Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 4 Cultural Diversity
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Gerontological Nursing, 4e (Tabloski) Chapter 4 Cultural Diversity
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Gerontological Nursing, 4e (Tabloski)Chapter 4 Cultural Diversity
1) Therchargernurserhasrprovidedrarstaffrinserviceronrtherculturalrtriadrandrnursingrcare.rWhichrstate
ment,rmaderbyrarstaffrnurse,rbestrindicatesranrunderstandingrofrarhealthcarerteam'srdifficultyrwithrcult
uralrliteracy?
1. "Ourrhealthcarerteamrhasrlimitedrknowledgerofreachrothers'rbackgrounds."
2. "Eachrofrourrperspectivesrofrourrownrheritagerinterferesrwithrculturalrliteracy."
3. "Arfeelingrofrbeingrdisconnectedrfromrourrownrculturerhasrresultedrinrculturalrilliteracy."
4. "Therlackrofrhealthcarerpoliciesrhavercontributedrtorthercurrentrstaterofrculturalrilliteracy."rAn
swer:r 1
Explanation:r 1.rLimitedrunderstandingrofrethnic,rcultural,rreligiousrheritagesrandrlifertrajectoriesrofr
eachrotherrresultsrinrdifficultyrwithrculturalrliteracy.
2. Therperspectiverofrarperson'srheritagerreflectsrtherconsistencyrwithrtheirrownrheritage.
3. Feelingrdisconnectedrfromrone'srownrculturerandrnotrbeingrablertoracculturatertorarprevailingrcult
urerisrarpersonalrexperiencerknownrasrculturalrmarginality.
4. Thererisrnotrspecificallyrarlackrofrhealthcarerpoliciesrthatrhavercontributedrtorculturalrilliteracy.r
However,rnursesrshouldrrecognizerthereffectrofrhealthcarerpolicies,rdeliveryrsystems,randrresource
sronrtherolderradultrpopulationsrandrcontinuertoradvocaterforrtheirrinclusion.
PagerRef:r77-79
CognitiverLevel:r Analyzing
ClientrNeed:rPsychosocialrIntegrityrClien
trNeedrSub:r PsychosocialrIntegrity
Nurs/IntegrConc.:r NursingrProcess:rPlanning
LearningrOutcome:r2.rApplyrtherCulturalrCarertriadrtorthercomplexrinterrelationshipsrofrthernurse,
rcaregiver,randrpatientrwithinrcommunityrandrinstitutionalr(homerorrresidential)rsettings.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,2) TherhusbandrofrarfemalerpatientrofrtherIslamicrculturerasksrthatronlyrarfemalerdoctorrexaminerhisr
wife.rHowrshouldrthernurserrespondrtortherhusband?
1. Arfemalerdoctorrwillrberprovided.
2. Therrequestrisrunreasonablerandrcannotrberhonored.
3. Bothrmalerandrfemalerdoctorsrrespectrtherpatient'srprivacy.
4. Therpatient'srbodyrwillrbercoveredrduringranyrexaminations.rA
nswer:r 1
Explanation:r1.rArcommonrculturalrconflictrisrmisunderstandingrarculturalrpracticerofrmodestyrandrt
herneedrforrgender-
specificrcare.rThernursershouldrrecognizerthisrasrarlegitimaterrequestrandrmakereveryrattemptrtorhonor
rtherrequest.
2. Statingrthatrtherrequestrisrunreasonablershowsrinsensitivityrtortherpatient'srculturalrneed.
3. Althoughrbothrmalerandrfemalerstaffrhaverprofessionalrandrethicalrresponsibilitiesrtorrespectrarpati
ent'srprivacy,rthernursermustrstillrmakereffortsrtormeetrtherrequestrofrtherpatient.
4. Therresponserofrcoveringrtherpatientrshowsrinsensitivityrtortherpatient'srculturalrneed.rPa
gerRef:r89
CognitiverLevel:r Applying
ClientrNeed:r PsychosocialrIntegrity
ClientrNeedrSub:r CulturalrAwareness/CulturalrInfluencesronrHealthrN
urs/IntegrConc.:rrNursingrProcess:rImplementation
LearningrOutcome:r 3.rIdentifyrpotentialrareasrofrconflictrderivedrfromrtherdemographic,reth
nocultural,randrlifertrajectoryrvariablesrofrtherpeoplerwithinrthertriad.
3) ThernurserlearnsrthatrarclientrofrtherJewishrfaithrdoesrnotreatrcertainrtypesrofrfoodsrandrfastsronrre
ligiousrholidays.rWhichrinterventionrwouldrhelprsupportrtherclient'srculturalrpractice?
1. Researchrtherclient'srpractices.
2. Obtainrarconsultrwithrtherdietician.
3. Documentrtherclient'srpreferencesronrtherassessmentrform.
4. Communicatertherclient'srpracticesrtortherhealthcarerteam.rA
nswer:r 2
Explanation:r 1.rResearchingrtherclient'srpracticesrwillrhelprthernurserbecomerculturallyrco
mpetent,rbutrthisrdoesrnotrsupportrtherclientrinrpracticingrhisrorrherrbeliefs.
2. Obtainingrarconsultrwithrardieticianrwillrassistrtherclientrinradheringrtorreligiousrpracticesrthatrcent
erraroundrdietaryrintake.
3. Documentingrtherclient'srpreferencesronrarformrisrimportantrforrcommunicationrbutrdoesrnotradd
ressrtheractualrdietaryrrequirementsrassociatedrwithrtherclientsrpracticedrbeliefs.
4. Communicatingrtherclient'srpreferencesrtortherhealthcarerteamrisrimportantrforrcommunicationrbut
rdoesrnotraddressrtheractualrdietaryrrequirementsrassociatedrwithrtherclient'srpracticedrbeliefs.rPagerR
ef:r76-80
CognitiverLevel:r Applying
ClientrNeed:rPsychosocialrIntegrityrClien
trNeedrSub:r PsychosocialrIntegrity
Nurs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 3.rIdentifyrpotentialrareasrofrconflictrderivedrfromrtherdemographic,reth
nocultural,randrlifertrajectoryrvariablesrofrtherpeoplerwithinrthertriad.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 4) AnrinfantrofrAfricanroriginrisrbeingrcaredrforrbyrparentsrwhorimmigratedrtortherUnitedrStatesr6rm
onthsrprior.rThermotherrisrusingranrherbalrpastertortreatrtherbaby'srdiaperrrash.rWhatrshouldrthernurs
erdortorensurerculturalrcompetence?
1. Instructrthermotherrtorstoprusingrtherpaste.
2. Askrthermotherrtorexplainrtheringredientsrinrtherpaste.
3. Providerthermotherrwithranotherrcreamrtoruserforrtherdiaperrrash.
4. Explainrtorthermotherrthatrherbalringredientsrarerharmfulrtortherbaby.rAn
swer:r 2
Explanation:r1.rInstructingrthermotherrtorstoprusingrtherpasterdemonstratesrculturalrinsensitivityrbyrt
hernurserandrshouldrnotrberdone.
2. Torrecognizerculturalrpractices,rthernursermustracknowledgerthatruserofrfolkrandrhomerremedi
esrarerpartrofrcaregivingrpractices.rAskingrthermotherrwhatringredientsrarerinrtherpasterallowsrther
nursertorbestrevaluaterwhatrthermotherrisrusing,randrthenrardeterminationrofrtherbenefitrorrdetrime
ntrtortherinfantrcanrbermaderinrarnonjudgmentalrmanner.
3. Providingrthermotherrwithranotherrcreamrtoruserforrtherdiaperrrashrdemonstratesrculturalrins
ensitivityrbyrthernurserandrshouldrnotrberdone.
4. Explainingrtorthermotherrthatrherbalringredientsrarerharmfulrtortherbabyrdemonstratesrculturalrins
ensitivityrbyrthernurserandrshouldrnotrberdone.
PagerRef:r88
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PharmacologicalrandrParenteralrTherapiesrN
urs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 4.rDescriberthervaluerandrprocessrofrheritagerandrlifertrajectoryrassessmentsrofrn
urses,rcaregivers,randrpatients.
3
Copyrightr©r2019rPearsonrEducation,rInc.
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