Nokea
Which concept characterizes transcultural nursing?
- A. Performing health-related activities and restoring wellness
- B. Acknowledging that clients with the same skin tone have similar social situations
- C. Planning care compatible with the client's health belief system
- D. Influencing culture by specific conditions related to an environment
Correct Answer: C
Rationale: Planning care compatible with the client's health belief system is a characteristic of transcultural nursing. Acknowledging that clients with the same skin tone have similar social situations leads to stereotyping. Stereotyping can be dangerous because it is dehumanizing and also interferes in accepting others as unique individuals. Culture is influenced by specific conditions related to environment. Performing health-related activities and restoring wellness is an important aspect of nursing and does not only pertain to transcultural nursing.
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The nurse walks into the client's room and finds a shaman 'fluffing the aura' of the client. What is the best action of the nurse?
- A. Leave the room and provide privacy to the client.
- B. Call the health care provider to report the findings.
- C. Ask the shaman to stop to allow the nurse to change IV tubing.
- D. Notify security of the activity in progress.
Correct Answer: A
Rationale: By leaving the room and providing privacy the nurse supports the client in the quest to practice health practices within their culture and beliefs. Documentation of the activity is appropriate. Notifying the health care provider will not stop or support the belief. Notifying security and/or asking the shaman to leave may anger the client and violate the practice of a religious/cultural ritual.
Which describes thinking that one's values and beliefs are superior to others?
- A. Acculturation
- B. Ethnocentrism
- C. Cultural imposition
- D. Cultural taboo
Correct Answer: B
Rationale: Ethnocentrism is the belief that one's ethnic heritage is the 'correct' one and superior to others. Acculturation involves the process of adapting to or taking on the behaviors of another group. Cultural imposition is the inclination to impose one's cultural beliefs, values, and patterns of behavior on people of a different culture. Cultural taboos are activities governed by rules of behavior that a particular cultural group avoids, forbids, or prohibits.
A client with the diagnosis of ovarian cancer confides practicing holistic medicine to the nurse. The client believes a cure exists through a macrobiotic diet, rather than what surgery or medical treatment can achieve. Which statement by the nurse is most appropriate?
- A. I would not bet my life on a diet treatment plan.'
- B. We can talk to your provider about adding this diet as a complementary therapy.'
- C. You should listen to your provider, who is the expert on this condition.'
- D. Alternative treatments do not have good outcomes for this type of cancer.'
Correct Answer: B
Rationale: Nurses should support clients in their beliefs about health and illness. Complementary treatments are treatments used in conjunction with mainstream medicine. Clients should be provided the opportunity to incorporate health belief in practices into their plan of care.
While providing personal care for a client, the nurse observes that the client is not comfortable with the close physical proximity. How will the nurse alleviate the discomfort of the client during personal care?
- A. Speak words or phrases in the client's style of speaking.
- B. Maintain sufficient distance.
- C. Ensure that the client's family member is present.
- D. Provide simple explanations of the need for physical proximity.
Correct Answer: D
Rationale: Simple explanations of the need for physical proximity during clinical procedures and personal care help alleviate the discomfort that the client may experience. Maintaining sufficient distance and ensuring that the client's family member is present may not help alleviate the discomfort the client is experiencing. Speaking words or phrases in the client's language will help in communicating with clients who do not speak the dominant language, but this action is not related to proximity.
How can the nurse best provide culturally sensitive care?
- A. Become familiar with physical differences among ethnic groups.
- B. Provide the proper food for nourishment.
- C. Accept each client as a unique individual.
- D. Facilitate rituals that bring comfort to the client.
Correct Answer: C
Rationale: Becoming familiar with physical differences, providing food that is customary to the culture, and facilitating rituals are all recommendations for enhancing transcultural sensitivity, but accepting each client as an individual is a characteristic that is found in the provision of culturally competent care.