Health Assessment in Nursing Weber 5th Edition

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Health Assessment in Nursing Weber 5th Edition Test Bank

1. The nurse is interviewing a female Hispanic client who is scheduled for a cardiovascular
education program. The client states, ìI can't eat and I don't sleep because my daughter
left to return to Mexico. I am sad and nervous. I need rest.î The nurse suspects that she
is suffering from susto. Which action by the nurse would be best?
A) Give her a multivitamin supplement.
B) Encourage her to exercise.
C) Reschedule the education program.
D) Refer her to a counselor.

2. A nurse is admitting a client who is from another culture. Prior to caring for a client
from another culture, the nurse should place primary importance on which action?
A) Examining personal biases and prejudices
B) Researching characteristics of the specific culture
C) Asking colleagues about ways to approach the client
D) Developing awareness of the culture's health practices

3. A nurse educator is leading a group of nurses in exercises aimed at improving cultural

competence. Which of the following would the educator use to best describe an aspect
of the term ìcultureî?
A) Transmission occurs to another generation through genetics.
B) It is shared through norms for behaviors, values, and beliefs.
C) It is adapted to a specific environment.
D) It is experienced by all people even without human contact.

4. A nurse states, ìHispanic people have no clue about primary prevention of illness.î The
nurse is demonstrating which of the following?
A) Stereotyping
B) Ethnicity
C) Cultural incompetence
D) Prejudice

5. A nurse is assessing a client of East Asian descent. Which biological variation would
the nurse expect?
A) Dry cerumen in the client's ears
B) Profuse perspiration in the client's axillary area
C) Strong body odor
D) Longer eustachian tubes

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 6. A nurse who provides care in a busy, inner-city clinic performs physical examinations
on clients of various cultures. In a client from which group would the nurse expect to
find the greatest amount of body odor from perspiration?
A) Inuit
B) Asian
C) Caucasian
D) Native American

7. An African-American woman collapses at the funeral of her mother and later states that
she could hear everything people were saying to her but, for a brief period, she could not
move. The nurse interprets this as which of the following?
A) Spell
B) Falling out
C) Empacho
D) Susto

8. A nurse has identified the goal of becoming more culturally sensitive and competent.
What is the primary rationale for cultural sensitivity in health care settings?
A) Recognize that cultural diversity exists.
B) Understand individual differences.
C) Prevent offending the client.
D) Obtain accurate assessment data.

9. Based on a colleague's feedback, a nurse learns that she is aware of cultural differences
in a general way but does not know what the specific differences are or how to
communicate with a person of a specific culture. This nurse exhibits which of the
following?
A) Unconscious incompetence
B) Conscious incompetence
C) Conscious competence
D) Unconscious competence

10. A group of students is reviewing material on cultural competence. The students

demonstrate understanding of this concept when they identify which of the following as
the starting point?
A) Cultural awareness
B) Cultural desire
C) Cultural skill
D) Cultural knowledge

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11. A male Hispanic client describes the fact that he mixed hot and cold foods, causing
them to lump together and ìget stuck in his intestines,î causing diarrhea and abdominal
pain. The nurse would document this as which of the following?
A) Empacho
B) Susto
C) Mal ojo
D) Mal puesto

12. The nurse attends a Native-American Alcoholic Anonymous support group and
develops close relationships with three group members. The nurse is demonstrating
which of the following?
A) Cultural desire
B) Cultural awareness
C) Cultural encounter
D) Cultural knowledge

13. The nurse is preparing to lead a health promotion activity among a group of clients from
different cultures. The nurse would expect that which client would require the least
amount of personal space?
A) Latin American
B) Asian
C) American
D) Middle Easterner

14. A nurse is modifying an Asian client's diet to accommodate the concept of hot and cold.
The nurse demonstrates an understanding of this concept when identifying which of the
following as a cold condition?
A) Diabetes
B) Pneumonia
C) Sore throat
D) Hypertension

15. When reviewing cultural differences that relate to the incidence and prevalence of
disease among various cultural groups, the nurse would expect to see the highest
prevalence of asthma in which group?
A) Non-Hispanic blacks
B) Caucasians
C) African Americans
D) Southeast Asians

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16. The nurse is assessing the diet and nutritional status of a client from a different culture.
Which of the following questions would be appropriate for the nurse to ask? Select all
that apply.
A) ìWhat foods do you commonly eat?î
B) ìDo you have any special routines for eating?î
C) ìAre there any foods that you can't eat?î
D) ìDo you eat three meals a day?î
E) ìDo you have certain foods to keep you healthy?î

17. When considering the various cultural aspects associated with death rituals, which of the
following should guide a nurse's practice?
A) Most cultures have similar durations for the length of time a person grieves.
B) A person's view of death is likely to be different from the original ethnic group's
practice.
C) Responses to death and grief are fairly consistent among different cultures.
D) Rituals for burial and bereavement are likely to reflect original cultural practices.

18. A nurse is assessing an Asian client and observes several reddened and bruised areas on
the skin. Further assessment reveals that the client was using cupping to treat back pain.
The nurse understands this as which of the following?
A) Placing heated glass jars on the skin that are allowed to cool
B) Rubbing ointment into the skin with a spoon
C) Attaching smoldering herbs to acupuncture needles
D) Placing warm burning herbs directly on the skin

19. A nurse educator is reviewing the unit's resources about religious groups and their views
about blood and blood products, organ donation, and autopsy. A member of which
group is most likely to refuse a blood transfusion?
A) Christian Scientists
B) Jehovah's Witnesses
C) Orthodox Jews
D) Roman Catholics

20. A cardiac care nurse works with a diverse client population. The nurse would assess a
client from which cultural group for an increased effect of an antihypertensive
medication?
A) Eskimos
B) Native Americans
C) Hispanics
D) Chinese

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21. A nurse's reflection of his practice reveals that he tends to see his own culture as the
ìgold standardî to which all other cultures should aspire. This nurse should create
learning goals to address what phenomenon?
A) Ethnocentrism
B) Unconscious incompetence
C) Stereotyping
D) Acculturation

22. A nurse is participating in an educational exercise in which she is conducting a self-

examination of her own biases. This activity addresses what construct of cultural
competence?
A) Cultural desire
B) Cultural knowledge
C) Cultural skill
D) Cultural awareness

23. A nurse is caring for a 70-year-old client from a different culture whose breast cancer
has metastasized. The nurse observes that the client tends to defer responsibility for
decision making around treatment options to her eldest son. How should the nurse
respond to this?
A) Explain the disconnect between the client's practice and the principle of client
autonomy.
B) Confirm that the client wants her son to make decisions and follow those decisions
accordingly.
C) Attempt to dialogue with the client when her son is not present.
D) Refer the family to social work in order to further explore alternative decision-
making practices.

24. A clinic nurse is conducting a comprehensive assessment of a 70-year-old male client of

Native American ethnicity. The nurse observes that the client rarely makes eye contact
and holds his head low during the assessment. How should the nurse best interpret this
practice?
A) The client may not understand the purpose of the assessment.
B) The client may be showing the nurse respect.
C) The client may be a victim of intimate partner violence.
D) The client may not trust the nurse's expertise.

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25. A nurse is validating assessment findings with a client, and the client proceeds to
describe some of the psychological and spiritual components that she believes underlie
her disease process. This understanding of the cause of illness is most closely associated
with which of the following?
A) Northern European cultures
B) The Western biomedical model
C) African-American culture
D) Asian cultures

26. A nurse is working with a 22-year-old woman of Asian ethnicity who has been
diagnosed with bipolar disorder. When planning culturally appropriate care, the nurse
should consider which of the following?
A) There may a lack of acceptance that the client's behavior is abnormal.
B) The client's family may see her illness as punishment for misdeeds.
C) The client's family may see her psychiatric disorder as evidence of bad character.
D) There may be shame associated with having a psychiatric disorder.

27. A nurse is assessing an African-American client who has a longstanding diagnosis of

hypertension. The nurse should be aware that the client may experience a greater-than-
average effect of what medication?
A) A diuretic
B) An angiotensin-converting enzyme inhibitor
C) A calcium channel blocker
D) A beta-adrenergic blocker

28. A nurse will be working in a clinic in South Asia for several weeks, where the majority
of residents have darkly pigmented skin. The nurse should expect a higher-than-average
incidence of what integumentary health problem?
A) Contact dermatitis
B) Vitiligo
C) Psoriasis
D) Eczema

29. A nurse is relying heavily on gestures and simplified language during the assessment of
a client from another culture who speaks minimal English. During the lengthy
assessment, the nurse asks the client if she is ìokayî by making a circle with his thumb
and forefinger. The nurse should be aware of which of the following?
A) In some cultures, this gesture denotes confusion.
B) In some cultures, this gesture is offensive.
C) This gesture has meaning only in American cultures.
D) In some cultures, this gesture denotes pain.

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30. A nurse admits to a colleague, ìI sometimes tend to avoid clients from other cultures
because it's awkward and it's usually frustrating for me and for the client.î This nurse is
likely lacking in what construct of cultural competency?
A) Cultural desire
B) Cultural knowledge
C) Cultural health
D) Cultural harmony

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Health Assessment in Nursing Weber 5th Edition Test Bank

Answer Key

1. C
2. A
3. B
4. A
5. A
6. C
7. B
8. D
9. B
10. B
11. A
12. C
13. D
14. B
15. C
16. A, B, C, E
17. D
18. A
19. B
20. D
21. A
22. D
23. B
24. B
25. D
26. D
27. A
28. B
29. B
30. A

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