is the primary means of transmitting culture.
The group has the most ability to control the values and sanctions of the society. It usually is (but doesn't have to be) the group in the society.
Mutual also occurs, with both groups taking on some characteristics of the other.
Cultural blindness is true of the health care system, especially in regard to of care.
Health care researchers have discovered that many of the expressions and behaviors exhibited by people in pain .
Pain is what the says it is, and every of pain should be assessed carefully.
Guidelines often discourage using or as translators.
When assessing the possible causes of a patient's decreased appetite, try to determine whether the problem may be related to .
refer to health differences between groups of people.
An effective way to identify specific factors that influence a patient's behavior is to perform a .
Nurses caring for patients in health care facilities need to provide culturally competent care to an increasingly diverse population. Which statement accurately describe a characteristic of cultural diversity that exists in the United State?
The US has become less inclusive of same-sex couples
cultural diversity is limited to people of varying cultures and races
cultural diversity is separate and distinct from health and illness
individuals may be members of multiple cultural groups at one time
culture guides what is acceptable behavior for people in a specific group
cultural practices may evolve over time but mainly remain constant
In order to provide culturally competent care, nurses must be alert to factors inhibiting sensitivity to diversity in the health care system, including cultural imposition. Which examples exemplify cultural imposition?
A hospital nurse tells a nurse's aid that patient's shouldn't be given a choice whether or not to shower or bathe daily
A nurse treats all patients the same whether or not they come from a different culture
A nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special tray of their favorite foods
A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence
A nurse directs interview questions to an elderly patient's daughter even though the patient is capable of answering them
A nurse refuses to care for a married gay man who is HIV positive because she is against same-sex marriage
A nurse caring for culturally diverse patients in a physician's office is aware that patients of certain cultures are more prone to specific disease states than the general population. Which patients would the nurse screen for diabetes mellitus based on the patient's race?
a native american patient
an african american patient
a pacific island patient
an asian patient
a white patient
a hispanic patient
A nurse is providing nutritional counseling in culturally diverse patients with dietary restrictions. Which statement accurately describes a dietary concern based on a specific culture?
Many Native Americans follow a diet that is alcohol and pork free
Many White Americans have a diet that is high in starch
Asians often eat a diet that is high in salt
Muslims may have specified diets based on the hot/cold theory of treating illness
The nurse practitioner sees patients in a community clinic that is located in a predominately White neighborhood. After performing assessments on the majority of the patients visiting the clinic, the nurse notes that many of the minority groups living within the neighborhood have lost the cultural characteristics that made them different. What is the term for this process?
Cultural assimilation
Cultural imposition
Culture shock
Ethnocentrism
The nurse states, That woman is 78 years old, too old to learn how to change a dressing. What is the nurse demonstrating?
Clustering
Cultural competency
Stereotyping
A nurse is interviewing a newly admitted patient. Which question would be considered culturally sensitive?
Do you think you will be able to eat the food we have here?
Do you understand that we can't prepare special meals?
What types of food do you eat for meals?
Why can't you just eat our food while you are here?
A nurse is telling a new mother from African that she shouldn't carry her baby in a sling created from a large rectangular cloth. The African woman tells the nurse that everyone in Mozambique carries babies this way. The nurse believes that bassinets are safer for infants. What term best describes what the nurse is doing?
clustering
cultural competency
stereotyping
A nurse is teaching a novice nurse how to provide culturally competent care to patients in a culturally diverse community health clinic. Although all of the following are important to providing culturally competent nursing care, which one is most basic?
Learning the predominant language of the community
Obtaining significant information about the community
Treating each patient at the clinic as an individual
Recognizing the importance of the patient's family
A nurse is caring for an appalachian client following her hysterectomy. Which of the following appalachian values and beliefs should be considered when planning nursing care for the client?
There is a deep love, respect and affection between people and the land
Dependence and self-determination are valued
They may be fatalistic about losses and death
Lifestyle is more revered than compliance with health care issues
Isolation is considered as a way of life
Which of the following statements best convey the relationship between race and ethnicity?
race is based on an individual's cultural history and is independent of ethnicity
race denotes physical characteristics while ethnicity is rooted in a common heritage
race and ethnicity are both culturally determined concepts
race and ethnicity can be considered to be synonymous in the context of health care
A client from Pakistan informs the nurse of his cultural dietary requests. The nurse responds to the special dietary request by stating "You are now living in the US, and you should try to start eating those foods common to an American diet." This inappropriate response is an example of
cultural blindness
cultural diversity
cultural assimilation
cultural imposition
An Arab client has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client?
giving a light hand shake
maintaining eye contact
asking about the client's personal life
asking about the client's medical history
In which of the following populations should the nurse carefully assess the client use of OTC medication?
Asian
Hispanic
African American
White middle class
Which of the following areas are typically included in a cultural assessment?
ethics
employment status
food preferences
marital status
When a home bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the patient is expressing what?
subculture
assimilation
race
ethnic identity
A student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?
Belief system that guides behavior
cluster of individuals
altruistic grouping
complete uniformity of members
Health care facilities that sponsor health-promotion activities only in affluent areas are considered what?
culturally blind
culturally sensitive
culturally aflluent
culturally different
How is culture learned by each new generation?
belonging to a subculture
formal and informal experiences
ethnic heritage
involvement in religious activities
A Malaysian client is admitted to the health care facility with complains of cramping pain in the abdomen and loose stools. When should the nurse be seated when interviewing the client?
in one corner of the room
behind the client
at more than one arm's distance
alongside the client
