A patient who identifies as Buddhist enters the hospital for diagnostic testing just before lunchtime. The nurse tells the aide to give a meal tray to the new patient. The aide gives the patient a meal of Salisbury steak, bread, green beans, and potatoes with brown gravy. The patient eats nothing but a slice of bread and the green beans. Which of the following considerations was omitted by the nurse?

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Cultural Diversity and Competence in Nursing Questions

Question 1 of 5

A patient who identifies as Buddhist enters the hospital for diagnostic testing just before lunchtime. The nurse tells the aide to give a meal tray to the new patient. The aide gives the patient a meal of Salisbury steak, bread, green beans, and potatoes with brown gravy. The patient eats nothing but a slice of bread and the green beans. Which of the following considerations was omitted by the nurse?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 40-year-old Bosnian, Muslim woman who does not speak English presents to a community health center in obvious pain. She requests a female health care provider. Through physical gestures, the woman indicates that the pain is originating in either the pelvic or genital region. Which of the following interpreters would be the most appropriate in this situation?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Earlier in the week, a nurse carefully taught a patient from a different culture exactly how much medication to take and emphasized the importance of taking the correct amount. However, the patient is back in the hospital today with symptoms of an overdose

Correct Answer: C

Rationale: The correct answer is C because the patient was taking folk medicines that could have had similar effects or ingredients as the prescribed medication, leading to an unintentional overdose. This is supported by the fact that the patient is from a different culture, where traditional or folk remedies may be commonly used alongside modern medicine. Choice A is less likely as it assumes the patient deliberately took more medication to get better faster, which is not mentioned in the scenario. Choice B is less likely as it assumes the patient took more medication for a specific reason, which is not supported by the information given. Choice D is less likely as the scenario states that the nurse carefully taught the patient the correct amount of medication, indicating that the patient was given proper instructions.

Question 4 of 5

The nurse practitioner (NP) discovered that an immigrant client is not taking the penicillin prescribed because his illness is "hot"

Correct Answer: C

Rationale: The correct answer is C: Cultural brokering. Cultural brokering involves mediating between the healthcare provider's understanding and the patient's cultural beliefs to ensure effective communication and treatment adherence. In this scenario, the NP recognized the client's belief about the "hot" nature of his illness and changed the prescription accordingly. Option A focuses on the action taken rather than the cultural aspect. Option B refers to being mindful of cultural differences but does not involve actively mediating. Option D pertains to understanding cultural backgrounds but does not involve the necessary intervention in this case. Thus, the most appropriate choice is C as it directly addresses the need for cultural negotiation in healthcare interactions.

Question 5 of 5

A health care worker tells a nurse, "It does no good to try to teach those Medicaid clients about nutrition because they will just eat what they want to no matter how much we teach them." Which of the following is being demonstrated by this statement?

Correct Answer: D

Rationale: The correct answer is D: Stereotyping. Stereotyping refers to making assumptions about a group of people based on limited information or characteristics. In this scenario, the health care worker is assuming that all Medicaid clients will not change their eating habits regardless of education, which is a stereotype. This statement overlooks the individuality and diversity within the Medicaid client population. A: Cultural imposition is the belief that one's own culture is superior and should be imposed on others. B: Ethnocentrism is the belief that one's own ethnic group or culture is superior to others. C: Racism involves discrimination or prejudice based on someone's race or ethnicity, which is not explicitly demonstrated in the scenario.

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