A nurse is preparing to teach a class related to risk factors for cancer to a diverse ethnic group attending a health fair. The nurse should be aware:
a. that Hispanic women overestimate the prevalence of cancer and strictly following breast self-exam guidelines.
b. of the importance of risk factors such as smoking and alcohol consumption that increase esophageal cancer when speaking with African American.
c. that American-Indian women have a higher rate of ovarian cancer than the general population.
d. that cancer as well as heart disease and stroke are lower in ethnic groups.
A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs. The nurse's first step to ensure cultural competence and sensitivity is to:
a. enroll in a nursing theories course to increase knowledge about transcultural practices.
b. become immersed in nursing literature about culturally diverse clients.
c. participate in continuing education that focuses on health assessment variations among cultural groups.
d. conduct a cultural self-assessment.
A nurse is preparing discharge teaching for an Asian-American woman with a fractured hip.
The nurse reviews the client's diet history while hospitalized and is concerned that the patient refused milk and yogurt, placing her at risk for osteoporosis. What cultural variation is the nurse overlooking? Asian Americans:
a. have denser bones that other ethnic groups.
b. consume diets rich in pork bone and shells, reducing the risk of osteoporosis.
c. would participate in the practice of burning to compensate for this injury.
d. would consult a curandero for dietary consultation.
A cultural phenomenon that is based on biologic variation would include:
a. belief that exposure of a pregnant woman to an eclipse can result in cleft lip.
b. denser bones in African Americans result in less morbidity associated with osteoporosis.
c. the grandmother who determines that her grandchild has scoliosis and should seek treatment, then informs the parents of her decision.
d. a family that participates in feasts prepared to celebrate and make decisions.
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