Chapter 02 Promoting Culturally Proficient Care

Chapter 02 Promoting Culturally Proficient Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A nurse is preparing to assist an elderly Romany client with morning care. Based on the awarenessand understanding of the Romany culture, the nurse will plan to: (Select all that apply.)1)A)Stand at least 18 inches away from the client at all times.B)Avoid offering toothpaste for oral hygiene.C)Ask permission before touching the client’s head.D)Initiate little, if any, verbal communication during the bath.E)Offer lotion for moistening the body.F)Use separate towels and soap for the upper and lower body.Answer:C, E, FExplanation:A)In the Romany culture, keeping the lower body separate from the upper body isessential to moral character, therefore it is important in hygiene to wash the areasseparately. Keeping the head clean is symbolically important and the client maynot want anyone touching his or her head unless absolutely necessary. Manycultures have particular practices that involve the head and feet. A preference is tokeep the skin moist. Romany tend to view silence as indicating extremediscomfort. Personal space is more intimate than in many other cultures.PlanningPsychosocial IntegrityApplicationB)In the Romany culture, keeping the lower body separate from the upper body isessential to moral character, therefore it is important in hygiene to wash the areasseparately. Keeping the head clean is symbolically important and the client maynot want anyone touching his or her head unless absolutely necessary. Manycultures have particular practices that involve the head and feet. A preference is tokeep the skin moist. Romany tend to view silence as indicating extremediscomfort. Personal space is more intimate than in many other cultures.PlanningPsychosocial IntegrityApplicationC)In the Romany culture, keeping the lower body separate from the upper body isessential to moral character, therefore it is important in hygiene to wash the areasseparately. Keeping the head clean is symbolically important and the client maynot want anyone touching his or her head unless absolutely necessary. Manycultures have particular practices that involve the head and feet. A preference is tokeep the skin moist. Romany tend to view silence as indicating extremediscomfort. Personal space is more intimate than in many other cultures.PlanningPsychosocial IntegrityApplication1
D)In the Romany culture, keeping the lower body separate from the upper body isessential to moral character, therefore it is important in hygiene to wash the areasseparately. Keeping the head clean is symbolically important and the client maynot want anyone touching his or her head unless absolutely necessary. Manycultures have particular practices that involve the head and feet. A preference is tokeep the skin moist. Romany tend to view silence as indicating extremediscomfort. Personal space is more intimate than in many other cultures.PlanningPsychosocial IntegrityApplicationE)In the Romany culture, keeping the lower body separate from the upper body isessential to moral character, therefore it is important in hygiene to wash the areasseparately. Keeping the head clean is symbolically important and the client maynot want anyone touching his or her head unless absolutely necessary. Manycultures have particular practices that involve the head and feet. A preference is tokeep the skin moist. Romany tend to view silence as indicating extremediscomfort. Personal space is more intimate than in many other cultures.PlanningPsychosocial IntegrityApplicationF)In the Romany culture, keeping the lower body separate from the upper body isessential to moral character, therefore it is important in hygiene to wash the areasseparately. Keeping the head clean is symbolically important and the client maynot want anyone touching his or her head unless absolutely necessary. Manycultures have particular practices that involve the head and feet. A preference is tokeep the skin moist. Romany tend to view silence as indicating extremediscomfort. Personal space is more intimate than in many other cultures.PlanningPsychosocial IntegrityApplication2)A neighborhood family clinic has both a multicultural staff and a multicultural clientele. Basic tothe provision of culturally sound care, it is essential that the staff:2)A)Have a cultural consciousness of themselves and how they work together.B)Have resources available to identify cultural practices of many different groups.C)Attend continuing education courses in cultural diversity.D)Match the cultural backgrounds of the nurses with those of the clients as much as possible.Answer:AExplanation:A)Nursing staff are expected to collaborate in providing client care. The staff musthave a heightened awareness and sensitivity of its own group dynamics in order towork as a team in providing culturally sound care. Information resources andcontinuing education courses will expand the knowledge base, although they maynot improve the staff’s ability to work with each other. Limiting the staff’sinteractions to clients of the same culture does not promote teamwork.AssessmentSafe, Effective Care Environment-Coordinated CareApplication2
B)Nursing staff are expected to collaborate in providing client care. The staff musthave a heightened awareness and sensitivity of its own group dynamics in order towork as a team in providing culturally sound care. Information resources andcontinuing education courses will expand the knowledge base, although they maynot improve the staff’s ability to work with each other. Limiting the staff’sinteractions to clients of the same culture does not promote teamwork.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationC)Nursing staff are expected to collaborate in providing client care. The staff musthave a heightened awareness and sensitivity of its own group dynamics in order towork as a team in providing culturally sound care. Information resources andcontinuing education courses will expand the knowledge base, although they maynot improve the staff’s ability to work with each other. Limiting the staff’sinteractions to clients of the same culture does not promote teamwork.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationD)Nursing staff are expected to collaborate in providing client care. The staff musthave a heightened awareness and sensitivity of its own group dynamics in order towork as a team in providing culturally sound care. Information resources andcontinuing education courses will expand the knowledge base, although they maynot improve the staff’s ability to work with each other. Limiting the staff’sinteractions to clients of the same culture does not promote teamwork.AssessmentSafe, Effective Care Environment-Coordinated CareApplication3)An elderly male client has been assigned to a female nurse for morning care. The client calls thecharge nurse and requests a male nurse. The charge nurse makes the requested change because thenurse knows that:3)A)It is not a good idea to force things on older people.B)The client will refuse all care if the change is not made.C)All cultures have preferences and beliefs.D)The client may be uncomfortable with a female giving him care.Answer:DExplanation:A)Any client may prefer to receive care from a nurse of the same gender. This is notnecessarily because of cultural preferences and beliefs. Understanding that theclient may be uncomfortable with a female caregiver best acknowledges the client’sfeelings. Thinking that the client will refuse all care if the change is not mademakes an assumption based on opinion. In some aspects of caring for an elderlyclient, it may be important to avoid forcing things on the client. It is not a validbasis for making this decision. There is no cultural component to the question.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysis3
B)Any client may prefer to receive care from a nurse of the same gender. This is notnecessarily because of cultural preferences and beliefs. Understanding that theclient may be uncomfortable with a female caregiver best acknowledges the client’sfeelings. Thinking that the client will refuse all care if the change is not mademakes an assumption based on opinion. In some aspects of caring for an elderlyclient, it may be important to avoid forcing things on the client. It is not a validbasis for making this decision. There is no cultural component to the question.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysisC)Any client may prefer to receive care from a nurse of the same gender. This is notnecessarily because of cultural preferences and beliefs. Understanding that theclient may be uncomfortable with a female caregiver best acknowledges the client’sfeelings. Thinking that the client will refuse all care if the change is not mademakes an assumption based on opinion. In some aspects of caring for an elderlyclient, it may be important to avoid forcing things on the client. It is not a validbasis for making this decision. There is no cultural component to the question.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysisD)Any client may prefer to receive care from a nurse of the same gender. This is notnecessarily because of cultural preferences and beliefs. Understanding that theclient may be uncomfortable with a female caregiver best acknowledges the client’sfeelings. Thinking that the client will refuse all care if the change is not mademakes an assumption based on opinion. In some aspects of caring for an elderlyclient, it may be important to avoid forcing things on the client. It is not a validbasis for making this decision. There is no cultural component to the question.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysis