chapter 11 caring multicultral practice questions

An adult patient is admitted for observation after sustaining injuries in a motor vehicle accident. The nurse understands that cultural beliefs may affect beliefs and behaviors related to health. Which observation by the nurse is an indication for the nurse to assess the patient’s injuries?

• The patient discusses the taboos against narcotic use to relieve pain.

• The patient reports immediate relief of pain.

• The patient endures pain longer and reports it less frequently.

• The patient requests herbal teas to manage the pain.

The nurse understands the terms related to culture. Which behavior is defined as a practice?

• Always drinking water after exercise

• Thinking often about cleanliness

• Placing an emphasis on success

• Maintaining youth

The nurse is providing care for a patient who is Cuban American. Which information about the patient will enable the nurse to best care for this patient?

• The nurse understands practices of the patient’s ethnic group.

• The nurse understands the patient’s individual cultural beliefs.

• The nurse understands their own cultural values.

• The nurse has an understanding of the patient’s cultural language.

The nurse is teaching a clinic patient about hypertension. Which statement by the patient indicates they are present-oriented?

• I know I need to lose weight. I’ll have to begin an exercise program right away.

• If I change my diet and begin exercising, maybe I can control my blood pressure without medications.

• I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult.

• I will reduce the amount of calories, salt, and fat that I eat. I certainly do not want to have a stroke.

A nurse is caring for a patient who avoids asking for narcotics for pain. Which of the following statements by the nurse indicates an understanding of cultural archetype?

• The patient refuses to acknowledge pain.

• The patient denies pain.

• The patient believes in using herbal teas for pain.

• The patient’s cultural beliefs indicate how to deal with pain.

The nurse is developing a plan of care for a patient who sustained a hip fracture. Which intervention by the nurse indicates the nurse’s understanding of the patient’s indigenous healthcare system and should be included in the plan of care?

• Asking the family to bring in medals and amulets

• Allowing the patient to discuss their traditional healing methods

• Providing the patient with a favorite herbal tea

• Requesting a consult from the patient’s acupuncturist

The nurse is aware a patient incorporates alternative healthcare into regular health practices. For which alternative therapy is the nurse aware that the patient visits a formally trained practitioner?

• Use of herbs and roots

• Application of oils and poultices

• Burning of dried plants

• Acupuncture

A female patient informs the charge nurse that she wants a change in the nurse providing her care. The patient states, “I don’t want a man taking care of me.” Which cultural barrier is this patient exhibiting?

• Ethnocentrism

• Racism

• Prejudice

• Chauvinism

The nurse is providing care to a patient who had surgery 8 hours ago and has not voided. The physician has prescribed an indwelling urinary catheter be inserted. Which of the following statements should the nurse use to describe the procedure to the patient?

• “I will insert a Foley in you because you haven’t voided since your surgery.”

• “I will insert a tube into your bladder to drain the urine because you haven’t urinated since your surgery.”

• The physican has prescribed catheterization becasue you havent urinated since your surgery.”

• I need to place a catheter in your bladder becasue you haven't voided since surgery.”

Which statement by the nurse indicates an understanding of cultural competency?

• Can you tell me about your cultural practices?

• Do you understand how we do things here in the United States?

• What matters most to you about your illness and treatment?

• Can you please provide me a list of your cultural preferences?