Nokea
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.
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How should the nurse and the other members of the care team best respond?
- A. Explain to the son the teams ethical obligation to inform the patient.
- B. Refer the family to social work.
- C. Have a nurse or physician from the patients culture make contact with her and her son.
- D. Speak with the son to explore his rationale and attempt to reach a consensus.
Correct Answer: D
Rationale: Nurses must promote open dialogue and work with patients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual patient. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.
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.
How can the nurse best demonstrate an awareness of culturally congruent care?
- A. Maintain eye contact at all times.
- B. Try to speak the patients native language.
- C. Use touch when communicating.
- D. Establish effective communication.
Correct Answer: D
Rationale: Establishment of an environment of culturally congruent care and respect begins with effective communication, which occurs not only through words, but also through body language and other cues, such as voice, tone, and loudness. Not all cultures are comfortable with eye contact. Unless you are fluent in the patients native language, trying to communicate in that language would not be effective communication. Not all cultures incorporate touch while communicating.
What would be the best way to promote understanding during the teaching session?
- A. Ask the patient to repeat the instructions carefully.
- B. Write the procedure out for the patient in simple language.
- C. Use an interpreter during the teaching session.
- D. Have the patient demonstrate the dressing change.
Correct Answer: C
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, provide translation services for nonEnglish-speaking patients, and train staff to provide care for patients with different cultural values. Writing instructions, having the patient demonstrate the procedure, and asking the patient to repeat instructions do not adequately compensate for the communication barrier that exists.
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.