Chapter 5 Flashcards

1
Q
  1. Which intervention demonstrates the nurse’s understanding of what guides effective nursing care with a diverse patient population?
    a. Treating all patients the same to avoid prejudicial actions.
    b. Identifying the cultural norms of the population being served.
    c. Recognizing that race and ethnicity result in specific illness management views.
    d. Addressing the physical and emotional needs that originate from genetic factors.
A

b. Identifying the cultural norms of the population being served.

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2
Q

. Which statement indicates the beliefs and values that tend to be representative of a member of an indigenous culture? Select all that apply.

a. “I’ve reinforced the importance of taking medications at the time they are prescribed.”
b. “The patient believes that illness is a result of being out of harmony with nature.”
c. “Spending money on medicine for his diabetes is not a comfortable concept for my patient.”
d. “The patient refuses treatment.”
e. “We discussed the patient’s needs regarding warding off evil spirits before her surgery.”

A

a. “I’ve reinforced the importance of taking medications at the time they are prescribed.”
b. “The patient believes that illness is a result of being out of harmony with nature.”
c. “Spending money on medicine for his diabetes is not a comfortable concept for my patient.”
e. “We discussed the patient’s needs regarding warding off evil spirits before her surgery.”

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3
Q

Which assessment questions will support effective communication with a patient who recently emigrated from an Asian country? Select all that apply.

a. “What do you call this kind of pain?”
b. “What do you think is causing your pain?”
c. “How do you think your pain should be treated?”
d. “Do you consider this kind of pain a serious problem?”
e. “Do you think American medicine will help your pain?”

A

a. “What do you call this kind of pain?”
b. “What do you think is causing your pain?”
c. “How do you think your pain should be treated?”
d. “Do you consider this kind of pain a serious problem?

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4
Q

When considering culturally competent care for a Muslim patient diagnosed with cardiac problems, which intervention is particularly important to implement initially when a low fat diet is prescribed?

a. Requesting a dietary consult
b. Identifying dietary considerations
c. Explaining the importance of a low fat diet
d. Including the family in conversation about food preparation

A

b. Identifying dietary considerations

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5
Q

Which statement by the nurse demonstrates ethnocentrism toward the Hispanic patient?

a. “What do you want us to do to help your symptoms?”
b. “Tell me more about what you think is causing these symptoms.”
c. “I’m sure we can do something to make your symptoms more manageable.”
d. “How much have these symptoms made it more difficult for you to go to work?”

A

c. “I’m sure we can do something to make your symptoms more manageable.

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6
Q

Ling has a nursing diagnosis of risk for other-directed violence. Ling’s Eastern culture family is having difficulty coping with the illness due to their beliefs. A favorable therapeutic modality for this patient might include:

a. Outpatient therapy
b. Family therapy
c. Long-term inpatient care
d. Assimilation therapy

A

b. Family therapy

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7
Q

A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient’s adult son died in a car accident last month, the nurse suspects:

a. Vulnerability
b. Acid reflux
c. Somatization
d. Transference

A

c. Somatization

- physical (or body) expression of stress and emotions through the mind-body connection

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8
Q

. Which nursing intervention can assist a Hindu patient in maintaining his religious practice?

a. Assisting the patient to choose his own food from the menu
b. Contacting the hospital pastor for a visit
c. Showing him which side of the room faces east
d. Offering a Torah to the patient

A

a. Assisting the patient to choose his own food from the menu

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9
Q

Intergenerational conflict may arise in immigrant families because the process of acculturation may be:

a. Ignored due to cultural beliefs
b. Filled with traumatic experiences
c. Easier for children
d. A function of assimilation

A

c. Easier for children

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10
Q

. Which nursing actions demonstrate cultural competence? Select all that apply.

a. Planning mealtime around the patient’s prayer schedule
b. Helping a patient to visit with the hospital chaplain
c. Researching foods that a lacto-ovo-vegetarian patient will eat
d. Providing time for a patient’s spiritual healer to visit
e. Ordering standard meal trays to be delivered three times daily

A

a. Planning mealtime around the patient’s prayer schedule
b. Helping a patient to visit with the hospital chaplain
c. Researching foods that a lacto-ovo-vegetarian patient will eat
d. Providing time for a patient’s spiritual healer to visit

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