Show:
Culture/Ethnicity
Health Beliefs & Practices
Communication Styles
Potpouri
100
What facets of culture related to health and illness may affect the nursing practice?
Select all that apply.

a) Attitudes about touch
b) Childrearing practices
c) Death and dying practices
d) Beliefs about privacy
e) Choice of music

a, b, c, d
100
The nurse is preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that surgery is necessary. The nurse considers the client's religious preferences in developing a plan of care and should document which information?

a) The client believes the soul lives on after death
b) Medication administration is not allowed
c) Surgery is prohibited in this religious group
d) Administration of blood and blood products is not allowed

d) Administration of blood and blood products
100
True or False: While verbal communication among different cultures may be difficult, non-verbal communication is universal.
False
100
True or False: In most instances, accurate pain assessment can be accomplished by observing the client's nonverbal behaviors.
False
200
What is the most likely reason that clients are reluctant to tell their health professional about home remedies they have used prior to seeking treatment?

a) Fear of not being understood
b) Inability of the health care professional to appreciate cultural traditions
c) Unwillingness of health care professionals to approve remedies as safe and useful
d) Fear of being laughed at or rebuked

d) Fear of being laughed at or rebuked
200
An Asian American client is experiencing a fever. The nurse recognized that the client is likely to self treat the disorder using which method?

a) Prayer
b) Magnetic Therapy
c) Food considered to be Yin
d) Food considered to be Yang

c) Food considered to be Yin

Rationale: In Asian culture; Yin foods are considered to be cold, and Yang foods are considered to be hot.

200
When communicating with a client who speaks a different language, which best practice would the nurse implement?

a) Speak loudly and slow
b) Arrange for an interpreter to translate
c) Speak to the client and family together
d) Stand close to the client and speak loudly

b) Arrange for an interpreter to translate
200
Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher client?

a) Pork Roast, rice, vegetables, mixed fruit, milk
b) Crab salad on a croissant, vegetables with dip, potato salad, milk
c) Sweet and sour chicken with rice and vegetables, mixed fruit, juice
d) Noodles and cream sauce with shrimp, vegetables, salad, mixed fruit, iced tea

c) Sweet and sour chicken with rice and vegetables, mixed fruit, juice

Rationale: Diary-meat combinations is unacceptable in kosher diet

300
The nurse has identified that a client holds a strong belief in his culture's indigenous health care system. In planning care for this client, what should the nurse take into consideration?

a) Cultures that don't believe in modern medicine believe that supernatural forces control health and illness.
b) The client is not likely to work hard to change modifiable risk factors for disease
c) This client likely believes that human life and life processes are controlled by physical and biochemical processes
d) The illness prevention and healing practices this client practices are derived from cultural traditions rather then from modern medicine.

d) The illness prevention and healing practices this client practices are derived from cultural traditions rather then from modern medicine.
300
What health view is represented by the client statement, "What did I do wrong to be punished with cancer?"

a) Magico-religious health beliefs
b) Holistic health beliefs
c) Folk medicine
d) Biomedical health belief
a) Magico-religious health beliefs
300
To obtain cultural assessment data, which questioning techniques is the best choice for the nurse to use to encourage clients to express themselves?

a) Start with brief and direct questions while making eye contact
b) Ask non-threatening and respectful 'yes/no' questions.
c) Begin interview with the most sensitive questions first.
d) Open with broad statements and ask open-ended questions.

d) Open with broad statements and ask open-ended questions.
300
What factor(s) act as barriers to providing culturally sensitive or culturally congruent care to clients and their support persons? Select all that apply.

a) Stereotyping
b) Prejudice
c) Ethnorelativity
d) Ethnocentrism
e) Discrimination
a, b, d, e
400
The term "ethnicity" refers to an awareness of belonging to a group that shares a common and distinctive culture. What additional factors help to define ethnicity?

a) Status
b) Religion
c) Language
d) Race
e) Geographic background

a, b, c, e

Rationale: An ethnic group is a "group of people who have had experiences different from those of the dominant culture in status, background, residence, religion, education, or other factors that functionally unify the group and act collectively on one another"

400
A nurse identifies low risk therapies to a client and should include which therapies in the discussion? Select all that apply.

a) Herbs
b) Prayer
c) Touch
d) Message
e) Relaxation
f) Acupuncture

b, c, d, e

400
What influencing factors have contributed to implementing transcultural communication?

a) Group communication patterns have developed because of the increase in ethnic, racial, and culturally diversity in America
b) There has been an increase in cultural, ethnic, and disenfranchised populations who seek health care
c) The setting for health care delivery are requesting health professionals to be culturally sensitive
d) Health care professionals seeking to provide high-quality care often face communication barriers.
b) There has been an increase in cultural, ethnic, and disenfranchised populations who seek health care
400
What are the prerequisites to the provision of culturally competent care? Select all that apply.

a) Appreciation of cultural differences
b) Culturally awareness
c) Affirmation of the culture's religion
d) Linguistic knowledge
e) Cultural sensitivity
b, e
500
Which client(s) has a high risk for obesity and diabetes mellitus? Select all that apply

a) A 40-year old Latino American man
b) A 30-year old Native American man
c) A 50-year old Asian American woman
d) A 35-year old Hispanic American man
e) A 40-year old African American woman

a,b,d,e
500
The nurse educator asks a student to list the five categories of complimentary and alternative medicine (CAM) developed by the National Center for Complimentary and Alternative Medicine. Which statement, if made by the nursing student, would indicate an understanding of the five categories of CAM?

a) Herbology, hydrotherapy, acupuncture, nutrition, and chiropractic care
b) Mind-body medicine, traditional Chinese medicine, homeopathy, naturopathy, and healing touch
c) Biological based practice, body-based practice, magnetic therapy, message therapy, aromatherapy
d) Whole medical systems, mind-body medicine, biologically based practice, manipulative and body-based practice and energy medicine

d) Whole medical systems, mind-body medicine, biologically based practice, manipulative and body-based practice and energy medicine
500
What is the most obvious cultural difference when communicating with individuals and groups?

a) Traditions and rituals
b) Nonverbal communication
c) Verbal communication
d) Space orientation
c) Verbal communication
500
***DOUBLE JEOPARDY***

Order: 3 mcg/kg/min
Solution: 50 mg/500 mL
Client Weight: 150 lb

The nurse increases the infusion rate by 1 mL/min. What is the new mcg/kg/min?
(Round to the nearest tenths)

4.4 mcg/kg/min