MSC: Client Needs: Psychosocial Integrity 25. A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after a. identifying culture-bound issues. b. implementing scientifically proven interventions. c. correcting inferior health practices of the population. d. exploring commonly held beliefs and values of the population.
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ANS: D Cultural competence is dependent on understanding the beliefs and values of members of a different culture. A nurse who works with an individual or group of a culture different from his or her own must be open to learning about the culture. The other options have little to do with cultural competence or represent only a portion of the answer.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 5-15, 16 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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26. A nurse cares for a first-generation American whose family emigrated from Germany. Which worldview about the source of knowledge would this patient likely have? a. Knowledge is acquired through use of affective or feeling senses. b. Science is the foundation of knowledge and proves something exists. c. Knowledge develops by striving for transcendence of the mind and body. d. Knowledge evolves from an individual’s relationship with a supreme being.
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ANS: B The European-American perspective of acquiring knowledge evolves from science. The distracters describe the beliefs of other cultural groups. See relationship to audience response question.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 5-35 (Table 5-5) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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27. The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics? a. Patients of different cultural groups may metabolize medications at different rates. b. Metabolism of psychotropic medication is consistent among various cultural groups. c. Differences in hepatic enzymes will influence the rate of elimination of psychotropic medications. d. It is important to provide patients with oral and written literature about their psychotropic medications. ANS: A Cytochrome enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.
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