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 hospitalized client of Asian descent. What action should the nurse take to provide culturally competent care?
Correct Answer: B
Rationale:
To provide culturally competent care, the nurse must accept the client as a unique individual with their own values and beliefs.
To adhere to a personal knowledge base of Asian values and beliefs would be generalization and could lead to stereotyping. Culturally competent care cannot be provided from an ethnocentric viewpoint, which would be based on the nurse's perspective and reflects a lack of experience and knowledge of cultures other than their own. Even though the client is Asian, the nurse should not expect that the client adheres to traditional Asian customs, but should see the client as an individual, providing care based on their individual beliefs and values.
Question 2 of 5
A client with the diagnosis of ovarian cancer confides practicing holistic medicine to the nurse. The client believes a cure exists through a macrobiotic diet, rather than what surgery or medical treatment can achieve. Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: Nurses should support clients in their beliefs about health and illness. Complementary treatments are treatments used in conjunction with mainstream medicine. Clients should be provided the opportunity to incorporate health belief in practices into their plan of care.
Question 3 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 4 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 5 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.