Nokea
Which of the following is most likely the patients religion?
- A. Roman Catholicism
- B. Buddhism
- C. Islam
- D. Mormonism
Correct Answer: C
Rationale: Many Islamic people abstain from eating pork. Members of other religions also proscribe the consumption of meat in general, or pork in particular, but the other listed religions are not among these.
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What would be the best intervention you could make on behalf of this patient?
- A. Discourage the use of incense in the hospital.
- B. Ask the family to have the ceremony off the unit.
- C. Arrange for the ceremony to occur after notifying all departments affected.
- D. Encourage the family to conduct the ceremony elsewhere because it may affect other patients in the unit.
Correct Answer: C
Rationale: Culturally competent policies are developed to promote an environment in which the traditional healing, spiritual, and religious practices of patients are respected and encouraged and to recognize the special dietary practices of patients from selected cultural groups. To promote spirituality and transcultural nursing, the nurse should make or help to make the arrangements. The nurse should not attempt to dissuade the family or to relegate the ceremony to a site outside the hospital.
In which of the following groups are these disparities most evident?
- A. Urban men
- B. People with disabilities
- C. People who are single
- D. Middle-aged adults
Correct Answer: B
Rationale: Health disparities are noted among women, gays and lesbians, and people with disabilities. Specific health disparities have not been found among men, the middle-aged, or single people.
When reviewing a hospitals current policy framework, which of the following actions has the potential to improve the overall level of culture competence?
- A. Reducing the institutions dependence on English for communication
- B. Promoting members of minority groups to higher profile positions
- C. Eliminating written information from staff members identification badges
- D. Creating greater flexibility in visiting hours
Correct Answer: D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, such as the number, frequency, and length of visits. Eliminating written information from staff members identification badges is unnecessary and of little benefit. Cultural competence does not require a reduction in the use of English. Promoting members of minority groups to higher profile positions on the sole basis of ethnicity would be unethical.
When using this model in the care of a patient who has had a transurethral prostate resection (TUPR), what area of care would be influenced most directly?
- A. Transferring the patient from a stretcher to a bed
- B. Documenting the patients vital signs and level of consciousness
- C. Administering a scheduled dose of acetaminophen
- D. Explaining the rationale for continuous bladder irrigation (CBI)
Correct Answer: D
Rationale: Giger and Davidhizar identified communication, space, time orientation, social organization, environmental control, and biologic variations as relevant phenomena. Explaining CBI requires clear communication. Transferring a patient to a bed, administering Tylenol, or documenting are nursing responsibilities that are less directly relevant to this model.
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.