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Chapter 06: Cultural Aspects of Nursing Care

Introduction To Medical Surgical Nursing, 6th Edition by Linton

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Chapter 06: Cultural Aspects of Nursing Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A home health nurse prepares to teach a Latino patient who neither speaks nor reads English how to measure and administer insulin. Which teaching tool should be the most helpful?
a. Booklet from the American Diabetes Association explaining the effects of too much or too little insulin
b. Nutrition pamphlet explanation discussing amounts of each food group needed each day
c. Alarm clock, magazine pictures showing sunrise and sunset, several clean insulin syringes, and insulin bottles filled with colored water
d. Large sheet explaining the need for washing hands, times, amounts of insulin to inject, and the nurse’s home phone number

 

 

ANS:  C

If the patient has been assessed as not being able to process written or spoken English, providing literature is futile. A nutrition pamphlet has nothing to do with injecting insulin. Pictures and a clock are universal symbols that are readily understood. Return demonstrations with the actual syringe are good learning exercises.

 

DIF:    Cognitive Level: Application           REF:   p. 68               OBJ:   4

TOP:   Adaptation for Cultural Diversity     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

  1. A young Asian wife of a businessman recently transferred to the United States is brought to the hospital for an emergency appendectomy. The nurses make every effort to plan correct care. Which term best describes the integration of cultural concepts into the nursing care plan?
a. Assimilation of culture
b. Cultural diversity
c. Enculturation of the patient
d. Transcultural nursing

 

 

ANS:  D

The health team must be sensitive to an Asian patient’s preference for alternative health care measures such as herbalists and medication, as well as understand that pain is endured quietly, without complaint.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 67               OBJ:   1

TOP:   Transcultural Nursing                      KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

  1. A nurse is clearing the bedside area to give a bed bath to a Muslim woman the day after a cesarean section. What action should the culturally sensitive nurse implement?
a. Pick up and move the copy of the Koran so it will not be soiled with bath water.
b. Ask the patient to remove the taviz to prevent it from being touched by a non-Muslim.
c. Offer a quiet time after the bath for prayer.
d. Be especially protective of her modesty.

 

 

ANS:  D

Muslim women are extremely modest and prefer clothes that cover the entire body. The Koran is not to be handled by any non-Muslim person, and the taviz is worn at all times. Muslim women are excused from prayer for 40 days after childbirth.

 

DIF:    Cognitive Level: Application           REF:   p. 74               OBJ:   5

TOP:   Assessing Cultural Influences Pertinent to Nursing Care

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

  1. A nurse is caring for a young woman who is a member of the Church of Jesus Christ of Latter Day Saints (Mormon).What should be offered as an appropriate snack by the nurse?
a. Juice and cookies
b. Tea and a piece of fruit
c. Coffee and a cinnamon roll
d. Cola drink and chips

 

 

ANS:  A

The Mormon faith abstains from the use of beverages with caffeine such as cola, coffee, and tea. Juice and cookies do not violate the dietary habits.

 

DIF:    Cognitive Level: Application           REF:   p. 73               OBJ:   2 | 4

TOP:   Dietary Habits                                 KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

  1. Two licensed practical/vocational nurses (LPN/LVNs) are colleagues on the same medical-surgical floor. They went to the same LPN/LVN school. When on break time, they discuss the holistic entries of the nursing care plans they are helping create. What does this behavior exemplify?
a. Subculture
b. Democracy
c. Diversity
d. Ethnicity

 

 

ANS:  A

Professional nursing is a subculture that is learned in the professional school and experienced by practitioners in practice settings, such as a hospital break room, where nurses of a similar subculture can address patient care planning issues to provide holistic nursing care.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 68               OBJ:   5

TOP:   Subculture of Professional Nursing                                   KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

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