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An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient
care unit. A culturally-sensitive nurse would:
A) contact the hospital administrator about the best course of action.
B) automatically get a curandero for her because it is not culturally appropriate for her to
request one.
C) further assess the patient's cultural beliefs and offer the patient assistance in contacting a
curandero or priest if she desires.
D) ask the family what they would like to do because Mexican-Americans traditionally give
control of decisions to their families
C) further assess the patient's cultural beliefs and offer the patient assistance in contacting a
curandero or priest if she desires.
Pages: 22-23 In addition to seeking help from the biomedical/scientific health care provider,
patients may also seek help from folk or religious healers. Some people, such as those of
Mexican-American or American Indian origins, may believe that the cure is incomplete unless
the body, mind, and spirit are also healed (although the division of the person into parts is a
Western concept).
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,The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding
pain?
A) All patients will behave the same way when in pain.
B) Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain.
C) Cultural norms have very little to do with pain tolerance, because pain tolerance is always
biologically determined.
D) A patient's expression of pain is largely dependent on the amount of tissue injury associated
with the pain.
B) Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain.
Page: 25 In addition to expecting variations in pain perception and tolerance, the nurse should
expect variations in the expression of pain. It is well known that individuals turn to their
social environment for validation and comparison. The other statements are incorrect.
The nurse recognizes that working with children with a different cultural perspective may be
especially difficult because:
A) children have spiritual needs that are influenced by their stages of development.
B) children have spiritual needs that are direct reflections of what is occurring in their homes.
C) religious beliefs rarely affect the parents' perceptions of the illness.
D) parents are often the decision makers, and they have no knowledge of their children's
spiritual needs.
A) children have spiritual needs that are influenced by their stages of development.
Page: 20. Illness during childhood may be an especially difficult clinical situation. Children, as
well as adults, have spiritual needs that vary according to the child's developmental level and
the religious climate that exists in the family. The other statements are not correct.
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,When providing culturally competent care, nurses must incorporate cultural assessments into
their health assessments. Which statement is most appropriate to use when initiating an
assessment of cultural beliefs with an elderly American Indian patient?
A) "Are you of the Christian faith?"
B) "Do you want to see a medicine man?"
C) "How often do you seek help from medical providers?"
D) "What cultural or spiritual beliefs are important to you?"
D) "What cultural or spiritual beliefs are important to you?"
Page: 17. The nurse needs to assess the cultural beliefs and practices of the patient. American
Indians may seek assistance from a medicine man or shaman, but the nurse should not
assume this. An open-ended question regarding cultural and spiritual beliefs is best used
initially when performing a cultural assessment.
When planning a cultural assessment, the nurse should include which component?
A) Family history
B) Chief complaint
C) Medical history
D) Health-related beliefs
D) Health-related beliefs
Pages: 19-20. Health-related beliefs and practices are one component of a cultural
assessment. The other items reflect other aspects of the patient's history.
When the nurse is evaluating the reliability of a patient's responses, which of these statements
would be correct? The patient:
A. has a history of drug abuse and therefore is not reliable.
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, B. provided consistent information and therefore is reliable.
C. smiled throughout interview and therefore is assumed reliable.
D. would not answer questions concerning stress and therefore is not reliable.
B. provided consistent information and therefore is reliable.
Page: 50. A reliable person always gives the same answers, even when questions are
rephrased or are repeated later in the interview. The other statements are not correct.
In recording the childhood illnesses of a patient who denies having had any, which note by the
nurse would be most accurate?
A. Patient denies usual childhood illnesses.
B. Patient states he was a "very healthy" child.
C. Patient states sister had measles, but he didn't.
D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Page: 51. Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and
strep throat. Avoid recording "usual childhood illnesses" because an illness common in the
person's childhood may be unusual today (e.g., measles).
The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What
would be an appropriate response?
A. "Maybe she is just teething."
B. "I will check her ear for an ear infection."
C. "Are you sure she is really having pain?"
D. "Please describe what she is doing to indicate she is having pain."
D. "Please describe what she is doing to indicate she is having pain."
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