A home health nurse is visiting a 60-year-old patient. During the initial visit, the patients husband answers all of the questions. What would the nurse assess based on this behavior?
- A. The patient does not want the nurse to visit.
- B. The husband does not trust his wife to answer questions.
- C. The patient is not able to answer the questions.
- D. The husband is the dominant member of the family.
Correct Answer: D
Rationale: The husband's behavior may reflect a cultural norm where he is the dominant decision-maker.
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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.
How is culture learned by each new generation?
- A. ethnic heritage
- B. involvement in religious activities
- C. formal and informal experiences
- D. belonging to a subculture
Correct Answer: C
Rationale: Culture is learned through formal (e.g., education) and informal (e.g., family, social interactions) experiences, which shape individuals' understanding of cultural norms and values.
Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives. He is taken to the ER following a fall at work and is admitted to the hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at risk for?
- A. cultural assimilation
- B. cultural shock
- C. cultural imposition
- D. cultural blindness
Correct Answer: B
Rationale: Mr. Perez, as an immigrant in a new environment, is at risk for cultural shock, which involves psychological discomfort due to unfamiliar cultural settings.
A nurse is caring for an Appalachian patient following her hysterectomy. Which of the following Appalachian values and beliefs should be considered when planning nursing care for this patient? Select all that apply.
- A. Isolation is considered as a way of life.
- B. Dependence and self-determination are valued.
- C. Balance is more important than compliance with healthcare issues.
- D. They may be fatalistic about losses and deaths.
- E. They may have a deep respect for nature and the environment.
- F. Death is seen as a part of life and not feared.
Correct Answer: A,B,D,F
Rationale: Appalachian values include isolation (A), self-determination (B), fatalism about loss (D), and acceptance of death (F). Balance (C) is not a noted value, and nature respect (E) is misstated.
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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