nur 104 prep u questions 3

when preparing for a spiritual counselor to visit a hospitalized client, the nurse should

take measures to ensure privacy during the counselors visit

when the client tells the nurse that she believes gods reality is personal, and that god is the creator of all beings, the nurse determines that the client is expressing

theism

after being informed that his wife only has a few hours to live, the nurse hears the husband say: if you take my wife i will never pray to you ever again, what should the nurse do

use silence and allow the husband to express his emotions

the nurse is collecting a health history of a client and notes the client is apprehensive in answering questions. the client states my spiritual healer will be here soon, what is the best response

we can wait until your healer arrives and work together to answer these questions

the nurse is conducting a sexual history on a 24 yo female who states she would love to have sex w multiple people. what is the best response

what do you hope to accomplish by doing that

the nurse assessing an adolescents need for further info regarding sexual health should ask which question

what questions or concerns do you have about ur sexual health

a client has been admitted for chest pain. a nurse told the family that they could not be w the client. the family became upset and the client now wants to leave. what is the most culturally appropriate response

would you feel more comfortable with your family with you

the nurse is caring for a client who practices catholicism and was diagnosed w cancer, the client states god is punishing me for my past sins, how should the nurse respond

you sound upset, would you like to talk about it

a nurse is assisting a terminally ill female client w bathing, the client says she has great respect and faith in a spiritual leader. the nurse interprets this as fulfilling which need

sense of security for present and future

a female client has had surgery and asks how she can have sex with her husband

simulation of the genitals by the mouth and tongue may be used to reach orgasm

a college foreign exchange student is living with a family in england and is confused about daily catholic prayers. she is protestant, which type of spiritual distress is she experiencing

spiritual alienation

When a nurse supports the client's spiritual needs, the nurse supports which level of the Maslow's hierarchy of needs?

self actualization needs

a client starts crying when asked about sexual function and states she is scared to have sex bc it hurts too much. which factors should the nurse further explore to determine a cause

previous trauma, fear of pain, vaginal infection, estrogen levels

when a 19 yo male tells the nurse he isn't able to achieve an erection the nurse recognizes the client is experiencing

primary impotence

a dying client's family asked for a chaplain to perform the anointing of the sick. which religion are they?

roman catholic

which nursing actions are appropriate when collecting a health history for a client whose primary language differs from dominant language

use facility telephonic interpreting system, have bilingual nurse assist, request assistance from certified interpreter

a family has immigrated and settled in a neighborhood that primarily speaks their native language. the nurse caring for them recognizes that which family member will likely require the greatest amount of time to learn the dominant language

the 45 yo mother in the family who doesnt work outside the home

A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?

the client states i feel like i abandoned my religion

a client is seeking care. the nurse is completing a cultural assessment. which scenario would demonstrate cultural assimilation

the client's child learned the dominant language as a second language

which sexually transmitted infection has the following characteristics : thin, foamy, greenish, vaginal discharge that cause itching of the vulva and vagina

trichomoniasis

a client from a minority culture has been hospitalized, her weight is decreasing each day and the nutritional intake is declining. which nutrition assessment question is most appropriate

what type of food do you eat at home

the nurse recommends a barrier method of contraception for a client who is concerned about the side effects of hormonal contraception. which method might the nurse suggest

cervical cap

a client recently diagnosed with cancer informs the nurse that they value faith and finds comfort in their faith. the nurse is aware that faith is best defined as

a belief in something for which there is no proof or material evidence

how would the nurse respond to a female client who says "i don't think ive ever had an orgasm, is that normal"

a normal sexual response for women may include multiple plateaus without an orgasm as a result

the client speaks a nondominant language, and the nurse doesnt understand it. which agency resources is best for the nurse to use in this case

a professional interpreter

what is the priority assessment for the nurse when developing a plan of care for a client living in poverty

access to care

the nurse is caring for a client who states no one can understand god, the nurse would document the cleints spiritual belief as

agnostic

a client is diagnosed with lactase deficiency, and needs calcium in his diet. which menu choice is the best option

baked salmon, steamed spinach and sweet potato, salad, hard boiled egg, carrots, celery, cucumber

a student nurse is not looking forward to clinical rotation on geriatric unit, she states how can i get them to move faster they are so slow. how should the instructor respond

be careful on the negative attitude in your approach. how fast an individual moves will depend on physical ability not necessarily age

a nurse provides care on the palliative unit of a hospital, which intervention will support a client who has expressed strong spiritual beliefs

carefully assessing verbal and nonverbal cues of spiritual needs by the client

in the female reproductive system, what corresponds with the penis

clitoris

a client who practices islam dies surrounded by family members. which action by the nurse demonstrates cultural sensitivity related to the clients death

consulting the family member prior to performing post mortem care

a client believes the illness is caused by an imbalance of yin and yang, the nurse states you can call it whatever you believe, but you have a metabolic disorder, what is the nurse demonstrating

cultural blindness

a nurse is caring for a client with bacterial pneumonia and a high fever, the health care provider prescribes a cool compress, but the client insists that she needs warm blankets bc they will help her recover more quickly. the nurse recognizes that the clients request is an example of

cultural ritual

the nurse is caring for a client who recently immigrated into the country, the nurse should implement interventions aimed at addressing what issue

culture shock

which set of terms best reflects nursing's view of clients as holistic beings

mind, body, spirit

a nurse is working with a local group to address health disparities. which concepts would be important for the group to address

minority, disadvantaged, less powerful

when conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. which questions should the nurse ask

do you feel your faith is helpful to you, is religion significant to u, is their anyone form your church you would like to talk to

the nurse is assessing a 27 yo navajo male who is being admitted for surgery. the client requests a visit from the spiritual healer. what is the best response

do you have a preference as to which leader you would like to visit

the client expressed that it's important the spouse be present to receive all medical info. using the concepts of culturally competent care, which is best response

document the clients request in the nursing care plan

the parents of 3 children are interested in fostering spiritual development in their children. the nurse informs the parents that the development of a childs spirituality is best accomplished by

educating through parental behaviors

When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

ethnic identity

what is associated with the resolution phase of the male sexual response cycle

feelings of relaxation and fulfillment

how is culture learned by each new generation

formal and informal experiences

a nurse practitioner is teaching students about sexual health and is evaluating their knowledge of sexual identity. she knows they understand when they say what

gender role behavior is the behavior a person conveys about being male or female

an older adult client who only speaks the nondominant language has been admitted to the emergency department after suffering a fall and hip fracture. who is the best person to perform translation services

hospital translator

which nursing title is being recognized by the american association of nursing that aids and assists the clients with spiritual needs in the community

parish nursing

a nurse reads in a clients chart that he has gender dysphoria. the nurse determines that the client understands the diagnosis when making what statement

people whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria

the nursing diagnosis spiritual distress related to crisis of illness as evidenced by loss of meaning in life and overuse of pain med is created for a client who attempted to take his life. which intervention is appropriate

plan and coordinate a multidisciplinary team conference including the chaplain

when talking with a client, the nurse notes that the client keeps backing up, what would be the most appropriate response

ask the client about personal space preferences

the nurse is caring for a terminally ill client who immigrated from mexico, which nursing intervention regarding spiritual care is appropriate

ask the client if a spiritual leader is desired

the nurse works in an urban hospital. which action by the nurse demonstrates the delivery of culturally sensitive care to clients

asking the client questions regarding health care beliefs related to clients culture, allowing client to keep religious necklace on them until going into operating room, integrating clients cultural practices when assisting with creation of plan care

the client has several family members in the waiting room. which nursing action is most appropriate

assess the clients beliefs about family support during hospitalization

a client presents with concerns of low testosterone and feels it is due to a pituitary gland disorder. which teaching would the nurse use on how testosterone is produced

gonads are the reproductive organs of the male and are responsible for the production of testosterone and spermatozoa

a nurse who usually works on the surgical unit is asked to float to the oncology unit. which statement by the nurse indicates the possibility of the nurse experiencing culture shock

i am very stressed now bc i don't understand how things work on this unit

which nursing intervention reflects practice according to madeline leiningers transcultural nursing theory

incorporating the clients request for complementary treatment therapy

a nurse expresses a desire to become culturally competent in the care of females from africa. which statement by the nurse demonstrates an understanding of this population of clients

infibulation is the narrowing of the vaginal opening through the creation of a covering seal

which teaching statement best exemplifies cultural competence in relation to time for the american culture

it's important to be on time for your health care appointment

during hospitalization for a suicide attempt, the client informs the nurse that she doesn't want to go to work bc her boss expects sexual pleasures. the nurse informs the client that this is illegal behavior and is called

quid pro quo harassment

a gerontology nurse is discussing sexual dysfunction with an older adult male client, she determines the education has been successful when the client states

malnutrition may cause impotence

during the menstrual cycle, when does ovulation typically take place

on day 14

the nurse conducted a comprehensive assessment on a new client. based on the notes for which disorder is this client at high risk

osteoporosis

the nurse is justified in assessing for sexual dysfunction among male clients who are receiving which

antihypertensive medication

a nurse is working with a client who is suffering with pain with no relief. the nurse wants to help nurture his spirituality and can do so in which ways

promoting meaning / purpose, promoting love and relatedness, promoting forgiveness

when reviewing the chart of an older adult client, the nurse notes that the client identifies as japanese. the nurse realizes the client is referring to which cultural factor

ethnicity

the nurse attended a seminar on diversity. which statement by the nurse would require further education

ethnicity and race are the same thing and are affected by cultural practice

applying masters and johnson description of sexual response, place the phases in order

excitement, plateau, orgasm, resolution

the nurse is trying to help a client ambulate after surgery but is aware the client may feel threatened by physical closeness ( the client is from a culture that tends to prefer more personal space ) what would be the most appropriate action

explain the purpose and need for assistance during ambulation

the nurse is teaching a black client about common health conditions, which statement made by the client most directly addresses a health problem with increased incidence in the population group

it is important to monitor my blood pressure

which factors contribute to the concept of a culture

language, art and music, communication styles, beliefs about health practices, items and clothing

the nurse is preparing a talk on health issues in the lbgqt population. what statistic would the nurse include

lgbtq youth are more likely to attempt suicide

a bedridden hospitalized client expresses a belief that missing weekly church is a failure, which is an appropriate nursing diagnosis for this client

spiritual distress related to inability to attend church services evidenced by verbal states of guilt

when a man cannot achieve an erection the phase of the sexual response in which the man is experiencing difficulty is

excitement phase

the nurse is caring for a client who perceives time differently. what action should the nurse take

maintain flexibility when the client requests interventions at specific times

a nurse is working with a culturally diverse group of clients. the nurse understands that cultural norms

require an individualized approach by the nurse