Chapter 7 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 7  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. In a small, rural hospital the nurse is caring for a patient who speaks a language other than English. The nurse needs to use an interpreter to communicate but the hospital does not have access to an interpreter who speaks the patient’s language. When choosing another individual to interpret for this patient, what characteristic should the nurse prioritize?

  1. A)  Interpreter should recognize the need to speak in a loud voice.
  2. B)  Interpreter should be able to conduct the conversation quickly to avoid misinterpretation.
  3. C)  Interpreter should be fluent in several dialects of the patient’s language.
  4. D)  Interpreter should know that repetition must be avoided while interpreting.

Ans: C

Feedback:

Cultural needs should be considered when choosing an interpreter; for instance, fluency in varied dialects is beneficial. In choosing an interpreter, you do not want one who speaks in an excessively loud voice, conducts the conversation too 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 predominantly populated by Caucasian people. How would you characterize the Hispanic people in this community?

  1. A)  An underclass
  2. B)  A subgroup
  3. C)  A minority
  4. D)  An exception

Ans: C

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. Such groups are not referred to as exceptions or underclasses. A subgroup is a division of a group that is in some way distinguished from the larger group.

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3. A nurse is caring for an elderly woman who predominantly identifies with an East Asian culture. How can the nurse best demonstrate an awareness of culturally congruent care?

  1. A)  Maintain eye contact at all times.
  2. B)  Try to speak the patient’s native language.
  3. C)  Use touch when communicating.
  4. D)  Establish effective communication.

Ans: D

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. Not all cultures are comfortable with eye contact. Unless you are fluent in the patient’s native language, trying to communicate in that language would not be effective communication. Not all cultures incorporate touch while communicating.

4. Most nurses have been taught to maintain direct eye contact when communicating with patients. However, some cultural groups do not usually value direct eye contact when communicating with the nurse. Which cultural group would most likely consider the direct eye contact impolite?

  1. A)  African Americans
  2. B)  Hispanics
  3. C)  Canadians
  4. D)  Native Americans

Ans: D

Feedback:

Eye contact is 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.

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5. An emergency department nurse is preparing to inspect and palpate the head and scalp of an older adult who experienced a fall. A member of which group would most likely consider this examination as a violation of norms?

  1. A)  Jewish
  2. B)  Asian American
  3. C)  Islamic
  4. D)  African American

Ans: B

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. This is not the case with the other listed groups.

6. The nurse is helping a patient choose her menu options for the following day. The nurse reads out the option of ham with scalloped potatoes and the patient states that her religion does not allow this. Which of the following is most likely the patient’s religion?

  1. A)  Roman Catholicism
  2. B)  Buddhism
  3. C)  Islam
  4. D)  Mormonism

Ans: C

Feedback:

Many Islamic people abstain from eating pork. Members of other religions also proscribe the consumption of meat in general, or pork in particular, but the other listed religions are not among these.

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