Nokea
A nurse is doing preoperative teaching for an African American man before he has abdominal surgery. What topic should be included in the teaching?
- A. the possibility of developing a keloid over the healed incision
- B. the increased risk of developing an infection in the incision
- C. his racial characteristics that will slow healing
- D. cultural influences on his response to surgery
Correct Answer: A
Rationale: African Americans are at higher risk for keloid formation, which should be discussed during preoperative teaching.
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Which of the following statements accurately describe cultural factors that may influence healthcare? Select all that apply.
- A. Nurses and patients generally agree upon the health practices that are being instituted.
- B. Certain racial and ethnic groups are more prone to developing specific diseases and conditions.
- C. Although pain affects people differently, most people react to pain in the same manner.
- D. Most mental health norms are based on research and observations made of white, middle-class people.
- E. In many cultures, the man is the dominant figure and generally makes decisions for all family members.
- F. When people move to the United States, they may speak their own language fluently but have difficulty speaking English.
Correct Answer: B,D,E,F
Rationale: Certain groups have higher disease risks (B), mental health norms are often based on white, middle-class standards (D), patriarchal decision-making is common in some cultures (E), and language barriers exist for immigrants (F). Agreement on practices (A) is not universal, and pain responses vary (C).
Which of the following are considered cultural norms of the healthcare system? Select all that apply.
- A. inability to define health and illness
- B. frequent use of jargon and documentation
- C. professional deference to pecking order
- D. use of a problem-solving methodology
- E. belief in the fallibility of technology
- F. use of certain procedures for birth and death
Correct Answer: B,C,D,F
Rationale: Healthcare norms include jargon/documentation (B), hierarchical deference (C), problem-solving approaches (D), and specific procedures for birth/death (F). Defining health/illness (A) is possible, and technology is generally trusted (E).
In which of the following populations should the nurse carefully assess the patients use of over-the-counter medications?
- A. African American
- B. Hispanic
- C. White middle class
- D. Asian
Correct Answer: C
Rationale: White middle-class patients may have greater access to over-the-counter medications and should be assessed for their use to prevent adverse effects.
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.
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.