Nokea
A nurse is caring for an African American in an acute care setting. Which one of the following might be a special nursing consideration for this patient?
- A. The patient might request a visit from a folk healer.
- B. The patient may be upset by drawing blood for a test.
- C. The patient may perceive illness as a punishment from God.
- D. D) The patient expects the caregiver to deduce the problem by instinct.
Correct Answer: A
Rationale: Some African American patients may value folk healers, which should be considered in care planning.
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What characteristic is used to describe racial categories?
- A. language
- B. skin color
- C. music preferences
- D. food likes and dislikes
Correct Answer: B
Rationale: Racial categories are primarily described by physical characteristics like skin color, not language, music, or food preferences.
Although all of the following are factors to consider when caring for patients with limited income, which one is the most important?
- A. basic human needs may go unmet
- B. limited access to reliable transportation
- C. decreased access to healthcare services
- D. risk for increased incidence of disease
Correct Answer: A
Rationale: Unmet basic needs (e.g., food, shelter) are the most critical issue, as they underpin health and access to care.
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.
A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic patients. What does this statement imply about the nurse?
- A. The nurses knowledge and skills are not adequate to care for patients with acute illnesses.
- B. The nurse respects and values providing culturally competent care.
- C. The nurse is attempting to overcome cultural blindness.
- D. This employment makes the nurse feel superior to a minority group of people.
Correct Answer: B
Rationale: Enjoying work with a specific cultural group suggests the nurse values culturally competent care.
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.