NACE Cultural and Spiritual Considerations in Nursing 4

Question 1

A patient with limited English proficiency needs discharge teaching. Who is the most appropriate person to interpret?

Accepted Answer

A qualified medical interpreter

Answer

Qualified medical interpreters ensure accuracy and confidentiality, while using family members, especially children, is discouraged.

Question 2

When working with a medical interpreter, which technique should the nurse use?

Accepted Answer

Speak directly to the patient using short sentences

Answer

Speaking directly to the patient in short segments keeps the focus on the patient and improves the accuracy of interpretation.

Question 3

A Native American patient avoids eye contact during the admission interview. How should the nurse interpret this behavior?

Accepted Answer

Avoiding direct eye contact may be a sign of respect in the patient's culture

Answer

In some Native American and Asian cultures, avoiding direct eye contact shows respect rather than evasiveness.

Question 4

During a health history, a patient pauses for long periods before answering. What should the nurse do?

Accepted Answer

Allow the silence and wait for the patient to respond

Answer

In many cultures, silence shows thoughtfulness and respect, so the nurse should give the patient time to respond.

Question 5

A nurse caring for a Southeast Asian child plans to check for fever. Which action should the nurse avoid without first asking permission?

Accepted Answer

Patting the child on the head

Answer

In some Southeast Asian cultures the head is considered sacred, so touching it without permission may be offensive.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test