A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
- A. The patient is embarrassed by the questions.
- B. This is culturally appropriate behavior.
- C. The patient dislikes the nurse.
- D. The patient does not understand what is being asked.
Correct Answer: B
Rationale: In some Hispanic cultures, avoiding eye contact is a sign of respect, not embarrassment or misunderstanding.
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A nurse is caring for a patient from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the patients pain?
- A. Most people react to pain in the same way.
- B. Pain in adults in less intense than pain in children.
- C. The patient is a constant complainer.
- D. Pain is what the patient says it is.
Correct Answer: D
Rationale: Pain is subjective and should be assessed based on the patient's self-report, not assumptions about universal reactions or complaining.
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.
What characteristic is used to describe racial categories?
- A. language
- B. skin color
- C. music preferences
- D. food likes and dislikes
Correct Answer: B
Rationale: Racial categories are primarily described by physical characteristics like skin color, not language, music, or food preferences.
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.
An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Im just not hungry. What factors should the staff assess for this problem?
- A. The woman does not like to eat with other residents of the home.
- B. The woman is using this as a means of going home.
- C. The food served may not be culturally appropriate.
- D. The food served may violate religious beliefs.
Correct Answer: C
Rationale: The refusal to eat may be due to culturally inappropriate food, which should be assessed before other assumptions are made.
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