Holistic Nursing 1 Unit 1 Exam

A client attending a class in preparation for childbirth states, "I am sick and tired of wearing these same old clothes. I just wish all this would be over and done with." Which is the nurse's most therapeutic response?

"Most women feel the same way you do at this time."

Which instruction would be most beneficial for an older adult African-American client with hypertension?

"Have an annual urinalysis."

A postpartum client wants to take her placenta with her at discharge. Which response is most appropriate by the nurse?

"I need to check the hospital protocol for our policy on that practice."

Which statement is most therapeutic when approaching a client diagnosed with depression sitting alone in the dayroom?

"I'll be sitting with you for a while today."

A nursing instructor is teaching nursing students about common characteristics of cultures. Which statement made by a nursing student indicates effective learning?

"Language acts as one of the factors that prevent a culture from changing too frequently." & "The manners, customs, and attitudes of a particular social group constitute that culture's morals."

After a child's visit to a health care provider, the parent tells the nurse, "I'm so upset! The doctor prescribed an antidepressant." Which response by the nurse is therapeutic?

"Tell me more about what's bothering you.

Which question would the nurse ask when collecting information about the emotional needs of a recent Chinese immigrant who is critically ill and dying?

"Which family member do you prefer to receive information?"

A client who is delusional has refused to eat for the past 24 hours because, he says, "The food is poisoned." Which response is most therapeutic?

"You feel worried that someone wants to poison you?"

Which characteristic describes the holistic health belief system?

1.The mind and body are seen as a single unit, 2.The system teaches clients to take responsibility for their own health, & 3. Aspects of health include physical, emotional, and spiritual.

Which method would the nurse use to effectively handle a daughter of a recently deceased client of Chinese descent who begins to wail over the body?

Acknowledge that ways of coping with stressful situations such as death are culturally determined.

Before deciding to undergo elective shoulder surgery, a 30-year-old male client waits to get the opinion of his grandmother, the head of his childhood household. To which cultural or religious community might the client belong?

African American

Based on cultural influences on diet, which child has the highest risk for obesity and high cholesterol?

African American child

Which health belief system is being applied when the family member of a client with depression believes the client would benefit from aromatic therapy, more so than from medications?

Alternative or complementary health

When working with a group of 16-year-old adolescents to develop their sense of individual identity, which student would the nurse estimate might have difficulty meeting this goal?

Asian female

For which family would the nurse include information related to safe sleeping habits as a priority during a scheduled health maintenance visit for a toddler-age child?

Asian, African, Hispanic

A daughter of a Chinese-speaking client approaches a nurse and asks multiple questions while maintaining direct eye contact. Which culturally related concept does a Chinese-speaking client's daughter reflect when she maintains direct eye contact while asking questions?

Assimilation

While discussing psychiatric care options, an older client states, "When I was growing up I was taught to accept my lot in life and not complain. I'm proud of the fact that despite my issues I can still function independently. I don't want to be put away." Which factor do these comments indicate have the greatest influence on this client's mental health?

Attitudes and beliefs

This religious group consider the Bible to be the word of God,

Baptists

Which is the primary ethical principle that has guided the health care provider's decision in providing a blood transfusion to a child whose parents refused the blood transfusion because of religious beliefs?

Beneficence

Which religious community seeks exemption from vaccinations?

Christian Science

While caring for a client with schizophrenia, a nurse understands that psychotherapy is against the client's religious beliefs. To which religious community does the client likely belong?

Christian science

Which factor is most important to consider when evaluating the appropriateness of a family member's initial response to grief?

Cultural background

The nurse leader is teaching the staff that the health care provider continuously strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?

Cultural competence

Which topic regarding healthy lifestyle choices would the nurse discuss with a group of Native American adolescents?

Diet, exercise, alcohol use, limiting screen time, & stress management

Which action would the nurse perform if a Hispanic mother informs the nurse of plans to wean her 10-month-old child by giving anise tea for 24 hours?

Document findings in the health record

To which religious group would the parents of a newborn belong if the nurse observes an ordained priest moving the infant in the air in the sign of the cross?

Eastern Orthodox

Which therapeutic technique would the nurse use with a client who is extremely upset and using pressured and rambling speech after a traumatic event?

Focusing

The client refuses to receive the recommended treatment after a minor car accident because he believes medical treatment is against his god's wishes. Which type of health belief system is this client adhering to?

Folk

Which action would the nurse take before advocating for a client who is homosexual and has acquired immunodeficiency syndrome (AIDS)

Identify personal attitudes and feelings about homosexuality

Which information about the importance of adolescents developing their own identity would the nurse provide parents that can help this process?

Include important religious traditions

Which cultural factor may influence the development of eating disorders?

Industrialized Societies

A female client in the emergency department states; "Because of my religious beliefs I need to be seen by a female health care provider." To which religion does this woman likely belong?

Islam

The client refuses to sign the consent form for a tubal ligation because signing a consent form is against her religious beliefs, and she asks the health care professional to wait until her husband arrives. To which religious community does the client belong?

Islam

Which religion recommends circumcision before puberty?

Islam

Which statement is true regarding a biomedical health belief system?

It states that life processes can be manipulated by humans with mechanical interventions

Which community's religious belief is being respected and upheld when a transfusion is not given in a case of severe blood loss?

Jehovah's Witness

The primary health care provider advises a client to have an abortion to save her life. In accordance with their religion, the client and her family members agree this is the best choice. To which religion might this client belong?

Judaism

A client is admitted to the hospital with jaundiced skin and acute abdominal pain. Which is the nurse's most therapeutic response when the client with jaundiced skin and abdominal pain refuses all visitors?

Listen to the client's fears

In this religion a client with a poor prognosis may request an anointing and a blessing from the minister

Lutheran

In this religion adults may be baptized via the sprinkling, pouring, or immersion method

Lutheran

The nurse is caring for a Mexican American client. Which nonverbal method of communication might offend this client?

Maintaining direct eye contact with the client

Which religious group is associated with women sometimes wearing head coverings during hospitalization?

Mennonite

Which statement regarding death rites in observant Judaism is true?

Mirrors in the mourner's house are covered

Which action would the nurse take when caring for an Asian client who had a laparoscopic cholecystectomy 6 hours ago and denies having pain?

Monitoring for nonverbal cues of pain

Individuals belonging to which religion do not drink caffeinated beverages such as cola, coffee, and tea?

Mormon

This religious group believes in wearing sacred undergarments, which are removed only in emergency situations.

Mormons

This religious group eats meat, fruits, grains, and herbs. They consider drinking beverages such as cola, tea, and coffee to be unhealthy.

Mormons

This religious group seeks blessings before going to the hospital & will ask church funeral directors to dress dead bodies in special clothes before burial.

Mormons

What religions do not believe in organ donation?

Muslims, Jews, and Christian Science.

Which nursing action is appropriate when a client with a hemoglobin of 6 g/dL is refusing blood because of religious reasons?

Notify the primary health care provider of the client's refusal of blood products

Which ritual does the nurse understand is associated with infant baptism and the Lutheran Church?

Only living infants may be baptized & Baptism may only be performed 6 to 8 weeks after birth.

A home health nurse caring for a client is informed by the client's husband that he cannot help with his wife's care until she "bathes herself in a mikvah after her period." Which religion is being represented in this situation?

Orthodox Judaism

When interpreting findings from a pain assessment, which does a nurse consider the most significant influence on many clients' perception of pain?

Past experience and cultural values

A client has a "prayer cloth" pinned to the hospital gown that is soiled from being touched frequently. Which action would the nurse take when changing the client's gown?

Pin the prayer cloth to the clean gown

Which protein source would the nurse avoid suggesting to an Orthodox Jewish family?

Pork or shellfish

Which issue must a nurse be alert for when collecting data on a client who is a refugee?

Posttraumatic stress disorder

All aborted fetuses are baptized in the _________ faith

Roman Catholic

Rather than infant baptism, dedication services are practiced in the _______ faith

Seventh-Day Adventist Church, as well as many evangelical protestant churches.

A Vietnamese family whose child was admitted with pneumonia tells the nurse they practice holistic medicine. Which practitioner would the nurse expect the parents to consult?

Shaman

Which action of the complementary and alternative medicine (CAM) practitioner would be in line with CAM beliefs for an asthma client?

Teaching the client meditation techniques

This religious group celebrates open communion each Sunday.

The Christian Church and Disciples of Christ

The nurse cares for a client with attention deficit hyperactivity disorder. The client's mother informs the nurse, "I've been encouraging her to try meditation to improve her focus." Which statement about the health belief of the client's mother is true?

The mind and body constitute a single unit.

A client gets up at 5:00 am each Sunday and bows three times before a picture of the Reverend Sun Myung Moon and Mrs. Moon. The client vows to help the Reverend to accomplish his mission on earth. To which religion does the client belong?

Unification Church

Baptisms are not practiced in the __________ faith

Unification Church.

A client with a severe head injury was admitted to the emergency department. The trauma team leader notifies the family that the client is not expected to survive and asks the family about organ donation. The family members agree to proceed with donation. To which religious group does the family belong?

Unitarian Universalist Association

Which religious group practices infant baptism?

United Church of Christ

The nurse must administer an injection to a 2 year old whose parent is not present. Which therapeutic approach would the nurse use?

Warning the child about the injection just before administering it, saying that it is OK to cry, and then comforting the child

Which professional will the nurse confer with to meet the religious and cultural needs of a hospitalized child from a Jewish family?

dietician

Beneficence

doing good or acting for someone's good

Ethnocentrism

the belief by an individual that that the beliefs and practices of his or her particular culture are best.