chapter 6 - Chapter 6: Cultural Aspects of Nursing Care...

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Chapter 6: Cultural Aspects of Nursing Care MULTIPLE CHOICE 1. The home health nurse prepares to teach a Hispanic patient who neither speaks nor reads English how to measure and administer insulin. The most helpful teaching tools would be: 1. a booklet from the American Diabetes Association explaining the effects of too much or too little insulin. 2. a nutrition MyPyramid explanation, discussing amounts of each food group needed each day. 3. an alarm clock, magazine pictures showing sunrise and sunset, several clean in- sulin syringes, and insulin bottles filled with colored water. 4. a large sheet explaining the need for washing hands, times, amounts of insulin to inject, and the nurse’s home phone number. ANS: 3 If the patient has been assessed as not being able to process written or spoken English, it is futile to provide literature. MyPyramid has nothing to do with injecting insulin. Pictures and a clock are universal symbols that are readily understood. Return demonstrations with the actual syringe are good learning exercises. PTS: 1 DIF: Cognitive Level: Application REF: 70 OBJ: 4 TOP: Adaptation for Cultural Diversity KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. The young Asian wife of a businessman recently transferred to the United States is brought to the hospital for an emergency appendectomy. The nurses make every effort to plan cor- rect care. The integration of cultural concepts into the nursing care plan is known as which of the following? 1. Assimilation of culture 2. Cultural diversity 3. Enculturation of patients 4. Transcultural nursing ANS: 4 The health team must be sensitive to an Asian’s preference for alternative health care meas- ures such as herbalists and medication, and also that pain is endured quietly, without com- plaint. PTS: 1 DIF: Cognitive Level: Application REF: 57 OBJ: 1 TOP: Transcultural Nursing KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity 3. The nurse is clearing the bedside area to give a bed bath to a Muslim woman the day after a cesarean section. The culturally sensitive nurse would: 1. pick up and move the copy of the Koran so that it will not be soiled with bath wa- ter. 2. ask the patient to remove the taviz to prevent it from being touched by a non-
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Muslim. 3. offer a quiet time after the bath for prayer. 4. be especially protective of her modesty. ANS: 4 Muslim women are extremely modest and prefer clothes that cover the entire body. The Koran is not to be handled by any “unclean” person and the taviz is worn at all times. Muslim women are excused from prayer for 40 days after childbirth. PTS: 1 DIF: Cognitive Level: Analysis REF: 64, Table 6-1 OBJ: 5 TOP: Assessing Cultural Influences Pertinent to Nursing Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 4. A nurse who is caring for a maturing Jewish girl preparing for her passage into adulthood, bat mitzvah, would arrange the care to allow time for:
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This note was uploaded on 10/14/2010 for the course HNSC HNSC 6.1 taught by Professor Katz during the Spring '10 term at CUNY Brooklyn.

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chapter 6 - Chapter 6: Cultural Aspects of Nursing Care...

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