TRANSCULTURAL NURSING
MIDTERM EXAM WITH CORRECT
ANSWERS AND RATIONALE
A 52-year old Jewish lady had a right total knee arthroplasty this morning
a Catholic hospital. Crying hysterically, she rates her pain a 9 out of 10
every hour on the hour despite receiving Hydrocodone Q4. The nurse
becomes suspicious of potential drug seeking behavior, how does the
nurse handle the situation?
a. Withhold Hydrocodone at next dose so the patient won't become
addicted
b. Be aware when a person of the Jewish culture is ill they regress to
childish behaviors
c. Explain to the patient that she is an adult, therefore she needs to act
like one
d. Acknowledge that the Jewish culture is emotional when expressing pain
d. Acknowledge that the Jewish culture is emotional when
expressing pain
At an assisted living community of Jewish clients, the public health nurse
teaches about diseases and disorders they're at higher risk of developing;
SELECT ALL THAT APPLY.
a. Hypercholesterolemia
b. Grave's disease
c. Coronary disease
d. Colorectal cancer
e. Hemophilia
,A. Hypercholesterolemia
c. Coronary disease
d. Colorectal cancer
A nurse is assessing a 30-year old Chinese American client, what should
the nurse be particularly aware of? (Select all that apply)
A. Nonverbal behaviors of the client.
B. How the family is interacting with the client.
C. Encouraging the client to verbalize their psychological problems.
D. The length of their hair.
A. Nonverbal behaviors of the client
C. Encouraging the client to verbalize their psychological
problems
Rationale: Monitor the nonverbal behaviors of the client and encourage
the client to verbalize their psychological problems as they may be less
likely to verbalize these on their own.
According to the article on Communication and the older Chinese
Americans that we discussed earlier, which of the following is a true
implication for nursing care of a nurse caring for an older Chinese
American client?
A. The nurse should speak loudly and animatedly toward the client.
B. The nurse should address both spoken and written healthcare
communication needs of the client.
C. The nurse should address the client only when the client has first
spoken to the nurse.
D. The nurse should avoid all eye-contact with the client.
, B. The nurse should address both spoken and written healthcare
communication needs of the client.
Rationale: AEB the article previously discussed, we learned that when
communicating with elderly Chinese Americans, it is important for the
nurse to provide written and spoken means of communication to the
patient to most positively effect their health status and level of care
What is an important question that the nurse can ask a Chinese American
client during their admission to the hospital?
a. "Where is your family?"
b. "What are you wearing?"
c. "Are you comfortable communicating in this setting?"
d. "How did you get here?"
c. "Are you comfortable communicating in this setting?"
Rationale: Chinese Americans may be less likely to communicate feelings
of discomfort so it is important to address the client's personal space and
recognize the need to adjust this space according to the client's voiced
feelings and observed nonverbal behaviors.
A Chinese American client is experiencing a fever. The nurse recognizes
that the client is likely to self-treat the disorder, using which method?
A. Prayer
B. Magnetic therapy
C. Foods considered to be yin
D. Foods considered to be yang
C. Foods considered to be yin
MIDTERM EXAM WITH CORRECT
ANSWERS AND RATIONALE
A 52-year old Jewish lady had a right total knee arthroplasty this morning
a Catholic hospital. Crying hysterically, she rates her pain a 9 out of 10
every hour on the hour despite receiving Hydrocodone Q4. The nurse
becomes suspicious of potential drug seeking behavior, how does the
nurse handle the situation?
a. Withhold Hydrocodone at next dose so the patient won't become
addicted
b. Be aware when a person of the Jewish culture is ill they regress to
childish behaviors
c. Explain to the patient that she is an adult, therefore she needs to act
like one
d. Acknowledge that the Jewish culture is emotional when expressing pain
d. Acknowledge that the Jewish culture is emotional when
expressing pain
At an assisted living community of Jewish clients, the public health nurse
teaches about diseases and disorders they're at higher risk of developing;
SELECT ALL THAT APPLY.
a. Hypercholesterolemia
b. Grave's disease
c. Coronary disease
d. Colorectal cancer
e. Hemophilia
,A. Hypercholesterolemia
c. Coronary disease
d. Colorectal cancer
A nurse is assessing a 30-year old Chinese American client, what should
the nurse be particularly aware of? (Select all that apply)
A. Nonverbal behaviors of the client.
B. How the family is interacting with the client.
C. Encouraging the client to verbalize their psychological problems.
D. The length of their hair.
A. Nonverbal behaviors of the client
C. Encouraging the client to verbalize their psychological
problems
Rationale: Monitor the nonverbal behaviors of the client and encourage
the client to verbalize their psychological problems as they may be less
likely to verbalize these on their own.
According to the article on Communication and the older Chinese
Americans that we discussed earlier, which of the following is a true
implication for nursing care of a nurse caring for an older Chinese
American client?
A. The nurse should speak loudly and animatedly toward the client.
B. The nurse should address both spoken and written healthcare
communication needs of the client.
C. The nurse should address the client only when the client has first
spoken to the nurse.
D. The nurse should avoid all eye-contact with the client.
, B. The nurse should address both spoken and written healthcare
communication needs of the client.
Rationale: AEB the article previously discussed, we learned that when
communicating with elderly Chinese Americans, it is important for the
nurse to provide written and spoken means of communication to the
patient to most positively effect their health status and level of care
What is an important question that the nurse can ask a Chinese American
client during their admission to the hospital?
a. "Where is your family?"
b. "What are you wearing?"
c. "Are you comfortable communicating in this setting?"
d. "How did you get here?"
c. "Are you comfortable communicating in this setting?"
Rationale: Chinese Americans may be less likely to communicate feelings
of discomfort so it is important to address the client's personal space and
recognize the need to adjust this space according to the client's voiced
feelings and observed nonverbal behaviors.
A Chinese American client is experiencing a fever. The nurse recognizes
that the client is likely to self-treat the disorder, using which method?
A. Prayer
B. Magnetic therapy
C. Foods considered to be yin
D. Foods considered to be yang
C. Foods considered to be yin
