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Health Assess 13

A nurse has identified the goal of becoming more culturally sensitive and competent. What is the primary rationale for cultural sensitivity in health care settings? • Recognize that cultural diversity exists. • Understand individual differences. • Prevent offending the patient. • Obtain accurate assessment data. • Based on a colleague's feedback, a nurse learns that she is aware of cultural differences in a general way but does not know what the specific differences are or how to communicate with a person of a specific culture. This nurse exhibits which of the following? • Unconscious incompetence • Conscious incompetence • Conscious competence • Unconscious competence • A group of students is reviewing material on cultural competence. The students demonstrate understanding of this concept when they identify which of the following as the starting point? • Cultural awareness • Cultural desire • Cultural skill • Cultural knowledge • A male Hispanic patient describes the fact that he mixed hot and cold foods, causing them to lump together and ìget stuck in his intestines,î causing diarrhea and abdominal pain. The nurse would document this as which of the following? • Empacho • Susto • Mal ojo • Mal puesto • The nurse attends a Native-American Alcoholic Anonymous support group and develops close relationships with three group members. The nurse is demonstrating which of the following? • Cultural desire • Cultural awareness • Cultural encounter • Cultural knowledge • The nurse is preparing to lead a health promotion activity among a group of patients from different cultures. The nurse would expect that which patient would require the least amount of personal space? • Latin American • Asian • American • Middle Easterner • A nurse is modifying an Asian patient's diet to accommodate the concept of hot and cold. The nurse demonstrates an understanding of this concept when identifying which of the following as a cold condition? • Diabetes • Pneumonia • Sore throat • Hypertension • When reviewing cultural differences that relate to the incidence and prevalence of disease among various cultural groups, the nurse would expect to see the highest prevalence of asthma in which group? • Non-Hispanic blacks • Caucasians • African Americans • Southeast Asians • The nurse is assessing the diet and nutritional status of a patient from a different culture. Which of the following questions would be appropriate for the nurse to ask? Select all that apply. • ìWhat foods do you commonly eat?î • ìDo you have any special routines for eating?î • ìAre there any foods that you can't eat?î • ìDo you eat three meals a day?î • ìDo you have certain foods to keep you healthy?î • When considering the various cultural aspects associated with death rituals, which of the following should guide a nurse's practice? • Most cultures have similar durations for the length of time a person grieves. • A person's view of death is likely to be different from the original ethnic group's practice. • Responses to death and grief are fairly consistent among different cultures. • Rituals for burial and bereavement are likely to reflect original cultural practices. • A nurse is assessing an Asian patient and observes several reddened and bruised areas on the skin. Further assessment reveals that the patient was using cupping to treat back pain. The nurse understands this as which of the following? • Placing heated glass jars on the skin that are allowed to cool • Rubbing ointment into the skin with a spoon • Attaching smoldering herbs to acupuncture needles • Placing warm burning herbs directly on the skin • A nurse educator is reviewing the unit's resources about religious groups and their views about blood and blood products, organ donation, and autopsy. A member of which group is most likely to refuse a blood transfusion? • Christian Scientists • Jehovah's Witnesses • Orthodox Jews • Roman Catholics • A cardiac care nurse works with a diverse patient population. The nurse would assess a patient from which cultural group for an increased effect of an antihypertensive medication? • Eskimos • Native Americans • Hispanics • Chinese • A nurse's reflection of his practice reveals that he tends to see his own culture as the ìgold standardî to which all other cultures should aspire. This nurse should create learning goals to address what phenomenon? • Ethnocentrism • Unconscious incompetence • Stereotyping • Acculturation • A nurse is participating in an educational exercise in which she is conducting a self- examination of her own biases. This activity addresses what construct of cultural competence? • Cultural desire • Cultural knowledge • Cultural skill • Cultural awareness • A nurse is caring for a 70-year-old patient from a different culture whose breast cancer has metastasized. The nurse observes that the patient tends to defer responsibility for decision making around treatment options to her eldest son. How should the nurse respond to this? • Explain the disconnect between the patient's practice and the principle of patient autonomy. • Confirm that the patient wants her son to make decisions and follow those decisions accordingly. • Attempt to dialogue with the patient when her son is not present. • Refer the family to social work in order to further explore alternative decision- making practices. • A clinic nurse is conducting a comprehensive assessment of a 70-year-old male patient of Native American ethnicity. The nurse observes that the patient rarely makes eye contact and holds his head low during the assessment. How should the nurse best interpret this practice? • The patient may not understand the purpose of the assessment. • The patient may be showing the nurse respect. • The patient may be a victim of intimate partner violence. • The patient may not trust the nurse's expertise. • A nurse is validating assessment findings with a patient, and the patient proceeds to describe some of the psychological and spiritual components that she believes underlie her disease process. This understanding of the cause of illness is most closely associated with which of the following? • Northern European cultures • The Western biomedical model • African-American culture • Asian cultures • A nurse is working with a 22-year-old woman of Asian ethnicity who has been diagnosed with bipolar disorder. When planning culturally appropriate care, the nurse should consider which of the following? • There may a lack of acceptance that the patient's behavior is abnormal. • The patient's family may see her illness as punishment for misdeeds. • The patient's family may see her psychiatric disorder as evidence of bad character. • There may be shame associated with having a psychiatric disorder. • A nurse is assessing an African-American patient who has a longstanding diagnosis of hypertension. The nurse should be aware that the patient may experience a greater-than- average effect of what medication? • A diuretic • An angiotensin-converting enzyme inhibitor • A calcium channel blocker • A beta-adrenergic blocker • A nurse will be working in a clinic in South Asia for several weeks, where the majority of residents have darkly pigmented skin. The nurse should expect a higher-than-average incidence of what integumentary health problem? • Contact dermatitis • Vitiligo • Psoriasis • Eczema • A nurse is relying heavily on gestures and simplified language during the assessment of a patient from another culture who speaks minimal English. During the lengthy assessment, the nurse asks the patient if she is ìokayî by making a circle with his thumb and forefinger. The nurse should be aware of which of the following? • In some cultures, this gesture denotes confusion. • In some cultures, this gesture is offensive. • This gesture has meaning only in American cultures. • In some cultures, this gesture denotes pain. • A nurse admits to a colleague, ìI sometimes tend to avoid patients from other cultures because it's awkward and it's usually frustrating for me and for the patient.î This nurse is likely lacking in what construct of cultural competency? • Cultural desire • Cultural knowledge • Cultural health • Cultural harmony

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Health Assess 13

A nurse has identified the goal of becoming more culturally sensitive and competent. What is the primary rationale for cultural sensitivity in health care settings? • Recognize that cultural diversity exists. • Understand individual differences. • Prevent offending the patient. • Obtain accurate assessment data. • Based on a colleague's feedback, a nurse learns that she is aware of cultural differences in a general way but does not know what the specific differences are or how to communicate with a person of a specific culture. This nurse exhibits which of the following? • Unconscious incompetence • Conscious incompetence • Conscious competence • Unconscious competence • A group of students is reviewing material on cultural competence. The students demonstrate understanding of this concept when they identify which of the following as the starting point? • Cultural awareness • Cultural desire • Cultural skill • Cultural knowledge • A male Hispanic patient describes the fact that he mixed hot and cold foods, causing them to lump together and ìget stuck in his intestines,î causing diarrhea and abdominal pain. The nurse would document this as which of the following? • Empacho • Susto • Mal ojo • Mal puesto • The nurse attends a Native-American Alcoholic Anonymous support group and develops close relationships with three group members. The nurse is demonstrating which of the following? • Cultural desire • Cultural awareness • Cultural encounter • Cultural knowledge • The nurse is preparing to lead a health promotion activity among a group of patients from different cultures. The nurse would expect that which patient would require the least amount of personal space? • Latin American • Asian • American • Middle Easterner • A nurse is modifying an Asian patient's diet to accommodate the concept of hot and cold. The nurse demonstrates an understanding of this concept when identifying which of the following as a cold condition? • Diabetes • Pneumonia • Sore throat • Hypertension • When reviewing cultural differences that relate to the incidence and prevalence of disease among various cultural groups, the nurse would expect to see the highest prevalence of asthma in which group? • Non-Hispanic blacks • Caucasians • African Americans • Southeast Asians • The nurse is assessing the diet and nutritional status of a patient from a different culture. Which of the following questions would be appropriate for the nurse to ask? Select all that apply. • ìWhat foods do you commonly eat?î • ìDo you have any special routines for eating?î • ìAre there any foods that you can't eat?î • ìDo you eat three meals a day?î • ìDo you have certain foods to keep you healthy?î • When considering the various cultural aspects associated with death rituals, which of the following should guide a nurse's practice? • Most cultures have similar durations for the length of time a person grieves. • A person's view of death is likely to be different from the original ethnic group's practice. • Responses to death and grief are fairly consistent among different cultures. • Rituals for burial and bereavement are likely to reflect original cultural practices. • A nurse is assessing an Asian patient and observes several reddened and bruised areas on the skin. Further assessment reveals that the patient was using cupping to treat back pain. The nurse understands this as which of the following? • Placing heated glass jars on the skin that are allowed to cool • Rubbing ointment into the skin with a spoon • Attaching smoldering herbs to acupuncture needles • Placing warm burning herbs directly on the skin • A nurse educator is reviewing the unit's resources about religious groups and their views about blood and blood products, organ donation, and autopsy. A member of which group is most likely to refuse a blood transfusion? • Christian Scientists • Jehovah's Witnesses • Orthodox Jews • Roman Catholics • A cardiac care nurse works with a diverse patient population. The nurse would assess a patient from which cultural group for an increased effect of an antihypertensive medication? • Eskimos • Native Americans • Hispanics • Chinese • A nurse's reflection of his practice reveals that he tends to see his own culture as the ìgold standardî to which all other cultures should aspire. This nurse should create learning goals to address what phenomenon? • Ethnocentrism • Unconscious incompetence • Stereotyping • Acculturation • A nurse is participating in an educational exercise in which she is conducting a self- examination of her own biases. This activity addresses what construct of cultural competence? • Cultural desire • Cultural knowledge • Cultural skill • Cultural awareness • A nurse is caring for a 70-year-old patient from a different culture whose breast cancer has metastasized. The nurse observes that the patient tends to defer responsibility for decision making around treatment options to her eldest son. How should the nurse respond to this? • Explain the disconnect between the patient's practice and the principle of patient autonomy. • Confirm that the patient wants her son to make decisions and follow those decisions accordingly. • Attempt to dialogue with the patient when her son is not present. • Refer the family to social work in order to further explore alternative decision- making practices. • A clinic nurse is conducting a comprehensive assessment of a 70-year-old male patient of Native American ethnicity. The nurse observes that the patient rarely makes eye contact and holds his head low during the assessment. How should the nurse best interpret this practice? • The patient may not understand the purpose of the assessment. • The patient may be showing the nurse respect. • The patient may be a victim of intimate partner violence. • The patient may not trust the nurse's expertise. • A nurse is validating assessment findings with a patient, and the patient proceeds to describe some of the psychological and spiritual components that she believes underlie her disease process. This understanding of the cause of illness is most closely associated with which of the following? • Northern European cultures • The Western biomedical model • African-American culture • Asian cultures • A nurse is working with a 22-year-old woman of Asian ethnicity who has been diagnosed with bipolar disorder. When planning culturally appropriate care, the nurse should consider which of the following? • There may a lack of acceptance that the patient's behavior is abnormal. • The patient's family may see her illness as punishment for misdeeds. • The patient's family may see her psychiatric disorder as evidence of bad character. • There may be shame associated with having a psychiatric disorder. • A nurse is assessing an African-American patient who has a longstanding diagnosis of hypertension. The nurse should be aware that the patient may experience a greater-than- average effect of what medication? • A diuretic • An angiotensin-converting enzyme inhibitor • A calcium channel blocker • A beta-adrenergic blocker • A nurse will be working in a clinic in South Asia for several weeks, where the majority of residents have darkly pigmented skin. The nurse should expect a higher-than-average incidence of what integumentary health problem? • Contact dermatitis • Vitiligo • Psoriasis • Eczema • A nurse is relying heavily on gestures and simplified language during the assessment of a patient from another culture who speaks minimal English. During the lengthy assessment, the nurse asks the patient if she is ìokayî by making a circle with his thumb and forefinger. The nurse should be aware of which of the following? • In some cultures, this gesture denotes confusion. • In some cultures, this gesture is offensive. • This gesture has meaning only in American cultures. • In some cultures, this gesture denotes pain. • A nurse admits to a colleague, ìI sometimes tend to avoid patients from other cultures because it's awkward and it's usually frustrating for me and for the patient.î This nurse is likely lacking in what construct of cultural competency? • Cultural desire • Cultural knowledge • Cultural health • Cultural harmony

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