ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 8 : Cultural Care Considerations Questions
Question 1 of 5
A nurse is providing care to a client who speaks and minimally understands, but whose primary language is different from, the dominant language. The client is accompanied by the spouse, who speaks and understands the dominant language well. The client requires surgery and will need to sign consents for treatment. Which is the best action for the nurse to take to ensure the client understands the plan of care?
Correct Answer: C
Rationale:
To ensure the client understands the plan of care, the nurse should use an interpreter who is preferably the same sex as the client to explain the plan of care. Asking the spouse to act as an interpreter is not the best option because the spouse may not feel comfortable with or may have limited experience with medical terminology, which can cause miscommunication. Relying on nonverbal communication is not the best option for communicating because some aspects of the plan may be lost in the communication. Using yes-or-no questions, in this case, would not be the best option because they would provide minimal information to the nurse.
Question 2 of 5
A client of Japanese descent describes a family trait of having less relief from analgesics than a friend of German descent. Which statement best describes this client's situation?
Correct Answer: B
Rationale: The client's racial background can influence many things including drug metabolism, which would explain why the client reports receiving less relief from analgesics than a friend from another racial background. The client should be assessed for the use of herbal preparations but that does not necessarily explain the client's reaction to analgesics. There is no indication that analgesics should not be prescribed to the client. It is correct that biocultural ecology is the study of biologic cultural differences, but this option is not the best description of the client's situation. It just provides a definition of biocultural ecology.
Question 3 of 5
How can the nurse best provide culturally sensitive care?
Correct Answer: C
Rationale: Becoming familiar with physical differences, providing food that is customary to the culture, and facilitating rituals are all recommendations for enhancing transcultural sensitivity, but accepting each client as an individual is a characteristic that is found in the provision of culturally competent care.
Question 4 of 5
When the nurse attempts to obtain vital signs, the client pulls away, gathers the bed covers to the chin, and speaks in a language unfamiliar to the nurse. What is the best action for the nurse to take?
Correct Answer: D
Rationale: Ideally, obtaining an interpreter will increase the communication between client and nurse. Talking slower or gesturing may not provide a clear understanding for client or nurse. Proceeding without the approval of client could violate the client's cultural beliefs.
Question 5 of 5
A postpartum client requested the placenta be sent home with the spouse. The nurse is upset and disgusted by the request and shares this view with the charge nurse. What action should the charge nurse take?
Correct Answer: D
Rationale: Increasing one's awareness of cultural sensitivity and health practices is the first step toward transcultural nursing. The charge nurse should use this event as a teachable moment. The nurse's reaction is not a violation of HIPAA. Reporting the conversation to the client does not serve a purpose.