Activity 2: Transcultural Nursing Application and Rationalization

4BSN1-CN: 32-Sandalo, Jasmin Ann C.

1. C. Interpreter should be fluent in several dialects of the patient’s language

Rationale: Language is crucial as this means of communication thus one's interpreter must be
knowledgeable for better understanding of a patient's needs to provide better care.
2. C. A minority
Rationale: The term "minority" accurately reflects the smaller representation of Hispanic people
in a predominantly Caucasian community, highlighting demographic differences.
in a predominantly white population
3. [Link] effective communication.
Rationale: In order to provide the elderly woman with individualized and considerate nursing
care, it is necessary to create effective communication that respects and takes into account her
East Asian cultural background. This is known as culturally congruent care.
4. C. Cultural imposition
Rationale: The nurse's insistence on vaccinations while ignoring the parent's convictions is an
example of cultural imposition—the forceful imposition of one's own values on another without
consideration or deference.
5. D. Cultural taboo
Rationale: The mother's denial of vaccinations on the basis of her cultural beliefs is consistent
with a taboo, signifying a strong cultural ban on a certain behavior.
6. D. An energy therapies
Rationale: Therapeutic touch falls under the category of energy treatment since it works on
balancing the body's energy through the manipulation of its energy fields.
7. A. Chicken noodle soup with crackers, fruit crisp, and hot tea
Rationale: The patient's allusion to yin/yang theory points to a preference for harmony; selecting
hot tea is consistent with harmonious energies and reflects cultural values.
8. D. I understand that you value the care provided by the shaman, but we would like you
to consider medications and dietary changes that may lower your blood pressure and
blood sugar levels.
Rationale: By mixing conventional and traditional treatment, it is acceptable to acknowledge the
patient's cultural values and provide drugs and dietary adjustments.
9. A. Biomedical
Rationale: The theory that the varicella zoster virus causes shingles is consistent with the
biomedical paradigm, which emphasizes physiological considerations.
10. A. I, II, III
Rationale: In order to address gaps impacting racial and ethnic minorities and promote holistic
community well-being, HIV, cancer, and heart disease should be prioritized in health promotion
initiatives.
11. A. A significant gap in health status between the overall population and people of
specific ethnic backgrounds
Rationale: A substantial disparity in health status is shown by evaluating health care indicators,
underscoring the necessity of addressing inequalities among certain ethnic origins.
12. A. Participants will acknowledge and adapt to diversity among their colleagues.
Rationale: Prioritizing coworkers' recognition of and sensitivity to diversity is essential to
fostering culturally competent care, which guarantees thorough and equitable medical
procedures.
 Activity 2: Transcultural Nursing Application and Rationalization
4BSN1-CN: 32-Sandalo, Jasmin Ann C.

13. B. People with disabilities.

Rationale: People with disabilities are more likely to experience disparities, therefore addressing
their particular healthcare requirements and promoting fairness will require extra consideration.
14. C. I, III, IV, V
Rationale: It offers a comprehensive knowledge for culturally competent treatment by taking into
account family structure, subgroups, cultural beliefs, and health behaviors in a cultural nursing
evaluation of a patient of Cuban origin.
15. B. Transcultural nursing refers to research-focused practice that focuses on
patient-centered, culturally, competent nursing.
Rationale: It defines transcultural nursing as a practice focused on patient cultural competency
and research to enhance healthcare outcomes, is a suitable choice.
16. C. The underlying focus of transcultural nursing is to provide culture-specific and
culture-universal care.
Rationale: Highlights the fact that the main goal of transcultural nursing is to treat a variety of
patient groups with care that is both universal and distinctive to their
17. D. Explaining the rationale for continuous bladder irrigation (CBI)
Rationale: It addresses communication and patient education, both of which are strongly
impacted by cultural factors when elucidating the benefits of continuous bladder irrigation (CBI).
18. A. I, II, III, IV
Rationale: Incorporates guidelines for staff to care for patients with diverse beliefs, mandates
the presence of personnel from many cultures on each unit, and creates flexible rules for visits.
19. A. Tendency to regress in language skills
Rationale: It acknowledges the fact that patients often experience a regression in their linguistic
abilities while they are unwell.
20. B. Culture care restructuring
Rationale: The nurse is addressing the part of Leininger's theory known as "Culture care
restructuring," which entails professional decisions and activities to assist the patient in
achieving a favorable or gratifying health result.
21. C. Cultural Taboo
Rationale: It refers to the religious convictions that prohibit receiving a blood transfusion, which
is a cultural taboo associated with medical procedures.
22. D. Her Own Cultural Orientation.
Rationale: Highlights how crucial it is to understand the institution's culture when interacting with
patients and how the healthcare setting affects both patient care and communication.
23. B. I, II, III
Rationale: As health disparities are known to be caused by poverty and remote geographic
location, highlighting the social determinants of health.
24. A. By offering multicultural health studies in nursing curricula
Rationale: It incorporates cultural sensitivity and awareness into nursing education, which helps
to foster cultural competency.
25. C. The ability to understand and be understood
Rationale: It emphasizes the significance of good communication in culturally varied healthcare
settings. Fostering pleasant and therapeutic nurse-patient relationships largely rely on the
capacity to understand and be understood.
 Activity 2: Transcultural Nursing Application and Rationalization
4BSN1-CN: 32-Sandalo, Jasmin Ann C.

26. D. Obtaining informed consent

Rationale: A variety of cultural viewpoints may have a big impact on getting informed consent by
taking into account things like communication preferences, decision-making processes, and the
importance of family in the process.
27. A. Allow the patient to adopt a position that is comfortable for him or her.
Rationale: It encourages cultural sensitivity by letting the patient choose a comfortable posture
and honoring personal preferences for distance and personal space.
28. D. Males participating in health care activities.
Rationale: It presupposes certain cultural preconceptions. In actuality, neither Hispanic culture
nor any other culture views men engaging in healthcare tasks as fundamentally improper.
29. B. Biologic variations may be influencing the effectiveness of the medication.
Rationale: It admits that biologic variances might affect how well a drug works. Optimizing
treatment results requires taking individual reactions and hereditary variables into account.
30. [Link] assess the patients use of complementary therapies in order to promote safety
Rationale: It emphasizes the major duty of the nurse in evaluating the patient's usage of
supplemental therapies to guarantee safety and therapy integration with traditional treatments.
31. D. Creating greater flexibility in visiting hours.
Rationale: It allows for more flexibility in visiting hours, which can support inclusiveness and
patient-centered care by accommodating a range of cultural preferences about family
engagement in patient care.
32. C. The patient may be unable to fully comprehend the information the nurse is trying to
convey.
Rationale: It acknowledges that the patient might not be able to completely understand the
material because of linguistic difficulties or other issues. It highlights how crucial good
communication is in multicultural healthcare environments.
33. A. The colleague may have stereotypical views of Hispanics
Rationale: It emphasizes that the colleague could hold traditional beliefs about Hispanics. This
emphasizes how crucial it is to steer clear of cultural prejudices when providing patient care.
34. D. Speak with the son to explore his rationale and attempt to reach a consensus
Rationale: Talking openly with the son to learn his reasoning and try to come to an agreement. It
honors cultural distinctions and promotes cooperative decision-making.
35. A. Have an interpreter to translate.
Rationale: It ensures that the nurse and the Korean client are in agreement by fostering
excellent communication through the use of an interpreter to appropriately translate information.
36. D. A 25-year-old Asian-American woman.
Rationale: It highlights the significance of individual health evaluations and shows that age and
ethnicity are not the only factors that determine the risk of diabetes mellitus and stroke.
37. C. Continue with the instructions, then confirming client’s understanding.
Rationale: It lets the nurse finish the instructions and makes sure the client understands them.
The client's choices for cultural communication are respected by this method.
38. A. An acceptance of the treatment.
Rationale: The persistent nodding and smiling may, in fact, indicate acceptance; however, this
interpretation is contingent upon the circumstances and the particular cultural norms of the
individual.
 Activity 2: Transcultural Nursing Application and Rationalization
4BSN1-CN: 32-Sandalo, Jasmin Ann C.

39. A. Acupuncture
Rationale: acupuncture is regarded as a low-risk treatment. The other therapies—prayer, touch,
and relaxation—should also be discussed because they are low-risk alternatives.
40. C. Having an interpreter if necessary.
Rationale: It respects the cultural norms of the Hispanic mother and child during the physical
examination and avoids direct eye contact, which is a frequent cultural habit in Hispanic
cultures.
41. A. Ask the dietary department to replace the hamburger with crabs.
Rationale: Prioritizes the patient's requirements and promotes cultural competency by taking
into account the Jewish client's dietary restrictions and the requirement to serve a meal that
complies with kosher dietary standards
42. D. How close is your family during these situations?
Rationale: It means that, in the first instance, medical concerns take precedence over
interpersonal connections out of consideration for African-American families' cultural sensitivity.
43. C. An illness may be attributed to overexertion.
Rationale: Demonstrates a commitment to delivering culturally appropriate treatment by
demonstrating an awareness of traditional Chinese cultural beliefs, which hold that diseases
may be caused by overexertion.
44. B. Culture-bound syndrome.
Rationale: It suggests that the symptoms mentioned in Chinese culture are distinctive to that
culture, a syndrome known as syndromes of Wind.
45. D. Resort with the use of herbal medicines with healing properties.
Rationale: It corresponds with the Native American client's inclination for herbal remedies and
holistic methods, honoring and incorporating cultural customs within the treatment process.
46. A. Tell me about these medicines and how often you are using them.
Rationale: Promotes cultural competence and patient-centered care by allowing the nurse to
gather relevant information about the tribal healer's medicine.
47. C. Blood products cannot be administered.
Rationale: Aligns with respecting the Jehovah's Witness belief against blood transfusions,
ensuring adherence to religious preferences in the plan of care.
48. B. Foods considered being yang.
Rationale: Recognizes the traditional Chinese concept of balancing yin and yang forces,
suggesting that yang-promoting foods may address the perceived yin imbalance causing the
cough.
49. C. Tuna and salmon.
Rationale: Supports adherence to a kosher diet, as both tuna and salmon are kosher-approved,
meeting the dietary requirements of the Jewish client.
50. C. Arrange for the ceremony to occur after notifying all departments affected.
Rationale: It demonstrates a patient-centered approach by accommodating the family's request
for a spiritual ceremony while minimizing disruption to hospital operations.