Module 24 Culture and Diversity

Module 24   Culture and Diversity

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Culture and Diversity

 

1) A female client is being discharged after a lengthy hospitalization. The family is from a male-dominated culture. What should the nurse do before providing discharge instructions?

1. A) Assess who the decision maker is in the family.
2. B) Make sure that the physician gives the instructions.
3. C) Make sure instructions are understood by the client.
4. D) Ask the client when the best time for teaching would be.

Answer:  A

Explanation:  A) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision maker of the family to be present.

1. B) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision maker of the family to be present.
2. C) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision maker of the family to be present.
3. D) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision maker of the family to be present.

Page Ref: 1634

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  1. Describe how belief systems impact the provision of health care.

 

2) A new graduate nurse is working in a busy Emergency Department of a hospital, situated in a culturally diverse area of the city. What should the nurse do when providing culturally competent care?

1. A) Possess the underlying background knowledge that will provide these clients with the best possible health care.
2. B) Understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills.
3. C) Strive to be culturally sensitive, culturally appropriate, and culturally competent.
4. D) Try to learn about the attitudes toward health care and traditions of the different cultures in that area.

Answer:  A

Explanation:  A) Cultural appropriateness is to understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills. Cultural sensitivity implies possessing basic knowledge of the cultural groups the nurse will likely encounter and developing constructive attitudes about their health traditions. Cultural competence is possessing the underlying background knowledge that will provide clients with the best possible health care. The definition of professional nursing care is to strive for cultural sensitivity, cultural appropriateness, and cultural competence.

1. B) Cultural appropriateness is to understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills. Cultural sensitivity implies possessing basic knowledge of the cultural groups the nurse will likely encounter and developing constructive attitudes about their health traditions. Cultural competence is possessing the underlying background knowledge that will provide clients with the best possible health care. The definition of professional nursing care is to strive for cultural sensitivity, cultural appropriateness, and cultural competence.
2. C) Cultural appropriateness is to understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills. Cultural sensitivity implies possessing basic knowledge of the cultural groups the nurse will likely encounter and developing constructive attitudes about their health traditions. Cultural competence is possessing the underlying background knowledge that will provide clients with the best possible health care. The definition of professional nursing care is to strive for cultural sensitivity, cultural appropriateness, and cultural competence.
3. D) Cultural appropriateness is to understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills. Cultural sensitivity implies possessing basic knowledge of the cultural groups the nurse will likely encounter and developing constructive attitudes about their health traditions. Cultural competence is possessing the underlying background knowledge that will provide clients with the best possible health care. The definition of professional nursing care is to strive for cultural sensitivity, cultural appropriateness, and cultural competence.

Page Ref: 1640

Cognitive Level:  Applying

Client Need:  Psychosocial Integrity

Nursing Process:  Implementation

Learning Outcome:  7. Examine personal beliefs, prejudgment, and areas for professional development related to cultural differences and vulnerable populations.

 

3) A nurse is explaining the need to obtain laboratory tests on client who has an infection and is of a cultural group different from the nurse’s. During the interview, the client averts her eyes and refrains from answering questions for long periods of time. What does this behavior indicate to the nurse?

1. A) In this client’s culture direct eye contact may show disrespect.
2. B) Come back at a different time, when the client is feeling more communicative.
3. C) Have another nurse finish the interview, because there is something uncomfortable the client senses.
4. D) Leave the room and come back after having learned more about this particular culture.

Answer:  A

Explanation:  A) Nonverbal communication includes silence, touch, eye movement, facial expressions, and body posture. In some cultures direct eye contact may indicate disrespect. In addition, some cultures are quite comfortable with long periods of silence. Before assigning meaning to nonverbal behavior, the nurse must consider the possibility that the behavior may have a different meaning for the client and family.

1. B) Nonverbal communication includes silence, touch, eye movement, facial expressions, and body posture. In some cultures direct eye contact may indicate disrespect. In addition, some cultures are quite comfortable with long periods of silence. Before assigning meaning to nonverbal behavior, the nurse must consider the possibility that the behavior may have a different meaning for the client and family.
2. C) Nonverbal communication includes silence, touch, eye movement, facial expressions, and body posture. In some cultures direct eye contact may indicate disrespect. In addition, some cultures are quite comfortable with long periods of silence. Before assigning meaning to nonverbal behavior, the nurse must consider the possibility that the behavior may have a different meaning for the client and family.
3. D) Nonverbal communication includes silence, touch, eye movement, facial expressions, and body posture. In some cultures direct eye contact may indicate disrespect. In addition, some cultures are quite comfortable with long periods of silence. Before assigning meaning to nonverbal behavior, the nurse must consider the possibility that the behavior may have a different meaning for the client and family.

Page Ref: 1638

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  5. Distinguish variations of social behaviors found in diverse groups.

 

4) The nurse is caring for an African-American male client who had a myocardial infarction and is receiving atorvastatin (Lipitor). The nurse assesses the client’s diet to be very high in fat. What is the best plan by the nurse to improve the client’s diet and reduce the risk that the client may need additional medications?

1. A) Ask another nurse to speak to him about a low-fat diet.
2. B) With the client’s permission, discuss his diet with whoever prepares meals for the family.
3. C) Consult a dietician to teach the client about low-fat diets.
4. D) Give the client information specific to African Americans about low-fat diets.

Answer:  B

Explanation:  A) Every culture has culture-specific diets; the nurse must include the individual in the family who does the meal preparation if a different diet is to be successful. Asking the client about having an African-American nurse speak to him is racist and implies that the nurse cannot understand the dietary needs of an African-American client. At this point, a consult by dietary services is premature. Providing information is a good idea, but the nurse must also teach the client.

1. B) Every culture has culture-specific diets; the nurse must include the individual in the family who does the meal preparation if a different diet is to be successful. Asking the client about having an African-American nurse speak to him is racist and implies that the nurse cannot understand the dietary needs of an African-American client. At this point, a consult by dietary services is premature. Providing information is a good idea, but the nurse must also teach the client.
2. C) Every culture has culture-specific diets; the nurse must include the individual in the family who does the meal preparation if a different diet is to be successful. Asking the client about having an African-American nurse speak to him is racist and implies that the nurse cannot understand the dietary needs of an African-American client. At this point, a consult by dietary services is premature. Providing information is a good idea, but the nurse must also teach the client.
3. D) Every culture has culture-specific diets; the nurse must include the individual in the family who does the meal preparation if a different diet is to be successful. Asking the client about having an African-American nurse speak to him is racist and implies that the nurse cannot understand the dietary needs of an African-American client. At this point, a consult by dietary services is premature. Providing information is a good idea, but the nurse must also teach the client.

Page Ref: 1632

Cognitive Level:  Applying

Client Need:  Physiological Integrity

Nursing Process:  Implementation

Learning Outcome:  3. Discuss how cultural and religious preferences may impact an individual’s lifestyle and healthcare choices.

 

5) The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who has different beliefs about food, has not been able to achieve this goal. What should the nurse do?

1. A) Extend the time frame and give the client a longer period to achieve the goal.
2. B) Select a different goal.
3. C) Make sure that the client understands the importance of the goal.
4. D) Modify the plan of care to be consistent with the client’s beliefs regarding food.

Answer:  D

Explanation:  A) If the outcomes are not achieved for a client from a different culture, the nurse should be especially careful to consider whether the client’s belief system has been adequately included as an influencing factor and modify the plan of care to be consistent with the client’s belief regarding food. Extending the time frame, selecting a different goal, or checking how the client understands the importance of the goal may not be as helpful as looking at the cultural practices–including dietary ones–of the client.

1. B) If the outcomes are not achieved for a client from a different culture, the nurse should be especially careful to consider whether the client’s belief system has been adequately included as an influencing factor and modify the plan of care to be consistent with the client’s belief regarding food. Extending the time frame, selecting a different goal, or checking how the client understands the importance of the goal may not be as helpful as looking at the cultural practices–including dietary ones–of the client.
2. C) If the outcomes are not achieved for a client from a different culture, the nurse should be especially careful to consider whether the client’s belief system has been adequately included as an influencing factor and modify the plan of care to be consistent with the client’s belief regarding food. Extending the time frame, selecting a different goal, or checking how the client understands the importance of the goal may not be as helpful as looking at the cultural practices–including dietary ones–of the client.
3. D) If the outcomes are not achieved for a client from a different culture, the nurse should be especially careful to consider whether the client’s belief system has been adequately included as an influencing factor and modify the plan of care to be consistent with the client’s belief regarding food. Extending the time frame, selecting a different goal, or checking how the client understands the importance of the goal may not be as helpful as looking at the cultural practices–including dietary ones–of the client.

Page Ref: 1629

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  1. Describe how belief systems impact the provision of health care.