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A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that personal space considerations vary among cultures. What personal space preferences are important for the student to consider when caring for this client?

Group of answer choices

People of Asian descent prefer some distance between themselves and others.

People of Asian descent commonly stand close to one another when talking.

People of Asian descent touch one another when sitting next to a familiar person.

People of Asian descent prefer direct eye contact when communicating.

 

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Question 2

1 pts

When providing nursing care to an African American individual, which of the following cultural factors should the nurse consider?

Group of answer choices

Values and beliefs are often present oriented.

Families are usually patriarchal.

They possess weak religious affiliations.

Families are highly competitive.

 

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Question 3

1 pts

The nurse is obtaining a health history from a patient of Puerto Rican descent. Which of the following is most likely to be a health problem that has a cultural connection for this patient?

Group of answer choices

Lactose enzyme deficiency

Tuberculosis

Sickle cell anemia

Suicide

 

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Question 4

1 pts

Despite the presence of a large number of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility recognize this as an example of?

Group of answer choices

Cultural blindness

Stereotyping

Cultural assimilation

Cultural imposition

 

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Question 5

1 pts

When providing care on an Indian reservation, the nurse has prioritized assessments for diabetes and fetal alcohol syndrome when working with residents of the reservation. How should this nurse’s practice be best understood?

Group of answer choices

The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population.

The nurse is stereotyping American Indians as leading unhealthy lifestyles and abusing alcohol.

The nurse is performing cultural imposition of the majority American culture, and the accompanying beliefs around diabetes and alcohol use.

The nurse should seek specific permission from each client before proceeding with these assessments.

 

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Question 6

1 pts

A Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives is taken to the ER following a fall at work. He is admitted to the hospital for observation. The nurse is aware tht this client is at risk for:

Group of answer choices

Cultural assimilation

Cultural shock

Cultural imposition

Cultural blindness

 

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Question 7

1 pts

A nurse walks by a client’s room and observes a Shaman performing a healing ritual for the client. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other clients on the floor. What feelings is this nurse displaying?

Group of answer choices

Culture conflict

Cultural blindness

Stereotyping

Cultural shock

 

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Question 8

1 pts

A nurse is caring for a client from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the client’s pain?

Group of answer choices

Most people react to pain in the same way.

Pain in adults in less intense than pain in children.

The client has a low pain tolerance.

Pain is what the client says it is.

 

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Question 9

1 pts

A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?

Group of answer choices

Unemployed father

Stay-at-home mother

Grandmother

Children

 

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Question 10

1 pts

A 40-year-old nurse is taking a health history from a Hispanic man aged 20 years. The nurse notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?

Group of answer choices

The client is embarrassed by the questions.

This is culturally appropriate behavior.

The client dislikes the nurse.

The client does not understand what is being asked.

 

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Question 11

1 pts

An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, “I’m just not hungry.” What factors should the staff assess for this problem?

Group of answer choices

The woman does not like to eat with other residents of the home.

The woman is using this as a means of going home.

The food served may not be culturally appropriate.

The food served may violate religious beliefs.

 

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Question 12

1 pts

All of the following are factors to consider when caring for clients with limited income. Which one is the most important?

Group of answer choices

Basic human needs may go unmet

Limited access to reliable transportation

Decreased access to health care services

Risk for increased incidence of disease

 

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Question 13

1 pts

The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?

Group of answer choices

We do not allow our clients to drink herbal tea.

Why in the world would you want to drink that stuff?

Let me check with the doctor to make sure it is okay to drink the tea with your medicines.

I have to fill out a lot of forms that you will have to sign before I can do that.

 

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Question 14

1 pts

A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic clients. What does this statement imply about the nurse?

Group of answer choices

The nurse’s knowledge and skills are not adequate to care for clients with acute illnesses.

The nurse respects and values providing culturally competent care.

The nurse is attempting to overcome cultural blindness.

This employment makes the nurse feel superior to a minority group of people.

 

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Question 15

1 pts

A nurse is providing care for a Cambodian client. The nurse says, “You have to get up and walk whether you want to or not.” What is this statement an example of?

Group of answer choices

Culture shock

Stereotyping

Cultural imposition

Cultural competence

 

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Question 16

1 pts

A home health nurse is visiting a client 60 years of age. During the initial visit, the client’s husband answers all of the questions. What would the nurse assess based on this behavior?

Group of answer choices

The client does not want the nurse to visit.

The husband does not trust his wife to answer questions.

The cltient is not able to answer the questions.

The husband is the dominant member of the family.

 

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Question 17

1 pts

An Asian American male client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client expresses that he does not have pain. What nursing action is most appropriate?

Group of answer choices

Believing that the client has no pain

Assessing for non-verbal expressions of pain

Inspecting the incision site for any abnormality

Asking the client if he is feeling hungry

 

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Question 18

1 pts

An Anglo American client reports to the primary health care facility with symptoms of fever, cough, and running nose. While interviewing the client, which of the following points should the nurse keep in mind?

Group of answer choices

Do not probe into emotional issues.

Do not ask very personal questions.

Sit at the other corner of the room.

Maintain eye contact while talking.

 

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Question 19

1 pts

A nurse is caring for a client after internal fixation of a compound fracture in the tibia. The nurse finds that the client has not had his dinner, seems restless, and is tossing on the bed. Keeping in mind that the client is Latino, what is the most appropriate response by the nurse?

Group of answer choices

Are you having pain in your leg?

Tell me what you are feeling.

Do you need pain medication?

Are you feeling all right?

 

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Question 20

1 pts

A client who has difficulty sleeping expresses to the nurse that watching television may help him relax and get sleep. The nurse disregards the client’s concern and suggests drinking warm milk before going to bed. Which cultural characteristic is the nurse demonstrating?

Group of answer choices

Stereotype

Ethnocentrism

Racism

Relativity

 

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Question 21

1 pts

A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of which of the following as a characteristic?

Group of answer choices

Preconceived and untested belief about people

Viewing one’s own culture as the only correct standard

Common and observable expressions of culture

Belief system held to varying degrees as absolute truth

 

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Question 22

1 pts

The client in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the patient is experiencing?

Group of answer choices

Anxiety

Disparity

Resolution

Shock

 

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Question 23

1 pts

A nurse in the hospital is caring for a Native American male. What person is most important to include in the care of the client?

Group of answer choices

Family

Physician

Tribal medicine man

Physical therapy aide

 

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Question 24

1 pts

When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because “Asian women typically are stoic,” the nurse is expressing a belief known as what?

Group of answer choices

Stigma

Ethnic slur

Bias

Stereotype

 

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Question 25

1 pts

The nurse is caring for a Mexican American who is Catholic. The nurse wishes to learn more about the culture by consulting a key informant. Which of the following religious practitioners would be most knowledgeable about the beliefs held by individuals of Mexican ethnicity?

Group of answer choices

A church mother

A voodoo priest

A curandera

A peyote leader

 

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Question 26

1 pts

A nurse is caring for an elderly woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?

Group of answer choices

Maintaining eye contact at all times.

Trying to speak louder than usual.

Using touch when communicating.

Establishing effective communication.

 

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Question 27

1 pts

Most nurses have been taught to maintain direct eye contact when communicating with clients. Some cultural groups would not value direct eye contact with the nurse. Which cultural group would consider the direct eye contact impolite?

Group of answer choices

Americans

British

Canadians

Native Americans

 

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Question 28

1 pts

The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice?

Group of answer choices

Christian

Protestant

Muslim

Mormon

 

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Question 29

1 pts

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

Group of answer choices

Know the client’s cultural personal space preferences.

Realize that sitting close to the client is an indication of warmth and caring.

Sit three to six feet away from the patient in an attempt to not offend.

Remember not to intrude into the personal space of the elderly.

 

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Question 30

1 pts

A male nurse is preparing to take the vital signs of a female patient. Which ethnic group would consider this improper?

Group of answer choices

Native American

Arab Muslim

White

African American

 

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Question 31

1 pts

The nurse is admitting a client from China to the medical-surgical unit with a diagnosis of cancer. While doing the client’s assessments, the client speaks of her naturalistic beliefs related to health care and the importance of the yin/yang theory. Based on her cancer diagnoses, the idea that cancer is considered a cold illness in the culture, and her yin/yang beliefs, which meal will the patient most likely order for lunch?

Group of answer choices

Chicken noodle soup with crackers, fruit crisp, and hot tea

Turkey sandwich, small tossed salad, and iced tea

Chef’s salad, bread, and water

Fruit smoothie and granola bar

 

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Question 32

1 pts

The focal point of nursing is the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others?

Group of answer choices

Their health disparities

Their societal beliefs

The subgroup they belong to

Their own cultural orientation.

 

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Question 33

1 pts

When the South Asian client arrives 25 minutes late to her appointment at the clinic, the nurse recognizes this as a sign of which of the following?

Group of answer choices

Disrespect

Laziness

Respect

Superiority

 

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Question 34

1 pts

What is the term that describes the inability of a person to recognize his or her own values, beliefs, and practices as well as those of others, because of strong ethnocentric tendencies?

Group of answer choices

Acculturation

Cultural blindness

Cultural imposition

Stereotyping

 

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Question 35

1 pts

The nurse caring for a Native American client plans care understanding that one belief of Native American healing practices is which of the following?

Group of answer choices

Modern life facilitates healing agents.

Healing takes time.

Balancing yin and yang is important.

Energy flows through meridians throughout the body.

SCIENCE
HEALTH SCIENCE
NURSING

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