Fundamental Saunders 206
Question 1 of 577
The ambulatory care nurse is discussing preoperative procedures with a Japanese American
client who is scheduled for surgery the following week. During the discussion, the client
continually smiles and nods the head. How should the nurse interpret this nonverbal
Reflecting a cultural value
An acceptance of the treatment
Client agreement to the required procedures
Client understanding of the preoperative procedures
Correct Answer: 1
Question 2 of 577
When communicating with a client who speaks a different language, which best practice
should the nurse implement?
Speak loudly and slowly.
Arrange for an interpreter to translate.
Speak to the client and family together.
Stand close to the client and speak loudly.
Correct Answer: 2
Arranging for an interpreter would be the best practice when communicating with a client who
speaks a different language. Options 1 and 4 are inappropriate and ineffective ways to
communicate. Option 3 is inappropriate because it violates privacy and does not ensure correct
Question 3 of 577
The nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care; a staff member asks the nurse educator to provide an example of
the concept of acculturation. The nurse educator should make which most
"A group of individuals identifying as a part of the Iroquois tribe among
"A person who moves from China to the United States (U.S.) and learns
about and adapts to the culture in the U.S."
"A group of individuals living in the Azores that identify autonomously
but are a part of the larger population of Portugal."
"A person who has grown up in the Philippines and chooses to stay
there because of the sense of belonging to his or her cultural group."
Correct Answer: 2
Acculturation is a process of learning a different culture to adapt to a new or changing
environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity.
Question 4 of 577
The nurse is providing discharge instructions to a Chinese American client regarding
prescribed dietary modifications. During the teaching session, the client continuously turns
away from the nurse. The nurse should implement which best action?
Continue with the instructions, verifying client understanding.
Walk around the client so that the nurse constantly faces the client.
Give the client a dietary booklet and return later to continue with the
Tell the client about the importance of the instructions for the
maintenance of health care.
Correct Answer: 1
Most Chinese Americans maintain a formal distance with others, which is a form of respect.
Many Chinese Americans are uncomfortable with face-to-face communications, especially
when eye contact is direct. If the client turns away from the nurse during a conversation, the
best action is to continue with the conversation. Walking around the client so that the nurse
faces the client is in direct conflict with this cultural practice. The client may consider it a rude
gesture if the nurse returns later to continue with the explanation. Telling the client about the
importance of the instructions for the maintenance of health care may be viewed as degrading. Question 5 of 577
A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic
and firmly believes in the rituals and traditions of the Catholic faith. Based on the client's
statements, which actions by the nurse demonstrate cultural sensitivity and spiritual
support? Select all that apply.
Ensures that a close relative stays with the client
Makes a referral for a Catholic priest to visit the client
Removes the crucifix from the wall in the client's room
Administers the sacrament of the sick to the client if death is imminent
Offers to provide a means for praying the rosary if the client wishes
Reminds the dietary department that meals served on Fridays during
Lent do not contain meat
Correct Answer: 1,2,5
In times of illness, a Roman Catholic client may turn to prayer for spiritual support. This may
include rosary prayers or visits from a priest, who is the spiritual leader in the Roman Catholic
faith. Close family members usually want to stay with a dying family member in order to hear
the wishes of the client, allowing the soul to leave in peace. A priest, not a nurse, would
administer the sacrament of the sick. Roman Catholics would not ask for the crucifix to be
removed. Members of other religious groups such as Islam or Judaism may request the removal
of the crucifix. Dietary rituals are not a concern at this time.
Question 6 of 577
Which clients have a high risk of obesity and diabetes mellitus? Select all that apply.
Latino American man
Native American man
Asian American woman
Hispanic American man
African American woman
Correct Answer: 1,2,4,5
Because of their health and dietary practices, Latino Americans, Native Americans, Hispanic
Americans, and African Americans have a high risk of obesity and diabetes mellitus. Owing to
dietary practices, Asian Americans have a lower risk for obesity and diabetes mellitus.
Question 7 of 577
The nurse is preparing a plan of care for a client and is asking the client about religious
preferences. The nurse considers the client's religious preferences as being characteristic of a
Jehovah's Witness if which client statement is made?
"I cannot have surgery."
"I cannot have any medicine."
"I believe the soul lives on after death."
"I cannot have any food containing or prepared with blood."
Correct Answer: 4
Among Jehovah's Witnesses, surgery is not prohibited, but the administration of blood and
blood products is forbidden. For a Jehovah's Witness, administration of medication is an
acceptable practice except if the medication is derived from blood products. This religious
group believes that the soul cannot live after death. Jehovah's Witnesses avoid foods prepared
with or containing blood.
Question 8 of 577
Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a
Pork roast, rice, vegetables, mixed fruit, milk
Crab salad on a croissant, vegetables with dip, potato salad, milk
Sweet and sour chicken with rice and vegetables, mixed fruit, juice
Noodles and cream sauce with shrimp and vegetables, salad, mixed
fruit, iced tea
Correct Answer: 3
Members of Orthodox Judaism adhere to dietary kosher laws. In this religion, the dairy-meat
combination is unacceptable. Only fish that have scales and fins are allowed; meats that are
allowed include animals that are vegetable eaters, cloven hoofed, and ritually slaughtered.
Question 9 of 577
An Asian American client is experiencing a fever. The nurse plans care so that the client can
self-treat the disorder using which method?
Foods considered to be yin
Foods considered to be yang
Correct Answer: 3
In the Asian American culture, health is believed to be a state of physical and spiritual harmony
with nature and a balance between positive and negative energy forces (yin and yang). Yin
foods are cold and yang foods are hot. Cold foods are eaten when one has a hot illness (fever),
and hot foods are eaten when one has a cold illness. Options 1 and 2 are not health practices
specifically associated with the Asian American culture or the yin and yang theory.
Question 10 of 577
Which is the best nursing intervention regarding complementary and alternative medicine?
Advising the client about "good" versus "bad" therapies
Discouraging the client from using any alternative therapies
Educating the client about therapies that he or she is using or is
interested in using
Identifying herbal remedies that the client should request from the
health care provider
Correct Answer: 3
Complementary and alternative therapies include a wide variety of treatment modalities that
are used in addition to conventional therapy to treat a disease or illness. Educating the client
about therapies that he or she uses or is interested in using is the nurse's role. Options 1, 2, and
4 are inappropriate actions for the nurse to take because they provide advice to the client.
Question 11 of 577
An antihypertensive medication has been prescribed for a client with hypertension. The client
tells the clinic nurse that he would like to take an herbal substance to help lower his blood
pressure. The nurse should take which action?
Advise the client to read the labels of herbal therapies closely.
Tell the client that herbal substances are not safe and should never be
Encourage the client to discuss the use of an herbal substance with the
health care provider (HCP).
Tell the client that if he takes the herbal substance he will need to have
his blood pressure checked frequently.
Correct Answer: 3
Although herbal substances may have some beneficial effects, not all herbs are safe to use.