Nokea
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.
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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.
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 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.
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.
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.