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A bedridden patient has a different cultural background and speaks a different primary language than the nurse. In order to provide culturally sensitive care to this patient, the nurse should do which of the following?
- A. Allow the patient time to get his or her thoughts together.
- B. Allow the patient's family member to interpret during conversations.
- C. Ask the patient to speak in his best English.
- D. Be aware of the patient's nonverbal body language.
Correct Answer: A,D
Rationale: Allowing time for the patient to process (A) and observing nonverbal cues (D) are key to culturally sensitive care, especially with language barriers. Family members should not be used as interpreters (B), and insisting on English (C) may not be effective.
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A female nurse is admitting a 24-year-old male Hindu patient to the hospital. The nurse understands that in order to be culturally competent when caring for this patient, she needs to understand anything that might influence his health, including:
- A. perceptions.
- B. behavior.
- C. expectations.
- D. barriers to health care.
- E. the decision making process.
Correct Answer: A,B,C,D,E
Rationale: Cultural competence requires understanding the patient's perceptions (A), behavior (B), expectations (C), barriers to healthcare (D), and decision-making process (E) to provide holistic and respectful care.
Nursing care that involves or combines the elements of more than one culture is called which of the following names?
- A. Home care
- B. Acute care
- C. Hospice care
- D. Transcultural care
- E. Immigrant care
Correct Answer: D
Rationale: Transcultural care (D) involves integrating elements from multiple cultures to provide culturally sensitive nursing care.
The nurse is assisting a patient of the Jewish culture and faith in planning meals for the day. Which of the following might be a concern for the patient?
- A. Chopped steak
- B. Green beans with bacon
- C. Grilled chicken breast
- D. Pork chops
- E. Spinach
Correct Answer: B,D
Rationale: Jewish dietary laws (kashrut) prohibit pork (D), and green beans with bacon (B) may be an issue if the bacon is not kosher or if the patient avoids meat-dairy combinations.
Which of the following organizations has/have worked to promote the patient's right to culturally competent care in U.S. hospitals?
- A. U.S. government
- B. Bureau of Immigration
- C. The Joint Commission
- D. American Association of Medical Workers
- E. Patient Rights Committee
Correct Answer: C
Rationale: The Joint Commission (C) has established standards to promote culturally competent care in U.S. hospitals.
A patient has expressed the feeling that God has caused his illness. Which of the following would be most important for the nurse to consider when responding to the patient's feelings?
- A. The nurse must not be judgmental or biased and should respond with compassion.
- B. The nurse should be comfortable with his or her own religious beliefs and background.
- C. The patient has the right to his feelings, so no response is necessary.
- D. The patient can rely on the family to give direction and support.
- E. The patient's religious clergy should be contacted and a visit arranged.
Correct Answer: A
Rationale: Responding with compassion and without judgment (A) is critical to respecting the patient's beliefs and providing supportive care.