NCLEX Practice Exam/Test - Cultural Diversity Practice Test

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1. A nurse in an ambulatory care clinic is performing an admission assessment for an African-American client scheduled for a cataract removal with intraocular lens implant. Which of the following questions would be inappropriate for the nurse to ask on initial assessment?

A. Do you have any difficulty breathing?
B. Do you have a close family relationship?
C. Do you ever experience chest pain?
D. Do you frequently have episodes of headache?

2. A nurse is preparing to deliver a food tray to client whose religion is Jewish. The nurse checks the food on the tray and notes that the client has received roast beef dinner with whole milk as beverage. Which action will the nurse take?

A. deliver the food tray to the client
B. call the dietary department and ask for new meal tray
C. replace the whole milk with fat-free milk
D. ask the dietary department to replace the roast beef with pork

3. A nurse is providing discharge instructions to a Chinese client regarding prescribed dietary modifications. During the teaching sessions, the client continuously turns away from the nurse. Which nursing action is most appropriate?

A. continue with the instructions, verifying client's understanding
B. tell the client about the importance of the instruction for maintenance of health care
C. walk around the client so that the nurse continuously faces the client
D. give the client a dietary booklet and return later to continue with the instructions.

4. A clinic is preparing to examine a Hispanic child who was brought to the clinic by the mother. During assessment of the child, the nurse would avoid which of the following?

A. Asking the mother questions about the child
B. admiring the child
C. taking the child's temperature
D. obtaining an interpreter as necessary


ANSWERS AND RATIONALE:

1) B

- among African-Americans, avoid asking personal questions during initial encounter. It is considered as intrusive.

2) B

- the diet for Jewish people is Kosher diet. Meat and milk combination, pork, and scavenger fishes are prohibited. The appropriate nursing action is to call the dietary department to change the meal tray of the patient

3)  A

- Asian- Americans like Chinese, avoid eye contact with authorities to show respect. The appropriate action by the nurse is to continue giving health teachings and verify client's understanding every now and then

4) B

- Among Hispanic_Americans, admiring a child during initial encounter with a stranger should be avoided because this may afflict the child with the "evil eye" ( the child will get sick)


Related Topics:

• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts