Nokea
A nurse is American-born and works in a large hospital with patients from many cultures. What must this nurse develop to provide the best care?
- A. Another language
- B. Assessment skills
- C. Cultural competence
- D. Care planning ability
Correct Answer: C
Rationale: To provide care to patients from different cultures, the nurse must develop cultural competence.
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A nurse is caring for a patient who is a Latter-Day Saint. The nurse is aware members of this faith may wear sacred undergarments. What intervention is appropriate for the nurse caring for this patient?
- A. Instruct the patient to remove the undergarments.
- B. Allow the patient to wear the undergarments only at night.
- C. Allow the patient to wear the undergarments only during the day.
- D. Remove the undergarments in emergency situations only.
Correct Answer: D
Rationale: For observant Latter-Day Saints, a sacred undergarment may be worn at all times and should be removed only in emergency situations.
The nurse is caring for a postpartum patient who requests to dry and bury the umbilical cord near an object or in a place that symbolizes what the parents want for the child's future. Which cultural beliefs does the nurse recognize this patient adhering to?
- A. American Indian
- B. African American
- C. Chinese American
- D. Mexican American
Correct Answer: A
Rationale: After delivery, American Indians practice taking the umbilical cord from the newborn, drying and burying it near an object or place that symbolizes what the parents want for the child's future.
A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer's disease. What should this nurse take into consideration when caring for the resident?
- A. Cultural background has an important role in determining the resident's status
- B. The resident will be culturally sensitive to caregivers
- C. Home remedies may have value even if harmful
- D. The resident will have a strong sense of trust for health care workers
- E. Communication should involve gesturing whenever possible
Correct Answer: A,C
Rationale: Cultural background has an impact on family dynamics and plays an important role in determining the role and the status of the older person. Some older adults are less tolerant of other cultures as a result of influences or experiences early in their lives, which raises the possibility of misunderstandings and distrust when the caregiver is of a cultural group different than that of the older person. Communication should suit the individual needs of the resident and does not necessarily involve gesturing.
A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement?
- A. Mixing of milk and meat at a meal
- B. Use of separate cooking utensils for meat and milk products
- C. Use of one set of cooking utensils for meat and milk products
- D. Consumption of food not slaughtered in accordance with Jewish law
Correct Answer: B
Rationale: For observant Jews, Kosher dietary laws include the following: no mixing of milk and meat at a meal; no consumption of food or any derivative thereof from animals not slaughtered in accordance with Jewish law; use of separate cooking utensils for meat and milk products; if a patient requires milk and meat products for a meal, the dairy foods should be served first, followed later by the meat.
Culture varies from patient to patient. Why is it important that the nurse understand and accept each person as an individual?
- A. To develop a plan of care
- B. To provide holistic care
- C. To identify differences
- D. To support each patient
Correct Answer: B
Rationale: Accepting each person as an individual is the first step in providing holistic care.