Chapter 03: Cultural and Pharmacogenetic Considerations

Chapter 03: Cultural and Pharmacogenetic Considerations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is performing a pain assessment on a patient of Asian descent. The patient does not describe the pain when asked to do so and looks away from the nurse. What will the nurse do next?

a.	Ask the patient’s family member to evaluate the patient’s pain.
b.	Conclude that the patient’s pain is minimal.
c.	Evaluate the patient’s non-verbal pain cues.
d.	Suspect that the patient is experiencing severe pain.

 

 

ANS:  C

Patients of Asian descent might speak in soft tones and avoid direct eye contact while being comfortable with long silences. It is not correct to ask family members to evaluate pain. Without assessment of non-verbal cues, the nurse cannot determine whether the pain is minimal or severe.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 23

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Psychosocial Integrity: Cultural Diversity

 

2. The nurse is preparing to discuss long-term care needs with a patient newly diagnosed with a chronic disease. The patient is of Latin American descent. The nurse will plan to take which action when teaching this patient?

a.	Discussing long-term outcomes associated with compliance of the prescribed regimen
b.	Highlighting various traditional healing practices that will not be effective for this patient’s care
c.	Providing factual information and answering all questions as they arise
d.	Providing teaching in increments, allowing periods of silence to allow assimilation of information

 

 

ANS:  C

The nurse should provide factual information and answer questions. Persons of Latin American descent have less dependence on time schedules and do not tend to have a future orientation. They are not comfortable with periods of silence. Nurses should be receptive to traditional healing practices and seek ways to include those in care when they do not hinder safe and effective care; highlighting practices that won’t work may convey a lack of respect for these traditions.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 24

TOP:   NURSING PROCESS: Planning      MSC:  NCLEX: Psychosocial Integrity: Cultural Diversity

 

3. A Native American patient has just been diagnosed with diabetes mellitus. The nurse preparing a teaching plan for this patient understands that which aspect of the disease and disease management may be most difficult for this patient?

a.	Body image changes
b.	Management of meal and medication schedules
c.	Perception of the disease as punishment from God
d.	The sense of dependence on others

 

 

ANS:  B

Non-European cultural groups such as those of Native American descent have less dependence on time schedules. Disease management will likely focus more on present concerns about alleviating current discomfort and less on measures to promote long-term wellness or treat a chronic illness.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 24

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Psychosocial Integrity: Cultural Diversity

 

4. A patient who is of Filipino descent is admitted to the hospital. The nurse goes to the room to start intravenous fluids and to perform an admission assessment and finds several family members in the room. Which action by the nurse is appropriate?

a.	Ask the family to wait in the hallway until the admission tasks are completed.
b.	Determine which family member is the family patriarch and address questions to him.
c.	Invite family members to assist with appropriate tasks during the admission process.
d.	Provide chairs for family members and ask them to stay seated during the admission.

 

 

ANS:  C

In general, the Filipino culture expects that family members will stay at a patient’s bedside and participate in his or her care. The nurse should include the family in appropriate tasks. It is not correct to ask the family to wait in the hall or to sit in chairs and not participate. Filipino families do not necessarily depend on family patriarchs.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 24

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Psychosocial Integrity: Cultural Diversity