Nokea
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.
You may also like to solve these questions
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.
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.
What should the staff educator identify as the underlying focus of transcultural nursing?
- A. The underlying focus of transcultural nursing is to enhance the cultural environment of institutions.
- B. The underlying focus of transcultural nursing is to promote the health of communities.
- C. The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care.
- D. The underlying focus of transcultural nursing is to promote the well-being of discrete, marginalized groups.
Correct Answer: C
Rationale: The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care that promotes the well-being or health of individuals, families, groups, communities, and institutions. It is not limited to institutions, communities, or marginalized groups.
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.
How would you characterize the Hispanic people in this community?
- A. An underclass
- B. A subgroup
- C. A minority
- D. An exception
Correct Answer: C
Rationale: The term minority refers to a group of people whose physical and cultural characteristics differ from the majority of people in a society. There are four generally identified minority groups: Blacks/African Americans, Hispanics, Asian/Pacific Islanders, and Native Americans. Such groups are not referred to as exceptions or underclasses. A subgroup is a division of a group that is in some way distinguished from the larger group.