Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Cultural Care Considerations

Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Cultural Care Considerations Related

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A nurse works in a health care setting that serves the Amish community. Members of this community look to the bishop who governs the community to make decisions about health care treatments. The nurse who provides extra time for a client from this community to select a treatment option and to discuss the situation with the community bishop is demonstrating which cultural concept?

  • A. Ageism
  • B. Stereotyping
  • C. Generalization
  • D. Ethnocentrism
Correct Answer: C

Rationale: Generalization is using the knowledge of the trends within a specific group or community to guide the care of the client without stereotyping. However, the nurse must recognize that generalization can lead to oversimplification and stereotyping. Stereotyping has an end point; the assumption prevents one from seeing another person as unique. Generalization acknowledges common trends in a group while recognizing that more information is needed. Ageism is the stereotyping of older adult behavior or vulnerability based on an individual's prior experiences or anticipation of behaviors. Ethnocentrism is the belief that one's own ethnic heritage is the 'correct' one' and superior to others.

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The nurse walks into the client's room and finds a shaman 'fluffing the aura' of the client. What is the best action of the nurse?

  • A. Leave the room and provide privacy to the client.
  • B. Call the health care provider to report the findings.
  • C. Ask the shaman to stop to allow the nurse to change IV tubing.
  • D. Notify security of the activity in progress.
Correct Answer: A

Rationale: By leaving the room and providing privacy the nurse supports the client in the quest to practice health practices within their culture and beliefs. Documentation of the activity is appropriate. Notifying the health care provider will not stop or support the belief. Notifying security and/or asking the shaman to leave may anger the client and violate the practice of a religious/cultural ritual.

Which is a process by which the nurse consistently works in the cultural context of the client, family, and community?

  • A. Stereotyping
  • B. Ethnicity
  • C. Cultural competence
  • D. Subculture
Correct Answer: C

Rationale: Providing culturally competent care is a process by which the nurse consistently endeavors to work in the cultural context and client's family, culture and community. Stereotyping means assuming that all people in a particular cultural, racial, or ethnic group share the same values and beliefs, behave similarly, and are basically like. Ethnicity is the bond or kinship that people feel with their country of birth or place of ancestral origin. Subculture refers to a particular group that shares characteristics identifying the group as a distinct entity.

The nurse is completing a cultural heritage assessment. Which item(s) will be included in this portion of the health assessment? Select all that apply.

  • A. Religion
  • B. Participation in religious traditions
  • C. Health history
  • D. Hygiene practices
  • E. Use of tobacco
  • F. Management of symptoms
Correct Answer: A,B,D,F

Rationale: Health-related beliefs and practices (such as religious traditions, hygiene practices, and management of symptoms) can reflect the cultural heritage of the client. Asking questions can assist in determining cultural heritage. Tobacco use and/or health history assists in the health history but does not reflect upon heritage or culture.

How can the nurse best provide culturally sensitive care?

  • A. Become familiar with physical differences among ethnic groups.
  • B. Provide the proper food for nourishment.
  • C. Accept each client as a unique individual.
  • D. Facilitate rituals that bring comfort to the client.
Correct Answer: C

Rationale: Becoming familiar with physical differences, providing food that is customary to the culture, and facilitating rituals are all recommendations for enhancing transcultural sensitivity, but accepting each client as an individual is a characteristic that is found in the provision of culturally competent care.

The nursing instructor discussed the theory of energy forces existing between organisms and objects in the universe and called this yin-yang. Yin-yang is an example of which societal view of illness?

  • A. Biomedical perspective
  • B. Magico-religious perspective
  • C. Naturalistic perspective
  • D. Scientific perspective
Correct Answer: C

Rationale: The naturalistic view espouses that human beings are only one part of nature. The yin-yang theory promotes the idea that energy forces exist between organisms and objects in the universe. The balance between these forces is health. The biomedical or scientific view embraces a cause-and-effect philosophy of human body functions. The magico-religious view believes that supernatural forces dominate.

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