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The nurse walks into the client's room and finds a shaman 'fluffing the aura' of the client. What is the best action of the nurse?
- A. Leave the room and provide privacy to the client.
- B. Call the health care provider to report the findings.
- C. Ask the shaman to stop to allow the nurse to change IV tubing.
- D. Notify security of the activity in progress.
Correct Answer: A
Rationale: By leaving the room and providing privacy the nurse supports the client in the quest to practice health practices within their culture and beliefs. Documentation of the activity is appropriate. Notifying the health care provider will not stop or support the belief. Notifying security and/or asking the shaman to leave may anger the client and violate the practice of a religious/cultural ritual.
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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.
A nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness that the client will adhere to the instructions by the use of which action?
- A. Make the client promise to follow the instructions and adhere to the plan.
- B. Ask if the client agrees with the instructions that are outlined.
- C. Assess the client's beliefs regarding health maintenance, promotion, and remedies.
- D. Observe the client's face to see if the client is smiling, which can be interpreted as agreement.
Correct Answer: C
Rationale: Some individuals will not openly disagree with people in authority or who possess advanced education, so it is best for the nurse to assess the client's beliefs regarding health maintenance, promotion, and remedies. A client smiling, agreeing to, or promising to comply is not proof of agreement because the client may believe it impolite to disagree with someone seen as being in a position of authority.
A nurse works in a health care setting that serves the Amish community. Members of this community look to the bishop who governs the community to make decisions about health care treatments. The nurse who provides extra time for a client from this community to select a treatment option and to discuss the situation with the community bishop is demonstrating which cultural concept?
- A. Ageism
- B. Stereotyping
- C. Generalization
- D. Ethnocentrism
Correct Answer: C
Rationale: Generalization is using the knowledge of the trends within a specific group or community to guide the care of the client without stereotyping. However, the nurse must recognize that generalization can lead to oversimplification and stereotyping. Stereotyping has an end point; the assumption prevents one from seeing another person as unique. Generalization acknowledges common trends in a group while recognizing that more information is needed. Ageism is the stereotyping of older adult behavior or vulnerability based on an individual's prior experiences or anticipation of behaviors. Ethnocentrism is the belief that one's own ethnic heritage is the 'correct' one' and superior to others.
When the nurse attempts to obtain vital signs, the client pulls away, gathers the bed covers to the chin, and speaks in a language unfamiliar to the nurse. What is the best action for the nurse to take?
- A. Talk slowly and explain current actions.
- B. Use gesturing and pictures to explain current actions.
- C. Smile and take the vital signs anyway.
- D. Attempt to locate an interpreter.
Correct Answer: D
Rationale: Ideally, obtaining an interpreter will increase the communication between client and nurse. Talking slower or gesturing may not provide a clear understanding for client or nurse. Proceeding without the approval of client could violate the client's cultural beliefs.
Which concept characterizes transcultural nursing?
- A. Performing health-related activities and restoring wellness
- B. Acknowledging that clients with the same skin tone have similar social situations
- C. Planning care compatible with the client's health belief system
- D. Influencing culture by specific conditions related to an environment
Correct Answer: C
Rationale: Planning care compatible with the client's health belief system is a characteristic of transcultural nursing. Acknowledging that clients with the same skin tone have similar social situations leads to stereotyping. Stereotyping can be dangerous because it is dehumanizing and also interferes in accepting others as unique individuals. Culture is influenced by specific conditions related to environment. Performing health-related activities and restoring wellness is an important aspect of nursing and does not only pertain to transcultural nursing.