Nokea
Which of the following are considered cultural norms of the healthcare system? Select all that apply.
- A. inability to define health and illness
- B. frequent use of jargon and documentation
- C. professional deference to pecking order
- D. use of a problem-solving methodology
- E. belief in the fallibility of technology
- F. use of certain procedures for birth and death
Correct Answer: B,C,D,F
Rationale: Healthcare norms include jargon/documentation (B), hierarchical deference (C), problem-solving approaches (D), and specific procedures for birth/death (F). Defining health/illness (A) is possible, and technology is generally trusted (E).
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In which of the following populations should the nurse carefully assess the patients use of over-the-counter medications?
- A. African American
- B. Hispanic
- C. White middle class
- D. Asian
Correct Answer: C
Rationale: White middle-class patients may have greater access to over-the-counter medications and should be assessed for their use to prevent adverse effects.
The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?
- A. We do not allow our patients to drink herbal tea.
- B. Why in the world would you want to drink that stuff?
- C. Let me check with the doctor to make sure it is okay with your medicines.
- D. I have to fill out a lot of forms that you will have to sign before I can do that.
Correct Answer: C
Rationale: The nurse should verify the safety of herbal tea with the doctor to respect the patient's cultural practice while ensuring no drug interactions.
A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
- A. The patient is embarrassed by the questions.
- B. This is culturally appropriate behavior.
- C. The patient dislikes the nurse.
- D. The patient does not understand what is being asked.
Correct Answer: B
Rationale: In some Hispanic cultures, avoiding eye contact is a sign of respect, not embarrassment or misunderstanding.
How is culture learned by each new generation?
- A. ethnic heritage
- B. involvement in religious activities
- C. formal and informal experiences
- D. belonging to a subculture
Correct Answer: C
Rationale: Culture is learned through formal (e.g., education) and informal (e.g., family, social interactions) experiences, which shape individuals' understanding of cultural norms and values.
Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives. He is taken to the ER following a fall at work and is admitted to the hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at risk for?
- A. cultural assimilation
- B. cultural shock
- C. cultural imposition
- D. cultural blindness
Correct Answer: B
Rationale: Mr. Perez, as an immigrant in a new environment, is at risk for cultural shock, which involves psychological discomfort due to unfamiliar cultural settings.