TCN Wk 4 Ch 4 Exam Questions & Answers 2024/2025
Which intervention will best assist the nurse in understanding the culturally diverse client's perception and description of his or her current illness?
Encouraging the client to describe his or her illness in terms of his or her cultural metap...
Which intervention will best assist the nurse in understanding the culturally diverse client's perception
and description of his or her current illness?
Encouraging the client to describe his or her illness in terms of his or her cultural metaphors
Assessing the client's ability to both understand and communicate effectively in English
Determining whether the client subscribes to his or her culture's generally held worldview
Explaining the meaning of the medical terms that will be used during the assessment process -
ANSWERSEncouraging the client to describe his or her illness in terms of his or her cultural metaphors
*Rationale: People often use metaphors as a way of thinking about and explaining life's events. In this
case, the culturally diverse client may perceive and describe his or her illness in ways that are unfamiliar
to the nurse. Explaining the meaning of medical terms and assessing the client's ability to communicate
in English will have little effect on how he or she perceives and chooses to describe his or her illness
while confirming the client's acceptance or rejection of a cultural worldview will have only limited impact
on how the nurse will achieve an accurate understanding of the client. P. 103, Cultural Belief Systems
What knowledge will best assist a nurse in providing nonprejudicial care that is sensitive to the beliefs
and practices of a culturally diverse client population?
While emotionally important to some clients, cultural beliefs and practices are not major factors
regarding their physical health.
Clients will define and discuss their needs regarding cultural practices when the nurse encourages them
to do so.
Culturally congruent nursing care requires the nurse to continuously learn about cultural norms and
customs.
Nurses will not consciously question the bias of their own thinking and so must make a concerted effort
to do so regularly. - ANSWERSNurses will not consciously question the bias of their own thinking and so
must make a concerted effort to do so regularly.
*Rationale: Members of a culture share a worldview without necessarily recognizing it. Thinking itself is
patterned on or derived from this worldview because the culture imparts a particular set of symbols to
be used in thinking. Because these symbols are taken for granted, people do not normally question the
cultural bias of their very thoughts. Nurses need to reflect regularly in order to not project biased
thinking into their client care. Cultural beliefs and practices can have great impact on the emotional and
, physical well-being of an individual. The remaining options, while true, do not address the issue of
personal bias and its effect on client care. P. 103, Cultural Belief Systems
Which statement demonstrates the nurse's understanding of the importance cultural symbolism has on
nursing care?
"Would you like me to close your room's door when you are praying?"
"Do you use a folk remedy for your skin problem?"
"Will you explain to me what you mean when you say your heart hurts?"
"Will your son be here when we discuss your medications?" - ANSWERS"Will you explain to me what you
mean when you say your heart hurts?"
*Rationale: Nurses often take for granted that all their clients define and relate to these health concepts
in the same way they do. Such an assumption accounts for many of the problems nurses face when they
try to communicate with others who are not members of the health profession culture. The remaining
options are not directed at clarification of a client's perception but rather providing care. P. 103, Cultural
Belief Systems
When providing care that is respectful of a client's health belief system, the nurse bases interventions on
the understanding of which of the following?
Each health belief worldview incorporates the importance of a health care provider.
The major health belief systems do not share mutually accepted principles.
The most widely accepted health belief system explains illness in terms of bacteria and viruses.
There are three major health belief worldviews that help explain illness. - ANSWERSThere are three
major health belief worldviews that help explain illness.
*Rationale: People embrace three major health belief systems or worldviews: magico-religious, scientific,
and holistic, each with its own corresponding system of health beliefs. In two of these worldviews,
disease is thought of as an entity separate from self, caused by an agent that is external to the body but
capable of "getting in" and causing damage. While the various belief systems may incorporate the role of
health care provider, this knowledge has little impact on providing all clients with care that is respectful
of their beliefs. The Western worldview of health beliefs is not the most widely accepted view
worldwide. P. 103, Health Belief Systems
Which statement best exhibits a belief in a magico-religious health belief system?
"My child is so sick because God is punishing me."
"My family will be visiting after Sunday church service."
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