Family, Culture, and Spirituality (Exam 1_Davis Advantage)

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Which examples define a family? Select all that apply.

All are correct -A married couple with children -A married couple without children -Single parents -Blended step families -A lesbian couple without children

A client has just been admitted with terminal cancer. Which is the best nursing statement in assessing the client's spirituality?

Correct: "I notice you have a Bible on your nightstand; is that a source of spiritual strength to you?" Incorrect: -"What do you believe happens to your spirit when you die?" -"We allow members of your church to visit you whenever you desire." -"Does your terminal condition change your spiritual beliefs?"

The nurse is caring for a client scheduled for cancer surgery. In a discussion, the client reminds the nurse that he is a Jehovah's Witness. What should the nurse ask next?

Correct: -"Would you be opposed to blood transfusions?" Incorrect: -"Would you like to receive Holy Communion before surgery?" -"Would you like a religious leader present during surgery?" -"Do you want any religious symbols kept with you during surgery?"

The nurse is admitting to the hospital an older adult client with a terminal illness and a large, extended family. Which situations are within the role of the bedside nurse? Select all that apply.

Correct: -Assisting family with conflict resolution -Counseling family members on effective coping skills Incorrect: -Assessing the husband's blood pressure when he says he fells "light headed" -Confirming and documenting that the family is attending the family support group meetings -Contacting the local food bank to let them know some family members will be visiting

The nurse is planning care for a client requiring an extensive dressing change. The client tells the nurse that she does not want anyone else in the room while her spiritual adviser is visiting. What should be the nurse's next action?

Correct: -Assure the client that once the dressing change is completed, she may see her spiritual adviser. Incorrect: -Tell the client that he will leave the room if the spiritual adviser visits. -Ask the client when the spiritual adviser plans to visit and schedule care around it. -Perform the dressing change now, before the spiritual adviser arrives.

Which of the following statements are true? Select all that apply.

Correct: -Culture changes over time. -Ethnicity is passed down through the generations. -Race is groupings based on biological similarities. Incorrect: -Cultural stereotypes are based on facts. -Cultural universals are unique beliefs of individuals within a culture.

A nurse is planning care for a culturally diverse group of clients. What considerations are needed to best meet cultural and spiritual needs? Select all that apply.

Correct: -Deliver appropriate care that is not discriminating to any race, sex, or ethnic group. -Become familiar with any facet of the patient's culture that may have an impact on his or her care. -Show respect for each individual to whom care is provided. Incorrect: -Openly discuss his or her thoughts and beliefs about the patient's culture. -Ask open ended questions about why they believe what they do.

The community health nurse is conducting an assessment of a homeless family living in their car in an alley. What would be important to include in the family assessment? Select all that apply.

Correct: -Family composition -Health beliefs, values, and behaviors -Coping methods -Abuse and violence history Incorrect: -physical assessment

What are some factors that contribute to healthcare challenges that families face? Select all that apply.

Correct: -Finances -Homelessness -Violence Incorrect: -Entertainment -Politics

The nurse is teaching a client with newly diagnosed diabetes about dietary changes. The client says she is a strict vegetarian for religious reasons. The client may be a follower of which religion? Select all that apply.

Correct: -Hinduism -Buddhism -Seventh Day Adventist Incorrect: -Islam -Mormonism


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