Nokea
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.
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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.
A member of which group would most likely consider this examination as a violation of norms?
- A. Jewish
- B. Asian American
- C. Islamic
- D. African American
Correct Answer: B
Rationale: For many Asian Americans, it is impolite to touch the patients head because the spirit is believed to reside in the head. Therefore, assessment of the head or evaluation of a head injury requires permission of the patient, or a family member if the patient is not able to give permission. This is not the case with the other listed groups.
What outcome should you prioritize when planning this education?
- A. Participants will acknowledge and adapt to diversity among their colleagues.
- B. Participants will develop insight into the characteristics of their own culture.
- C. Participants will provide equal care to all patients, regardless of their background.
- D. Participants will evaluate their colleagues levels of cultural awareness.
Correct Answer: A
Rationale: The concept of culturally competent care applies to health care institutions, which must develop culturally sensitive policies and provide a climate that fosters the provision of culturally competent care by nurses. Nurses must learn to acknowledge and adapt to diversity among their colleagues in the workplace. This is not necessarily dependent on nurses examining their own cultures. Because patients needs vary widely, care is not equal. Evaluating cultural awareness in others does not necessarily enhance ones own cultural competence.
How should the nurse best understand the patients behavior?
- A. The patients sense of humor is culturally mediated and may be unfamiliar to the nurse.
- B. The patient may believe that she has sufficient knowledge and skill to empty the drain.
- C. The patient may be unable to fully comprehend the information the nurse is trying to convey.
- D. Individuals from the patients culture may not normally explain and demonstrate at the same time.
Correct Answer: C
Rationale: Inappropriate laughter can signal a lack of understanding. This is more likely than the presence of a culture-specific sense of humor in this particular context. It is unlikely that there is a prohibition against simultaneous explaining and demonstrating. Laughing is unlikely to suggest that teaching and learning are unnecessary.
How should the nurse best interpret the colleagues statement?
- A. The colleague may have stereotypical views of Hispanics.
- B. The colleague is exemplifying the process of acculturation.
- C. The colleague is aware of the dietary characteristics of Hispanic culture.
- D. The colleague may harbor resentment against Hispanics.
Correct Answer: A
Rationale: Presuming that Hispanics rely on tacos and burritos likely reflects a stereotype of this culture, but is less likely to be motivated by resentment. This statement does not demonstrate acculturation. The colleagues statement reflects a stereotype, not an accurate assessment of the patients diet and culture.