Nokea
A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other patients on the floor. This nurse is displaying the feelings associated with:
- A. culture conflict
- B. cultural blindness
- C. stereotyping
- D. cultural shock
Correct Answer: A
Rationale: The nurse's dismissive attitude reflects culture conflict, which arises when differing cultural practices clash.
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A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and walk whether you want to or not. What is this statement an example of?
- A. culture shock
- B. stereotyping
- C. cultural imposition
- D. cultural competence
Correct Answer: C
Rationale: Forcing a patient to act against their preferences without cultural sensitivity is an example of cultural imposition.
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.
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 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.
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.