Cultural Assessment

When the nurse is attempting to demonstrate nursing presence, which intervention would be most therapeutic? sitting with the client as he or she shares feelings about being ill scheduling treatments around a client's prayer times stating, "I'm sure your illness is not punishment for sins you've committed." providing a client with a copy of the client's preferred holy book

sitting with the client as he or she shares feelings about being ill Explanation: Sitting with the client and reflecting back what the nurse sees may encourage the client to express concerns and is an excellent example of the nurse being "present."

A nurse is conducting a cultural assessment. Which of the following should the nurse include in the assessment? Select all that apply. affiliations physical health values history of mental illness communication

values affiliations communication

The nursing student needs further instruction on assessing communities when stating which of the following? "Community assessments include both subjective and objective data." "Subjective data can be perceptions of the community by the nurse." "Community assessments include only subjective data." "The nurse should spend time in the community to do an assessment."

"Community assessments include only subjective data." Explanation: Community assessments include both subjective and objective data. Subjective data collection includes perceptions of the community by the nurse as well as by members of the community. The nurse should spend time in the community to get to know the people.

The nurse is assessing a client in the emergency department who appears to be confused and unable to follow commands. When obtaining the client's social history, which of the following questions should the nurse ask first? "Are you married?" "Have you consumed any alcohol today?" "Are you able to afford your medications?" "Do you live in low-income housing?"

"Have you consumed any alcohol today?" Explanation: Nurses should use their judgement regarding the appropriate timing of a social assessment considering the health encounter, and only ask the questions that are essential. Asking about drug and alcohol use is a priority as the client is confused and unable to follow commands.

When taking the Daily Spiritual Experiences Scale, a client says the word "God" in the scale is bothersome. Which response by the nurse would be most helpful in encouraging a client to complete the scale? "Don't be concerned about the wording; just answer the best way you know how." "Substitute whatever word you prefer that would represent the divine or holy." "You can skip those questions and answer only those you are comfortable with." "It is perfectly fine to leave out any question that contains the word 'God.'"

"Substitute whatever word you prefer that would represent the divine or holy."

Which of the following would be most appropriate for the nurse to ask when beginning to assess a client's spirituality? "What religion are you?" "Do you believe in God?" "Would you like to speak to a chaplain?" "What gives you hope or peace?"

"What gives you hope or peace?" Explanation: When beginning a spiritual assessment, the nurse needs to initiate the interaction by opening up a general dialogue about global concepts such as hope, peace, comfort, strength, love, and connection. The most useful techniques typically have general introductory questions, which then lead to more focused questions such as beliefs, formalized religion, and eventually questions about the client's desires related to accessing resources such as a chaplain or spiritual leader.

A client who practices the Islamic faith informs the nurse that they are fasting for the holy days of Ramadan. The nurse understands this fast will last how many days? 29-30 2-3 15-20 45-50

29-30 Explanation: During the Holy days of Ramadan (29-30 days determined by the moon), neither food or drink is taken between sunrise and sunset. All of the other options are incorrect.

A nurse is planning a program to address measures to reduce the leading cause of mortality in children age 1 to 14 years. What topic would best address this cause of death? Prenatal care Accident prevention Gun safety Substance abuse prevention

Accident prevention Explanation: Unintentional injuries are the leading cause of death in children from ages 1 to 14. The most appropriate program would be accident prevention. Homicide, which might benefit from gun control programs, is a significant cause for this age group. Prenatal care programs would be important to help reduce the risk of neonatal mortality. Substance abuse/use is not listed among the top five causes of mortality for any age group.

A nursing student demonstrates understanding of the different communities when classifying Mothers Against Drunk Driving (MADD) as which type of community? Based on specific function Based on geographical area Based on geopolitical issue Based on time and space

Based on specific function Explanation: Communities are classified according to location or social relationship. A community can be geographical or geopolitical. It also may be classified according to relationships among people--such communities usually are focused on a specific goal or function. Mothers Against Drunk Driving (MADD) is an example of this type of community.

A nurse is beginning a community assessment and needs to access the age and gender characteristics of residents. What data source should the nurse consult? Local birth records Census data Local archives School enrollment listings

Census data Explanation: Demographic data obtained from a census are more complete and accurate than local archives, school records, or birth records.

A parent brings her 5-year-old child to the clinic, reporting that she has noticed the child does not seem to be hearing well. There also has been a noticeable speech delay. What does the nurse understand can be a predisposing factor to possible hearing loss? Allergic rhinitis Chronic inner ear infection Tonsillitis Chronic middle ear infection

Chronic middle ear infection Explanation: The main cause of hearing loss in children is a middle ear infection. At least 50% of hearing impairment is avoidable if diagnosed early and well managed, according to the World Health Organization (WHO).

A nurse is assigned to care for a client who practices a religion different from her own. After reading the client's medical record, the nurse takes time to talk with the client about how to make his hospital stay more comfortable. The nurse admits to the client that she is not familiar with his religion but would like to learn more. The nurse is in which stage of cultural awareness? Unconscious competence Conscious competence Unconscious incompetence Conscious incompetence

Conscious incompetence Explanation: The nurse is aware of the lack of knowledge about the client's religion. Unconscious incompetence is not being aware that one lacks cultural knowledge. Conscious competence involves learning about the differences and providing culturally relevant interventions. Unconscious competence is the ability to automatically provide culturally competent care.

A nurse is participating in an educational exercise in which she is conducting a self-examination of her own biases. This activity addresses what construct of cultural competence? Cultural knowledge Cultural skill Cultural desire Cultural awareness

Cultural awareness Explanation: Cultural awareness is the process of conducting a self-examination of one's own biases toward other cultures and the in-depth exploration of one's cultural professional background.

The nurse prepares to complete a community assessment. What should the nurse recall as the reason for this assessment? Determine health-related concerns of community members Plan strategies to improve participation in health promotion activities Assess primary health problems of individuals Identify the number of families in the community

Determine health-related concerns of community members Explanation: The purpose of a community assessment is to determine the health-related concerns of the community members. This assessment is not done to identify health problems of individuals, identify the number of families in the community, or to plan strategies to improve participation in health promotion activities.

A client requests to be cared for by a nurse who is a member of his own culture. The nurse recognizes that which barrier exists in regards to this client's nursing care? Stereotype Ethnicity Prejudice Ethnocentrism

Ethnocentrism Explanation: Ethnocentrism is the barrier that the nurse identifies in this client's nursing care. The perception that one's beliefs, values, and sanctioned behaviors are superior to all others is termed as ethnocentrism. Ethnicity refers to a socially, culturally, and politically constructed group of individuals that holds a common set of characteristics not shared by others with whom they come in contact. Prejudice is based on preconceived notions about certain groups of people. Stereotype refers to accepting that there are people from other cultures, having different beliefs and values, but not recognizing the variation that can exist within any cultural group.

If a client does not speak English, when is a trained interpreter required? When a family member is not available For legal purposes such as obtaining informed consent When there is no one on staff who speaks the person's language For any meaningful communication, including pain assessment or client teaching

For any meaningful communication, including pain assessment or client teaching Explanation: When clients do not understand or speak English, an interpreter is essential for conducting an accurate health assessment and capturing clients' health concerns and priorities. Any significant communication, including assessing the client's pain, performing client teaching, as well as discussing legal matters, would necessitate the use of a trained interpreter. Family members or staff members should not be used as interpreters whenever possible.

When performing a spiritual assessment, what may help the nurse to identify related nursing diagnoses, needed interventions, and improve client care? Gaining relevant information about the client's spirituality. Establishing a close nurse-client relationship. Gathering current objective data. Gathering information about the client's mental status from the client's family.

Gaining relevant information about the client's spirituality. Explanation: A spiritual assessment is similar to the many other assessments nurses perform on a daily basis. Gaining relevant information about the client's spirituality helps to identify related nursing diagnoses and needed interventions and can improve client care.

Within the 65-year-old and older age group, a nurse knows that the most common cause of mortality is from what source? Heart disease Unintentional injuries Suicide Malignant neoplasms

Heart disease Explanation: In the 65-year-old and older age group, the most common cause of mortality is from heart disease, with malignant neoplasm being the second most common cause.

The nurse reviews data about a community's vital statistics. Which information indicates a lack of services? Locations for flu vaccinations Employment statistics High death rates Number of pharmacies

High death rates Explanation: Higher than average death rates may indicate a lack of services or programs in critical areas. Employment statistics, number of pharmacies, or locations for flu vaccinations does not indicate a lack of community services.

A nurse assesses the spirituality of a client who is terminally ill with pancreatic cancer. Which of the following is the best rationale for this action, from the nurse's perspective? Finding common practices shared with a group Defining the meaning of the afterlife Identifying possible coping mechanisms Searching for meaning and purpose

Identifying possible coping mechanisms Explanation: Religion and spirituality have been related to a client's well-being in the face or illness and disease. They can be powerful coping mechanisms when a client is facing end-of-life issues. The definition of spirituality is a search for meaning and purpose in life. Common practice shared by a group of persons defines a religion. Religion also helps to define the meaning of the afterlife.

A nurse is relying heavily on gestures and simplified language during the assessment of a client from another culture who speaks minimal English. During the lengthy assessment, the nurse asks the client if she is "okay" by making a circle with his thumb and forefinger. The nurse should be aware of which of the following? This gesture has meaning only in American cultures. In some cultures, this gesture denotes pain. In some cultures, this gesture is offensive. In some cultures, this gesture denotes confusion.

In some cultures, this gesture is offensive. Explanation: The way Americans sign "OK" by making a circle with the thumb and forefinger is a definite and serious insult in many cultures around the world.

What does the nurse understand has a direct relationship to the health of the residents of the community? Housing Food Recreation Income

Income Explanation: Income has a direct relationship to the health of the residents of the community. The income of the members of the community determines its tax base and, therefore, the ability of the community to provide needed services to its members. Businesses and other local employment opportunities are key factors in economic well-being.

A community has experienced an increase in crime over the past several months. The nurse should recognize that this lack of safety may have what effect on residents? Increased psychosocial stress for residents Decreased educational opportunities Decreased adherence to prescribed treatments by residents Increased resilience by residents

Increased psychosocial stress for residents Explanation: A lack of safety results in increased stress. Resilience may result for some residents, but stress is likely to be more common. This may or may not affect educational opportunities or adherence to health treatments.

A nurse has learned that the community's real estate prices have risen sharply over the past several years. The nurse should anticipate what effect from this phenomenon? Increases in homelessness Increases in substance abuse Decreased access to primary care Decreased numbers of older adults

Increases in homelessness Explanation: A shortage of safe, low-income housing contributes directly to the growing number of homeless individuals and families.

A nurse is caring for a client of Native American/First Nations heritage. The client requests a shaman. What is the best response by a culturally competent nurse? Inquire about contacting a shaman to come speak with the client. Assure the client that they are getting the best care. Tell the client, "We will have to discharge you if you keep asking for a shaman." Inform the client, "The hospital employs only real doctors."

Inquire about contacting a shaman to come speak with the client.

A client has a nursing diagnosis of impaired social interaction. What is a common characteristic of this diagnosis? Low eye contact Insufficient quantity or quality of social exchange Loneliness experienced as a negative state Poor listening skills

Insufficient quantity or quality of social exchange Explanation: In impaired social interaction, the client's engagement with others is insufficient in frequency, lacking in quality, or both.

The nurse is caring for the family of a client who has just died. The family requests that the client's arms not be crossed and that any of the clothing and dressings containing blood be left and be prepared for burial with the client. The nurse understands this family's request as indicative of what religion's belief? Hinduism Judaism Christianity Buddhism

Judaism Explanation: In Judaism, arms are not crossed and any clothing or bandages with client's blood should be prepared for burial with the person so that the whole person is buried together. In Buddhism, death is associated with rebirth, and serene surroundings are important to the dignity of dying. In Hinduism, death marks a passage, and, at death, the soul may be reborn. Holy water and basil leaves may be placed on the body and sacred threads may be tied around the wrists or neck, and the deceased's arms should be straightened. In Christianity, memorial services rather than funerals, and cremation rather than burial, are more common.

A nurse is performing a spiritual assessment on a client that is diagnosed with aggressive form of lymphoma. What is the best intervention by the nurse to address the client's spiritual end of life issues if she is unable to? Make a referral to the appropriate professional. Tell the charge nurse that you do not want to be assigned to this client. Tell the client that you are not able to address these issues since you are both different religions. Do not interact with the client in a spiritual nature.

Make a referral to the appropriate professional. Explanation: Many hospitals have staff pastoral chaplains, and community resources of different faiths and are usually available through social work professionals. While nurses can assess and support many clients' spiritual needs, some situations are beyond the scope of nursing practice and require someone with more experience and knowledge about a particular faith.

Which of the following best reflects nursing's view of clients as holistic beings? Mind, body, spirit Spiritual, egocentric, naive Physical, psychosocial, religious Id, ego, superego

Mind, body, spirit Explanation: Nursing has a long history of incorporating spirituality into client care. References to spirituality underlie a primary idea in nursing, that clients are viewed as holistic beings in body, mind, and spirit. Id, ego, and superego are concepts associated with psychoanalytic theory. A holistic view is more than physical, psychosocial, and religious or spiritual, egocentric, and naà¯ve.

A mother brought a child in to the Emergency Department stating that she thinks her child's appendix has ruptured. Before any diagnostic tests can be done, the father comes in and says, "I don't want anything done, we will take the child to our church where prayer will heal him." What is an appropriate action by the nurse at this time? Tell the father that if he takes the child from the Emergency Department, the police will be notified. Notify the ethics committee immediately. Lock the father out of the Emergency Department. Tell the mother and father that you will call social service if they do not allow treatment.

Notify the ethics committee immediately. Explanation: Christian Scientists frequently rely on prayer alone to heal illnesses, rarely seek mainstream medical care, and have higher rates of mortality than the general population. The U.S. Supreme Court has generally sided against parents' withholding medical therapies for religious reasons; the hospital's ethics committee should be consulted immediately to assist in this complex decision.

A nurse is performing a focused assessment on a newly admitted client. The client recently emigrated from Central America. The client is talking about the evil eye in a partial use of the dominant language. What is the best response of the nurse? Request a Catholic priest. Obtain a translator. Ask the family, "How long has this been going on?" Document abnormal findings for culture.

Obtain a translator. Explanation: The priority for the nurse is to obtain a translator and ask the client how they usually seek advice or care when they are ill, so that the health care team can provide culturally competent care. The nurse should not assume that the client is Catholic, especially since the evil eye is not part of the Catholic religion. Asking the family "How long has this behavior been going on?" implies that it is abnormal, when in fact avoiding the evil eye is a traditional preventative measure in Central and South America, and therefore this can be considered a normal finding.

A nurse is completing an admission assessment of an adult client, during which the client states, "I've never been a religious man, but I'm definitely spiritual." How should the nurse best understand an aspect of the relationship between spirituality and religion? Spirituality is the codification of principles that are based on religion. Spirituality is an Eastern concept, whereas religion is associated with Western cultures. Religion consists of the spiritually focused rituals and practices of a group. Religion is the state of spiritual certainty that results from cultural influences.

Religion consists of the spiritually focused rituals and practices of a group.

The nurse's assessment of a hospital client's spirituality reveals that the client will accept very few of the standard treatments for her health problems. What would the nurse do next? Document the client's nonadherence to treatment. Prioritize complementary interventions in the client's care. Report the finding to the appropriate supervisors. Consult the client's clergy to weigh options.

Report the finding to the appropriate supervisors. Explanation: If a nurse is presented with a situation in which religious or spiritual views have the potential to compromise adequate nursing care, the situation should be presented to a supervising staff member immediately. The client should not be labeled as not adhering to treatment at this early stage, and complementary treatments should not be solely prioritized. The client's clergy may or may not be of assistance.

When the nurse asks a client of African origin for the reason for coming to the health clinic, the client responds by saying, "Bad blood." The nurse recognizes that the client is most likely referring to which of the following? High blood pressure Low blood volume due to diet Sudden collapse preceded by dizziness Sexually transmitted infection

Sexually transmitted infection Explanation: For some people of African origin, "bad blood" refers to contamination of the blood, especially by a sexually transmitted infection. "Low blood" may refer to having not enough blood or weak blood due to diet. "High blood" can refer to high blood pressure but also to thick or excessive blood. A sudden collapse preceded by dizziness or a spinning sensation may be referred to as "falling out" or "blacking out."

When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care? After the focused assessment, decide if a cultural assessment is necessary. Show genuine interest in the client's culture and personal life experiences. Develop a plan of care after talking to the client's family. Develop a plan of care based on the nurse's own knowledge of a client's culture.

Show genuine interest in the client's culture and personal life experiences.

The hospice nurse is performing a spiritual assessment for a client that is admitted with a diagnosis of lung cancer. What does the nurse understand is the importance of spirituality? Spirituality can determine whether the family will provide supportive care. Spirituality can influence hospice accepting the client into their service. Spirituality can influence health care decisions. Spirituality will determine if the client receives pain control.

Spirituality can influence health care decisions.

A nurse is preparing to begin a community assessment. The nurse would begin with which activity? Enlist the help of nurses in the community. Visit the hospitals in the community. Draft preliminary health goals for the community. Study the history of the community.

Study the history of the community. Explanation: Studying the community's history near the beginning of a community assessment provides valuable context and background. T

The school nurse is in the talking to a group of students about sexually transmitted diseases. One of the students says, "I know that most of the 10th grade has already had sex. There's drinking and parties, and this is where a lot of it happens." What type of data is the nurse collecting? Objective Formulative Subjective Summative

Subjective

A nurse's colleague states, "I think Mrs. Nguyen in room 412 is a Buddhist, so she'll definitely be a vegetarian." The nurse should understand what principle of religion and spirituality when planning clients' care? Clients who claim to be spiritual generally oppose meat consumption. Nurses should avoid planning care on the basis of religion. Decisions around a religious client's care should be deferred to the clergy of that religion. The beliefs of members of a particular religion are not necessarily homogeneous.

The beliefs of members of a particular religion are not necessarily homogeneous. Explanation: When conducting any type of review of the denominations or faiths in a particular community, be aware that a client's spiritual dimension is subjective and may vary greatly among persons, even persons of the same denomination or faith. Clergy should not be granted ultimate authority over a person's care, unless that is the client's explicit desire. Spirituality and vegetarianism are not synonymous.

The eudaimonistic model of health emphasizes: The fulfillment of social roles by the person. Adaptation of the person to maintain health. The use of non-conventional treatment to restore health. The biopsychosocial and spiritual wellness of the person.

The biopsychosocial and spiritual wellness of the person. Explanation: The eudaimonistic model of health emphasizes the biopsychosocial and spiritual wellness of the person. The complementary and alternative medicine model emphasizes the use of non-conventional treatment to restore health. Gordon's functional health model proposes that people are healthy if they can fulfill their social roles. Roy's adaptation model proposes health is dependent on the person's ability to adapt, compensate, manage, and adjust in order to maintain, restore, and promote health.

The nurse is educating a client from another country about the medications they will be taking. The client continually interrupts the nurse during the conversation. When the nurse considers the many ways cultural differences can affect communication, how should the nurse interpret the client's interruptions? This client is impolite and does not know good manners. The client believes that they know more about the medications than the nurse does. The client believes that what they have to say is more important than what the nurse is saying. The client is deeply engaged in the conversation.

The client is deeply engaged in the conversation. Explanation: In some cultures, it is common for speakers to interrupt one another in conversation. This provides for overlap in speech. In such cultures, this indicates that the persons are deeply engaged in the conversation. In other cultures this practice is perceived to be rude by other cultures. By practicing cultural awareness the nurse can prevent herself from perceiving negativity in this situation.

The nurse is setting an outcome with the client experiencing spiritual distress. Which goal would be appropriate? The client will attend a community event every week. The client will initiate interaction with others. The client will express meaning and purpose in life. The client will express feelings of connectedness with others.

The client will express meaning and purpose in life. Explanation: An outcome appropriate for the client experiencing spiritual distress would be for the client to express meaning and purpose in life. The other options would be appropriate for the client experiencing social isolation.

What outcome should the nurse prioritize when addressing a client's social, cultural, and spiritual issues? The client will engage in worship weekly. The client will engage in interactions with others. The client will express meaning and purpose in life. The client will express a sense of oneness with self and others.

The client will express meaning and purpose in life. Explanation: An outcome related to social, cultural, and spiritual issues includes the client will express meaning and purpose in life.

The nurse is setting an outcome with the client experiencing social isolation. Which goal would be appropriate? The client will initiate interaction with others. The client will express feelings of connectedness with God. The client will express meaning and purpose in life. The client will attend a church event every week.

The client will initiate interaction with others.

Suzie is a 16-year-old daughter in the Hanes family. She is the youngest of five children. She has had a series of illnesses and does not seem to be regaining her strength. She likes school but is falling behind a bit. Her mother is very attentive to her needs but does not seem overly concerned with the continuing pattern of illness. Which of the following is most likely a Hanes family belief? Fathers are not involved with their children. Self-care is highly valued in the Hanes family. Education is highly valued for sons and daughters. The family values taking sick roles and caregiver roles.

The family values taking sick roles and caregiver roles. Explanation: Cultural beliefs and values to assess include beliefs about who serves in the role of healer or what practices bring about healing.

A nurse will be working in a clinic in South Asia for several weeks, where the majority of residents have darkly pigmented skin. The nurse should expect a higher-than-average incidence of what integumentary health problem? Vitiligo Eczema Contact dermatitis Psoriasis

Vitiligo Explanation: The conditions that are more common in darker skin are postinflammatory hyperpigmentation, vitiligo, pityriasis alba, dry or "ashy" skin, dermatosis papulosa nigra (flesh moles), keloids, keloid-like acne from shaving nicks, and hair loss.

A nurse is educating students on the definition of community. The nurse determines understanding when the students state which of the following? Choose the best answer. a place or shared interest by a group of people a family people who live in the same region shared beliefs and ethics

a place or shared interest by a group of people Explanation: A community is described as a defined area or shared interests or beliefs. People who live in the same region, share beliefs and ethics, or are families can be considered types of communities but these are not the best answers for a definition.

The previous week a client from a non-English speaking culture desired time to say prayers before eating breakfast. Another client from the same culture is currently being admitted. What should the nurse do to support the new client's spiritual needs? schedule breakfast after time for prayers emphasize the importance of physical health as a priority explain that there is no control over the time when breakfast arrives assess if the client would like time for prayers before breakfast

assess if the client would like time for prayers before breakfast Explanation: Spirituality is a dimension of culture, and it is culture-specific in how it is viewed. The nurse provides spiritual care by supporting the client's practice of spirituality such as prayer or meditation. The nurse should assess if the client wants time for prayers before having breakfast and not assume that this is to be done. Spirituality is an important health dimension and should not be minimized over physical concerns or needs. Explaining that there is no control over the time for breakfast does not support the client's cultural or spiritual needs.

Which nursing intervention best demonstrates the nurse's attempt to provide effective spiritual care to a client in spiritual distress? sharing a story related to one's own spiritual beliefs attending a religious service in the hospital's chapel with a client who is scheduled for surgery assessing the spiritual needs of a client who is critically ill providing intense spiritual counseling for a client who has expressed hopelessness

assessing the spiritual needs of a client who is critically ill Explanation: When an individual's sense of purpose or meaning of life is threatened, spiritual distress may result. Nursing care includes assessment of the client's spiritual needs and implementation of care related to these needs.

The nurse spends a day off in a part of a non-English speaking community in order to learn more about the culture to improve interactions when providing client care. What cultural activity is this nurse demonstrating? skill desire competence awareness

desire Explanation: Cultural desire is the motivation that the nurse wants to become culturally aware, culturally knowledgeable, and culturally skillful to seek cultural encounters. Cultural skill is "the ability to collect relevant cultural data regarding the client's presenting problem as well as accurately conducting a culturally-based physical assessment. Cultural awareness is the process of conducting a self-examination of one's own biases towards other cultures and the in depth exploration of one's cultural professional background. Cultural competence recognizes the need for a set of skills necessary to care for people of different cultures.

The community nurse is aware that the following illness is most closely associated with occupation: diabetes lung disease heart disease gout

lung disease Explanation: High unemployment can create a stressful environment and threaten a community's psychological well-being. Occupational-related death and injuries cost the nation billions of dollars a year, with lung diseases and musculoskeletal injuries being the most frequent causes. Gout, diabetes, and heart disease are not directly related to economics/occupational illness.

A nurse is assessing a client admitted with anorexia nervosa. The nurse expects which of the following signs and symptoms? fear of weight gain, binge eating weight loss with self-induced vomiting fear of obesity, restricted food intake fear of excessive weight loss, restricted exercise

fear of obesity, restricted food intake Explanation: Anorexia nervosa is a North American and Western European culture-bound syndrome associated with an intense fear of obesity; it is characterized by severely restricted food and calorie intake and frequent excessive exercise. Anorexia nervosa is not the fear of excessive weight loss and it does not include binge eating. Weight loss with self-induced vomiting is seen in bulimia nervosa, another North American culture-bound syndrome in which a client binges and then induces vomiting in order to avoid weight gain.

A client of Native American/First Nations (Navajo) heritage is admitted to the hospital with dizziness, hallucinations, and loss of consciousness. The client is now awake, alert, and oriented. The nurse interviews the client and the client states he has been preoccupied with the death of someone close to him. The client's father states this reaction is common in his culture. Which of the following culture-bound syndromes is this client experiencing? ghost sickness bulimia empacho bad blood

ghost sickness Explanation: Ghost sickness is a culture-bound syndrome seen in Native American/First Nations (Navajo) societies. The client may have feelings of danger, confusion, futility, suffocation, bad dreams, fainting, dizziness, hallucinations, loss of consciousness, or preoccupation with death or someone who died. Empacho is a culture-bound syndrome seen in Latin (American or Mediterranean) societies. It is seen in children: soft foods are believed to adhere to the stomach wall causing gastrointestinal symptoms. Bulimia is a culture-bound syndrome seen in North America and Western Europe. It is a disordered approach to eating that originates from an intense fear of obesity. Bad blood is a culture-bound syndrome seen in African societies. It means blood is contaminated and the term often refers to sexually transmitted diseases.

A nurse has just completed a community assessment for a small rural town. Some data collected include the following: 11.8% unemployment, lack of medical care services, median income below the national average. Based on the limited data given, which of the following is the best nursing diagnosis? ineffective community coping related to unemployment social isolation readiness for enhanced community coping risk for trauma related to high crime areas

ineffective community coping related to unemployment

A nurse performs a spiritual assessment on a client. The client states they practice Islam. This indicated to the nurse that the client will want to practice which of the following while hospitalized? Select all that apply. praying facing east having sacred threads tied around wrists or neck prayer five times a day having holy water and basil leaves placed on the body washing of hands and feet prior to prayer

prayer five times a day washing of hands and feet prior to prayer praying facing east

Shared practices and rituals used to express one's faith can be called spirituality. denomination. philosophy. religion.

religion. Explanation: Religion is defined as the rituals, practices, and experiences shared within a group that involve a search for the sacred.

To give spiritual care to a client, it is not necessary for the nurse to share the same religious beliefs as the client to provide effective spiritual care. be aware of personal religious beliefs and biases in order to provide effective spiritual care. prepare to help clients seek a source of strength and hope from their own (clients') religion and spiritual beliefs. recognize that depression may result from unmet religious group expectations.

share the same religious beliefs as the client to provide effective spiritual care. Explanation: Nurses who are more aware of their spirituality are more comfortable discussing the potential spiritual needs of the client. Introspective reflection on one's own beliefs and biases about the relationship between spirituality and health can be undertaken through journaling, meditation, or discussions with interested persons. These reflections help to provide a deeper understanding of one's spiritual dimension and build confidence for future discussions on spirituality. While many nurses view spiritual assessment and care as an important part of nursing practice, training levels vary from institution to institution. However, nurses can educate themselves to meet this vital need of the client. The nurse who understands the content of a spiritual assessment can use this knowledge also to increase self-understanding.

A community health nurse is conducting a community assessment on an inner city neighborhood. The assessment reveals predominantly young single parents, higher than expected birth with higher infant mortality, affordable public transportation, several small convenience stores in a 5-mile radius, one grocery store within a 20-mile radius, several small health clinics within a 10-mile radius, and major medical centers within a 20-mile radius. Fill in each blank in the following sentence. The nurse determines that the findings of _____, ___, _____, ____, and require follow-up.

single parents higher birth rates with higher rates of infant mortality medical centers within a 20-mile radius one grocery store in a 20-mile radius

A nurse is caring for a client who is an immigrant and believes in the magicoreligious system. The nurse understands that the client believes which of the following affect(s) health? supernatural forces spirituality religiosity taboos

supernatural forces Explanation: Those who have faith in the magicoreligious belief system think the entire universe has supernatural forces at work, which affect all humans as well as the world in general. A taboo is a social or religious custom prohibiting a particular practice or association with a particular person, place, or thing. Religiosity is a strong belief in religion. Spirituality is having a strong concern for the human spirit or soul.

When performing a cultural assessment, an important point to remember would be that the cultural/ethnic background is evident in the client's appearance to use first names of those you are speaking to that alternative therapies are reasons for seeking care that definitions of family differ

that definitions of family differ