Nokea
The nurse is completing a cultural heritage assessment. Which item(s) will be included in this portion of the health assessment? Select all that apply.
- A. Religion
- B. Participation in religious traditions
- C. Health history
- D. Hygiene practices
- E. Use of tobacco
- F. Management of symptoms
Correct Answer: A,B,D,F
Rationale: Health-related beliefs and practices (such as religious traditions, hygiene practices, and management of symptoms) can reflect the cultural heritage of the client. Asking questions can assist in determining cultural heritage. Tobacco use and/or health history assists in the health history but does not reflect upon heritage or culture.
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Which is a process by which the nurse consistently works in the cultural context of the client, family, and community?
- A. Stereotyping
- B. Ethnicity
- C. Cultural competence
- D. Subculture
Correct Answer: C
Rationale: Providing culturally competent care is a process by which the nurse consistently endeavors to work in the cultural context and client's family, culture and community. Stereotyping means assuming that all people in a particular cultural, racial, or ethnic group share the same values and beliefs, behave similarly, and are basically like. Ethnicity is the bond or kinship that people feel with their country of birth or place of ancestral origin. Subculture refers to a particular group that shares characteristics identifying the group as a distinct entity.
How can the nurse best provide culturally sensitive care?
- A. Become familiar with physical differences among ethnic groups.
- B. Provide the proper food for nourishment.
- C. Accept each client as a unique individual.
- D. Facilitate rituals that bring comfort to the client.
Correct Answer: C
Rationale: Becoming familiar with physical differences, providing food that is customary to the culture, and facilitating rituals are all recommendations for enhancing transcultural sensitivity, but accepting each client as an individual is a characteristic that is found in the provision of culturally competent care.
The nursing instructor discussed the theory of energy forces existing between organisms and objects in the universe and called this yin-yang. Yin-yang is an example of which societal view of illness?
- A. Biomedical perspective
- B. Magico-religious perspective
- C. Naturalistic perspective
- D. Scientific perspective
Correct Answer: C
Rationale: The naturalistic view espouses that human beings are only one part of nature. The yin-yang theory promotes the idea that energy forces exist between organisms and objects in the universe. The balance between these forces is health. The biomedical or scientific view embraces a cause-and-effect philosophy of human body functions. The magico-religious view believes that supernatural forces dominate.
Which describes thinking that one's values and beliefs are superior to others?
- A. Acculturation
- B. Ethnocentrism
- C. Cultural imposition
- D. Cultural taboo
Correct Answer: B
Rationale: Ethnocentrism is the belief that one's ethnic heritage is the 'correct' one and superior to others. Acculturation involves the process of adapting to or taking on the behaviors of another group. Cultural imposition is the inclination to impose one's cultural beliefs, values, and patterns of behavior on people of a different culture. Cultural taboos are activities governed by rules of behavior that a particular cultural group avoids, forbids, or prohibits.
A postpartum client requested the placenta be sent home with the spouse. The nurse is upset and disgusted by the request and shares this view with the charge nurse. What action should the charge nurse take?
- A. Report the situation to the nurse manager or nursing supervisor.
- B. Report the nurse for violation of HIPAA.
- C. Report the conversation to the client and apologize for the lack of sensitivity of the nurse.
- D. Use this as a teachable moment on cultural sensitivity and health practices.
Correct Answer: D
Rationale: Increasing one's awareness of cultural sensitivity and health practices is the first step toward transcultural nursing. The charge nurse should use this event as a teachable moment. The nurse's reaction is not a violation of HIPAA. Reporting the conversation to the client does not serve a purpose.