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1.
A nurse is caring for a client from a different cultural background who refuses a certain medication. How can understanding transcultural models and frameworks help the nurse in this situation?
  1. By disregarding the client’s cultural beliefs and administering the medication
  2. By respecting the client’s cultural beliefs and finding an alternative medication
  3. By consulting with the health care team to override the client’s choice
  4. By educating the client about the importance of the medication and convincing them to take it
2.
A nurse is caring for a client from a different cultural background who is experiencing chronic pain. The nurse asks the client, “Mr. Smith, I would like to understand how you generally manage pain or if you have any preferences for pain management. Could you please share with me any cultural practices or approaches that you or your family find helpful in managing pain?” The nurse’s approach is most closely aligned with which of the following models?
  1. Giger and Davidhizar transcultural assessment model
  2. Leininger’s culture care diversity and universality theory
  3. Purnell model for cultural competence
  4. Peplau’s interpersonal relations theory
3.
A nurse is providing care to an older adult client who follows a traditional cultural practice of using herbal remedies alongside prescribed medications. How can the nurse incorporate the client’s cultural practice of using herbal remedies into the plan of care while ensuring the client’s safety and well-being?
  1. Educate the client about the risks of using herbal remedies and encourage discontinuation.
  2. Advise the client to consult with a traditional herbalist for proper guidance.
  3. Collaborate with the client and health care team to assess safety and potential interactions.
  4. Disregard the client’s cultural practice to prioritize evidence-based care.
4.
A 35-year-old client has recently been diagnosed with high blood pressure. He is concerned about taking medications for the rest of his life and is interested in alternative therapies. He expresses an interest in using traditional healing practices and asks you what other options exist apart from medications. To integrate culturally responsive care while caring for this client, the nurse would need to:
  1. Dismiss the client’s concerns and explain the importance of taking medications to control his blood pressure.
  2. Provide the client with a list of alternative healing modalities without exploring his cultural beliefs.
  3. Collaborate with the client to identify traditional healing practices that are safe and effective to use with his prescribed medications.
  4. Encourage the client to try the medications and explain that they are the only effective way to control his blood pressure.
5.
A client who is pregnant and from a Middle Eastern background expresses discomfort with receiving prenatal care from health care providers who are men. To provide culturally responsive care for the client, the nurse should:
  1. Explain the importance of receiving care from health care providers who are men regardless of cultural preferences.
  2. Schedule all prenatal appointments with health care providers who are women to accommodate the client’s cultural preferences.
  3. Disregard the client’s concerns and continue to assign health care providers who are men for the client’s prenatal care.
  4. Discuss the client’s concerns and work collaboratively with the client to find a solution that respects their cultural preferences.
6.
A newly admitted client from a Hispanic background is hesitant to communicate her symptoms and concerns to the health care team. Which of the following best describes the nurse’s aim of conducting a cultural assessment for this client?
  1. To identify potential language barriers and provide appropriate interpretation services
  2. To promote cultural sensitivity and understanding of the client’s needs in the health care setting
  3. To acknowledge the client’s hesitations and insist that she communicate openly about her symptoms
  4. To ensure that culturally appropriate interventions are included in her care plan
7.
A nurse is providing care to a client from a different cultural background and notices that the client seems reluctant to ask questions or express concerns. Which of the following strategies should the nurse implement to ensure culturally sensitive care?
  1. Provide translation services for effective communication.
  2. Use plain language and visual aids to enhance understanding.
  3. Create a safe and open environment for the client to ask questions.
  4. Involve the client’s family or community in health care decisions.
8.
A nurse caring for an older client learns that the client finds peace and comfort in a personal spiritual practice and aims to incorporate this into the plan of care. How can incorporating traditions and personal views in the plan of care demonstrate empathy to the individual’s life experience?
  1. It shows the nurse is willing to compromise their own beliefs to provide care.
  2. It allows the nurse to ignore the client’s cultural practices.
  3. It demonstrates respect for the client’s cultural practices and personal beliefs.
  4. It decreases health care costs.
9.
A client from an Asian background prefers a holistic approach to health care and believes that physical and mental health are interconnected. According to the Giger and Davidhizar model, which component of the model should the nurse consider when providing care for the client?
  1. Biological variation
  2. Social organization
  3. Communication
  4. Time
10.
A client with a visual impairment requires information about his medication regimen in accessible formats such as braille or audio recordings. According to the Campinha-Bacote model, which component of the model should the nurse consider when providing information about the medication regimen to the client?
  1. Cultural competence
  2. Cultural awareness
  3. Cultural skill
  4. Cultural desire
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