NURS 3204: Chapter 5: Cultural and Spiritual Assessment

As a novice nurse caring for a client from a different culture, what may the nurse find confusing or upsetting?

patient's nonverbal communication

The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors. How should the nurse best respond?

"I will be back with your pain medication."

A client expresses frustration that the nurse is assessing his spirituality, stating, "I thought I was here to have my tumor removed, not to figure out what I believe or don't believe about God." How should the nurse best justify the need for a spiritual assessment?

"Spirituality actually has a significant effect on your overall health."

While listening to a lecture, the students learn that there are three dimensions of cultural humility, which include

-self-awareness -respectful communication -collaborative partnerships

The nurse plans time to sit with a client to help address the client's spiritual needs. Why is this important?

Clients are holistic beings consisting of body, mind, and spirit.

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?

Identifying possible coping mechanisms

An instructor is describing culture and minority. Which statement would be most accurate for the instructor to include related to minority

It means that a group has smaller population numbers.

The nurse wants to support a client's spirituality. To do so, what must the nurse do first?

Keep an objective perspective and meet the client at his or her level.

A nurse is planning a spiritual assessment of a client who is experiencing intractable losses in function as a result of disease. Which of the following principles should inform the nurse's assessment?

Knowledge of the most common spiritual practices in the community is a priority.

After teaching a group of students about spirituality and religion, the instructor determines that the students need additional teaching when they state which of the following?

Nursing has only recently begun to incorporate spirituality into client

The nurse chooses to use a formal assessment technique when doing a client's spiritual assessment. Which of the following techniques would the nurse use?

Self-response assessment instrument

When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

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 influence health care decisions.

An elderly client is touring the United States and has a heart attack. When admitting this client to the coronary care unit, what would be important to note in the family history?

The decision makers for the family

The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?

The new mother may believe buying infant clothing before the delivery is bad luck.

A nurse is completing a comprehensive assessment of a client who has been referred to the clinic. Which of the following would be most appropriate for the nurse to ask when beginning to assess the client's spirituality?

What gives you hope or peace?"

In preparing to assess a client from a different culture, a nurse is aware that one needs to assess both factors that affect the client's approach to providers and factors that affect the client's disease, illness, and health state. Which of the following is a factor the nurse should consider that primarily affects the client's approach to providers?

body language

The nurse is setting an outcome with the client experiencing spiritual distress. Which goal would be appropriate?

client will express meaning and purpose in life

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?

conscience incompetence

A male nurse is caring for an elderly woman who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the client, she refuses to allow it. The best explanation for her actions would be which of the following?

cultural differences

What concept is an approach to caring for clients from culturally diverse backgrounds?

cultural humility

A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?

culture desire

A new graduate nurse, attending a hospital orientation, is asked to explain what the goals of a cultural assessment include. What would be the graduate nurse's best answer?

developing and implanting a culturally congruent plan of care

A male Hispanic client describes the fact that he mixed hot and cold foods, causing them to lump together and "get stuck in his intestines," causing diarrhea and abdominal pain. The nurse would document this as which of the following?

empacho

A nurse recognizes that the belief that one's worldview is the only acceptable truth and that one's beliefs, values, and sanctioned behaviors are superior to all others is called what?

ethnocentrism- evaluation of other cultures according to preconceptions of one's own culture

A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover?

focus in balance of yin and yang

A nurse is assessing a Navajo client, who has presented to the health clinic with complaints of feeling endangered, confusion, bad dreams, and hallucinations. Which culture-bound syndrome should the nurse suspect in this client?

ghost sickness

What is an important part of being present with a client?

listening

Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?

mediterranean and Africa

A hospice nurse is admitting a new client who states, "I'm not religious but consider myself spiritual." What change in attitude has been noted when illness stresses such a client's beliefs and values?

religious activities may take central position in life

Spirituality can best be described as

source of inner strength

Matters of the human soul are referred to as what?

spirituality

A new nurse asks her preceptor if the new baby she is caring for is breast- or bottle-feeding. The preceptor tells the new nurse that the mother is Hispanic and to give the baby a bottle because Hispanics do both until the mother's milk comes in. This is an example of:

stereotyping

The nurse reviews data collected while completing a spiritual assessment with a client. Which data should the nurse focus as the primary source of information for this assessment?

subjective- what the patient is telling us since it is A SPIRITUAL assessment

When performing a cultural assessment, an important point to remember would be

that definitions of family differ

A nurse is working with a client who has received a terminal diagnosis. To help the nurse identify the client's possible coping responses, what would be most important for the nurse to understand about spirituality?

varies in different situation

To help the nurse identify possible coping responses in clients, which of the following would be most important for the nurse to understand about spirituality?

varies in different situations