Nokea
A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and head covering. A 50-year-old patient tells the nurse, They are in America and should dress like we do. What is this statement an example of?
- A. cultural assimilation
- B. cultural blindness
- C. cultural conflict
- D. cultural imposition
Correct Answer: D
Rationale: The patient's statement reflects cultural imposition, which is the belief that one's own cultural norms should be adopted by others.
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A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and walk whether you want to or not. What is this statement an example of?
- A. culture shock
- B. stereotyping
- C. cultural imposition
- D. cultural competence
Correct Answer: C
Rationale: Forcing a patient to act against their preferences without cultural sensitivity is an example of cultural imposition.
What is one way in which nurses can develop cultural self-awareness?
- A. Ask peers and colleagues about practicing cultural competence.
- B. Objectively examine own beliefs, values, and practices.
- C. Realize nothing can be done to change ones values and beliefs.
- D. Assert to others that personal biases cannot be changed.
Correct Answer: B
Rationale: Self-awareness is a key method for developing cultural competence by reflecting on one's own cultural influences.
In which of the following populations should the nurse carefully assess the patients use of over-the-counter medications?
- A. African American
- B. Hispanic
- C. White middle class
- D. Asian
Correct Answer: C
Rationale: White middle-class patients may have greater access to over-the-counter medications and should be assessed for their use to prevent adverse effects.
A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?
- A. unemployed father
- B. stay-at-home mother
- C. grandmother
- D. children
Correct Answer: D
Rationale: Children typically learn new languages faster due to their exposure in school and cognitive adaptability.
The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?
- A. We do not allow our patients to drink herbal tea.
- B. Why in the world would you want to drink that stuff?
- C. Let me check with the doctor to make sure it is okay with your medicines.
- D. I have to fill out a lot of forms that you will have to sign before I can do that.
Correct Answer: C
Rationale: The nurse should verify the safety of herbal tea with the doctor to respect the patient's cultural practice while ensuring no drug interactions.