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How can the nurse best demonstrate an awareness of culturally congruent care?
- A. Maintain eye contact at all times.
- B. Try to speak the patients native language.
- C. Use touch when communicating.
- D. Establish effective communication.
Correct Answer: D
Rationale: Establishment of an environment of culturally congruent care and respect begins with effective communication, which occurs not only through words, but also through body language and other cues, such as voice, tone, and loudness. Not all cultures are comfortable with eye contact. Unless you are fluent in the patients native language, trying to communicate in that language would not be effective communication. Not all cultures incorporate touch while communicating.
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In which of the following groups are these disparities most evident?
- A. Urban men
- B. People with disabilities
- C. People who are single
- D. Middle-aged adults
Correct Answer: B
Rationale: Health disparities are noted among women, gays and lesbians, and people with disabilities. Specific health disparities have not been found among men, the middle-aged, or single people.
How should the nurse best interpret the colleagues statement?
- A. The colleague may have stereotypical views of Hispanics.
- B. The colleague is exemplifying the process of acculturation.
- C. The colleague is aware of the dietary characteristics of Hispanic culture.
- D. The colleague may harbor resentment against Hispanics.
Correct Answer: A
Rationale: Presuming that Hispanics rely on tacos and burritos likely reflects a stereotype of this culture, but is less likely to be motivated by resentment. This statement does not demonstrate acculturation. The colleagues statement reflects a stereotype, not an accurate assessment of the patients diet and culture.
When using this model in the care of a patient who has had a transurethral prostate resection (TUPR), what area of care would be influenced most directly?
- A. Transferring the patient from a stretcher to a bed
- B. Documenting the patients vital signs and level of consciousness
- C. Administering a scheduled dose of acetaminophen
- D. Explaining the rationale for continuous bladder irrigation (CBI)
Correct Answer: D
Rationale: Giger and Davidhizar identified communication, space, time orientation, social organization, environmental control, and biologic variations as relevant phenomena. Explaining CBI requires clear communication. Transferring a patient to a bed, administering Tylenol, or documenting are nursing responsibilities that are less directly relevant to this model.
In this scenario, what do the mothers views on immunizations represent?
- A. Acculturation
- B. Cultural blindness
- C. Cultural imposition
- D. A cultural taboo
Correct Answer: D
Rationale: Immunizations in this scenario are a cultural taboo. Cultural taboos are defined as activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group. Cultural imposition is defined as the tendency to impose ones cultural beliefs, values, and patterns of behavior on a person from a different culture. Acculturation is the process by which members of a cultural group adapt to or learn how to take on the behaviors of another group. Cultural blindness is the inability of people to recognize their own values, beliefs, and practices and those of others because of strong ethnocentric tendencies.
What is the nurses best response to the patients indication that his care provider is a shaman?
- A. Thank you for providing the information about the shaman, but we will keep that information and approach separate from your current hospitalization.
- B. It seems that the care provided by your shaman is not adequately managing your hypertension and diabetes, so we will try researched medical approaches.
- C. Dont worry about insulting your shaman, as he will understand his approach to your hypertension and diabetes was not working after your doctor tells him how sick you were in the hospital.
- D. I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels.
Correct Answer: D
Rationale: Native American patients may seek assistance from a shaman or medicine man or woman. The nurses best approach is not to disregard the patients belief in folk healers or try to undermine trust in the healers. Nurses should make an effort to accommodate the patients beliefs while also advocating the treatment proposed by health science.