Nokea
A nurse is caring for an Orthodox Jewish woman immediately after she has given birth. What can the nurse expect regarding the spouse's participation in his wife's care?
- A. He will share a bed with the patient.
- B. He will ask to bathe with the patient.
- C. He will touch the patient frequently.
- D. He will avoid physical contact with the patient.
Correct Answer: D
Rationale: For observant Jews, a woman is considered to be in a ritual state of impurity whenever blood is coming from her uterus, such as during menstrual periods and after the birth of a child. During this time, her husband will not have physical contact with her. When this time is completed, she will bathe herself in a pool called a mikvah. Nurses need to be aware of this practice and be sensitive to the husband and wife because the husband will not touch his wife.
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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 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.
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 an African-American patient. Who would the nurse expect to be the primary decision maker in the patient's family?
- A. Men
- B. Women
- C. Clergy
- D. Grandparents
Correct Answer: B
Rationale: When caring for African Americans, women are primarily the decision makers in the family and are frequently the head of the household.
A generalization about a form of behavior an individual or a group is known as a ____
Correct Answer: stereotype
Rationale: A stereotype is a generalization about a form of behavior, an individual, or a group.