Nokea
What is the nurses primary responsibility around the use of complementary therapies?
- A. To become skilled in administering as many complementary therapies as possible
- B. To liaise between practitioners of complementary therapies and the medical team
- C. To examine the evidence base underlying each of the patients chosen complementary therapies
- D. To assess the patients use of complementary therapies in order to promote safety
Correct Answer: D
Rationale: Nurses must assess all patients for use of complementary therapies, be alert to the danger of herb-drug interactions or conflicting treatments, and be prepared to provide information to patients about treatments that may be harmful. However, nurses must be accepting of patients beliefs and right to autonomy (i.e., to control their own care). It is not the nurses role to be the intermediary between practitioners and the medical team or to evaluate the effectiveness of therapies. The nurse is also not responsible for becoming skilled in administering as many complementary therapies as possible.
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When attempting to foster positive and therapeutic nursepatient interactions, the nurse should recognize that these interactions are primarily dependent on what variable?
- A. The knowledge of patient tendencies during illness
- B. The nurses ability to work with a multicultural health care team
- C. The ability to understand and be understood
- D. Cultural diversity among the unit staff
Correct Answer: C
Rationale: Nursepatient interactions, as well as communications among members of a multicultural health care team, are dependent on the ability to understand and be understood. Nursepatient interactions are not dependent on the knowledge of patient tendencies during illness, the nurses ability to work with a multicultural health care team, or cultural diversity among the staff on the unit.
The nurses behavior is an example of what?
- A. Acculturation
- B. Cultural blindness
- C. Cultural imposition
- D. Cultural taboos
Correct Answer: C
Rationale: The nurses behavior is an example of cultural imposition, 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. Cultural taboos are activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group.
Based on her cancer diagnosis and her yin/yang beliefs, which meal will the patient most likely order for lunch?
- A. Chicken noodle soup with crackers, fruit crisp, and hot tea
- B. Turkey sandwich, small tossed salad, and iced tea
- C. Chefs salad, bread, and water
- D. Fruit smoothie and granola bar
Correct Answer: A
Rationale: Foods are classified as cold (yin) and hot (yang) in the naturalistic or holistic perspective. In this theory, foods are transformed into yin and yang energy when metabolized by the body. Hot foods are eaten when a person has a cold illness such as cancer, headache, stomach cramps, and a cold. Based on this information, the patient would select chicken noodle soup with crackers, fruit crisp, and hot tea as these are hot foods. The other options are cold foods and are eaten when a patient has a hot illness such as a fever, rash, sore throat, ulcer, or infection.
What would you include in your assessment? Select all that apply.
- A. Family structure
- B. Subgroups
- C. Cultural beliefs
- D. Health practices
- E. Values
Correct Answer: A,C,D,E
Rationale: Cultural nursing assessment refers to a systematic appraisal or examination of individuals, families, groups, and communities in terms of their cultural beliefs, values, and practices. Subgroups are not a specific focus of this assessment.
Which of the following policies are congruent with the principles of culturally competent nursing care? Mark all that apply.
- A. A policy that outlines the appropriate use of translation services
- B. A policy guiding staff in the care of patients with different values
- C. A policy that requires staff from different cultures on each unit
- D. A policy that establishes flexible regulations pertaining to visitors
- E. A policy that gives priority to patients born outside the United States
Correct Answer: A,B,D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors (number, frequency, and length of visits), provide translation services for nonEnglish-speaking patients, and train staff to provide care for patients with different cultural values. Cultural competence does not depend on culturally diverse staff on every unit and it does not necessarily prioritize the interests of individuals born outside the country.