Looking for Quiz 18 :
Culturally Responsive Nursing Care
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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"
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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.
Traditional health care methods include herbs and its different uses. These are the methods with no side effects. The science which is still practicing traditional methods is known as ayurveda.
Hospitalization and medications are the western approaches. These are modern strategies. Antibiotic therapy includes the prescription of the proper medicine against the specific disease. It can only be done by a doctor.
Hence, the options 1, 3 and 4 are incorrect.
Steam is a traditional and natural method to treat some disorders. It is a part of folk healing practices. Almost every person is comfortable of doing such techniques. Steam can be used to treat influenza and sinus infection.
Hence, the correct answer is option
.
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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
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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.
If any nurse wants to know about the data regarding heritage of the patient, the best way is to ask the patient itself. Blood analysis can only provide with a little information, though some genetic information can be obtained.
Hence, the options 1, 2 and 3 are incorrect.
Medical history will not explain the behavior and lifestyle of the patient. It provides the details about diseases, surgeries or any other medical procedure. Physical exam may suggest some culture affiliation.
Hence, the correct answer is option
.
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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?
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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.
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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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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.
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Which nursing action primarily supports restoring HEALTH using traditional methods?
1) Herbal teas
2) Prayer
3) Wearing symbolic objects
4) Exercise
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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.
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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
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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?
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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?
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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.
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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?
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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.
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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."
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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.
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