ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 8 : Cultural Care Considerations Questions
Question 1 of 5
A nurse works in a health care setting that serves the Amish community. Members of this community look to the bishop who governs the community to make decisions about health care treatments. The nurse who provides extra time for a client from this community to select a treatment option and to discuss the situation with the community bishop is demonstrating which cultural concept?
Correct Answer: C
Rationale: Generalization is using the knowledge of the trends within a specific group or community to guide the care of the client without stereotyping. However, the nurse must recognize that generalization can lead to oversimplification and stereotyping. Stereotyping has an end point; the assumption prevents one from seeing another person as unique. Generalization acknowledges common trends in a group while recognizing that more information is needed. Ageism is the stereotyping of older adult behavior or vulnerability based on an individual's prior experiences or anticipation of behaviors. Ethnocentrism is the belief that one's own ethnic heritage is the 'correct' one' and superior to others.
Question 2 of 5
A nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness that the client will adhere to the instructions by the use of which action?
Correct Answer: C
Rationale: Some individuals will not openly disagree with people in authority or who possess advanced education, so it is best for the nurse to assess the client's beliefs regarding health maintenance, promotion, and remedies. A client smiling, agreeing to, or promising to comply is not proof of agreement because the client may believe it impolite to disagree with someone seen as being in a position of authority.
Question 3 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 4 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 5 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.