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Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives. He is taken to the ER following a fall at work and is admitted to the hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at risk for?
- A. cultural assimilation
- B. cultural shock
- C. cultural imposition
- D. cultural blindness
Correct Answer: B
Rationale: Mr. Perez, as an immigrant in a new environment, is at risk for cultural shock, which involves psychological discomfort due to unfamiliar cultural settings.
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A nurse is doing preoperative teaching for an African American man before he has abdominal surgery. What topic should be included in the teaching?
- A. the possibility of developing a keloid over the healed incision
- B. the increased risk of developing an infection in the incision
- C. his racial characteristics that will slow healing
- D. cultural influences on his response to surgery
Correct Answer: A
Rationale: African Americans are at higher risk for keloid formation, which should be discussed during preoperative teaching.
How is culture learned by each new generation?
- A. ethnic heritage
- B. involvement in religious activities
- C. formal and informal experiences
- D. belonging to a subculture
Correct Answer: C
Rationale: Culture is learned through formal (e.g., education) and informal (e.g., family, social interactions) experiences, which shape individuals' understanding of cultural norms and values.
The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?
- A. We do not allow our patients to drink herbal tea.
- B. Why in the world would you want to drink that stuff?
- C. Let me check with the doctor to make sure it is okay with your medicines.
- D. I have to fill out a lot of forms that you will have to sign before I can do that.
Correct Answer: C
Rationale: The nurse should verify the safety of herbal tea with the doctor to respect the patient's cultural practice while ensuring no drug interactions.
A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?
- A. unemployed father
- B. stay-at-home mother
- C. grandmother
- D. children
Correct Answer: D
Rationale: Children typically learn new languages faster due to their exposure in school and cognitive adaptability.
A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and walk whether you want to or not. What is this statement an example of?
- A. culture shock
- B. stereotyping
- C. cultural imposition
- D. cultural competence
Correct Answer: C
Rationale: Forcing a patient to act against their preferences without cultural sensitivity is an example of cultural imposition.