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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.
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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.
What outcome should you prioritize when planning this education?
- A. Participants will acknowledge and adapt to diversity among their colleagues.
- B. Participants will develop insight into the characteristics of their own culture.
- C. Participants will provide equal care to all patients, regardless of their background.
- D. Participants will evaluate their colleagues levels of cultural awareness.
Correct Answer: A
Rationale: The concept of culturally competent care applies to health care institutions, which must develop culturally sensitive policies and provide a climate that fosters the provision of culturally competent care by nurses. Nurses must learn to acknowledge and adapt to diversity among their colleagues in the workplace. This is not necessarily dependent on nurses examining their own cultures. Because patients needs vary widely, care is not equal. Evaluating cultural awareness in others does not necessarily enhance ones own cultural competence.
What factor should the nurse consider in light of the patients sustained high blood pressure?
- A. The patients culture may not prioritize taking a medication on a regular basis.
- B. Biologic variations may be influencing the effectiveness of the medication.
- C. The patients culture may not acknowledge symptom-free problems such as blood pressure.
- D. The patients diet may be negatively affecting the effectiveness of the medication.
Correct Answer: B
Rationale: Biologic variations can be highly significant, particularly in the use of antihypertensives in African American patients. This is more likely than culturally mediated views on medication adherence, symptom-free diseases, or diet.
What aspects of patient care may be most influenced by diverse cultural perspectives?
- A. Pharmacokinetics and pharmacodynamics
- B. Monitoring fluid balance
- C. Monitoring food intake
- D. Obtaining informed consent
Correct Answer: D
Rationale: Many aspects of care may be influenced by the diverse cultural perspectives held by health care providers, patients, families, or significant others. One example is the issue of informed consent and full disclosure. The other aspects of care can also be influenced by cultural differences, but most often to a lesser degree.
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.