NCLEX Category: Psychosocial Integrity 9. Which of the following is an appropriate guideline for overcoming language barriers? A . Ask often if the person understands. B Avoid nouns and conjunctions. 8 | P a g e. C . D . Talk slightly louder than normal. Use gestures with the words. ANS: D DIF: Cognitive Level: Application KEY: Nursing Process: Intervention MSC: NCLEX Category: Psychosocial Integrity 10. When developing communication skills for cultural competence, the best practice for the nurse when talking with clients of another culture is to: A . Speak loudly and slowly when communicating. B . C . D . Always utilize an interpreter if a culturally appropriate interpreter is available. Use simple words, avoid use of idioms and medical terms, and assess constantly for comprehension. Always talk with the client and family together, since this will increase the chance that someone understands what is said. ANS: C DIF: Cognitive Level: Comprehension KEY: Nursing Process: Intervention MSC: NCLEX Category: Health Promotion and Maintenance 11. Which of these factors are among those essential in communication assessment? Mark all that apply. A . Dialect B . C . D . E . F . Style Volume Touch Context of speech Kinesics ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 12. Which of these factors associated with communication differs among cultural groups and is usually most closely linked to geographic location? 9 | P a g eA . B . C . D . Volume Dialect Language style Kinesics ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 13. Speaking loudly usually denotes anger. A . True B . False ANS: B DIF: Cognitive Level: Application KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 14. Silence as a method of communication usually indicates nothing. A . True B . False ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 15. Which of these cultural groups may not commonly use touch to convey emotions? A . Italian Americans B . C . D . African Americans Mexican Americans American Indians ANS: D DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 10 | P a g e16. In which of these cultural groups may touch be symbolic of “undoing” an evil spell or preventing harm or healing? Mark all that apply. A . Mexican Americans B . C . D . E . American Indians Italian Americans French Americans Asian Americans ANS: A B, E DIF: Cognitive Level: Analysis KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 17. The context of speech refers to the use of emotion when communicating. A . True B . False ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity Chapter 3: Space MULTIPLE CHOICE 1. Which one of the following nursing actions is most likely to reduce a patient’s anxiety and enhance the patient’s personal security as it relates to the concept of personal space needs? A . Touching the patient before and during procedures B . C . D . Providing explanations when performing tasks Making eye contact as much as possible Reducing the need for the patient to make decisions ANS: B DIF: Cognitive Level: Analysis KEY: Nursing Process: Evaluation MSC: NCLEX Category: Health Promotion and Maintenance 11 | P a g e2. When making patient care assignments that include a female Islamic patient, the nurse knows: A . Sex of the nurse is not pertinent. B . C . D . Sex of the patient is not pertinent. The nurse needs to arrange for care by someone of the same sex. Only family members can give care. ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Intervention MSC: NCLEX Category: Psychosocial Integrity 3. A nurse in an outpatient clinic is about to interview a culturally diverse client. Which sitting posture during an interview is most neutral and acceptable to people of most cul- tures? A . Legs crossed, leaning slightly backward in chair with one arm extended on the desk B Feet on the floor and upper body leaning slightly forward toward client 12 | P a g e. C . D . One leg crossed and the upper body turned slightly away from client Feet on the floor and arms crossed over chest ANS: B DIF: Cognitive Level: Application KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 4. When planning discharge care for a family with open boundaries, the nurse is aware that this family system: A . Will use available support systems to meet its needs. B . C . D . Is more prone to crisis, related to increased exposure to stressors. Discourages family members from setting up channels. Strives to maintain family stability by avoiding outside influences. ANS: A DIF: Cognitive Level: Application KEY: Nursing Process: Planning MSC: NCLEX Category: Psychosocial Integrity 5. When providing care for clients of different cultural backgrounds, the nurse needs to be careful to avoid: A . Stereotyping. B . C . D . Socializing. Enculturation. Assimilation. ANS: A DIF: Cognitive Level: Application KEY: Nursing Process: Implementation MSC: NCLEX Category: Psychosocial Integrity 6. The nurse has determined that space and territoriality are very important to the client from a different culture. What is the best way for the nurse to enter the client’s space in order to deliver nursing care? A . Explain nursing care and procedures before beginning. 13 | P a g eB . C . D . Avoid touching the client during care. Keep the curtains pulled around the bed at all times. Stand at least 8 feet from the bed during client-nurse discussions. ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Psychosocial Integrity 7. According to Giger and Davidhizar, which of these zones of interpersonal space is the preferred distance between people other than French Americans and African Americans in the United States? A . 0 to 18 inches B . C . D . 18 inches to 3 feet 3 to 6 feet Greater than 12 feet ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 8. Which of these zones of interpersonal space is usually permitted by family members and friends? A . Intimate zone B . C . D . Personal zone Social zone Public zone ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity Chapter 4: Social Organization MULTIPLE CHOICE 1. A nurse is caring for four terminal patients with diverse cultural backgrounds. Which 14 | P a g eof the following clients should the nurse anticipate will wish to engage in end-of-life pro- cedures, such as making a will, a living will, and funeral arrangements? A . A single Native American who had worked as a forest ranger B . C . D . A female immigrant from China who is an acupuncturist A refugee laborer from a war-torn Western African country A fourth-generation New England male who is an accountant ANS: D DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 2. A 23-year-old Jehovah’s Witness is scheduled for an appendectomy. The client has expressed concern related to receiving blood during the surgery. The best response of the nurse is: A . “Your surgeon is very competent and will do only what is necessary to save your life.” B . C . D . “You don’t have to worry about contamination of the blood supply because it is always tested.” “I will have the hospital chaplain interpret the Bible for you to show you there is no religious objection to blood transfusions.” “Transfusions are not routine for this procedure; however, I will call and alert your surgeon of your beliefs and wishes.” ANS: D DIF: Cognitive Level: Application KEY: Nursing Process: Analysis MSC: NCLEX Category: Psychosocial Integrity 3. To avoid cultural conflicts with a client, the nurse should: A . Assure him that he is receiving quality health care. B . Provide the client with information about the dominant culture. 15 | P a g eC . D . Ask the client about his expectations about nursing care and procedures. Thoroughly explain necessary nursing interventions that might cause the client embarrassment. ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 4. Belief that one’s culture is superior to all others is called: A . Discrimination. B . C . D . Stereotyping. Ethnocentrism. Racism. ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Psychosocial Integrity 5. Culture is best defined as the: A . Worldview and traditions transmitted by a group from generation to generation. B . C . D . Classification of people according to shared biological characteristics. Religious or racial characteristics of a group that set it apart from the larger socie- ty of which it is a part. Assumption of attitudes, values, and beliefs held by a particular cultural group that have been passed down from one generation to the next. ANS: D DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Health Promotion and Maintenance 6. Cultural behavior, or how one acts in certain situations, is: A . Socially acquired. B . C . Genetically acquired. Stereotyping. D Institutional. 16 | P a g e. ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Application 7. When providing care to clients with diverse cultural backgrounds, it is imperative for the nurse to recognize that: A . Cultural considerations must be put aside when the client enters the health care system. B . C . D . Current health standards should determine the acceptability of cultural practices. Clients with the same cultural background will respond similarly to stressful situ- ations. Generalizations about the behavior of a particular ethnic group may be inaccu- rate. ANS: D DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Psychosocial Integrity 8. Time takes on different meanings from one culture to another. To explore the relationship of time to nursing interventions, the nurse should: A . Avoid using set times to do procedures, if possible. B . C . D . Be flexible in attitudes and not become emotionally upset when the client desires procedures to be done at “awkward times.” Encourage clients to set their own times when they would like the nurse to per- form nursing care activities, regardless of the nurse’s schedule. Disregard the usual adherence to time schedules for medications. ANS: B DIF: Cognitive Level: Application KEY: Nursing Process: Implementation MSC: NCLEX Category: Psychosocial Integrity 9. When the nurse is planning care for a client with a different cultural background, the initial primary concern in delivering culturally competent care is for the nurse to: A . Assess how cultural variables may affect the client’s health-related actions. B . C . D . 17 | P a g e Explain how the client can adapt to hospital routines. Speak slowly and clearly to ensure effective communication. Allow the family to provide care during the hospital stay.ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Planning MSC: NCLEX Category: Physiological Integrity 10. Nursing diagnoses offer a useful tool to assess culturally diverse patient needs. A . True B . False ANS: A DIF: Cognitive Level: Analysis KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 11. On which of these factors does the North American Nursing Diagnosis Association (NANDA) focus the diagnoses? A . The patient B . C . D . The system The provider The ecosystem ANS: A DIF: Cognitive Level: Analysis KEY: Nursing Process: Analysis MSC: NCLEX Category: Health Promotion and Maintenance 12. According to NANDA, deviations from the dominant culture are automatically and ethnocentrically considered: A . Normal. B . C . D . Abnormal. Irrelevant. Nonassessable. ANS: B DIF: Cognitive Level: Analysis KEY: Nursing Process: Analysis MSC: NCLEX Category: Health Promotion and Maintenance 13. Religious structures fall into two different groups; one of these is the church type. Which of these statements about the church type of religious structure is accurate? A . People involved isolate themselves from the rest of society and create their own laws and values. 18 | P a g eB . C . D . It is a broadly based religion that generally includes people by virtue of their membership in society. It places personal commitment and experience before family and community functions. People involved often congregate in clan-like environments. ANS: B DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Psychosocial Integrity 14. Jehovah’s Witnesses are opposed to: A . Blood transfusions. B . C . D . Blood tests. Medication. Consumption of red meat. ANS: A DIF: Cognitive Level: Application KEY: Nursing Process: Analysis MSC: NCLEX Category: Health Promotion and Maintenance 15. Seventh-Day Adventists’ practices include avoidance of: A . Caffeine, alcohol, drugs, and tobacco. B . C . D . Surgery on Sunday or Saturday after sundown. Blood transfusions. Tap water, undistilled. ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Health Promotion and Maintenance 16. To provide a culturally appropriate diet that is high in protein for someone of the Seventh Day Adventist religion, the nurse should select: A Seafood and eggs 19 | P a g e. B . C . D . Meat and beans Peanut butter and whole wheat bread Pasta and tomato sauce ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Implementation MSC: NCLEX Category: Physiological Integrity 17. When planning post-discharge outpatient educational sessions for a group of clients, the nurse should avoid Saturday sessions for patients who are: A . Seventh Day Adventists B . C . D . Muslims Jehovah’s Witnesses American Indians ANS: A DIF: Cognitive Level: Application KEY: Nursing Process: Planning MSC: NCLEX Category: Psychosocial Integrity 18. A Cambodian family immigrated to the United States and has been living in Denver for over 5 years. During a family assessment, the mother expressed concern about their children, ages 10, 13, and 16, stating, “The children act so differently now. They are less respectful to us and want to eat only American food and go to rock concerts. It’s hard to believe they are our children.” The children are demonstrating: A . Cultural relativism. B . C . D . Ethnocentrism. Biculturalism. Acculturation. ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Analysis MSC: NCLEX Category: Psychosocial Integrity 19. In assessing a patient’s religious or spiritual practice, the best approach for the nurse to use is to ask: 20 | P a g eA . B . C . D . “What dietary restrictions are imposed by your religious and spiritual beliefs?” “Would you accept blood transfusions if your condition required blood therapy?” “Please tell me whether your religion allows you to eat meat daily.” “How can I help you in meeting any religious or spiritual needs you may have?” ANS: D DIF: Cognitive Level: Application KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 20. Because of the oral tradition of this cultural group, in providing discharge teaching, it would be inappropriate to provide written communication for which of the following cul- ture groups? A . Hmongs B . C . D . Hispanic Americans Japanese Americans African Americans ANS: A DIF: Cognitive Level: Application KEY: Nursing Process: Implementation MSC: NCLEX Category: Health Promotion and Maintenance 21. M. Chang is a 20-year-old Chinese American. She would like to go to college but has an aged, ill father at home. If M. Chang’s cultural value orientation regarding relation- ships is collateral, she will be likely to: A . Stay home and take care of her father. B . C . D . Go ahead with college since she is young and her needs must come first. Find a nurse to take care of her father so that she can go to college. Ask her minister what she should do and then take her minister’s advice. ANS: A DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Psychosocial Integrity 22. According to the 2000 census, the largest ethnic minority group residing in the United States today is: 21 | P a g eA . B . C . D . Asian Americans Black Americans Hispanic Americans American Indians ANS: C DIF: Cognitive Level: Knowledge KEY: Nursing Process: Assessment MSC: NCLEX Category: Health Promotion and Maintenance Chapter 5: Time MULTIPLE CHOICE 1. In providing discharge teaching to a patient with future-time orientation, the culturally competent nurse is aware the patient is likely to: A . Rely on current status. B . C . D . Take precautions related to a future goal. Be focused on the future with little thought of present actions. Be attentive to the nurse out of respect. ANS: B DIF: Cognitive Level: Application KEY: Nursing Process: Planning MSC: NCLEX Category: Health Promotion and Maintenance 2. The nurse assesses a client and determines that the patient has future-time orientation. With this information the client is more likely to: A . Have little motivation for developing goals. B . C . D . 22 | P a g e Have difficulty adhering to schedules. Return for follow-up visits. Live for the present.ANS: C DIF: Cognitive Level: Application KEY: Nursing Process: Planning MSC: NCLEX Category: Health Promotion and Maintenance 3. In planning discharge instruction, the nurse is aware that the client who is most likely to be compliant will demonstrate: A . Future orientation. B . Past orientation. C Present orientation.