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Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?


A) Know the client's cultural personal space preferences.
B) Realize that sitting close to the client is an indication of warmth and caring.
C) Sit three to six feet away from the patient in an attempt to not offend.
D) Remember not to intrude into the personal space of the elderly.

Correct Answer

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When the South Asian client arrives 25 minutes late to her appointment at the clinic, the nurse recognizes this as a sign of which of the following?


A) Disrespect
B) Laziness
C) Respect
D) Superiority

Correct Answer

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A 40-year-old nurse is taking a health history from a Hispanic man aged 20 years. The nurse notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?


A) The client is embarrassed by the questions.
B) This is culturally appropriate behavior.
C) The client dislikes the nurse.
D) The client does not understand what is being asked.

Correct Answer

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An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, "I'm just not hungry." What factors should the staff assess for this problem?


A) The woman does not like to eat with other residents of the home.
B) The woman is using this as a means of going home.
C) The food served may not be culturally appropriate.
D) The food served may violate religious beliefs.

Correct Answer

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A home health nurse is visiting a client 60 years of age. During the initial visit, the client's husband answers all of the questions. What would the nurse assess based on this behavior?


A) The client does not want the nurse to visit.
B) The husband does not trust his wife to answer questions.
C) The cltient is not able to answer the questions.
D) The husband is the dominant member of the family.

Correct Answer

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Despite the presence of a large number of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility recognize this as an example of?


A) Cultural blindness
B) Stereotyping
C) Cultural assimilation
D) Cultural imposition

Correct Answer

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A nurse is caring for a client from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the client's pain?


A) Most people react to pain in the same way.
B) Pain in adults in less intense than pain in children.
C) The client has a low pain tolerance.
D) Pain is what the client says it is.

Correct Answer

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When providing care on an Indian reservation, the nurse has prioritized assessments for diabetes and fetal alcohol syndrome when working with residents of the reservation. How should this nurse's practice be best understood?


A) The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population.
B) The nurse is stereotyping American Indians as leading unhealthy lifestyles and abusing alcohol.
C) The nurse is performing cultural imposition of the majority American culture, and the accompanying beliefs around diabetes and alcohol use.
D) The nurse should seek specific permission from each client before proceeding with these assessments.

Correct Answer

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An Anglo American client reports to the primary health care facility with symptoms of fever, cough, and running nose. While interviewing the client, which of the following points should the nurse keep in mind?


A) Do not probe into emotional issues.
B) Do not ask very personal questions.
C) Sit at the other corner of the room.
D) Maintain eye contact while talking.

Correct Answer

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A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of which of the following as a characteristic?


A) Preconceived and untested belief about people
B) Viewing one's own culture as the only correct standard
C) Common and observable expressions of culture
D) Belief system held to varying degrees as absolute truth

Correct Answer

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A nurse is caring for an elderly woman from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?


A) Maintaining eye contact at all times.
B) Trying to speak louder than usual.
C) Using touch when communicating.
D) Establishing effective communication.

Correct Answer

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What is the term that describes the inability of a person to recognize his or her own values, beliefs, and practices as well as those of others, because of strong ethnocentric tendencies?


A) Acculturation
B) Cultural blindness
C) Cultural imposition
D) Stereotyping

Correct Answer

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The nurse is caring for a Mexican American who is Catholic. The nurse wishes to learn more about the culture by consulting a key informant. Which of the following religious practitioners would be most knowledgeable about the beliefs held by individuals of Mexican ethnicity?


A) A church mother
B) A voodoo priest
C) A curandera
D) A peyote leader

Correct Answer

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A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic clients. What does this statement imply about the nurse?


A) The nurse's knowledge and skills are not adequate to care for clients with acute illnesses.
B) The nurse respects and values providing culturally competent care.
C) The nurse is attempting to overcome cultural blindness.
D) This employment makes the nurse feel superior to a minority group of people.

Correct Answer

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A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?


A) Unemployed father
B) Stay-at-home mother
C) Grandmother
D) Children

Correct Answer

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