Chapter 4. Cultural Influences on Nursing Care

Chapter 4. Cultural Influences on Nursing Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is preparing to teach a patient of the Asian culture to perform postoperative dressing changes at home after discharge. Which statement made by the nurse indicates cultural competence?

a.	“Tell me how you feel about your surgery.”
b.	“Asian people are smart, so this should be easy for you to understand.”
c.	“American surgeons are highly qualified; I’m sure you will heal quickly.”
d.	“Will you tell me about any traditional healing practices that you would like to use?”

 

 

____     2.   An unconscious victim of a house fire is brought to the emergency department by the paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action should the nurse take?

a.	Tape it in place.
b.	Do nothing with it.
c.	Remove it and lock it up for safekeeping.
d.	Place it in a clothing bag with the rest of the patient’s belongings.

 

 

____     3.   A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses. Which action should the nurse take first?

a.	Notify the physician.
b.	Report the refusal to the supervisor.
c.	Explain the rationale for and benefits of the test.
d.	Tell her it is state law and that she does not have a choice.

 

 

____     4.   A patient who is a Jehovah’s Witness has severe gastrointestinal bleeding and a dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?

a.	Obtain a court order to give the blood.
b.	Administer the blood while the patient is sleeping.
c.	Have the patient’s spouse sign the consent to have the blood administered.
d.	Ensure the patient understands possible consequences and then respect the patient’s wishes.

 

 

____     5.   A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a special tea to be taken four times a day to open the airways. How should the nurse respond to this situation?

a.	Encourage the patient to continue drinking the tea.
b.	Encourage the patient to drink only one cup of the tea each day.
c.	Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
d.	Advise the patient to stop drinking the tea because of potential interactions with other medications.

 

MULTIPLE CHOICE

 

1. ANS:  D
2. Cultural sensitivity is using language and statements that do not offend another person’s cultural beliefs. Cultural competence includes the skills and knowledge required to provide effective nursing care. The use of traditional healers and healing therapies is common for Asian individuals, and assessing the patient’s desire to use such healers or therapies shows the nurse is culturally sensitive and competent to provide care. B. This statement represents a stereotype—an opinion or belief about a group of people which is ascribed to an individual. C. This statement exemplifies ethnocentrism or the tendency for people to think that their ways of thinking, acting, and believing are the only right, proper, and natural ways. A. This is an assessment designed to elicit the patient’s emotional reaction to the surgery. This may be an important part of adult learning, but it is not the best option to represent cultural competence.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Analysis

 

2. ANS:  A
3. Often folk practices are not harmful and can be added to the patient’s plan of care. Tape the emblem in place to keep it from getting lost or damaged. C. D. Removing it could be very distressing to the patient. B. The item could get lost if nothing is done with it.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

3. ANS:  C
4. A Pap smear can provide important health information. The patient may refuse it, because she does not understand what it is. A. B. Teaching is a nursing action and does not need to be approved by a physician or supervisor. D. The state law simply says the patient must be offered the test, not that she must accept it.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

4. ANS:  D
5. Patients’ beliefs should be respected, even when their decisions go against medical advice. The patient needs to understand the consequences of his decision. A. B. C. Administering the blood without the patient’s knowledge or consent is unethical.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

5. ANS:  C
6. Often, folk practices are not harmful and may even be helpful; they may be incorporated into the patient’s plan of care. Checking with the pharmacist ensures that the tea is safe and will not interact with other essential medications. A. B. D. As long as it is safe, there is no reason to have the patient stop or limit tea intake.

 

PTS:   1                    DIF:    Moderate