Quiz 18: Culturally Responsive Nursing Care

Nursing

Rachel was born to a Jewish couple and lists her religion as Jewish. Her father died when she was 10 years old and her mother remarried 3 years later. Rachel was legally adopted by her Italian stepfather, who was a devout Catholic. Although the family participated in Catholic- Italian traditions, Rachel's mother taught her many Jewish traditions as well, so that her heritage would be preserved. Rachel is now 58 years old, practices traditions from both her Jewish and Italian up-bringing, and is dying of cancer. You are the nurse caring for Rachel during her final days. Differentiate between Rachel's culture and ethnicity.

Free

Essay

Rachel (patient in this case), is a 58 year old lady and is suffering from cancer. She practices both traditions as she was brought up with Jewish as well as Italian culture. Initially, she was born to a Jewish family. After the death of her father, her mother married an Italian man. His family practiced Catholic-Italian traditions. Rachel had learnt many Jewish customs and traditions. Her mother taught her so that she could preserve her heritage. Ethnicity is the term which can be explained as the racial affinities of the people. It literally means the racial roots. Rachel's ethnicity is Jewish as she was actually born to a Jewish couple. It does not matter after the birth which place is she living in and what tradition she is following. She has Jewish roots. Culture can be dependent on various factors. It can be according to the thinking process or the upbringing. It changes with community. There are a set of beliefs to be followed to preserve the heritage. Rachel's is following mixed culture. She is following Jewish because her mother taught her and she has adapted Italian because of the family she has been living in.

Q 2

The major factor contributing to the increased emphasis on the need for proficiency in cultural nursing practice in the United States is which of the following? 1) An increasing birth rate 2) Increased access to health care services 3) Demographic changes 4) A decreasing rate of immigration

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Multiple Choice

Another word for nurses is patient advocates. Practice of cultural competence and respect are vital in this profession. It can be explained as the process of delivering efficient healthcare services. These services should meet the needs of cultural, social and linguistic needs. This type of systems is meant for providing improved health outcomes and care quality. Such practice aims to eliminate ethnic and racial health issues. Consequences can be their financial burden and limitations to higher activities. Birth rate is actually decreasing united stated and there is a limited access to the healthcare services. This is a major factor to be considered. Immigration rate has also increased. More people from other countries and communities are migrating to states. It is increasing at a very rapid rate. Hence, the options 1, 2 and 4 are incorrect. Demographic changes include the changes in the geography. It can be explained as the less number of white Americans and increased number of people from other communities. These are immigrants. This is the reason why there is a high need to of cultural nursing practice. It is of major importance to have a system which is free from racial and ethnic issues. Hence, the correct answer is option .

Q 3

Rachel was born to a Jewish couple and lists her religion as Jewish. Her father died when she was 10 years old and her mother remarried 3 years later. Rachel was legally adopted by her Italian stepfather, who was a devout Catholic. Although the family participated in Catholic- Italian traditions, Rachel's mother taught her many Jewish traditions as well, so that her heritage would be preserved. Rachel is now 58 years old, practices traditions from both her Jewish and Italian up-bringing, and is dying of cancer. You are the nurse caring for Rachel during her final days. How might Rachel's multicultural background affect you as her nurse or in working with her family?

Free

Essay

Rachel (patient in this case), is a 58 year old lady and is suffering from cancer. She practices both traditions as she was brought up with Jewish as well as Italian culture. Initially, she was born to a Jewish family. After the death of her father, her mother married an Italian man. His family practiced Catholic-Italian traditions. Rachel had learnt many Jewish customs and traditions. Her mother taught her so that she could preserve her heritage. Treating a patient from multicultural backgrounds can be a little difficult for the nurses. Nurses are on a position where they have to set relation between patient's culture, health literacy and language with the motive of correcting the patient in terms of health. Nurses should remember how language and culture needs to be kept in mind while treating the patient. If these factors were not kept in mind, it may affect the patient in adverse manner. Patient may become frustrated, short tempered. He/she may start complaining about the treatment even if the hospital is providing best facilities.

Q 4

Which behavior is an initial step in culturally responsive nursing practice? 1) Help the client recognize the need to adapt health practices to fit commonly accepted practices. 2) Discuss the meaning of the medical regimen with the client. 3) Inform the client that lack of adherence to the medical regimen may be detrimental. 4) Ask a cultural broker to explain the relevance of the intervention.

Multiple Choice

Q 5

Rachel was born to a Jewish couple and lists her religion as Jewish. Her father died when she was 10 years old and her mother remarried 3 years later. Rachel was legally adopted by her Italian stepfather, who was a devout Catholic. Although the family participated in Catholic- Italian traditions, Rachel's mother taught her many Jewish traditions as well, so that her heritage would be preserved. Rachel is now 58 years old, practices traditions from both her Jewish and Italian up-bringing, and is dying of cancer. You are the nurse caring for Rachel during her final days. How might Rachel's culture affect her approach to death and the care of her body following her death?

Essay

Q 6

In initiating care for a client from a different culture than the nurse, which of the following would be an appropriate statement? 1) "Since, in your culture, people don't drink ice water, I will bring you hot tea." 2) "Do you have any books I could read about people of your culture?" 3) "Please let me know if I do anything that is not acceptable in your culture." 4) "You will need to set aside your usual customs and practices while you are in the hospital."

Multiple Choice

Q 7

Rachel was born to a Jewish couple and lists her religion as Jewish. Her father died when she was 10 years old and her mother remarried 3 years later. Rachel was legally adopted by her Italian stepfather, who was a devout Catholic. Although the family participated in Catholic- Italian traditions, Rachel's mother taught her many Jewish traditions as well, so that her heritage would be preserved. Rachel is now 58 years old, practices traditions from both her Jewish and Italian up-bringing, and is dying of cancer. You are the nurse caring for Rachel during her final days. Of what benefit would a cultural assessment be to Rachel or her family since she is dying?

Essay

Q 8

Which behavior is most representative of a culturally competent nurse? 1) Helps clients of Native American heritage identify ways to relate more to their culture. 2) Helps parents of Latino heritage recognize that their children need to speak English. 3) Interprets and validates beliefs of a client with African American heritage. 4) Asks a nurse of Japanese heritage to teach others dosage calculations since Asians are good at math.

Multiple Choice

Q 9

Rachel was born to a Jewish couple and lists her religion as Jewish. Her father died when she was 10 years old and her mother remarried 3 years later. Rachel was legally adopted by her Italian stepfather, who was a devout Catholic. Although the family participated in Catholic- Italian traditions, Rachel's mother taught her many Jewish traditions as well, so that her heritage would be preserved. Rachel is now 58 years old, practices traditions from both her Jewish and Italian up-bringing, and is dying of cancer. You are the nurse caring for Rachel during her final days. How could nurses' culture or religion influence their care of clients who are racially or culturally different?

Essay

Q 10

An outcome of achieving national cultural health goals would be which of the following? 1) All cultures receive the same health care. 2) All people have the same life expectancy. 3) All U.S. residents have access to the same quality of health care. 4) All cultures are fully assimilated into the dominant society.

Multiple Choice

Q 11

Which nursing action primarily supports restoring HEALTH using traditional methods? 1) Herbal teas 2) Prayer 3) Wearing symbolic objects 4) Exercise

Multiple Choice

Q 12

A client with strong preferences for folk healing methods would prefer which of the following to treat a sinus infection? 1) Hospitalization 2) Steam humidifier 3) Antibiotic therapy 4) "Watch and wait"

Multiple Choice

Q 13

Which of the following factors are most likely to be influenced by culture as opposed to personal characteristics? Select all that apply. 1) Value of older people in society 2) Gender roles 3) Nonverbal gestures 4) Skill with technology 5) Intelligence 6) Diet

Multiple Choice

Q 14

What is the most productive method of gathering assessment data regarding heritage? 1) Physical exam 2) Medical history 3) Blood analysis 4) Traditional beliefs and practices checklist

Multiple Choice

Q 15

A client who speaks limited English requires instructions for a test. No one at your agency speaks the person's language. What is the nurse's best approach? 1) Provide the instructions in writing. 2) Locate a professional interpreter. 3) Ask a family member to translate on the phone. 4) Document that the required instruction is not possible.

Multiple Choice

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Quiz 18: Culturally Responsive Nursing Care

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