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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.
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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.
The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?
- A. We do not allow our patients to drink herbal tea.
- B. Why in the world would you want to drink that stuff?
- C. Let me check with the doctor to make sure it is okay with your medicines.
- D. I have to fill out a lot of forms that you will have to sign before I can do that.
Correct Answer: C
Rationale: The nurse should verify the safety of herbal tea with the doctor to respect the patient's cultural practice while ensuring no drug interactions.
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.
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.
Which of the following statements is true of cultural assimilation?
- A. Mutual cultural assimilation occurs when characteristics from two groups are traded.
- B. Cultural assimilation is the integration of a majority group with a minority group.
- C. Moving to a different culture may result in psychological discomfort.
- D. Cultural assimilation is identifying with a collective cultural group, primarily based on common heritage.
Correct Answer: A
Rationale: Mutual cultural assimilation involves exchanging characteristics between groups. Option B is incorrect as assimilation typically involves a minority adopting majority traits. Option C refers to culture shock, and D describes cultural identity.