Nokea
Which of the following variables would you prioritize when performing an assessment of the patients cultural beliefs?
- A. Patients previous medical history
- B. Patients marital status
- C. Patients age
- D. Patients communication style
Correct Answer: D
Rationale: Assessment of a patients culture should include the patients country of origin, language (communication style), food preferences or restrictions, health maintenance practices, and religious practices. This aspect of assessment does not explicitly include the patients support systems, marital status, or age, though each of these parameters would be assessed at different points.
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What is the best way for the nurse to interact with a patient who has a different cultural perspective on space and distance?
- A. Allow the patient to adopt a position that is comfortable for him or her.
- B. Realize that sitting close to the patient is an indication of warmth and caring.
- C. Position yourself 10 to 12 feet from the patient to accommodate the most common cultural preferences.
- D. Remember not to intrude into the personal space of the elderly.
Correct Answer: A
Rationale: If the patient appears to position himself or herself too close or too far away, the nurse should consider cultural preferences for space and distance. Ideally, the patient should be permitted to assume a position that is comfortable to him or her in terms of personal space and distance. Older adults do not share a common perspective on personal space. A distance of 10 to 12 feet is not normally necessary. Close proximity can be interpreted as being invasive by some individuals.
What is the nurses primary responsibility around the use of complementary therapies?
- A. To become skilled in administering as many complementary therapies as possible
- B. To liaise between practitioners of complementary therapies and the medical team
- C. To examine the evidence base underlying each of the patients chosen complementary therapies
- D. To assess the patients use of complementary therapies in order to promote safety
Correct Answer: D
Rationale: Nurses must assess all patients for use of complementary therapies, be alert to the danger of herb-drug interactions or conflicting treatments, and be prepared to provide information to patients about treatments that may be harmful. However, nurses must be accepting of patients beliefs and right to autonomy (i.e., to control their own care). It is not the nurses role to be the intermediary between practitioners and the medical team or to evaluate the effectiveness of therapies. The nurse is also not responsible for becoming skilled in administering as many complementary therapies as possible.
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.
What aspects of patient care may be most influenced by diverse cultural perspectives?
- A. Pharmacokinetics and pharmacodynamics
- B. Monitoring fluid balance
- C. Monitoring food intake
- D. Obtaining informed consent
Correct Answer: D
Rationale: Many aspects of care may be influenced by the diverse cultural perspectives held by health care providers, patients, families, or significant others. One example is the issue of informed consent and full disclosure. The other aspects of care can also be influenced by cultural differences, but most often to a lesser degree.
What should the staff educator identify as the underlying focus of transcultural nursing?
- A. The underlying focus of transcultural nursing is to enhance the cultural environment of institutions.
- B. The underlying focus of transcultural nursing is to promote the health of communities.
- C. The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care.
- D. The underlying focus of transcultural nursing is to promote the well-being of discrete, marginalized groups.
Correct Answer: C
Rationale: The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care that promotes the well-being or health of individuals, families, groups, communities, and institutions. It is not limited to institutions, communities, or marginalized groups.