A
Clients whose origins are from India tend to have strong family ties, so it is not uncommon for several family members to gather in the client's room, causing crowding. Because the mother typically will provide care for the client, this may be cause for concern for the nurse, because many from India believe in self-medication and herbal medicines, which may interfere with treatment. The nurse, therefore, should collaborate with the client and family to provide safe, effective care. The nurse should also explain to the client and his family members the necessity of early mobility and independence with activities of daily living, as well as help the client meet nutritional needs through meal accommodation, nutritional counseling, and incorporation of preferred foods in the meal plan.
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Terms in this set (15)
What facet of nursing is being considered when nurses focus on human caring-associated differences and similarities among the beliefs, values, and patterned ways of cultures?
Transcultural care
Transcultural nursing is when the nurse focuses on human caring associated differences and similarities among the beliefs, values, and patterned ways of cultures to provide culturally congruent, meaningful, and beneficial health care.
The nurse alerts the health care provider about a female patient's cultural preference for only female health care providers for examination. Which cultural behavior is being demonstrated by the nurse?
Openness
The nurse is demonstrating cultural openness, a lifelong stance that promotes continuing development of transcultural skills.
Which nursing model or theory holds the basic tenet that people are connected to their cultural backgrounds, social constructs, world-views and environmental context?
Leininger's sunrise model
Leininger's sunrise model's basic tenet is that human beings are inseparable from their cultural, educational and economic backgrounds as well as their social structures, world-view, history, and environmental context.
The nurse is working with a Jehovah's Witness patient who is refusing blood transfusion, despite low hemoglobin. The nurse does not agree with her decision but she respects her patient's religion. Which behavior is the nurse demonstrating?
Cultural competence
To provide culturally competent patient centered care, nurses must recognize personal attitudes related to working with patients from different backgrounds and actively seek to overcome prejudices or feelings that may have a negative impact on their nursing practice.
Which statement relates more to Latin culture rather than Asian culture?
Traditional diagnoses and treatments are categorized as "hot" or "cold."
In traditional Latin culture, diagnoses and treatments as considered to be "hot" or "cold."
Which model is applied when the nurse assesses the coping strategies of a patient from a different culture?
4 C's of culture
Asking the patient about coping is an example of applying the 4 C's of culture, which includes assessing for coping and coping strategies
Which model is demonstrated when nurses collect information about the six cultural domains?
Giger and Davidhizar's Transcultural Assessment Model
Collecting information regarding six cultural domains (communication, space, social orientation, time, environmental control, and biologic variation) demonstrates Giger and Davidhizar's Transcultural Assessment Model.
When assessing the patient, the nurse asks, "What is your role in the family unit?" Which cultural domain is the nurse assessing?
Social orientation
The domain of social orientation involves things such as family roles, race, church, and friends.
The nurse is caring for a Native American patient newly diagnosed with lung cancer, who smokes his own tobacco. Which of the Leininger's strategies is most recommended for the nurse?
Cultural care restructuring
Cultural care repatterning or restructuring respects the patients' cultural traditions while helping patients change their lives and adopt new, beneficial health care patterns. This will best help the patient stop smoking.
The nurse completed discharge teaching with an Asian male. The patient's wife arrived and was upset that she was not present for the teaching. Which consideration did the nurse fail to realize?
Family
The nurse failed to realize a family consideration; in traditional Asian cultures, wives take care of a sick husband.
The nurse observes a surgeon explaining a surgical procedure in English to a patient she knows to only understand Spanish and getting her to sign the consent form (written in English). What action should the nurse take based on this observation?
Speak with the surgeon and offer to find a Spanish interpreter.
The nurse should advocate for the patient by speaking with the surgeon and offering to find an interpreter so the patient can give informed consent and ask questions.
Which nursing action shows cultural competence?
Teaching an Asian male's adolescent daughter how to change his dressing
This culturally-competent nursing action is based on the knowledge that Asian men are frequently cared for by their wife and children when ill.
Which cultural issue is the patient most likely to hide from the nurse?
Illiteracy
Many illiterate patients are ashamed they cannot read and may pretend to understand written materials.
The nurse is assessing an African American patient who states that her illness was caused by conflict with her brother. By discussing this belief with the patient, the nurse is assessing which domain?
Health beliefs
Broadly, beliefs and practices related to disease causation, treatment of illness, and folk practices are in the realm of health beliefs.
Which statement by the nurse when giving report on a Middle Eastern patient shows cultural competence?
"He doesn't wear deodorant but he has a fever, so you may notice a slight odor despite his morning bath."
Middle Eastern individuals may recognize natural body odors as normal and avoid wearing deodorant to mask them.
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