Nokea
All nurses should work to provide culturally appropriate nursing care. What is the integration of cultural knowledge into all aspects of care?
- A. Cultural competence
- B. Transcultural nursing
- C. Nursing process
- D. Team nursing
Correct Answer: B
Rationale: All nurses should provide transcultural nursing, which is the integration of cultural knowledge into all aspects of care.
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A patient requests a consultation between the health care provider and a religious leader known as an Imam. What is this patient's cultural belief?
- A. Muslim
- B. African American
- C. Chinese American
- D. Mexican American
Correct Answer: A
Rationale: Muslims may wish to have their health care provider consult with an Imam, a religious leader.
The nurse is delivering a meal tray to a female Muslim patient. What intervention is most appropriate for this patient?
- A. Offering her a ham and cheese sandwich
- B. Providing her with a male nurse
- C. Providing her with a female nurse
- D. Offering her bacon and eggs
Correct Answer: C
Rationale: When caring for Muslims, same-sex health care providers should be used if at all possible. Ham and bacon are not appropriate items to offer a Muslim patient, since they do not consume pork products.
The nurse is caring for a Chinese American patient. How should this nurse demonstrate cultural awareness?
- A. Maintain eye contact with the patient.
- B. Hold the patient's hand while conversing.
- C. Touch the patient's arm when speaking to the patient.
- D. Sit side-to-side when speaking with the patient.
Correct Answer: D
Rationale: Chinese Americans view maintaining eye contact as ill-mannered and disrespectful. They are uncomfortable when face-to-face, and prefer to sit side-to-side or at a right angle to carry on conversation. Touching is not usual during conversation; it is regarded as disrespectful or impolite.
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 caring for a neonate born to observant Orthodox Jewish parents. Who can the nurse anticipate will name the neonate?
- A. Father
- B. Mother
- C. Grandfather
- D. Grandmother
Correct Answer: A
Rationale: For observant Jews, babies are named by the father.