Nokea
Which describes the inability to recognize the values, beliefs, and practices of others because of one's strong ethnocentric preferences?
- A. Acculturation
- B. Cultural imposition
- C. Cultural blindness
- D. Cultural taboos
Correct Answer: C
Rationale: Cultural blindness is an inability to recognize the values, beliefs, and practices of others because of strong ethnocentric preferences. Cultural taboos are activities governed by rules of behavior that a particular cultural group avoids, forbids, or prohibits. Acculturation involves adapting to or taking on the behaviors of another group. Cultural norms are inclination to impose one's cultural beliefs, values, and patterns of behavior on people from a different culture.
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A nurse is providing care to a hospitalized client of Asian descent. What action should the nurse take to provide culturally competent care?
- A. Adhere to a personal knowledge base of Asian values and beliefs.
- B. Ask the client what values and beliefs are important to them.
- C. Provide care from an ethnocentric viewpoint.
- D. Expect that the client's health and illness beliefs are based on Asian traditions.
Correct Answer: B
Rationale: To provide culturally competent care, the nurse must accept the client as a unique individual with their own values and beliefs. To adhere to a personal knowledge base of Asian values and beliefs would be generalization and could lead to stereotyping. Culturally competent care cannot be provided from an ethnocentric viewpoint, which would be based on the nurse's perspective and reflects a lack of experience and knowledge of cultures other than their own. Even though the client is Asian, the nurse should not expect that the client adheres to traditional Asian customs, but should see the client as an individual, providing care based on their individual beliefs and values.
The nursing instructor discussed the theory of energy forces existing between organisms and objects in the universe and called this yin-yang. Yin-yang is an example of which societal view of illness?
- A. Biomedical perspective
- B. Magico-religious perspective
- C. Naturalistic perspective
- D. Scientific perspective
Correct Answer: C
Rationale: The naturalistic view espouses that human beings are only one part of nature. The yin-yang theory promotes the idea that energy forces exist between organisms and objects in the universe. The balance between these forces is health. The biomedical or scientific view embraces a cause-and-effect philosophy of human body functions. The magico-religious view believes that supernatural forces dominate.
Which is a process by which the nurse consistently works in the cultural context of the client, family, and community?
- A. Stereotyping
- B. Ethnicity
- C. Cultural competence
- D. Subculture
Correct Answer: C
Rationale: Providing culturally competent care is a process by which the nurse consistently endeavors to work in the cultural context and client's family, culture and community. Stereotyping means assuming that all people in a particular cultural, racial, or ethnic group share the same values and beliefs, behave similarly, and are basically like. Ethnicity is the bond or kinship that people feel with their country of birth or place of ancestral origin. Subculture refers to a particular group that shares characteristics identifying the group as a distinct entity.
A nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness that the client will adhere to the instructions by the use of which action?
- A. Make the client promise to follow the instructions and adhere to the plan.
- B. Ask if the client agrees with the instructions that are outlined.
- C. Assess the client's beliefs regarding health maintenance, promotion, and remedies.
- D. Observe the client's face to see if the client is smiling, which can be interpreted as agreement.
Correct Answer: C
Rationale: Some individuals will not openly disagree with people in authority or who possess advanced education, so it is best for the nurse to assess the client's beliefs regarding health maintenance, promotion, and remedies. A client smiling, agreeing to, or promising to comply is not proof of agreement because the client may believe it impolite to disagree with someone seen as being in a position of authority.
A client of Japanese descent describes a family trait of having less relief from analgesics than a friend of German descent. Which statement best describes this client's situation?
- A. The client should be assessed for concurrent use of herbal preparations.
- B. The client's racial background can affect drug metabolism.
- C. This type of medication should not be prescribed to this client.
- D. Biocultural ecology is the study of biologic cultural differences.
Correct Answer: B
Rationale: The client's racial background can influence many things including drug metabolism, which would explain why the client reports receiving less relief from analgesics than a friend from another racial background. The client should be assessed for the use of herbal preparations but that does not necessarily explain the client's reaction to analgesics. There is no indication that analgesics should not be prescribed to the client. It is correct that biocultural ecology is the study of biologic cultural differences, but this option is not the best description of the client's situation. It just provides a definition of biocultural ecology.