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The nurse is caring for a Chinese patient who is reluctant to answer questions about her health
background. The nurse asks the patient if she would like her husband present when health
questions are asked. The nurse does this knowing that the Chinese culture is a collectivistic and
patrilineal culture. What does this mean?
a.
Kinship extends to both the father's side and the mother's side of the family.
b.
Kinship is limited to the side of the father.
c.
Kinship is limited to the side of the mother.
d.
The husband becomes part of the wife's clan after marriage. - answer>>>b.
Kinship is limited to the side of the father.
The nurse is caring for a patient who does not speak English. She decides to use an interpreter to
explain procedures and to answer questions that the patient may have. In performing the
interview, what should the nurse do?
a.
Direct questions to the interpreter to ask the patient.
b.
Disregard the age and gender of the interpreter.
c.
Direct questions to the patient.
d.
Ask the interpreter to ask the patient for clarification at the end. - answer>>>c.
Direct questions to the patient.
Which statement is true relative to caring for a Hindu patient who is dying?
a.
,The family will turn his head eastward or to the right.
b.
A close kin will stay with the patient to hear his last wishes.
c.
Anointing of the sick is a common right of the dying.
d.
The family will place a drop of water on the patient's lips. - answer>>>d.
The family will place a drop of water on the patient's lips.
In comparing American culture with Asian cultures, which of the following statements is true?
a.
American culture supports collectivism.
b.
Asian communication can be ambiguous.
c.
American communication patterns downplay autonomy.
d.
Asian communication is direct to avoid conflict. - answer>>>b.
Asian communication can be ambiguous.
When caring for a patient of a different culture, it is important for the nurse to understand that
a.
The nurse should protect the patient from family intrusion in her health care decisions.
b.
Working within the established family hierarchy produces better outcomes.
c.
Women as primary caregivers make independent health decisions.
d.
Gender is not a factor when it comes to role expectations. - answer>>>b.
Working within the established family hierarchy produces better outcomes.
,The nurse is caring for a member of the Jewish faith who needs to undergo a critical procedure on
Saturday. The patient is refusing the procedure because it is scheduled to be done on the Sabbath.
The nurse impresses on the patient the urgency of the procedure, stating that delaying the
procedure would put his life at risk. The patient continues to refuse. What should the nurse do?
a.
Cancel the procedure.
b.
Seek permission from the patient to contact the patient's rabbi.
c.
Have a family member sign the permit.
d.
Have the procedure done against patient wishes. - answer>>>b.
Seek permission from the patient to contact the patient's rabbi.
The nurse is providing diabetic diet teaching to a Hispanic man and his wife. When the nurse is
discussing foods that are acceptable, the wife continues to interrupt with statements like, "Oh, he
doesn't eat that," or, "All he eats is rice and beans." What should the nurse do?
a.
Ask the wife to leave so he/she can focus on teaching the patient.
b.
Explain how "rice and beans" are not acceptable foods on a diabetic diet.
c.
Provide a diet plan with only food alternatives selected by the patient.
d.
Refer the patient and his wife to a dietitian familiar with Spanish food choices. - answer>>>d.
Refer the patient and his wife to a dietitian familiar with Spanish food choices.
Providing culturally congruent care means providing care that
a.
Fits the patient's valued life patterns and set of meanings.
b.
Is based on meanings generated by predetermined criteria.
c.
Is the same as the values of the professional health care system.
, d.
Holds one's own way of life as superior to those of others. - answer>>>a.
Fits the patient's valued life patterns and set of meanings.
Leininger (1991) identified three nursing decision and action modes to achieve culturally
congruent care. These modes are "cultural care preservation or maintenance," "cultural care
accommodation," and "cultural care repatterning." When assessing patients during the admission
process, the nurse utilizes
a.
These action modes in a distinct order.
b.
These action modes individually, one at a time.
c.
Only one action mode per patient.
d.
All these action modes simultaneously. - answer>>>d.
All these action modes simultaneously.
Compare the following statements. Which are considered predominant in non-Western cultures?
(Select all that apply.)
a.
Causes of illness are biomedical in nature.
b.
Illness is an imbalance between humans and nature.
c.
Caring patterns are based in self-care and self-determination.
d.
Diagnoses are described as holistic.
e.
Treatment of disease can be magico-religious based. - answer>>>b.
Illness is an imbalance between humans and nature.
d.
Diagnoses are described as holistic.