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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.
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What term would best describe this religions beliefs and their impact on health care for this child?
- A. Acculturation
- B. Cultural imposition
- C. Cultural taboo
- D. Cultural blindness
Correct Answer: C
Rationale: Cultural taboos are activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group. The other answers do not apply.
How should the nurse best understand the patients behavior?
- A. The patients sense of humor is culturally mediated and may be unfamiliar to the nurse.
- B. The patient may believe that she has sufficient knowledge and skill to empty the drain.
- C. The patient may be unable to fully comprehend the information the nurse is trying to convey.
- D. Individuals from the patients culture may not normally explain and demonstrate at the same time.
Correct Answer: C
Rationale: Inappropriate laughter can signal a lack of understanding. This is more likely than the presence of a culture-specific sense of humor in this particular context. It is unlikely that there is a prohibition against simultaneous explaining and demonstrating. Laughing is unlikely to suggest that teaching and learning are unnecessary.
What aspect of Leiningers theory is the nurse addressing?
- A. Cross-care accommodation
- B. Culture care restructuring
- C. Cultural reordering
- D. Patient modification
Correct Answer: B
Rationale: Culture care restructuring or repatterning refers to professional actions and decisions that help patients reorder, change, or modify their lifestyles toward new, different, or more beneficial health care patterns. The other listed options are not part of Leiningers theory.
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.
When reviewing a hospitals current policy framework, which of the following actions has the potential to improve the overall level of culture competence?
- A. Reducing the institutions dependence on English for communication
- B. Promoting members of minority groups to higher profile positions
- C. Eliminating written information from staff members identification badges
- D. Creating greater flexibility in visiting hours
Correct Answer: D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, such as the number, frequency, and length of visits. Eliminating written information from staff members identification badges is unnecessary and of little benefit. Cultural competence does not require a reduction in the use of English. Promoting members of minority groups to higher profile positions on the sole basis of ethnicity would be unethical.