Childbearing
Which disorder is viewed as a biological variation that accounts for an increased incidence of both maternal and infant morbidity in the Native American/First Nations population?
A. Aortic stenosis
B. Spina bifida
C. Diabetes mellitus
D. Multiple sclerosis
C. Diabetes mellitus
Data collected from around the world have shown the variations in growth and development among the many cultures. It has shown the differences in the rate of growth, the timing of the growth, and how it compares when children reach adulthood. One factor appears to be consistent around the world. Which statement is correct?
A. Tooth eruption occurs at the same time in Asian, Black, and White infants.
B. Native American/First Nations children are generally taller than White children.
C. Adult head size is reached by age 5 years in all cultures.
D. Blacks usually have shorter legs up to age 5, then are similar to all other cultures.
C. Adult head size is reached by age 5 years in all cultures.
Which has been determined to be the most important in determining if the client will be open to the treatment options?
A. The nurse’s ability to speak the client’s language
B. The nurse’s ability to understand the client’s subculture
C. The nurse’s attitude toward the client
D. The nurse allowing the client to develop the care plan
C. The nurse’s attitude toward the client
Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists?
A) Nursing interventions planned on the basis of age and developmental norms
B) Evaluation of the understanding of risk factors based on cognitive function
C) Implementation of nursing care, respectful of the individual’s economic status
D) Assessment of woman’s ability to function successfully in her role within the family
B) Evaluation of the understanding of risk factors based on cognitive function
Which question would best assist a nurse in determining the health beliefs of a culturally diverse client who has a history of hypertension?
A) “Have you been taking your antihypertension medication as it was prescribed?”
B) “Can you identify stressors in your life that may have contributed to high blood pressure?”
C) “What have you been doing to help control your high blood pressure?”
D) “Do the ethnic foods you eat tend to be salty?”
C) “What have you been doing to help control your high blood pressure?”
All women who experience active birth go through the same basic experience; however, cultural differences may dictate that the way that experience is handled is different. For most US hospitals, the nurse is aware that which may be a part of that experience? Select all that apply.
A. Childbirth classes
B. Fetal monitoring
C. The use of local anesthesia
D. Monitoring by an obstetrician
E. Being accompanied by a midwife
B. Fetal monitoring
D. Monitoring by an obstetrician
Census data indicate that new immigrants with children tend to cluster in certain areas of the United States and Canada. Which geographic area(s) is noted to have the higher populations of new immigrant children? Select all that apply.
A. New Jersey
B. Montreal
C. Vancouver
D. Virginia
E. Oregon
A. New Jersey
B. Montreal
C. Vancouver
D. Virginia
. Evidence-based research has given new understanding to various mental health situations that can affect various groups. It is recognized that some specific groups have experienced historical trauma and are still dealing with it. Which cultural group(s) would benefit from the process of moving through the unresolved grief related to these situations? Select all that apply.
A. The Jews
B. The Japanese
C. The Hispanics
D. The Native American/First Nations people
E. The Irish
A. The Jews
B. The Japanese
D. The Native American/First Nations people
Which is the basis to support the need for transcultural nursing in a health care setting that serves a multicultural metropolitan community?
A) The nursing responsibility to provide nursing care for each client who demonstrates respect and acceptance
B) The ever-expanding numbers of immigrants entering the United States requiring physical and mental health care
C) The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population
D) The varying economic and social backgrounds represented in the population present unique barriers to health care delivery
C) The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population
Which is the primary criticism for using standardized printed history forms when assessing the culturally diverse client population?
A) Western medicine’s signs and symptoms are not always recognized as such by other cultures.
B) People of another culture are not comfortable sharing personal information in such an impersonal manner.
C) Many cultures rely heavily upon pictures to communicate information rather than written words.
D) Being asked to fill out a form may be looked upon as an insult by cultures that are people focused.
A) Western medicine’s signs and symptoms are not always recognized as such by other cultures.
The nurse is aware that some practices among the various cultures are limited to just certain groups of individuals, and the nurse should include questions concerning these various practices in the assessment. In which areas has the reporting of pica been noted? Select all that apply.
A. Rwanda
B. Kenya
C. Uganda
D. Saudi Arabia
E. Kuwait
B. Kenya
C. Uganda
D. Saudi Arabia
The nurse is caring for a Mexican American infant with a viral infection experiencing vomiting and dehydration. The nurse should take which next best action with the parent of the infant?
A. Explain the need to push fluids and electrolytes during illness.
B. Teach the parent to consult a curandera for herbal treatments.
C. Demonstrate how much fluid and electrolytes solution to provide.
D. Provide a list in Spanish of fluid and electrolyte replacements.
C. Demonstrate how much fluid and electrolytes solution to provide.
The transcultural nurse is in a unique position to assist in identifying various problems that can present in mental health issues among the different cultures. These nurses: Select all that apply.
A. are able to quickly recognize there is a mental health issue and get the client into appropriate treatment.
B. are able to develop links between the social environment, family, and individual to identify potential negative outcomes.
C. are aware that some cultures identify mental health issues as somatic complaints.
D. are able to spend time in the community, evaluating and monitoring for potential issues that can lead to mental health complaints.
E. can help form a beneficial referral program to the local religious leaders to assist with treating clients with mental health issues.
B. are able to develop links between the social environment, family, and individual to identify potential negative outcomes.
C. are aware that some cultures identify mental health issues as somatic complaints.
E. can help form a beneficial referral program to the local religious leaders to assist with treating clients with mental health issues.
3. Which assessment question shows an understanding of the impact of cultural beliefs and behaviors on a client’s demonstration of pain?
A) “Can you describe the pain you are experiencing for me?”
B) “Do you understand the long-term effects of chronic pain?”
C) “Have you ever taken medication to help control your pain?”
D) “How can I help you deal with the pain you are experiencing?”
D) “How can I help you deal with the pain you are experiencing?”
Which question asked during the assessment process of a client from a Native American/First Nations population is directed by currently accurate information regarding that culture’s risk for a specific disease?
A) “Have you ever been tested for diabetes mellitus?”
B) “Do you have a family history of breast cancer?”
C) “When was the last time you were tested for tuberculosis?”
D) “Have you ever been told you have a problem with drinking too much alcohol?”
D) “Have you ever been told you have a problem with drinking too much alcohol?”
Which assessment question will best provide the nurse with an understanding of how birth is viewed by an African-based culture?
A) “Does your culture utilize folk healers and natural remedies to manage labor?”
B) “Can you share with me the concerns you have about your pregnancy and labor?”
C) “Will you describe for me the care you would expect to receive if you were giving birth in your homeland?”
D) “Are you comfortable with the type of prenatal and labor care provided to all pregnant women who give birth at this hospital?”
C) “Will you describe for me the care you would expect to receive if you were giving birth in your homeland?”
Which activity is vital to the survival of cultural values and customs?
A) Having affluent members of the culture support poorer members
B) Electing representatives of the culture to governmental positions
C) Sponsoring cultural events to be attended by the general population
D) Providing the younger generations with opportunities to show cultural pride
D) Providing the younger generations with opportunities to show cultural pride
Which question best assists the nurse in avoiding stereotyping when identifying cultural patterns and norms that can be used to base appropriate mental health interventions for a client who is a new emigrant to the United States from a very violent African county?
A) “Do you feel safe since you immigrated to America?”
B) “Do you think of yourself as being healthy and happy?”
C) “What types of mental health services do you need?”
D) “Are you happy with your move to the United States?”
B) “Do you think of yourself as being healthy and happy?”
Which nursing intervention demonstrates an understanding of the full scope on culturally sensitive nursing care?
A) When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed
B) When assessing a recently immigrated client’s ability to both speak and read the dominant language when preparing discharge teaching
C) Including both Eastern traditional folk treatments and Western medical therapies into the care plan of a client of Chinese descent
D) Directing a discussion concerning treatment options for an Arab female toward the family’s elder male members
A) When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed
Which nursing intervention demonstrates an understanding of the importance of managing assessment information in a culturally congruent manner?
A) When the client described “creaky joints,” enrolling in the “Arthritis Support Group” was recommended.
B) The client’s request for, “recipes I can use with my sugar” was met with a booklet entitled, “Cooking for the Diabetic.”
C) The client’s edema was documented as, “Client reports, ‘My legs swell when I spend too much time standing’.”
D) The client was educated on the concept of paranoia when reporting belief in the “evil eye.”
C) The client’s edema was documented as, “Client reports, ‘My legs swell when I spend too much time standing’.”
Which outcome demonstrates the successful implementation of culturally congruent care for a pregnant client whose culture holds holistic health beliefs?
A) The infant's father cut the umbilical cord.
B) The mother sipped on an herbal tea to maintain hydration during the labor.
C) Labor pain was successfully managed with nonpharmacologic interventions.
D) Family members remained with the mother and infant during the entire hospitalization.
B) The mother sipped on an herbal tea to maintain hydration during the labor.
Which intervention will have the greatest impact on providing culturally congruent nursing care to a child whose parents speak only a minimal amount of the dominant language?
A) Requesting that the child’s health care provider be fluent in the parents’ dialect
B) Providing the services of a translator who is familiar with the parents’ native language
C) Assigning a nurse to the family who is able to communicate in the parents’ dialect
D) Assuring that all information is provided in the written form using the parents’ dialect
C) Assigning a nurse to the family who is able to communicate in the parents’ dialect
Which statement is an example of ethnocentrism on the part of the nurse when caring for a Hispanic woman who is experiencing symptoms of postpartum depression?
A) “In your culture, how do you treat depression after having a baby?”
B) “Will I need to make arrangements for your mother to sleep here in your room?”
C) “Will your mother be here when we talk about your treatment for postpartum depression?”
D) “Your folk remedies will not be as effective as the medication your physician has ordered.”
D) “Your folk remedies will not be as effective as the medication your physician has ordered.”
Which questions should the nurse ask the client when assessing culturally based care factors using Leininger’s transcultural nursing principles? Select all that apply.
A) “In your culture, what do you do to stay healthy?”
B) “How is death handled in your culture?”
C) “When you get sick, why don’t you use Western medicine?”
D) “How do you determine if a person has a disability?”
E) “In your culture, what do you do when you are sick?”
A) “In your culture, what do you do to stay healthy?”
B) “How is death handled in your culture?”
E) “In your culture, what do you do when you are sick?”
5. Which nursing action is required when it is determined that a client is self-administering ginseng for back pain?
A) Questioning the client to determine the daily dosage of the medication
B) Informing the client that herbal therapy can cause serious side effects
C) Assessing and documenting the client’s blood pressure
D) Asking the client to close his or her eyes and touch his or her nose with a finger
C) Assessing and documenting the client’s blood pressure