Nokea
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.
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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.
A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other patients on the floor. This nurse is displaying the feelings associated with:
- A. culture conflict
- B. cultural blindness
- C. stereotyping
- D. cultural shock
Correct Answer: A
Rationale: The nurse's dismissive attitude reflects culture conflict, which arises when differing cultural practices clash.
What is one way in which nurses can develop cultural self-awareness?
- A. Ask peers and colleagues about practicing cultural competence.
- B. Objectively examine own beliefs, values, and practices.
- C. Realize nothing can be done to change ones values and beliefs.
- D. Assert to others that personal biases cannot be changed.
Correct Answer: B
Rationale: Self-awareness is a key method for developing cultural competence by reflecting on one's own cultural influences.
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.
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.