NUR 155 Exam 4- Culture questions all correctly solved

A community health nurse is learning about the REACH initiative and has decided to implement community education on this approach. What topics should the nurse include in this education? Standard Text: Select all that apply. 1. Child and adult immunizations 2. Cardiovascular disease 3. Chronic lower respiratory disease 4. Stroke 5. Infant mortality 1. Child and adult immunizations 2. Cardiovascular disease 1. Child and adult immunizations 2. Cardiovascular disease A new graduate nurse is working in a busy emergency department of a hospital, situated in a culturally diverse area of the city. In striving to be culturally sensitive, what should the nurse do? 1. Try to learn about the attitudes toward health care and traditions of the different cultures in that area. 2. Understand and attend to the total context of the client's situation, using knowledge, attitudes, and skills. 3. Possess the underlying background knowledge that will provide these clients with the best possible health care. 4. Continuously strive to be culturally competent. 1. Try to learn about the attitudes toward health care and traditions of the different cultures in that area. A client is the child of an African American father and Asian American mother. The client has been exposed to cultural foods, traditions, and customs from both parents throughout life. What term should the nurse use to describe this client's cultural development? 1. Diversity 2. Subculture 3. Multicultural 4. Cultural sensitivity 3. Multicultural A nurse is working with a home health client whose spouse was not born in the United States. During the home visit, the nurse realizes that the client has acquired the identity of her spouse's culture and has adopted some of the health practices of that culture. Which process should the nurse identify as occurring with the spouse? 1. Acculturation 2. Assimilation 3. Diversity 4. Heritage consistency 2. Assimilation The nurse manager is concerned that a staff nurse provides client care with a cultural prejudice. Which situation did the manager observe to come to this conclusion? 1. Making an assumption that all members of each culture are alike 2. Believing that all culture members will have the same beliefs 3. Bringing previous negative information and experiences into this situation 4. Taking general knowledge from literature and applying it to the situation 3. Bringing previous negative information and experiences into this situation A new graduate nurse is moving from a small rural college town to a metropolitan area to begin work in a county hospital. The nurse has had limited prior experience with the various cultural groups that are served by the hospital. What might be this nurse's greatest challenge? 1. Prejudice 2. Stereotyping 3. Discrimination 4. Assimilation 4. Assimilation A client has requested that she have a special item present in her room and explains that it gives her a feeling of comfort and a sense of organization. On which psychosocial component is this client focusing? 1. Culture 2. Religion 3. Ethnicity 4. Socialization 2. Religion Before a client goes to surgery, he requests to have his spiritual leader present and pray over him. According to the HEALTH traditions model, which traditional method is the client invoking? 1. Maintaining HEALTH 2. Protecting HEALTH 3. Restoring HEALTH 4. Changing HEALTH 3. Restoring HEALTH A client makes the following statement: "I must be paying for all the wrongs I did in my life, to have such a diagnosis as this." The nurse suspects that this client views health from which type of belief? 1. Magico-religious belief 2. Holistic health belief 3. Biomedical health belief 4. Folk medicine 1. Magico-religious belief A Chinese client is hospitalized with a fever of unknown origin and follows a very traditional, cultural view of illness. Which food should the nurse offer the client? 1. Hot tea 2. Warm soup 3. Spicy meat 4. Cold liquids 4. Cold liquids A community health nurse works with a variety of cultures providing health care services that include preventive care, acute treatment, and education. Of the following clients, which is most likely to use folk medicine? 1. The client who speaks little English and does not have a job 2. A family who has numerous relatives in a Spanish-American sector of the city 3. A female client whose culture is one of male dominance 4. A Chinese client who has a small, family-run business in the area 1. The client who speaks little English and does not have a job A female client is being discharged after a lengthy hospitalization. The family is from a male-dominated culture. Before discharge instructions are given, which action should the nurse take? 1. Make sure instructions are understood by the client. 2. Arrange for teaching when the spouse is available. 3. Make sure that the physician gives the instructions. 4. Ask the client when the best time for teaching would be. 2. Arrange for teaching when the spouse is available. A newly immigrated client is constantly attended to by family members. This has presented a problem to the nursing staff and the delivery of nursing care. In order to address this issue in a culturally sensitive manner, the nurse should take which action? 1. Explain to the client that he has to limit visitors. 2. Evaluate the benefits of family participation in the client's care. 3. Question the family members as to how they see their interaction with the client. 4. Have the physician limit the number of visitors the client can have. 2. Evaluate the benefits of family participation in the client's care. The nurse is planning to conduct a physical assessment with a client from a different culture. What is the best way for the nurse to show cultural sensitivity when addressing the personal questions required of the nursing history? 1. Break the assessment into shorter intervals and discuss general topics first. 2. Thoroughly explain the reason for asking many questions before beginning the assessment. 3. Pick a time when the family is present and can help with the admission assessment questions. 4. Wait until the nurse-client relationship has been established. 1. Break the assessment into shorter intervals and discuss general topics first. A non-English-speaking client is needs to have an emergency surgical procedure. The hospital has an interpreter available. When the interpreter arrives to explain the procedure and help with the consent form, the nurse provides the best support when 1. asking the interpreter to use words the client is familiar with for the best understanding. 2. requesting that the interpreter translate, as closely as possible, the same words used by the professional staff. 3. suggesting that the questions be directed to the interpreter, so nothing is omitted. 4. addressing the questions to the client's family. 2. requesting that the interpreter translate, as closely as possible, the same words used by the professional staff. During the admission interview, the culturally diverse client averts her eyes and refrains from answering questions for long periods of time. The culturally sensitive nurse should take which action? 1. Come back at a different time, when the client is feeling more communicative. 2. Have another nurse finish the interview, as there is something uncomfortable the client senses. 3. Understand that this may be completely appropriate and take cues accordingly. 4. Leave the room and come back after having learned more about this particular culture. 3. Understand that this may be completely appropriate and take cues accordingly.