Which scenario conveys the application of cultural competence in the provision of
nursing care? - ANSWER A new nurse has a client who speaks Spanish; the nurse
has asked a Hispanic colleague to tell the new nurse about the culture, ideas for
care, and how cultural beliefs might influence the client's response to health care
interventions.
Which stage of Erikson's psychosocial development includes building confidence
in one's abilities? - ANSWER Industry versus inferiority
Children of parents who abuse alcohol and substances can develop self-esteem and
self-efficacy by developing which characteristics? - ANSWER Resilience
As a culture, what do African Americans believe is the cause of mental illness? -
ANSWER Lack of spiritual balance
In which culture is autonomy utilized in making health care decisions? - ANSWER
Western
A female nurse enters the room of a male Cambodian client who is about to
undergo a procedure. When the nurse tries to apply cardiac monitoring leads to the
client's chest, the client recoils and makes a disapproving facial expression. Which
explains the client's reaction to the nurse's actions? - ANSWER Politeness is highly
valued in the Cambodian culture
Evaluating the cultural practices of others according to the nurse's own culture can
be counteracted by the nurse's use of which practice? - ANSWER Self-analysis
A psychiatric-mental health nurse is working on developing cultural competence.
Which would be most appropriate for the nurse to do? - ANSWER Demonstrate an
appreciation of, and a genuine interest in, the individual and his or her cultural
beliefs.
What is one way in which nurses can develop cultural self-awareness? - ANSWER
Objectively examine personal beliefs, values, and practices.
, A culturally competent nurse can identify that some cultural and ethnic groups feel
that mental illness is caused by what? - ANSWER Disruption of harmony
The nurse working in the psychiatric unit observes that the African American
clients experience more side effects from psychotropic drugs compared to the
White clients. This is most likely for which reason? - ANSWER African Americans
metabolize psychotropic drugs more slowly.
The nurse in a psychiatric inpatient facility encourages clients to attend daily prayer
sessions. What is the most likely reason for the nurse's action? Choose the best
answer. - ANSWER Prayer helps in coping with stress.
The nurse is assessing a client who recently immigrated to the United States. The
client is experiencing a high level of stress and reports that nobody in the
workplace is willing to work with or talk to the client. What is the most likely cause
of stress in the client? - ANSWER Low sense of belonging
On meeting a client for the first time, the nurse pats the client on the shoulder. The
client expresses discomfort with the nurse's behavior. To which culture does the
client most likely belong? - ANSWER Chinese
A nurse receives feedback from a colleague that the nurse tends to maintain direct
eye contact while speaking to clients. Which client may interpret this nonverbal
communication as disrespectful? - ANSWER South Asians
Which characteristic would be most prevalent in an individual demonstrating low
self-efficacy? - ANSWER Self-doubt
A Haitian American client has a history of not keeping follow-up appointments for
necessary lab work. What intervention should the nurse implement to help the
client keep the appointments? - ANSWER Provide an explanation about the
importance of keeping the appointment
Which culture has a belief that mental illness is a planned attempt to manipulate
others? - ANSWER Arab American
Which statement made by the client demonstrates hardiness when faced with a
health issue? - ANSWER "What do I need to do to manage this illness?"
The nurse who is preparing a Native American client for surgery notes that the
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