ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 8 : Cultural Care Considerations Questions
Question 1 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.
Question 2 of 5
The nurse walks into the client's room and finds a shaman 'fluffing the aura' of the client. What is the best action of the nurse?
Correct Answer: A
Rationale: By leaving the room and providing privacy the nurse supports the client in the quest to practice health practices within their culture and beliefs. Documentation of the activity is appropriate. Notifying the health care provider will not stop or support the belief. Notifying security and/or asking the shaman to leave may anger the client and violate the practice of a religious/cultural ritual.
Question 3 of 5
The nurse is discussing a client's beliefs about health and illness and how it is treated. The client expresses the idea that illness and disease are based on a cause-and-effect philosophy of human body functions. The client's view matches which perspective?
Correct Answer: A
Rationale: The biomedical or scientific view is generally shared by Western health care personnel and is based on cause-and-effect relationships. An example is the belief that bacterial or viral organisms cause meningitis. The natural or holistic view espouses that human beings are only one part of nature. Natural balance or harmony is essential for health. Examples of this perspective include hot/cold theory and yin-yang theory. According to the magico-religious perspective, supernatural forces dominate. Examples include faith healing in some Christian faiths and voodoo or witchcraft in some Caribbean cultures.
Question 4 of 5
The nurse is completing a cultural heritage assessment. Which item(s) will be included in this portion of the health assessment? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Health-related beliefs and practices (such as religious traditions, hygiene practices, and management of symptoms) can reflect the cultural heritage of the client. Asking questions can assist in determining cultural heritage.
Tobacco use and/or health history assists in the health history but does not reflect upon heritage or culture.
Question 5 of 5
The nurse is caring for a client who avoids looking the nurse straight in the eye. Which consideration(s) should the nurse account for when providing care for the client? Select all that apply.
Correct Answer: A,B
Rationale: The possibilities that avoiding eye contact may be a sign of respect, and that direct eye contact may be viewed as an invasion of privacy, are considerations the nurse should account for when providing care of the client who avoids looking the nurse straight in the eye. Standing directly in front of the client's gaze when speaking does not convey a desire to understand the client's behavior or provide a comfortable climate for the client. The nurse should avoid stereotyping and making assumptions about the client's behavior. Generalization should not be used to determine the cause of the client's behavior. Instead, generalization should be used to identify common trends in a group while recognizing that more information is needed; it does not describe an individual client.