ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 8 : Cultural Care Considerations Questions
Question 1 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 2 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 3 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 4 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 5 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.