ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 7 Questions
Question 1 of 5
When choosing another individual to interpret for this patient, what characteristic should the nurse prioritize?
Correct Answer: C
Rationale: Cultural needs should be considered when choosing an interpreter; for instance, fluency in varied dialects is beneficial. In choosing an interpreter, you do not want one who speaks in an excessively loud voice, conducts the conversation too quickly, or avoids repetition.
Question 2 of 5
How would you characterize the Hispanic people in this community?
Correct Answer: C
Rationale: The term minority refers to a group of people whose physical and cultural characteristics differ from the majority of people in a society. There are four generally identified minority groups: Blacks/African Americans, Hispanics, Asian/Pacific Islanders, and Native Americans. Such groups are not referred to as exceptions or underclasses. A subgroup is a division of a group that is in some way distinguished from the larger group.
Question 3 of 5
How can the nurse best demonstrate an awareness of culturally congruent care?
Correct Answer: D
Rationale: Establishment of an environment of culturally congruent care and respect begins with effective communication, which occurs not only through words, but also through body language and other cues, such as voice, tone, and loudness. Not all cultures are comfortable with eye contact. Unless you are fluent in the patients native language, trying to communicate in that language would not be effective communication. Not all cultures incorporate touch while communicating.
Question 4 of 5
Which cultural group would most likely consider the direct eye contact impolite?
Correct Answer: D
Rationale: Eye contact is a culturally determined behavior. Although most nurses have been taught to maintain eye contact when speaking with patients, some people from certain cultural backgrounds may interpret this behavior differently. For example, some Asians, Native Americans, Indo-Chinese, Arabs, and Appalachians may consider direct eye contact impolite or aggressive, and they may avert their own eyes when talking with nurses and others whom they perceive to be in positions of authority.
Question 5 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.