Chapter 06: Cultural Aspects of Nursing Care
Linton: Introduction to Medical–Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. A home health nurse prepares to teach a Latino patient who neither speaks nor reads English
how to measure and administer insulin. Which teaching tool should be the most helpful?
a.
Booklet from the American Diabetes Association explaining the effects of too
much or too little insulin
b.
Nutrition pamphlet explanation discussing amounts of each food group needed
each day
c.
Alarm clock, magazine pictures showing sunrise and sunset, several clean insulin
syringes, and insulin bottles filled with colored water
d.
Large sheet explaining the need for washing hands, times, amounts of insulin to
inject, and the nurse’s home phone number
2. A young Asian wife of a businessman recently transferred to the United States is brought to
the hospital for an emergency appendectomy. The nurses make every effort to plan correct
care. Which term best describes the integration of cultural concepts into the nursing care plan?
a.
Assimilation of culture
b.
Cultural diversity
c.
Enculturation of the patient
d.
Transcultural nursing
3. A nurse is clearing the bedside area to give a bed bath to a Muslim woman the day after a
cesarean section. What action should the culturally sensitive nurse implement?
a.
Pick up and move the copy of the Koran so it will not be soiled with bath water.
b.
Ask the patient to remove the taviz to prevent it from being touched by a
non-Muslim.
c.
Offer a quiet time after the bath for prayer.
d.
Be especially protective of her modesty.
4. A nurse is caring for a young woman who is a member of the Church of Jesus Christ of Latter
Day Saints (Mormon).What should be offered as an appropriate snack by the nurse?
a.
Juice and cookies
b.
Tea and a piece of fruit
c.
Coffee and a cinnamon roll
d.
Cola drink and chips
5. Two licensed practical/vocational nurses (LPN/LVNs) are colleagues on the same
medical-surgical floor. They went to the same LPN/LVN school. When on break time, they
discuss the holistic entries of the nursing care plans they are helping create. What does this
behavior exemplify?
a.
Subculture
b.
Democracy
c.
Diversity
d.
Ethnicity
6. At the request of the family, an instructor makes an assignment change for a black male
student who had been assigned to take care of a postpartum Muslim woman. What is the most
likely reason that the request was made by the family?
a.
Muslim culture does not allow black practitioners to care for women.
b.
Muslim culture prefers that women health care providers care for Muslim women.
c.
The husband will be present, and he will object.
d.
After childbirth, all care must be performed by women.
7. A severely injured man is brought into the emergency department after an automobile
accident and is given two units of O-negative blood while waiting for a cross-match to be
completed for the other 4 units of blood that the physician has ordered. The nurse discovers a
card identifying the man as a Jehovah’s Witness. What is the most appropriate nursing action?
a.
Inform the laboratory to hold the process on typing and crossmatching the 4 units
of blood.
b.
Call the hospital administration to obtain a court order to intervene.
c.
Inform the physician that the patient is a Jehovah’s Witness.
d.
Remove all tourniquets and cardiac monitoring devices.
8. A nurse is leading a discussion with a group of residents of a Jewish long-term care facility.
When discussing dietary laws and other religious practices, what should the nurse anticipate
as the most prominent need of these patients?
a.
Fasting every Friday night from sunset until sunset on the following Saturday and
not taking them to the dining room
b.
Having a quiet time for prayer provided before and after all meals
c.
Serving meat and milk products at the same time but on separate plates
d.
Allowing Jewish men to shave before their Sabbath
9. A Filipino man is admitting his elderly mother to a long-term care facility for custodial care.
During the intake interview, the man is alternately tearful and defensive. To what Filipino
belief does the culturally competent nurse assess this labile behavior as being related?
a.
Medical facilities are a place of death.
b.
Families should care for the older family members at home.
c.
His language barrier is causing him to be misunderstood.
d.
Such facilities will limit visitations from the family.
10. A Japanese patient, hospitalized for arteriosclerotic heart disease and hypertension, is allowed
to have a regular diet with cultural provisions of Asian food. A diuretic, antibiotic,
bronchodilator, and vasodilator have been prescribed. Which medication would be hampered
by an Asian diet?
a.
Bronchodilator
b.
Vasodilator
c.
Diuretic
d.
Antibiotic
11. A patient of Chinese descent is in the community clinic for treatment of arthritis. The patient
tells the nurse that the disease is a “hot disease.” The nurse assesses that the patient is
referring to the hot-cold theory. What cause is attributed to hot diseases?
a.
Body’s reaction to hot weather
b.
Excessive blood and yellow bile
c.
Invasion of hot or evil thoughts, causing the body to react
d.
Overeating cold foods
12. A nurse has scheduled a specific time for a group of Latino patients with diabetes to come for
diabetic teaching, but the group does not come until almost an hour later. What should the
culturally competent nurse suspect has occurred?
a.
The language barrier caused a miscommunication.
b.
Denial about the disease has delayed arrival.
c.
Their culture places little significance on the concept of time.
d.
Timely arrival is rude because it may inconvenience the hostess.
13. Transcultural nursing care is expected for every patient. To provide this type of care, the nurse
needs to understand the practices of the predominant cultures of those groups in the health
care geographic area. What should this require the nurse to be aware of?
a.
Culture influences beliefs about health, illness, and health practices.
b.
All members of an ethnic group have the same beliefs about health practices.
c.
A patient’s culture rather than individual assessments can be the basis of care.
d.
Members of subcultures must be encouraged by nurses to adopt the dominant
culture.
14. After a Jewish woman has given birth and returns to her room, the husband arrives with a
camera. What is the best response for the culturally sensitive nurse?
a.
“Here is a chair near the door so you can be comfortable while you visit.”
b.
“I’ll give you all some privacy because I know you want to give your wife a big
hug.”
c.
“Let me get some instructions for you to follow in her home care after she is
discharged this afternoon.”
d.
“Sit on the bed and put your arm around your wife, and I will take your
photograph.”
15. What should be included in a patient’s care plan in consideration of cultural similarities?
a.
Family, educational background, and economic level should all be considered.
b.
Subtle communication involving languages should be considered.
c.
Families have strong patriarchal leaders.
d.
Culture is learned, shared, and expressed similarly among members.
16. As breakfast trays are served, a Catholic patient asks the nurse to take it away, because a
priest is coming to administer Communion. What is the best response by the nurse?
a.
“You really need this nutrition. I have to leave it for you. Regardless, you must
eat.”
b.
“I will leave the tray in the kitchen. You may call me to bring it back when it is
time.”
c.
“You must eat your breakfast before it gets cold. If the priest comes, tell him to
wait for you.”
d.
“Communion is only another piece of bread, so it will go just fine with your eggs.”
17. A nurse is planning the delivery of transcultural nursing care. Which is the best approach for
the nurse to select?
a.
Facility’s chaplain if anything special should be included in the care plan
b.
Patient if any special foods, symbols, or practices should be respected and whether
they should be included in the health care plan
c.
Family if anything special exists in the patient’s culture or religion that should be
included in care planning
d.
Other staff if they have ever had this type of patient before and how they modified
the care plan
18. A nurse learns at report that a patient is a member of a Seventh-Day Adventist group. At
mealtime, which trays should be served to this patient?
a.
Corn flakes with whole milk, cranberry and orange juices, buttered muffin, and
coffee
b.
Mixed salad with chunks of chicken, potato salad, orange juice, and a small apple
c.
Scrambled eggs and crisp bacon, melon slice, wheat toast, and hot tea
d.
Broiled flounder, scalloped potatoes, yellow squash, green bean salad, rice
pudding, and coffee
19. A practicing Hindu patient is dying but has orders for a full diet. However, the patient will
accept only soups. Which is the most appropriate food for the nurse to order for this patient?
a.
Beef broth with bits of tomatoes and potatoes
b.
Puréed tomatoes, carrots, celery, and potatoes in a vegetable stock
c.
Chicken stock with rice noodles and celery
d.
Finely chopped roast beef and mashed rice with vegetable broth gravy
20. A nursing assistant reports to the nurse, “The Hindu patient in room 4 is not responding but is
breathing, and his skin is warm and dry.” What should the culturally sensitive nurse recognize
as the probable cause of this behavior?
a.
Karma
b.
Yoga trance
c.
Moksha
d.
Caste atonement
21. An Orthodox Jewish patient has died at 0300 on a Wednesday, and no family member was
present. What intervention should the culturally competent nurse implement before the family
arrives?
a.
Avoid touching the body until an Orthodox Jew arrives.
b.
Call the hospital chaplain to come and stay with the body.
c.
Place the patient’s copy of the Koran at the bedside.
d.
Wash the body and straighten up the room.
22. What is the term for cultures and subcultures existing within the same society, as they do in
the large cities of the United States?
a.
Cultural diversity
b.
Cultural ethnicity
c.
Mixed society
d.
Cultural immigration
23. A nurse is aware that slow drug metabolism can cause oversedation with some tranquilizers
and sedatives. What culture is this characteristic most likely to represent?
a.
Chinese
b.
Indian
c.
Native Americans
d.
Latinos
MULTIPLE RESPONSE
24. In what alternate health care practice do Latino individuals believe? (Select all that apply.)
a.
Use of a folk healer
b.
Folk remedies
c.
Self-mutilation
d.
Sweating in a smoke tent
e.
Use of peyote
COMPLETION
25. The process in which children mature and take on the values of their families and their society
is called _____.
26. The Asian theory of hot and cold as a source of illness is based on the imbalance of the four
_____.
27. A nurse explains that a Hindu refers to the record of his or her life and its accomplishments as
_____.