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Exam 24: Culture and Diversity

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Question 1

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The nurse places a client in a treatment room of the emergency department for treatment of abdominal pain and vaginal bleeding.The spouse,speaking for the client,asks that only a female provider examine his wife for the pelvic exam.The nurse recognizes that the client is from a culture that prohibits men from examining women.Which is the most culturally appropriate statement by the nurse?

A) "Your spouse will be covered with a sheet,so it will not matter whether the examiner is male or female."
B) "The male and female providers both respect privacy."
C) "The request is unreasonable and cannot be honored."
D) "Every attempt will be made to honor your request."

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Question 2

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A nurse working in an assisted living facility is preparing an educational program regarding ageism for the colleagues on the unit.Which statements reflect ageism? Select all that apply.

A) "If the client is competent to make decisions,I should not go to other members of the family for care decisions."
B) "The elderly are just lazy,and that is why they need help with activities of daily living."
C) "All elderly people are sickly."
D) "Addressing an elderly client as 'Honey' or 'Sweetie' is disrespectful."
E) "The elderly are less likely to recover from illness."

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Question 3

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The client is admitted to the hospital following a miscarriage,and she is septic.The healthcare provider orders antibiotics,which the client refuses,stating,"I don't deserve them.I lost my baby because I had sex outside of marriage." Which is the appropriate response by the nurse?

The nurse caring for an adult client from another country notices that the client consults with her mother on all healthcare decisions.What action by the nurse is the most culturally competent?

Which acculturation behavior will the nurse observe in a client who has emigrated from another country to the United States?

The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month.The client,who has different beliefs about food,has not been able to achieve this goal.Which action by the nurse is appropriate?

A female client,from a male-dominated culture,is being discharged after a lengthy hospitalization.Which action by the nurse prior to providing discharge instructions is appropriate?

A nurse is explaining the need to obtain laboratory tests on a client who has an infection and is of a cultural group different from the nurse's.During the interview,the client avoids eye contact and refrains from answering questions for long periods of time.Which does this behavior indicate to the nurse?

The nurse notices that a client,who is from another country,appears uncomfortable when the nurse asks to look at the client's abdominal incision from a recent surgery.Which nursing action is the most culturally competent?

Which treatment program would be most appropriate for homeless clients whose type 1 diabetes requires daily insulin injections?

The clinic nurse is caring for an infant during a routine wellness exam.The parents and infant immigrated to the United States 6 months ago.The mother explains that she believes that an herbal remedy is the best way to treat the infant's colic.Which action by the nurse is appropriate?

A nurse is interviewing a client at a clinic near a shelter for the homeless.Understanding the lack of resources this client has available,which should the nurse assess during the intake phase of the health history? Select all that apply.

The nurse is caring for a client who just had abdominal surgery.The client's nonverbal cues indicate pain,but the client denies the need for the pain medication prescribed by the healthcare provider.The nurse recognizes that this client is from a culture that feels it is inappropriate to complain about pain.Which action by the nurse is appropriate?

A nurse is working at a healthcare clinic serving the needs of an inner-city population that is predominantly made up of minority people groups.A neighbor says the nurse must be brave because most of "those" people have guns and are in gangs.Which response by the nurse is appropriate?

The nurse is reviewing the discharge instructions for administration of home medications with an older adult client.In considering the normal changes experienced with aging when developing a teaching plan for this client,what type of bias should the nurse be careful to avoid?

The nurse is caring for a client from a different culture who had a myocardial infarction and is receiving atorvastatin (Lipitor) .The nurse assesses the client's diet to be very high in fat.Which is the best plan by the nurse to improve the client's diet and reduce the risk that the client may need additional medications?

A nurse is working with a number of clients at a free clinic.Which client population is at the highest risk for low levels of healthcare?

The novice nurse working in an inner-city hospital that serves a diverse client population states,"I want to learn everything possible about all of the clients." Which response by the seasoned nurse is appropriate?

A novice nurse is working in a busy emergency department of a hospital situated in a culturally diverse area of the city.Which should the nurse do when providing culturally competent care?

A general term used for a variety of conditions in which an individual is born with a reproductive or sexual anatomy that does not seem to fit the typical definitions of female or male is