SAUNDERS NCLEX FUNDAMENTALS
REVIEW QUESTIONS & DETAILED
CORRECT ANSWERS
The nurse educator is providing in-service education to the nursing staff regarding transcultural
nursing care; a staff member asks the nurse educator to provide an example of the concept of
acculturation. The nurse educator should make which most appropriate response?
a. "A group of individuals identifying as a part of the Iroquois tribe among Native Americans."
b. "A person who moves from China to the United States (U.S.) and learns about and adapts to
the culture in the U.S."
c. "A group of individuals living in the Azores that identify autonomously but are a part of the
larger population of Portugal."
d."A person who has grown up in the Philippines and chooses to stay there because of the
sense of belonging to his or her cultural group." - correct answer ✔✔b. "A person who moves
from China to the United States (U.S.) and learns about and adapts to the culture in the U.S."
Acculturation is a process of learning a different culture to adapt to a new or changing
environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity
The ambulatory care nurse is discussing preoperative procedures with a Japanese American
client who is scheduled for surgery the following week. During the discussion, the client
continually smiles and nods the head. How should the nurse interpret this nonverbal behavior
a. Reflecting a cultural value
b. An acceptance of the treatment
c. Client agreement to the required procedures
d. Client understanding of the preoperative procedures - correct answer ✔✔a. Reflecting a
cultural value
, Nodding or smiling by a Japanese American client may reflect only the cultural value of
interpersonal harmony. This nonverbal behavior may not be an indication of acceptance of the
treatment, agreement with the speaker, or understanding of the procedure.
When communicating with a client who speaks a different language, which best practice should
the nurse implement?
a. Speak loudly and slowly.
b. Arrange for an interpreter to translate.
c. Speak to the client and family together.
d. Stand close to the client and speak loudly. - correct answer ✔✔b. Arrange for an interpreter
to translate.
Arranging for an interpreter would be the best practice when communicating with a client who
speaks a different language. Options 1 and 4 are inappropriate and ineffective ways to
communicate. Option 3 is inappropriate because it violates privacy and does not ensure correct
translation
The nurse is providing discharge instructions to a Chinese American client regarding prescribed
dietary modifications. During the teaching session, the client continuously turns away from the
nurse. The nurse should implement which best action?
a. Continue with the instructions, verifying client understanding.
b. Walk around the client so that the nurse conb. stantly faces the client.
c. Give the client a dietary booklet and return later to continue with the instructions.
d. Tell the client about the importance of the instructions for the maintenance of health care. -
correct answer ✔✔a. Continue with the instructions, verifying client understanding.
Most Chinese Americans maintain a formal distance with others, which is a form of respect.
Many Chinese Americans are uncomfortable with face-to-face communications, especially when
eye contact is direct. 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 this cultural practice. The client may consider it a rude gesture
REVIEW QUESTIONS & DETAILED
CORRECT ANSWERS
The nurse educator is providing in-service education to the nursing staff regarding transcultural
nursing care; a staff member asks the nurse educator to provide an example of the concept of
acculturation. The nurse educator should make which most appropriate response?
a. "A group of individuals identifying as a part of the Iroquois tribe among Native Americans."
b. "A person who moves from China to the United States (U.S.) and learns about and adapts to
the culture in the U.S."
c. "A group of individuals living in the Azores that identify autonomously but are a part of the
larger population of Portugal."
d."A person who has grown up in the Philippines and chooses to stay there because of the
sense of belonging to his or her cultural group." - correct answer ✔✔b. "A person who moves
from China to the United States (U.S.) and learns about and adapts to the culture in the U.S."
Acculturation is a process of learning a different culture to adapt to a new or changing
environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity
The ambulatory care nurse is discussing preoperative procedures with a Japanese American
client who is scheduled for surgery the following week. During the discussion, the client
continually smiles and nods the head. How should the nurse interpret this nonverbal behavior
a. Reflecting a cultural value
b. An acceptance of the treatment
c. Client agreement to the required procedures
d. Client understanding of the preoperative procedures - correct answer ✔✔a. Reflecting a
cultural value
, Nodding or smiling by a Japanese American client may reflect only the cultural value of
interpersonal harmony. This nonverbal behavior may not be an indication of acceptance of the
treatment, agreement with the speaker, or understanding of the procedure.
When communicating with a client who speaks a different language, which best practice should
the nurse implement?
a. Speak loudly and slowly.
b. Arrange for an interpreter to translate.
c. Speak to the client and family together.
d. Stand close to the client and speak loudly. - correct answer ✔✔b. Arrange for an interpreter
to translate.
Arranging for an interpreter would be the best practice when communicating with a client who
speaks a different language. Options 1 and 4 are inappropriate and ineffective ways to
communicate. Option 3 is inappropriate because it violates privacy and does not ensure correct
translation
The nurse is providing discharge instructions to a Chinese American client regarding prescribed
dietary modifications. During the teaching session, the client continuously turns away from the
nurse. The nurse should implement which best action?
a. Continue with the instructions, verifying client understanding.
b. Walk around the client so that the nurse conb. stantly faces the client.
c. Give the client a dietary booklet and return later to continue with the instructions.
d. Tell the client about the importance of the instructions for the maintenance of health care. -
correct answer ✔✔a. Continue with the instructions, verifying client understanding.
Most Chinese Americans maintain a formal distance with others, which is a form of respect.
Many Chinese Americans are uncomfortable with face-to-face communications, especially when
eye contact is direct. 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 this cultural practice. The client may consider it a rude gesture
