ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 7 : Overview of Transcultural Nursing Questions
Question 1 of 5
What is the nurses primary responsibility around the use of complementary therapies?
Correct Answer: D
Rationale: Nurses must assess all patients for use of complementary therapies, be alert to the danger of herb-drug interactions or conflicting treatments, and be prepared to provide information to patients about treatments that may be harmful. However, nurses must be accepting of patients beliefs and right to autonomy (i.e., to control their own care). It is not the nurses role to be the intermediary between practitioners and the medical team or to evaluate the effectiveness of therapies. The nurse is also not responsible for becoming skilled in administering as many complementary therapies as possible.
Question 2 of 5
When reviewing a hospitals current policy framework, which of the following actions has the potential to improve the overall level of culture competence?
Correct Answer: D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, such as the number, frequency, and length of visits. Eliminating written information from staff members identification badges is unnecessary and of little benefit. Cultural competence does not require a reduction in the use of English. Promoting members of minority groups to higher profile positions on the sole basis of ethnicity would be unethical.
Question 3 of 5
How should the nurse best understand the patients behavior?
Correct Answer: C
Rationale: Inappropriate laughter can signal a lack of understanding. This is more likely than the presence of a culture-specific sense of humor in this particular context. It is unlikely that there is a prohibition against simultaneous explaining and demonstrating. Laughing is unlikely to suggest that teaching and learning are unnecessary.
Question 4 of 5
How should the nurse best interpret the colleagues statement?
Correct Answer: A
Rationale: Presuming that Hispanics rely on tacos and burritos likely reflects a stereotype of this culture, but is less likely to be motivated by resentment. This statement does not demonstrate acculturation. The colleagues statement reflects a stereotype, not an accurate assessment of the patients diet and culture.
Question 5 of 5
How should the nurse and the other members of the care team best respond?
Correct Answer: D
Rationale: Nurses must promote open dialogue and work with patients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual patient. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.