ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 7 : Overview of Transcultural Nursing Questions
Question 1 of 5
A member of which group would most likely consider this examination as a violation of norms?
Correct Answer: B
Rationale: For many Asian Americans, it is impolite to touch the patients head because the spirit is believed to reside in the head.
Therefore, assessment of the head or evaluation of a head injury requires permission of the patient, or a family member if the patient is not able to give permission. This is not the case with the other listed groups.
Question 2 of 5
Which of the following is most likely the patients religion?
Correct Answer: C
Rationale: Many Islamic people abstain from eating pork. Members of other religions also proscribe the consumption of meat in general, or pork in particular, but the other listed religions are not among these.
Question 3 of 5
What would be the best way to promote understanding during the teaching session?
Correct Answer: C
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, provide translation services for nonEnglish-speaking patients, and train staff to provide care for patients with different cultural values. Writing instructions, having the patient demonstrate the procedure, and asking the patient to repeat instructions do not adequately compensate for the communication barrier that exists.
Question 4 of 5
Which of the following variables would you prioritize when performing an assessment of the patients cultural beliefs?
Correct Answer: D
Rationale: Assessment of a patients culture should include the patients country of origin, language (communication style), food preferences or restrictions, health maintenance practices, and religious practices. This aspect of assessment does not explicitly include the patients support systems, marital status, or age, though each of these parameters would be assessed at different points.
Question 5 of 5
What would be the best intervention you could make on behalf of this patient?
Correct Answer: C
Rationale: Culturally competent policies are developed to promote an environment in which the traditional healing, spiritual, and religious practices of patients are respected and encouraged and to recognize the special dietary practices of patients from selected cultural groups.
To promote spirituality and transcultural nursing, the nurse should make or help to make the arrangements. The nurse should not attempt to dissuade the family or to relegate the ceremony to a site outside the hospital.