What should the nurse do when planning nursing care for a client with different cultural background quizlet?

B - Assessment and implementation of care must consider the total needs of the client, and cultural needs are one of the major areas of assessment. In the Standards of Professional Practice, the nurse is directed to follow all federal, state, and local laws governing the practice of registered nurses, and to provide nursing services without discrimination, regardless of the national origin, race, religion, or health problems of the client served. Cultural needs are incorporated, especially at the time of death, when many religious beliefs and practices of the client and family affect what care is expected from the health care team. A care activity does not have to have a scientific basis for it to be performed. If the client believes that a certain practice will help him or her get better and no harm is expected from the practice, the nurse is expected to support it for the betterment of the client.

Sets with similar terms

Which of the following meal trays would be appropriate for a nurse to deliver to a client of Orthodox Judaism faith who follows a kosher diet?

A. fettuccini alfredo with shrimp and vegetables, mixed fruit, juice
B. sweet and sour chicken with rice and veggies, mixed fruit, juice
C. pork roast, rice and veggies, mixed fruit, milk
D. crab salad on a croissant, veggies with dip, potato salad, milk

Sets with similar terms

5. Culture is best defined as the:

A
Worldview and traditions transmitted by a group from generation to generation.

B
Classification of people according to shared biological characteristics.

C
Religious or racial characteristics of a group that set it apart from the larger soci e-
ty of which it is a part.

D
Assumption of attitudes, values, and beliefs held by a particular cultural group
that have been passed down from one generation to the next.

Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness?

A) East Asian
B) Hispanic
C) Asian Indian
D) Native American

C) Asian Indian

Rationale:
Asian Indians rely on a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness. East Asians use yin treatment (which uses needles to restore balance and flow of qi) and yang treatment (which uses moxibustion or heat with acupuncture to restore the yin/yang balance). Hispanics use a combination of prayers, herbs, and other rituals to treat traditional illnesses. Native Americans rely on a combination of prayers, chanting, and herbs to treat illnesses caused by supernatural, psychological, and physical factors.

Which is the nurse demonstrating when labeling the African-American client a drug abuser for requesting pain medication?

A) Ethnocentrism
B) Multiculturalism
C) Cultural Encounter
D) Cultural Imposition

A) Ethnocentrism

Rationale:
Ethnocentrism is the tendency of a person to hold his or her own beliefs superior to those of other people. It causes biases and prejudices in regard to people from other groups. This practice is transmitted by cultural groups from one generation to another. In multiculturalism, two cultures coexist and are accepted by the individual. In a cultural encounter, part of cultural competence, the nurse engages in cross-cultural interactions for effective communication. Cultural imposition occurs when the nurse or health care provider ignores the differences between his or her own culture and others, imposing his or her beliefs on people of other cultures.

The nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. Which action would the nurse manager take to address this problem?

A) Assign articles about various cultures so that the nurses can become more knowledgeable.
B) Relocate the nurses to units where they will not have to care for clients from a variety of cultures.
C) Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures.
D) Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work

D) Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work

Rationale:
A workshop provides an opportunity to discuss cultural diversity; this should include identification of one's own feelings. Also, it provides an opportunity for participants to ask questions. Although articles provide information, they do not promote a discussion about the topic. Relocation is not feasible or desirable; clients from other cultures are found in all settings. Rotating the nurses' assignments probably will increase tension on the unit.

The nurse leader states, "The people in rural America dress and act differently from those in urban centers." Which concept describes this statement?

A) Acculturation
B) Ethnocentrism
C) Cultural Imposition
D) Cultural Marginality

D) Cultural Marginality

Rationale:
Cultural marginality is defined as situations and feelings of passive betweenness when people exist between two different cultures. Acculturation refers to adapting to a particular culture. It is a process by which a person becomes a competent participant in the dominant culture. Ethnocentrism refers to the belief that one's own ways are the best, most superior, or preferred ways to act, believe, or behave. Cultural Imposition is defined as the tendency of individuals or groups to impose their values, beliefs, and practices on another culture for varied reasons.

During the process of delegation, which process can improve the lines of communication in a health care organization?

A) Considering all aspects of client care
B) Selecting experienced nursing assistants as delegatees
C) Appreciating and valuing each other's cultural perspectives
D) Choosing a delegatee having similar strengths as that of the delegator

C) Appreciating and valuing each other's cultural perspectives

Rationale:
The lines of communication in a health care organization can be improved by appreciating and valuing each other's cultural perspectives, which balances strengths between the delegator and delegatee and improves client care outcomes. Considering all aspects of client care ensures that all of the client care needs are addressed. Selecting experienced nursing assistants as delegatees increases the chance that the delegatee will adapt to changing situations. Selecting a delegatee having similar strengths as that of the delegator may decrease the lines of communication because the delegatee might do the task of the delegator.

Which consideration is the most important when attempting to incorporate the Latino client's cultural background into the plan of care?

A) Socioeconomic considerations regarding hospitalization
B) The meaning and attention the client places on the future
C) The client's need to control care to ensure desired outcomes
D) Inclusion of the family in the plan of care with the client's permission

D) Inclusion of the family in the plan of care with the client's permission

Rationale:
In Latino cultures, there is usually a strong family bond, and the support of the family is essential during stressful times. Socioeconomic status does not play more than the usual role in decisions regarding appropriate health care options. Latino clients tend to be present, not future, oriented. They often believe in fate and believe that outcomes are influenced by external controls (e.g., divine being, authority figures).

Which component of cultural competence is being demonstrated when the nurse motivates the immigrant to accept differences in the way a pregnant women is cared for in her current residence?

A) Cultural desire
B) Cultural awareness
C) Cultural knowledge
D) Cultural encounters

A) Cultural desire

Rationale:
The nurse is using cultural desire as a part of cultural competence. This component is related to motivation and commitment toward the care of an individual. Through this, an immigrant may become open to cultural differences and accept them. Cultural awareness is an in-depth self-examination of backgrounds and recognition of biases and prejudices. Cultural knowledge is a comparative study about the beliefs and care practices of other cultures. A cultural encounter is about transcultural interactions for effective communication and development.

Which is the secondary use of data from the 2000 census classification system to identify disparities in mental health care along racial-ethnic lines?

A) To provide culturally relevant care to the required ethnic group
B) To identify all racial and ethnic groups in the United States
C) To identify why there are disparities in the United States
D) To determine when and how the health care needs of the ethnic populations are being met

D) To determine when and how the health care needs of the ethnic populations are being met

Rationale:
The census classification system categorized individuals according to racial and ethnic descriptions. In addition to identifying health disparities, recording these classifications helps determine when and how the health care needs of ethnic populations are being met. Nurses would practice culturally relevant nursing to meet the needs of culturally diverse clients of a specific ethnic group; the census has nothing to do with this. Because each racial group contains multiple ethnic cultures, the census does not succeed in identifying all of them in the United States, and it doesn't include them all as options. Although the census helps identify health disparities, it does not attempt to examine and determine why they exist.

When a client is a member of a different ethnic community, which action would the nurse take?

A) Ensure that the nurse's biases are understood by the family
B) Make plans to counteract the clients misconceptions about therapies
C) Offer a therapeutic regimen compatible with the lifestyle of the family
D) Recognize that generally all clients just want good nursing care.

C) Offer a therapeutic regimen compatible with the lifestyle of the family

Rationale:
The client cannot be expected to accept or even respond to a plan that is incompatible with the family's lifestyle. The family should not have to adjust to the nurse's biases; the nurse must self-identify biases and ensure that they do not interfere with nursing care. There is no evidence that misconceptions will occur. All individuals want good nursing care, but the perception and ideas of what constitutes good care may be different.

Which response would the nurse give to a newly delivered client who asks to take the placenta home with her upon discharge?

A) "I'll make sure it is kept for you."
B) "I'm sorry, but you can't do that."
C) "I'll give it to your husband to take home now."
D) "I need to check the hospital protocol for our policy on that practice."

D) "I need to check the hospital protocol for our policy on that practice."

Rationale:
The placenta is a part of the body and contains body fluids. It must first be assessed by the health care provider to be sure that it is not infected and to be sure that all parts of the placenta have been accounted for. The nurse must follow hospital protocol regarding the release of the placenta to the family. All necessary documentation must be signed and the policies must be followed before the release of the placenta to the family.

Which action would the nurse therapist take when the father of an autistic child states that the family members wish to share their religious beliefs with the therapist?

A) Ask the father if religious beliefs relate to the child's autism.
B) Include the mutual discussion of religious beliefs.
C) Invite the family's religious leader to a therapy session.
D) Encourage discussion of their religion in the sessions.

D) Encourage discussion of their religion in the sessions.

Rationale:
If religious beliefs are a family concern, the nurse should encourage discussion of their thoughts and feelings; this would include the relationship of religious beliefs to the child's autism if this topic is important to the family. The role of the nurse is to facilitate and listen, not to participate in a mutual discussion about religious beliefs. The religious leader is not part of the family unit and should be invited only if this is requested by the family.

The nurse is helping a client who observes the traditional Jewish dietary laws to prepare a dietary menu. Which considerations would the nurse make?

A) Eating beef and veal is prohibited
B) Consumption of fish with scales is forbidden
C) Meat and milk at the same meal is forbidden
D) Consuming alcohol, coffee, and tea is prohibited

C) Meat and milk at the same meal is forbidden

Rationale:
Jewish dietary laws prohibit any combination of milk and meat at the same meal. The Hindu, not Jewish, religion prohibits the ingestion of beef and veal; many Hindus believe that the cow is sacred. Fish that have scales and fins are considered clean and are allowed in the diet. Seventh Day Adventists, Baptists, Mormons, and Muslims prohibit some or all of the beverages alcohol, coffee, and tea.

A nursing student is conducting an assessment of a client who does not speak English. No interpreter is available. Which action by the student nurse is incorrect?

A) Using medical terminology
B) Proceeding in an unhurried manner
C) Speaking in a low and moderate voice
D) Pantomiming words and simple actions while verbalizing them

A) Using medical terminology

Rationale:
Nurses would follow certain guidelines when interpreter is not available while assessing a client who does not understand English. Rather than using medical terminology, the nursing student should use simple, more well-known words, like "pain" instead of "discomfort." The nursing student's other actions are appropriate. Proceeding in an unhurried manner; speaking in a low, moderate voice; and pantomiming words and simple actions while verbalizing them promote effective communication.

Which statements about culturally congruent care by the student nurse are correct? Select all that apply. One, some, or all responses may be correct.

A) "It is the main goal of transcultural nursing."
B) It is provided through cultural competence."
C) "It is provided in accordance with set criteria."
D) "It is bound to the professional health care system."
E) "It depends on the patterns and needs of an individual."

A) "It is the main goal of transcultural nursing."
B) It is provided through cultural competence."
E) "It depends on the patterns and needs of an individual."

Rationale:
The main goal of transcultural nursing is to provide culturally congruent care. Cultural competence is applied to ensure the delivery of this care. Culturally congruent care is provided in accordance with people's life patterns, values, and beliefs. Culturally congruent care is tailored to the needs of people themselves, not delivered in accordance with predetermined criteria. This care may be different from the values and meanings of the professional health care system.

When preparing a client for a diagnostic procedure, which action would the nurse take if the client is wearing a religious symbol dangling from a necklace?

A) Ask the client about the religious symbol and significance of removing it.
B) Explain to the client that the religious symbol must be removed immediately.
C) Call the radiologist performing the procedure to obtain an order to keep the necklace in place.
D) Say nothing to the client, remove the necklace, and give it to a family member for safekeeping.

A) Ask the client about the religious symbol and significance of removing it.

Rationale:
The nurse would ask the client about the religious symbol and significance related to removing it. If safety of the client is a concern, the nurse would then explain why removal is necessary and help the client identify an acceptable plan. Explaining the religious symbol must be removed immediately is not addressing spiritual or religious significance to the client. Calling the radiologist is inappropriate because the nurse would know if the symbol can be worn without risk of harm to the client. Saying nothing to the client, removing the necklace, and giving it to a family member is taking away the client's autonomy and not acknowledging the client's religious or spiritual needs.

Which points would the nurse keep in mind when caring for a client who belongs to a different culture? Select all that apply. One, some, or all responses may be correct.

A) Be aware of his or her own cultural values and behavior patterns.
B) Focus on understanding the client's traditions, values, and beliefs.
C) Understand that unique cultural perceptions exist regarding health practices.
D) Know that every client strictly adheres to his or her cultural beliefs and traditions.
E) Understand that a client's cultural background does not influence the nurse-client relationship.

A) Be aware of his or her own cultural values and behavior patterns.
B) Focus on understanding the client's traditions, values, and beliefs.
C) Understand that unique cultural perceptions exist regarding health practices.

Rationale:
<p class="rationale__text ng-binding" ng-bind-html="getFeedbackResponse()">Nurses would be aware of their own cultural values and behavior patterns. This awareness enables them to understand a client's values and beliefs. Nurses would focus on understanding the client's traditions, values, and beliefs and the manner in which these aspects influence his or her health, wellness, and illness. When educating clients about their health issues and treatment plans, nurses would understand that unique perceptions exist about the cause of an illness and its treatment. The nurse would never stereotype clients on the basis of their cultural background and assume that they strictly adhere to cultural traditions and practices. The nurse would understand that the cultural background of a client also influences the nurse-client relationship.

The nurse provides care for a Chinese client who is experiencing leg pain. The client states, "I don't want to take any medication that I may get addicted to." Which is the correct nursing intervention in this situation?

A) Give ibuprofen to the client with hot tea.
B) Give morphine to the client with hot tea.
C) Give ibuprofen to the client with cold water.
D) Postpone medication administration to the client.

A) Give ibuprofen to the client with hot tea.

Rationale:
People of Chinese descent may prefer to take medication with hot tea because of cultural beliefs that hot (or yang) foods have healing properties. Ibuprofen does not pose an addiction risk, so the client may feel more comfortable taking it rather than morphine. Together hot tea and ibuprofen may be the best way to treat this client. The nurse does not give morphine to the client, even with hot tea, because the client has already stated a desire to avoid addictive medications and the nurse does not want to force the client. The nurse does not offer cold water with the ibuprofen because a person from the Chinese culture may avoid drinking cold water and other cold liquids during an illness. Postponing the medication administration may increase the severity of the pain in the client, so this is not an appropriate intervention.

Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with when asking a client from another country about his or her health care traditions?

A) Safety
B) Informatics
C) Patient-centered care
D) Teamwork and collaboration

C) Patient-centered care

Rationale:
The nurse who provides compassionate and coordinated care to clients based on their preferences, values, and needs is providing patient-centered care. Asking about the health care traditions followed in the client's country is an example of patient-centered care. Safety involves minimizing the risk of harm to clients and primary health care providers. Informatics involves using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making. Teamwork and collaboration involves nursing and interprofessional teams working together effectively to achieve quality client care.

When compared with their non-Hispanic white counterparts, which factors contribute to the health disparities among the older adult Hispanic population? Select all that apply. One, some, or all responses may be correct.

A) Value differences
B) Language barrier
C) Lack of health care facility
D) Inadequate health insurance
E) Poor diet and nutrition

A) Value differences
B) Language barrier
C) Lack of health care facility
D) Inadequate health insurance

Rationale:
The health of Hispanic older adults lags behind their white counterparts due to a number of factors. Beliefs and values of some older Hispanic clients may conflict with traditional Western health care views. Most nurses are not educated in Spanish, and this language barrier may affect health care delivery. Lack of health care access and inadequate health insurance also contribute to disparities. Although their diets may differ, it does not necessarily mean their nutrition is poor, so this is not a contributing factor.

A family member of a client who is prescribed a blood transfusion mentions that blood transfusions are not permitted in their faith. Which would the nurse do to handle the situation?

A) Wait for the court's order to give blood to the client.
B) Proceed with the transfusion to save the client's life.
C) Inform the primary health care provider and not give blood to the client.
D) Explain to the family member that the client needs this transfusion.

C) Inform the primary health care provider and not give blood to the client.

Rationale:
The client or the client's family member has the right to refuse treatment and the nurse would value their beliefs and traditions. The nurse would inform the primary health care provider and not perform the blood transfusion. The nurse would not wait for a court's order or try to convince the family member to change his or her mind. The nurse would not proceed with the treatment because this may cause severe legal implications.

A new mother says to the nurse, "I would like to care for my baby independently rather than depending on the baby's grandparents." From this information, which culture would the nurse infer that the new mother belongs to?

A) Asian Culture
B) African Culture
C) North American Culture
D) Latin American Culture

C) North American Culture

Rationale:
People who belong to North American and Western European cultures generally possess individualistic characteristics. People who belong to Asian, African, and Latin American cultures generally do not possess individualistic characteristics; instead, they have a collectivistic approach. The new mother who belongs to any of these cultures, other than the North American culture, may depend on elder family members for child-rearing.

The nurse leader is teaching the staff that the health care provider strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?

A) Cultural diversity
B) Cultural sensitivity
C) Cultural imposition
D) Cultural competence

D) Cultural competence

Rationale:
Cultural competence is the process in which the health care provider strives to achieve the ability to work effectively within the cultural context of a client, individual, family, or community. Cultural diversity describes a vast range of cultural differences among individuals or groups. Cultural sensitivity describes the affective behaviors in individuals such as the capacity to feel, convey, and react to ideas, habits, and customs or traditions unique to a group of people. Cultural imposition is defined as the tendency of an individual or group to impose their values, beliefs, and practices on another culture for various reasons.

Which culturally based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic?

A) Reluctance to take medication
B) Minimal eye contact
C) Desire to have an Asian nurse
D) Offense at being touched

B) Minimal eye contact

Rationale:
As a show of respect, people in Asian cultures tend to make little eye contact, particularly with people perceived as authority figures. People from Asian cultures are accustomed to taking medication, herbs, and other complementary therapies, so the nurse would assess before administering medication. Health care professionals with the same cultural background may be preferred, but the nurse would assess if language barriers are the chief concern. If a client is highly anxious or having symptoms of a panic attack, the nurse would not use touch, regardless of the cultural background or ethnicity.

During a survey, the community nurse meets a client who has not visited a gynecologist after the birth of her second child. The client says that her mother or sister never had annual gynecologic examinations. Which factor is influencing the client's health practice?

A) Spiritual belief
B) Family practices
C) Emotional Factors
D) Cultural Background

B) Family practices

Rationale:
Family practices influence the client's perception of the seriousness of diseases. The client does not feel the need to seek preventive care measures because no family member practices preventive care. The client is not influenced by spiritual beliefs in this instance. An individual's spiritual beliefs and religious practices may restrict the use of certain forms of medical treatment. Emotional factors such as stress, depression, or fear may influence an individual's health practice; however, this client does not show signs of being affected by emotional factors. The client is said to be influenced by cultural background if he or she follows certain beliefs about the causes of illness and uses customary practices to restore health.

The nurse is caring for an Asian client who had a laparoscopic cholecystectomy 6 hours ago. When asked whether there is pain, the client smiles and says, "No." Which action would the nurse take?

A) Monitor for nonverbal cues of pain
B) Check the pressure dressing for bleeding
C) Assist the client to ambulate around the room
D) Irrigate the client's nasogastric tube with sterile water

A) Monitor for nonverbal cues of pain

Rationale:
Asian clients may tend to be stoic regarding pain and usually do not acknowledge pain; therefore, the nurse should assess these clients further. This type of surgery would not require pressure dressings. First, the client must be assessed further for pain. If there is pain, the client should ambulate after, not before, receiving pain medication. Postoperatively, nasogastric tubes are irrigated when needed, not routinely.

When caring for a client who is from a different culture what should the nurse do?

When the nurse is providing care to patients with varied cultural backgrounds it is imperative for the nurse to recognize that?

What are the steps for the nurse to develop culturally competent care?

Which statement best explains the role of the nurse when planning care for a culturally and gender diverse population?