Nokea
What is the best way for the nurse to interact with a patient who has a different cultural perspective on space and distance?
- A. Allow the patient to adopt a position that is comfortable for him or her.
- B. Realize that sitting close to the patient is an indication of warmth and caring.
- C. Position yourself 10 to 12 feet from the patient to accommodate the most common cultural preferences.
- D. Remember not to intrude into the personal space of the elderly.
Correct Answer: A
Rationale: If the patient appears to position himself or herself too close or too far away, the nurse should consider cultural preferences for space and distance. Ideally, the patient should be permitted to assume a position that is comfortable to him or her in terms of personal space and distance. Older adults do not share a common perspective on personal space. A distance of 10 to 12 feet is not normally necessary. Close proximity can be interpreted as being invasive by some individuals.
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What is the nurses best response to the patients indication that his care provider is a shaman?
- A. Thank you for providing the information about the shaman, but we will keep that information and approach separate from your current hospitalization.
- B. It seems that the care provided by your shaman is not adequately managing your hypertension and diabetes, so we will try researched medical approaches.
- C. Dont worry about insulting your shaman, as he will understand his approach to your hypertension and diabetes was not working after your doctor tells him how sick you were in the hospital.
- D. I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels.
Correct Answer: D
Rationale: Native American patients may seek assistance from a shaman or medicine man or woman. The nurses best approach is not to disregard the patients belief in folk healers or try to undermine trust in the healers. Nurses should make an effort to accommodate the patients beliefs while also advocating the treatment proposed by health science.
When interacting with patients and families, of what must the nurse be cognizant?
- A. Her own level of health
- B. The culture of the institution
- C. The need to promote acculturation
- D. Her own cultural orientation
Correct Answer: D
Rationale: Because the nursepatient interaction is the focal point of nursing, nurses should consider their own cultural orientation when conducting assessments of patients and their families and friends. The nurses health is relevant, but secondary. Similarly, the institutional culture is not a priority. Acculturation is not actively promoted by the nurse.
What do these key indicators reveal about the United States?
- A. A significant gap in health status between the overall population and people of specific ethnic backgrounds
- B. A significant gap in health care delivery between the overall population and subgroups of the minority populations
- C. A significant gap in health status between the Hispanic population and the Native American population
- D. A significant gap in health care delivery between the Asian American population and the Pacific Islander population
Correct Answer: A
Rationale: Key health indicators in the United States reveal a significant gap in health status between the overall American population and people of specific ethnic backgrounds. Option B is incorrect because key health care indicators do not show a gap in health care delivery between the overall population and subgroups of minority populations; options C and D are incorrect because these ethnic populations are not singled out in these ways.
How can this goal be best accomplished?
- A. By offering multicultural health studies in nursing curricula
- B. By enhancing the content of community nursing classes
- C. By requiring students to care primarily for patients from other ethnic groups
- D. By screening applicants according to their cultural competence
Correct Answer: A
Rationale: Nursing programs are exploring creative ways to promote cultural competence and humanistic care in nursing students, including offering multicultural health studies in their curricula. Enhancing the content of community nursing classes would not necessarily achieve this goal. Matching students to patients from other cultures is often impractical and applicants are not screened by their cultural competence.
In this scenario, what do the mothers views on immunizations represent?
- A. Acculturation
- B. Cultural blindness
- C. Cultural imposition
- D. A cultural taboo
Correct Answer: D
Rationale: Immunizations in this scenario are a cultural taboo. Cultural taboos are defined as activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group. Cultural imposition is defined as the tendency to impose ones cultural beliefs, values, and patterns of behavior on a person from a different culture. Acculturation is the process by which members of a cultural group adapt to or learn how to take on the behaviors of another group. Cultural blindness is the inability of people to recognize their own values, beliefs, and practices and those of others because of strong ethnocentric tendencies.