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Chapter 20. Cultural Practices Influencing Nursing Care > Apply Your Knowledge
Apply Your Knowledge
While studying for the NCLEX exam the nurse should be aware of cultural differences among ethnic groups. Key points in the chapter include respect for the client and the family and formulation of a therapeutic client-nurse relationship. The nurse must be aware that because the client believes differently from the nurse the client is not necessarily wrong. The NCLEX expects the nurse to be aware of the time and situation when she needs to perform duties for the client and when the nurse should allow the family or client to care for himself. This regard for the individual as it relates to culture is an integral part of the exam.
Exam Questions
| 1. | The client is a practicing Hindu. Which food should be removed from the client’s tray?
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| 2. | A Korean client is admitted to the postpartum unit following the delivery of a 9 lb. infant. Although the client does not refuse to shower, the nurse notices that she stands in the shower but does not allow the water to touch her. Which of the following should be the next action by the nurse?
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| 3. | An infant is admitted with a volvulus and scheduled for surgery. The parents are Jehovah’s Witnesses and refuse to sign the permit. Which action by the nurse is most appropriate?
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| 4. | Which medication will most likely be refused by a Muslim client?
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| 5. | The condition of an Arab client who is terminally ill deteriorates and death seems imminent. If the client is hospitalized in the mainland United States, the nurse should position the bed facing which direction?
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| 6. | An 88-year-old female Jewish client is admitted to the hospital and diagnosed with diabetes. Which type of insulin is refused by this client?
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| 7. | The nurse observes that a Hispanic client and his family have been late for their appointment the last three times. Which of the following is the best explanation for this behavior?
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| 8. | A 90-year-old client from Thailand is diagnosed with terminal cancer. The family seems unconcerned and, although they do not refuse treatment for the client, they do not assist with treatment. Which of the following is the nurse’s likely assessment of this behavior?
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| 9. | The nurse is assisting a client from Iraq with her bath. The nurse notices that the client uses only her left hand to bathe her genital area. Which of the following is the correct assessment of this behavior?
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| 10. | A Japanese client refuses to eat the ice cream or drink the milk on his tray. Which action by the nurse would indicate an understanding of the client’s needs?
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