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Chapter 22: Transcultural Nursing

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Chapter 22: Transcultural Nursing

10 problems · 0 figures

22-1 §22.RQ source ↗

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. a.
    By disregarding the client’s cultural beliefs and administering the medication
  2. b.
    By respecting the client’s cultural beliefs and finding an alternative medication
  3. c.
    By consulting with the health care team to override the client’s choice
  4. d.
    By educating the client about the importance of the medication and convincing them to take it

Answer

B. By respecting the client’s cultural beliefs and finding an alternative medication
Understanding transcultural models and frameworks can help the nurse in this situation by guiding them to respect the client’s cultural beliefs and find an alternative medication that aligns with the client’s cultural values. This approach promotes culturally sensitive care and supports the client’s autonomy and decision making in their health care journey.

22-2 §22.RQ source ↗

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. a.
    Giger and Davidhizar transcultural assessment model
  2. b.
    Leininger’s culture care diversity and universality theory
  3. c.
    Purnell model for cultural competence
  4. d.
    Peplau’s interpersonal relations theory

Answer

B. Leininger’s culture care diversity and universality theory
Leininger’s Culture Care Diversity and Universality Theory is an example of a transcultural nursing model. This model emphasizes the importance of cultural competence in nursing, recognizing that culture influences an individual’s health beliefs, practices, and outcomes. It guides nurses in providing care that respects and integrates the cultural values, traditions, and preferences of clients.

22-3 §22.RQ source ↗

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. a.
    Educate the client about the risks of using herbal remedies and encourage discontinuation.
  2. b.
    Advise the client to consult with a traditional herbalist for proper guidance.
  3. c.
    Collaborate with the client and health care team to assess safety and potential interactions.
  4. d.
    Disregard the client’s cultural practice to prioritize evidence-based care.

Answer

C. Collaborate with the client and health care team to assess safety and potential interactions.
Collaborating with the client and health care team to assess the safety and potential interactions between herbal remedies and prescribed medications is the most appropriate approach for ensuring the older adult client’s safety while respecting their cultural beliefs. This approach aligns with the principles of person-centered care and cultural sensitivity, allowing for the integration of evidence-based care with the client’s cultural practices.

22-4 §22.RQ source ↗

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. a.
    Dismiss the client’s concerns and explain the importance of taking medications to control his blood pressure.
  2. b.
    Provide the client with a list of alternative healing modalities without exploring his cultural beliefs.
  3. c.
    Collaborate with the client to identify traditional healing practices that are safe and effective to use with his prescribed medications.
  4. d.
    Encourage the client to try the medications and explain that they are the only effective way to control his blood pressure.

Answer

C. Collaborate with the client to identify traditional healing practices that are safe and effective to use with his prescribed medications.
In this scenario, the key component of culturally responsive care is collaborating with the client to identify traditional healing practices that are safe and effective to use alongside medications. As a nurse, it is essential to acknowledge, respect, and understand the client’s cultural beliefs and values and work together with him to find a treatment plan that aligns with his culture and promotes his well-being. This approach demonstrates cultural competence and supports client-centered care.

22-5 §22.RQ source ↗

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. a.
    Explain the importance of receiving care from health care providers who are men regardless of cultural preferences.
  2. b.
    Schedule all prenatal appointments with health care providers who are women to accommodate the client’s cultural preferences.
  3. c.
    Disregard the client’s concerns and continue to assign health care providers who are men for the client’s prenatal care.
  4. d.
    Discuss the client’s concerns and work collaboratively with the client to find a solution that respects their cultural preferences.

Answer

D. Discuss the client’s concerns and work collaboratively with the client to find a solution that respects their cultural preferences.
In this scenario, the culturally responsive intervention is to discuss the client’s concerns and work collaboratively with her to find a solution that respects her cultural preferences. This approach acknowledges and respects the client’s cultural background, promotes client-centered care, and ensures her comfort and satisfaction with the prenatal care she receives.

22-6 §22.RQ source ↗

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. a.
    To identify potential language barriers and provide appropriate interpretation services
  2. b.
    To promote cultural sensitivity and understanding of the client’s needs in the health care setting
  3. c.
    To acknowledge the client’s hesitations and insist that she communicate openly about her symptoms
  4. d.
    To ensure that culturally appropriate interventions are included in her care plan

Answer

B. To promote cultural sensitivity and understanding of the client’s needs in the health care setting
In this scenario, the aim of conducting a cultural assessment for the client is to promote cultural sensitivity and understanding in the health care setting. By assessing the client’s cultural background and beliefs, health care providers can provide client-centered care that respects her values, preferences, and unique needs, leading to improved communication, trust, and outcomes.

22-7 §22.RQ source ↗

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. a.
    Provide translation services for effective communication.
  2. b.
    Use plain language and visual aids to enhance understanding.
  3. c.
    Create a safe and open environment for the client to ask questions.
  4. d.
    Involve the client’s family or community in health care decisions.

Answer

C. Create a safe and open environment for the client to ask questions.
The nurse can create a safe and open environment by actively encouraging the client to ask questions, actively listening, validating their concerns, and promoting shared decision making.

22-8 §22.RQ source ↗

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. a.
    It shows the nurse is willing to compromise their own beliefs to provide care.
  2. b.
    It allows the nurse to ignore the client’s cultural practices.
  3. c.
    It demonstrates respect for the client’s cultural practices and personal beliefs.
  4. d.
    It decreases health care costs.

Answer

C. It demonstrates respect for the client’s cultural practices and personal beliefs.
This approach allows the client to feel more comfortable and trusting with their health care provider, resulting in improved client satisfaction and outcomes.

22-9 §22.RQ source ↗

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. a.
    Biological variation
  2. b.
    Social organization
  3. c.
    Communication
  4. d.
    Time

Answer

A. Biological variation
The nurse should consider the component of biological variation when providing care for the client according to the Giger and Davidhizar model. This component acknowledges that individuals from different cultural backgrounds may have unique biological variations and genetic traits that can influence their health status and response to health care treatments and interventions.

22-10 §22.RQ source ↗

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. a.
    Cultural competence
  2. b.
    Cultural awareness
  3. c.
    Cultural skill
  4. d.
    Cultural desire

Answer

C. Cultural skill
The component of cultural skill emphasizes the need for health care providers to possess the necessary knowledge and abilities to effectively understand and communicate with individuals from diverse backgrounds, such as the client with a visual impairment. The nurse should have the cultural skill to provide medication information in accessible formats, such as braille or audio recordings, to ensure effective communication and culturally congruent care.

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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.