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Exam 4 Ch. 21
21問 • 3年前
  • V Farris
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    問題一覧

  • 1

    1. A nursing faculty member is contrasting culture and ethnicity to students. Which statement is most accurate?

    b. Culture is socially transmitted; ethnicity is identification with a group.

  • 2

    2. A nursing student wants to observe enculturation practices of an ethnic minority community. What action by the student is best?

    d. Observe a grandmother teaching a child.

  • 3

    3. The student nurse learns that which item is the most important symbolic aspect of culture?

    b. Language

  • 4

    4. A charge nurse works on an inpatient unit in a diverse city. To provide culturally congruent care to the patient, which action by the nurse would be most appropriate?

    b. Working to understand the socioeconomic status of the patient so teaching is culturally sensitive and appropriate

  • 5

    5. A nurse has been told he has many obvious stereotypes about a specific cultural group. What action by the nurse is best?

    c. Begin to educate himself on aspects of this cultural group.

  • 6

    6. A nurse is caring for a homeless patient and tells the manager, “I will make sure he doesn’t steal food from our nourishment center.” What action by the manager is best?

    b. Inform the nurse that not all homeless people will steal.

  • 7

    7. The new nurse tells the preceptor that since she is not prejudiced against ethnic minorities, they will not be discriminated against while in the hospital. What statement by the preceptor is most appropriate?

    a. Discrimination can occur at the societal level.

  • 8

    8. What does the nursing student learn about race?

    b. It is a social construct.

  • 9

    9. The nurse is caring for a patient from a culture that is unfamiliar. The patient nodded her head “yes” when asked if she will take her prescriptions as ordered, but the nurse discovers the patient does not take the medication but uses herbs for treatment. What action by the nurse is best?

    d. Ask the patient to explain the meaning of the herbal products.

  • 10

    10. A nurse is caring for a refugee patient who wants the community shaman to perform a healing ritual at the bedside. What action by the nurse is best?

    a. Work with the patient to allow the shaman to perform the ritual.

  • 11

    11. A new graduate nurse tells the manager that she does not believe she needs more in-service training on culturally congruent care because she already recognizes that there are significant differences among cultures to consider when providing care. What response by the manager is best?

    b. “Providing culturally congruent care takes ongoing work and effort.”

  • 12

    12. A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?

    a. Use a professional interpreter.

  • 13

    13. The nurse is working with a patient from an unfamiliar culture. After assessing the patient and the patient’s cultural beliefs related to health care, what action by the nurse is best?

    b. Compare the cultural beliefs with his/her own.

  • 14

    14. A patient from an unfamiliar culture appears disinterested when the physician is telling her about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to talk to the patient and notices the same behavior. What action by the nurse is best?

    c. Investigate nonverbal communication patterns of this group.

  • 15

    15. A female patient in the emergency department needs an emergency operation. The patient refuses to consent and wants the nurse to call her husband for consent. What action by the nurse is best?

    b. Call the husband to get consent for the operation.

  • 16

    16. A patient refuses to take his blood pressure medication because “I feel totally fine and don’t need it.” What action should the nurse take first?

    a. Assess the patient’s time orientation.

  • 17

    17. The nurse is caring for a patient from a different cultural background. What action by the nurse best demonstrates cultural maintenance?

    a. Assist the patient with a healing ritual.

  • 18

    18. The student nurse is caring for a patient of Middle Eastern background. What action by the student nurse would be considered culturally incompetent for this patient?

    d. Provide the patient with a pork sandwich for lunch.

  • 19

    19. A home health care nurse is visiting the home of a patient whose culture is totally unfamiliar to the nurse. What action by the nurse is best?

    b. Watch family interaction patterns closely and try to copy them.

  • 20

    20. The nurse is caring for a patient from a different culture. After assessing the patient and formulating the care plan, what action by the nurse is best?

    a. Review the care plan for acceptance by the patient.

  • 21

    21. A patient has hypertension and is on a very-low-sodium diet. However, the patient is going to celebrate an important religious holiday soon that includes many food items high in sodium. What action by the nurse is best?

    c. Collaborate with the patient and dietitian to include some of these foods.

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    問題一覧

  • 1

    1. A nursing faculty member is contrasting culture and ethnicity to students. Which statement is most accurate?

    b. Culture is socially transmitted; ethnicity is identification with a group.

  • 2

    2. A nursing student wants to observe enculturation practices of an ethnic minority community. What action by the student is best?

    d. Observe a grandmother teaching a child.

  • 3

    3. The student nurse learns that which item is the most important symbolic aspect of culture?

    b. Language

  • 4

    4. A charge nurse works on an inpatient unit in a diverse city. To provide culturally congruent care to the patient, which action by the nurse would be most appropriate?

    b. Working to understand the socioeconomic status of the patient so teaching is culturally sensitive and appropriate

  • 5

    5. A nurse has been told he has many obvious stereotypes about a specific cultural group. What action by the nurse is best?

    c. Begin to educate himself on aspects of this cultural group.

  • 6

    6. A nurse is caring for a homeless patient and tells the manager, “I will make sure he doesn’t steal food from our nourishment center.” What action by the manager is best?

    b. Inform the nurse that not all homeless people will steal.

  • 7

    7. The new nurse tells the preceptor that since she is not prejudiced against ethnic minorities, they will not be discriminated against while in the hospital. What statement by the preceptor is most appropriate?

    a. Discrimination can occur at the societal level.

  • 8

    8. What does the nursing student learn about race?

    b. It is a social construct.

  • 9

    9. The nurse is caring for a patient from a culture that is unfamiliar. The patient nodded her head “yes” when asked if she will take her prescriptions as ordered, but the nurse discovers the patient does not take the medication but uses herbs for treatment. What action by the nurse is best?

    d. Ask the patient to explain the meaning of the herbal products.

  • 10

    10. A nurse is caring for a refugee patient who wants the community shaman to perform a healing ritual at the bedside. What action by the nurse is best?

    a. Work with the patient to allow the shaman to perform the ritual.

  • 11

    11. A new graduate nurse tells the manager that she does not believe she needs more in-service training on culturally congruent care because she already recognizes that there are significant differences among cultures to consider when providing care. What response by the manager is best?

    b. “Providing culturally congruent care takes ongoing work and effort.”

  • 12

    12. A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?

    a. Use a professional interpreter.

  • 13

    13. The nurse is working with a patient from an unfamiliar culture. After assessing the patient and the patient’s cultural beliefs related to health care, what action by the nurse is best?

    b. Compare the cultural beliefs with his/her own.

  • 14

    14. A patient from an unfamiliar culture appears disinterested when the physician is telling her about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to talk to the patient and notices the same behavior. What action by the nurse is best?

    c. Investigate nonverbal communication patterns of this group.

  • 15

    15. A female patient in the emergency department needs an emergency operation. The patient refuses to consent and wants the nurse to call her husband for consent. What action by the nurse is best?

    b. Call the husband to get consent for the operation.

  • 16

    16. A patient refuses to take his blood pressure medication because “I feel totally fine and don’t need it.” What action should the nurse take first?

    a. Assess the patient’s time orientation.

  • 17

    17. The nurse is caring for a patient from a different cultural background. What action by the nurse best demonstrates cultural maintenance?

    a. Assist the patient with a healing ritual.

  • 18

    18. The student nurse is caring for a patient of Middle Eastern background. What action by the student nurse would be considered culturally incompetent for this patient?

    d. Provide the patient with a pork sandwich for lunch.

  • 19

    19. A home health care nurse is visiting the home of a patient whose culture is totally unfamiliar to the nurse. What action by the nurse is best?

    b. Watch family interaction patterns closely and try to copy them.

  • 20

    20. The nurse is caring for a patient from a different culture. After assessing the patient and formulating the care plan, what action by the nurse is best?

    a. Review the care plan for acceptance by the patient.

  • 21

    21. A patient has hypertension and is on a very-low-sodium diet. However, the patient is going to celebrate an important religious holiday soon that includes many food items high in sodium. What action by the nurse is best?

    c. Collaborate with the patient and dietitian to include some of these foods.