The nurse wants to provide culturally competent care to a client who lives on a long-term care unit. Which activities are appropriate for the nurse to implement?
(Select all that apply.)
Educating the client about the U.S. health care system
Memorizing which foods members of each culture eat to restore health
Asking the client where he or she thinks illness originates
Seeking to understand one's own culture, its beliefs, and its assumptions
Asking the client and his or her family how the illness affects them
Asking the client where he or she thinks illness originates
Seeking to understand one's own culture, its beliefs, and its assumptions
Asking the client and his or her family how the illness affects them
Rationale
To provide culturally competent care, the nurse must first understand his or her own culture, its beliefs, and its assumptions. To assist in evaluating a
client's culture, the nurse should ask certain questions to understand the client's beliefs. Asking where the client thinks his or her illness comes from will help the nurse understand illness from the client's perspective. Not all members of a culture eat the same thing. Memorizing stereotypes will not help the nurse to provide culturally competent care. Educating the client about the U.S. health care system does not help the nurse in providing culturally competent care.
The nurse is assessing the health status of an adult client. Which aspects of culture will the nurse consider when assessing this client?
(Select all that apply.)
Values are a part of culture.
Beliefs are a part of culture.
Culture is defined by nonphysical traits.
A client's culture is determined by race.
Customs are part of the culture of a client.
-Values are a part of culture.
-Beliefs are a part of culture.
-Culture is defined by nonphysical traits.
-Customs are part of the culture of a client.
Rationale
The culture that encompasses aclient 'sway of life is based on nonphysical traits. The values and beliefs a client holds are part of culture and can influence health care. Customs can influence aclient 's attitude toward health. Race refers to physical and genetic heritage and is directly related to such physical traits a client may have as skin color,
but it is not related to a client's culture.
The nursing students are meeting for a post-conference following their shift on a medical floor. One of the students is reviewing a client 's cultural background. Which statement by the student illustrates the concept of cultural humility?
-The nurse's expression of sensitivity to the differences between her client's culture and her own.
The nurse's discussion of her cultural superiority over
her client's culture.
-The nurse's example of her authoritative stance when teaching her client which diet is best for his diagnosis.
-The nurse's explanation to her client that his religious beliefs lack scientific validity when discussing his diagnosis
The nurse's expression of sensitivity to the differences between her client's culture and her own.
Rationale:
Cultural humility is displayed when a nurse recognizes that his or her
personal cultural values are not superior to the cultural values of another person. The nurse is not demonstrating cultural humility when he or she is claiming cultural superiority over another person. Taking an authoritative stance to influence a client against dietary choices does not reflect cultural humility. Abusing the power of thenurse 'sposition against theclient 'sreligion is not using cultural humility. Cultural humility is demonstrated when the nurse is sensitive to the differences in
his or herclient 'sculture, even though thenurse 'spersonal v.alues are not the same as the
client 's
The nurse is performing a cultural assessment on an adult client. What type of information would be used to complete the cultural assessment?
The cultural or religious influences in decision making
Whether the client has insurance
The language spoken in the home
The client's region or country of residence
The kinds of food and drink the client prefers
The cultural or religious influences in decision making
The language spoken in the home
The client's region or county of residence
The kinds of food or drink the client prefers
Rationale: Subjective data would be gathered by asking questions about cultural beliefs. Objective data would be gathered through observation of the client and the interactions between significant family members who might be
present. Discovering the region or country the client originates from and lives in would give clues about the
client 's
culture. It is important to know what language is spoken in the home and whether the client understands English so that communication can be effective. Insurance is not necessarily a question that would come up during a cultural assessment, although socioeconomic status may affect health care delivery.
A nursing student
is doing an internship in an inner-city free clinic. As part of the curriculum, the nursing student is expected to give a presentation on health care disparities in the United States. Which statistics are appropriate for the student to include in the presentation to classmates?
(Select all that apply.)
Asian individuals are more likely not to seek care for an illness or injury.
African Americans have a higher rate of new AIDS cases than Caucasians.
Caucasians populations have a worsening health disparity in colorectal cancer mortality than Hispanic or African American populations.
Asian adults over the age of 65 are more likely than Caucasians not to be immunized against pneumonia.
Caucasians were more likely to report poor health care communication than the Hispanic population.
Asian individuals are more likely not to seek care for an illness or injury.
African Americans have a higher rate of new AIDS cases than Caucasians.
Asian adults over the age of 65 are more likely than Caucasians not to be immunized against pneumonia.
Rationale: Health disparities among non-Caucasian populations are a concern in the United States. According to the 2010 National Health Disparities report, African Americans have a rate of AIDS that is ten times greater than Caucasians. Asian adults were 50% more likely than Caucasians not to be vaccinated for pneumonia. Asians were 1.5 times more likely not to get care
for an illness or injury. African American populations have worsening colorectal cancer mortality from
2000dash-2006
than Caucasians. Hispanics are 1.7 times more likely to report poor communication with their health care provider than Caucasians.
The nurse is assessing a client of a different culture who has different religious beliefs. Which statements or questions by the nurse would demonstrate cultural competence when assessing the
client?
(Select all that apply.)
"I apologize for keeping you so long. Would you like some privacy for prayer before continuing the exam?"
"I cannot continue with this assessment if you are not willing to be compliant with my plan of care."
"How do you feel about taking medications or blood products if they are prescribed?"
"I understand that you may not believe in receiving human blood products; is that correct?"
"May I ask what your partner might think about this plan of care?"
"I apologize for keeping you so long. Would you like some privacy for prayer before continuing the exam?"
"How do you feel about taking medications or blood products if they are prescribed?"
"I understand that you may not believe in receiving human blood products; is that correct?"
"May I ask what your partner might think about this plan of care?"
Rationale:
The nurse can show knowledge of aclient
'sculture by asking appropriate questions that are not demeaning or rude. Asking how the client feels about taking medications opens the conversation to what cultural or religious beliefs might interfere with the medical care of the client. Attitudes of acceptance and recognition would help to build rapport with the client. An accepting attitude does not mean the nurse agrees with the client but that the nurse is willing to accept what the client believes, and work it into the plan of care.
Communication is an important skill for a nurse when assessing and caring for a client with a different culture to ensure proper care. Asking about family support opens the conversation so the client feels comfortable speaking about family objections. A nurse who does not demonstrate cultural competence would hinder the health care being provided to the client and may hinder theclient 'scompliance. Refusing to work a plan of care around aclient 'scultural beliefs is unethical and not beneficial
to the client.
The nurse is using an interpreter to discuss the care plan with a client of another culture. What form of communication is the nurse using to communicate with the client?
Verbal
Silence
Eye contact
Touch
Verbal
Rationale:
Verbal communication is an important tool to use when exchanging information about the plan of care. Using an interpreter is an example of using
appropriate verbal communication to ensure that the client understands the information. Silence, touch, and eye contact are forms of nonverbal communication.
Sol, a 47-year-old man, wants to postpone his prostate surgery because his family will be gathering for Yom Kippur on that day. What is an appropriate nursing response?
The nurse should inform the surgeon of the scheduling problem and advocate for rescheduling the nonemergency procedure as soon as possible.
The nurse should inform the client that his surgery may have to be postponed indefinitely.
The nurse should insist that the client keep the surgery date.
The nurse should ask the client whether his family will really mind if he doesn't join them for the holy day.
The nurse should inform the surgeon of the scheduling problem and advocate for rescheduling the nonemergency procedure as soon as possible.
Angela Seitz, age 82, tells the nurse that the surgeon to whom she was referred told her that he does not do hip replacement surgery on someone as old as she. How would the nurse describe the surgeon's attitude?
The surgeon is demonstrating homophobia.
The surgeon is demonstrating ageism.
The surgeon is demonstrating classism.
The surgeon is demonstrating gender bias.
The surgeon is demonstrating ageism
Chen Yong, a 23-year-old Chinese student, goes to the local Chinatown clinic when he hurts his leg playing soccer. He is told that the doctor is not available and he will have to return the following day for treatment. What health care disparity does this incident illustrate?
Asians prefer to use acupuncture and herbs for treatment.
Asians do not want to use Western medical services.
Asians have reported problems with receiving timely health care.
Asians are unlikely to have health insurance.
Asians have reported problems with receiving timely health care.
An immigrant Hmong family (parents and two children) comes to a local outpatient clinic in an area where many Hmong have settled. The mother, age 42, has a hacking cough. How should the nurse address the languagebarrier?
Use signs and gestures to communicate
Ask the oldest child to act as translator
Conduct a physical assessment with no explanations
Ask the local immigrant service organization to provide an interpreter
Ask the local immigrant service organization to provide an interpreter