Nokea
A member of which group would most likely consider this examination as a violation of norms?
- A. Jewish
- B. Asian American
- C. Islamic
- D. African American
Correct Answer: B
Rationale: For many Asian Americans, it is impolite to touch the patients head because the spirit is believed to reside in the head. Therefore, assessment of the head or evaluation of a head injury requires permission of the patient, or a family member if the patient is not able to give permission. This is not the case with the other listed groups.
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What do these key indicators reveal about the United States?
- A. A significant gap in health status between the overall population and people of specific ethnic backgrounds
- B. A significant gap in health care delivery between the overall population and subgroups of the minority populations
- C. A significant gap in health status between the Hispanic population and the Native American population
- D. A significant gap in health care delivery between the Asian American population and the Pacific Islander population
Correct Answer: A
Rationale: Key health indicators in the United States reveal a significant gap in health status between the overall American population and people of specific ethnic backgrounds. Option B is incorrect because key health care indicators do not show a gap in health care delivery between the overall population and subgroups of minority populations; options C and D are incorrect because these ethnic populations are not singled out in these ways.
What would be the best intervention you could make on behalf of this patient?
- A. Discourage the use of incense in the hospital.
- B. Ask the family to have the ceremony off the unit.
- C. Arrange for the ceremony to occur after notifying all departments affected.
- D. Encourage the family to conduct the ceremony elsewhere because it may affect other patients in the unit.
Correct Answer: C
Rationale: Culturally competent policies are developed to promote an environment in which the traditional healing, spiritual, and religious practices of patients are respected and encouraged and to recognize the special dietary practices of patients from selected cultural groups. To promote spirituality and transcultural nursing, the nurse should make or help to make the arrangements. The nurse should not attempt to dissuade the family or to relegate the ceremony to a site outside the hospital.
What is the nurses best response to the patients indication that his care provider is a shaman?
- A. Thank you for providing the information about the shaman, but we will keep that information and approach separate from your current hospitalization.
- B. It seems that the care provided by your shaman is not adequately managing your hypertension and diabetes, so we will try researched medical approaches.
- C. Dont worry about insulting your shaman, as he will understand his approach to your hypertension and diabetes was not working after your doctor tells him how sick you were in the hospital.
- D. I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels.
Correct Answer: D
Rationale: Native American patients may seek assistance from a shaman or medicine man or woman. The nurses best approach is not to disregard the patients belief in folk healers or try to undermine trust in the healers. Nurses should make an effort to accommodate the patients beliefs while also advocating the treatment proposed by health science.
When explaining the concept of transcultural nursing to uninitiated nurses, how should the team members describe it?
- A. Transcultural nursing is the comparative analysis of the health benefits and risks of recognizable ethnic groups.
- B. Transcultural nursing refers to research-focused practice that focuses on patient-centered, culturally competent nursing.
- C. Transcultural nursing refers to a systematic and evidence-based effort to improve health outcomes in patients born outside the United States.
- D. Transcultural nursing is a term used to describe interventions that seek to address language barriers in nursing practice.
Correct Answer: B
Rationale: Transcultural nursing, a term sometimes used interchangeably with cross-cultural, intercultural, or multicultural nursing, refers to research-focused practice that focuses on patient-centered, culturally competent nursing. It is not limited to language barriers and foreign-born patients. It does not focus solely on health risks and benefits in ethnic groups.
How would you characterize the Hispanic people in this community?
- A. An underclass
- B. A subgroup
- C. A minority
- D. An exception
Correct Answer: C
Rationale: The term minority refers to a group of people whose physical and cultural characteristics differ from the majority of people in a society. There are four generally identified minority groups: Blacks/African Americans, Hispanics, Asian/Pacific Islanders, and Native Americans. Such groups are not referred to as exceptions or underclasses. A subgroup is a division of a group that is in some way distinguished from the larger group.