Chapter 08 Perspectives in Transcultural Nursing

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Chapter 08  Perspectives in Transcultural Nursing

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. You are caring for a patient who speaks a language other than English and are using an interpreter to communicate. What would be the best way to choose an interpreter for this patient? A) Interpreter should speak in a loud voice
B) Interpreter should conduct the conversation quickly to avoid misinterpretation
C) Interpreter should be fluent in several dialects
D) Interpreter should avoid repetition

Ans: C
Chapter: 8
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication and Documentation Objective: 3
Page and Header: 111, Transcultural Nursing

Feedback: Obviously, nurses cannot become fluent in all languages, but certain strategies for fostering effective cross-cultural communication are necessary when providing care for patients who are not fluent in English. Cultural needs should be considered when choosing an interpreter; for instance, fluency in varied dialects is beneficial (Cutilli, 2006). The interpreter’s voice quality,

pronunciation, use of silence, use of touch, and use of nonverbal communication should also be considered (Giger & Davidhizar, 2008). The interpreter should not be a member of the patient’s family because that may violate the patient’s right to privacy. Options A, B, and D are incorrect because in choosing an interpreter, you do not want one who speaks in a loud voice, conducts the conversation quickly, or avoids repetition.

2. You are a community health nurse who provides care to a group of Hispanic people living in an area that is heavily populated by white people. What are the Hispanic people in this community an example of?
A) A subculture

B) A subgroup C) A minority D) A majority

Ans: C
Chapter: 8
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Page and Header: 110, Cultural Concepts

Feedback: The term minority refers to a group of people whose physical and cultural characteristics differ from the majority of people in a society. There are four generally identified minority groups: Blacks/African Americans, Hispanics, Asian/Pacific Islanders, and Native Americans. Subcultures are relatively large groups of people who share characteristics that identify them as a distinct entity. A subgroup is a division of a group that is in some way distinguished from the larger group. A majority is most of the people in a large group.

3. A nurse is caring for an elderly woman from a Far-Eastern culture. How does the nurse demonstrate awareness of culturally congruent care?
A) Maintaining eye contact at all times
B) Trying to speak the patient’s native language

C) Using touch when communicating D) Establishing effective communication

Ans: D
Chapter: 8
Client Needs: A-1

Cognitive Level: Application Difficulty: Moderate Integrated Process: Caring Objective: 2

Page and Header: 111, Transcultural Nursing

Feedback: Establishment of an environment of culturally congruent care and respect begins with effective communication, which occurs not only through words, but also through body language and other cues, such as voice, tone, and loudness. Option A is incorrect because not all cultures are comfortable with eye contact. Option B is not correct because unless you are fluent in the patient’s native language, trying to communicate in that language would not be effective communication. Option C is incorrect because not all cultures incorporate touch while communicating in their culture.

4. Most nurses have been taught to maintain direct eye contact when communicating with patients. Some cultural groups would not value direct eye contact with the nurse. Which cultural group would consider the direct eye contact impolite?
A) Americans
B) British
C) Canadian
D) Native Americans

Ans: D
Chapter: 8
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 113, Culturally Mediated Characteristics

Feedback: Eye contact is also a culturally determined behavior. Although most nurses have been taught to maintain eye contact when speaking with patients, some people from certain cultural backgrounds may interpret this behavior differently. For example, some Asians, Native Americans, Indo-Chinese, Arabs, and Appalachians may consider direct eye contact impolite or aggressive, and they may avert their own eyes when talking with nurses and others whom they perceive to be in positions of authority.

5. A male nurse is preparing to perform a neurologic examination on a patient. Which ethnic group would consider this examination as impolite?

A) Jewish
B) Asian American C) Islamic
D) African American

Ans: B
Chapter: 8
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 3
Page and Header: 113, Culturally Mediated Characteristics

Feedback: For many Asian Americans, it is impolite to touch the patient’s head because the spirit is believed to reside in the head. Therefore, assessment of the head or evaluation of a head injury requires permission of the patient, or a family member if the patient is not able to give permission. The other options are incorrect because these ethnic groups would not consider a neurologic examination impolite.

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