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An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Im just not hungry. What factors should the staff assess for this problem?
- A. The woman does not like to eat with other residents of the home.
- B. The woman is using this as a means of going home.
- C. The food served may not be culturally appropriate.
- D. The food served may violate religious beliefs.
Correct Answer: C
Rationale: The refusal to eat may be due to culturally inappropriate food, which should be assessed before other assumptions are made.
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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.
A nurse is caring for an Appalachian patient following her hysterectomy. Which of the following Appalachian values and beliefs should be considered when planning nursing care for this patient? Select all that apply.
- A. Isolation is considered as a way of life.
- B. Dependence and self-determination are valued.
- C. Balance is more important than compliance with healthcare issues.
- D. They may be fatalistic about losses and deaths.
- E. They may have a deep respect for nature and the environment.
- F. Death is seen as a part of life and not feared.
Correct Answer: A,B,D,F
Rationale: Appalachian values include isolation (A), self-determination (B), fatalism about loss (D), and acceptance of death (F). Balance (C) is not a noted value, and nature respect (E) is misstated.
What characteristic is used to describe racial categories?
- A. language
- B. skin color
- C. music preferences
- D. food likes and dislikes
Correct Answer: B
Rationale: Racial categories are primarily described by physical characteristics like skin color, not language, music, or food preferences.
A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and head covering. A 50-year-old patient tells the nurse, They are in America and should dress like we do. What is this statement an example of?
- A. cultural assimilation
- B. cultural blindness
- C. cultural conflict
- D. cultural imposition
Correct Answer: D
Rationale: The patient's statement reflects cultural imposition, which is the belief that one's own cultural norms should be adopted by others.
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).