Transcultural Final NCLEX Questions and Answers with verified solutions

Transcultural Final NCLEX Questions and Answers with verified solutions -A Navajo mother has just delivered her baby in the hospital. She requests to have the umbilical cord after the birth. What is the proper reasoning behind why the mother wants to keep the cord? A. Navajo people are known to bury umbilical cords near an object or place that symbolizes what the parents want for the child's future. B. Navajo women place umbilical cords in a box as a keepsake. C. The Navajo people give the umbilical cord to their medicine men as part of a religious ceremony. D. Navajo people like to discard of umbilical cords themselves. - ANS -A. Navajo people are known to bury umbilical cords near an object or place that symbolizes what the parents want for the child's future. -When communicating with a Navajo it is important for a nurse to provide culturally competent care. Which are aspects of care that a nurse should take into consideration when caring for a Navajo? (SELECT ALL THAT APPLY) A. A Navajo may not want to touch a dead person because of the taboo associated with death. B. Future rapport with the Navajo is based on the initial encounter with them. C. Eye contact is seen as a sign of respect with the Navajos. D. A Navajo translator should be knowledgeable in medical terminology and be aware of the Navajo lifestyle. - ANS -A. A Navajo may not want to touch a dead person because of the taboo associated with death. B. Future rapport with the Navajo is based on the initial encounter with them. D. A Navajo translator should be knowledgeable in medical terminology and be aware of the Navajo lifestyle 1) In a hospital waiting room, you notice two Afghan American women talking loudly to one another. As a culturally competent nurse, you understand that the women are... A. Trying to speak over their husbands. B. Arguing with one another. C. Conveying their affection for one another. D. Trying to stand out from the crowd. - ANS -C. Conveying their affection for one another. 67% of rural areas in Appalachia are federally designated as shortage areas. Lack of all of the following except contribute to this shortage? A. Transportation B. Insurance C. Telephones D. Food E. Available resources - ANS -D. Food A 52-year old Jewish lady had a right total knee arthroplasty this morning a Catholic hospital. Crying hysterically, she rates her pain a 9 out of 10 every hour on the hour despite receiving Hydrocodone Q4. The nurse becomes suspicious of potential drug seeking behavior, how does the nurse handle the situation? a. Withhold Hydrocodone at next dose so the patient won't become addicted b. Be aware when a person of the Jewish culture is ill they regress to childish behaviors c. Explain to the patient that she is an adult, therefore she needs to act like one d. Acknowledge that the Jewish culture is emotional when expressing pain - ANS -d. Acknowledge that the Jewish culture is emotional when expressing pain A Chinese American client is experiencing a fever. The nurse recognizes that the client is likely to self-treat the disorder, using which method? A. Prayer B. Magnetic therapy C. Foods considered to be yin D. Foods considered to be yang - ANS -C. Foods considered to be yin A diet high in which of these foods will help lower incidence of diabetes and heart disease in Native Americans? A. Foods high in fiber, such as fruits and vegetables. B. Cheap, processed, snack foods and meals that do not require much effort to prepare. C. Any foods as long as there is high alcohol consumption with meals. D. Traditionally prepared foods like frybread. - ANS -A. Foods high in fiber, such as fruits and vegetables. A doctor's appointment is made for an Appalachian American, when should the nurse expect the patient to arrive? A. 15 minutes early B. On time C. 15 minutes late D. Never - ANS -C. 15 minutes late A female Jewish American patient comes to the hospital because of her heart failure. The patient requests a female nurse, but there are not any available female nurses. What should the nurse do? A. Ignore them and give her a male nurse. B. Tell her that she will not be able to be cared for at that hospital. C. Explain to her that you respect her beliefs, but a female nurse is not available. D. Tell a female nurse she has no option but to care for this patient. - ANS -C. Explain to her that you respect her beliefs, but a female nurse is not available. A Mexican American client had a baby earlier this morning. The nurse enters the room to congratulate the mother and admire the baby. How should the nurse do so in order to remain culturally sensitive? A. Just admire the baby but be sure not to touch the baby. B. Only the parents are allowed to look at or touch the baby. C. Be sure to touch the baby while admiring the baby. D. The nurse should bless the baby before touching it. - ANS -C. Be sure to touch the baby while admiring the baby. A nurse is assessing a 30-year old Chinese American client, what should the nurse be particularly aware of? (Select all that apply) A. Nonverbal behaviors of the client. B. How the family is interacting with the client. C. Encouraging the client to verbalize their psychological problems. D. The length of their hair. - ANS -A. Nonverbal behaviors of the client C. Encouraging the client to verbalize their psychological problems Rationale: Monitor the nonverbal behaviors of the client and encourage the client to verbalize their psychological problems as they may be less likely to verbalize these on their own. A nurse is caring for a Jewish American patient. The patient has a lot of family members in the room. What is the best way for the nurse to teach her patient about her condition? A. Tell the family to leave so that she can clearly explain the situation to the patient. B. Shout the information so that the patient can hear over her family members' voices. C. Come back later. D. Ask the family to quiet down, but include the entire family in the patient teaching. - ANS -D. Ask the family to quiet down, but include the entire family in the patient teaching. A nurse is caring for a Navajo client that is hospitalized for high blood pressure. The nurse comes in to the room and finds cornmeal sprinkled around the bedside. What should the nurse do? A. Become disturbed and insist that it be removed B. Realize that sprinkling cornmeal around the bedside is a curative ritualistic ceremony for the Navajo people. C. Sweep up the cornmeal before the patient realizes it is gone. D. Approach the client and ask them to not be so messy. - ANS -B. Realize that sprinkling cornmeal around the bedside is a curative ritualistic ceremony for the Navajo people. A nurse is caring for an 90 year old Amish man. What would you expect the family to do? A. read to the patient B. request a roommate for the patient C. sing to the patient D. ask for pain meds for the patient - ANS -C. sing to the patient A nurse is educating a nursing student about diseases that the Amish population are susceptible to. The nurse mentions all these diseases EXCEPT: A. Type 2 DM B. maple syrup urine disease C. Hypertension D. hypothyroidism - ANS -D. hypothyroidism A nurse is preparing to deliver a food tray to client whose religion is Jewish. The nurse checks the food on the tray and notes that the client has received roast beef dinner with whole milk as beverage. Which action will the nurse take? A. deliver the food tray to the client A nurse is preparing to deliver a food tray to client whose religion is Jewish. The nurse checks the food on the tray and notes that the client has received roast beef dinner with whole milk as beverage. Which action will the nurse take? A. deliver the food tray to the client B. call the dietary department and ask for new meal tray C. replace the whole milk with fat-free milk D. ask the dietary department to replace the roast beef with pork - ANS -B. call the dietary department and ask for new meal tray A nurse needs to interview an East Indian patient who only speaks Hindi. How should the nurse interview the client?