TRANSCULTURAL NURSING

By: Jo Smith Medina, RN USRN

1. The client is a practicing Hindu. Which
food should be removed from the
clients tray?
a. Bread
b. Cabbage
c. Steak
d. Apple
2. A Korean patient is admitted to the
postpartum unit following the delivery
of a 9 lb infant. Although the client does
not refuse to shower, the nurse notice
that she stands in the shower but does
not allow the water to touch her. Which
of the following should be the next
action by the nurse?
a. Ask the client why she refuses
shower
b. Call the doctor and report the
clients refusal to shower
c. Tell the client, that the nurse
will obtain heat lamp to assist in
the healing of the perineum
d. Turn the shower so that the
water sprays the client
3. An infant is admitted with a volvulus
and scheduled for surgery. The parents
are Jehovas witness and refuse to sign
the permit. Which action by the nurse is
most appropriate?
a. Obtain a court order
b. Call the doctor
c. Tell them that the surgery is
optional
d. Monitor situation
4. Which medication will most likely
refused by a Muslim client?
a. Insulin
b. Cough syrup
c. NSAID
d. Antacids
5. The condition of an Arab client who is
terminally ill deteriorates and death
seems immenent. If the client is
hospitalized in the mainland United
States, the nurse should position the
bed facing which direction?
a. Northeast
b. Southeast
c. West
d. South
6. An 88- year-old female Jewish client is
admitted to the hospital and diagnoses
with diabetes. Which type of insulin is
refused by the client?
a. Beef
b. Pork
c. Synthetic
d. Fish

7. The nurse observes that a Hispanic
client and his family have been later for
their appointment the last three times.
Which of the following is the best
explanations for this behavior?
a. A lack of concern for the health
of the client
b. An attempt to avoid talking to
the nurse
c. The client probably forgot the
appointment time
d. The client and family view time
differently than the nurse does.
8. A 90-year-old client from Thailand is
diagnosed with terminal cancer. The
family seems unconcerned and
although they do not refuse treatment
for the client, they do not assist with
treatment. Which of the following is the
nurses likely assessment of the
behavior?
a. The family believes in the cycle
of life and the death is a step to
the next cycle.
b. The family is in denial
concerning the diagnosis and
needs for further teaching.
c. The family is planning to get
another opinion regarding the
diagnosis.
d. The family is not concerned
with the treatment and care of
the client.
9. The nurse is assisting a client from Iraq
with her bath. The nurse notices that
the client uses only left hand to bathe
her genital area. Which of the following
is the correct assessment of this
behavior?
a. The clients dominant hand is
her left one
b. The client is using her
nondominant hand to more
easily cleanse the perineum
c. The client believes that the
right hand is reserved for eating
and touching others and that
the left hand is the dirty hand
d. The client has in some way
injured her right hand, making
it difficult to use it.
10. Which of the following foods should be
removed if the client is a Mormon?
a. Tea
b. Decaffeinated coffee
c. Pork
d. Fish