NCLEX Culture/Spirituality Review

Judaism: healing beliefs

medical care expected

Jehovahs Witness: Abortion

no

Jehovahs Witness: Birth related religious practices

none specified

Judaism: birth control

acceptable except with orthodox jew

A nursing student is asked to identify the practices and beliefs of the Amish society. Which should the student identify? Select all that apply.

-Many choose not to have health insurance - They believe that health is a gift from God - They use both traditional and alternative health care, such as healers, herbs and massage - Funerals are conducted in the home without a eulogy, flower decorations, or any other display. Caskets are plain and simple, without adornment

The Hispanic Culture believes that illness and misfortune occur as

Punishment from God referred to as CASTIGO DE DIAS or an imbalance of the hot & cold forces within the body

Jehovahs Witness: Healing Practices

Reading scriptures bring comfort

The nursing instructor is providing a session on cultural beliefs related to health and illness and gives some examples. A client of African-Caribbean descent tells the nurse that the present illness may have resulted from a curse from a competitor. Which statement describes the belief of this client?

"Illness is a disharmonious state that may be caused by demons and spirits"

The nurse educator is providing an in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. Which response is appropriate?

"It is a process of learning a different culture to adapt to a new or changing environment."

Which statement made by the nursing student indicates a need for further teaching by the nursing instructor on the concept of ethnocentrism?

"It is imposing one's beliefs on individuals from another culture."

The nurse is caring for a group of clients who are taking herbal medications at home. Which client should be given instructions with regard to avoiding the use of herbal medications?

A 10-year old female with a UTI

Why should the nurse who is focusing on facilitating positive outcomes regarding health care services become familiar with the cultural beliefs and practices of a childbearing woman?

A culturally diverse woman may have beliefs that impact the delivery of health care services

Jehovahs Witness: diet

Abstain from tobacco & alcohol

Jehovahs Witness: Autopsy

Acceptable if required by law

Judaism: Autopsy

Acceptable; all body parts must be buried together

Jehovahs Witness: Medications

Acceptable; except for blood derived products

Jehovahs Witness: Surgical Procedure

Acceptable; no blood products allowed(except maybe autologous)

The nurse is preparing to assist a client of Orthodox Jewish faith with eating lunch. A kosher meal is delivered to the client. Which nursing action is appropriate when assisting the client with the meal?

Allowing the client to unwrap the utensils and prepare his own meal for eating.

The nurse is reinforcing instructions to a Native-American client regarding the procedure for collecting a urine sample. The nurse observes that the client continually stares at the floor during the instructional session. The nurse interprets this as being indicative of which behavior?

Attentiveness

The nurse checks the food on a tray delivered for an Orthodox Jewish client and notes that the client has received a cheeseburger and potato fries with whole milk as a beverage. Which action should the nurse take?

Call the dietary department and ask for a different meal.

Jehovahs Witness: Healing Beliefs

Faith Healing Forbidden

In Hispanic Culture who is the primary unit of society?

Family

Jehovahs Witness: Blood & Blood Products

No; Autologous blood transfusion may be allowed by some

The nurse knows that spatial behavior is related to territoriality in many Latino cultures. Which client needs are associated with territoriality? Select all that apply.

Privacy Security Autonomy Self-Identity

The nurse is assisting with collecting data from an African-American client admitted to the ambulatory care unit who is scheduled for a hernia repair. Which information about the client is of lowest priority during the data collection?

Psychosocial

The nurse is providing care to a Cuban-American client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. Which nursing action is most appropriate?

Request permission to move the client to a private room, and allow the family members to visit

The nurse educator is describing the yin and yang theory of the ancient Chinese philosophy of Tao to a group of nursing students. The nurse educator explains that in this theory, foods are classified as hot and cold and are transformed into yin and yang energy when metabolized by the body. The nursing student understands this theory when the student makes which statement?

The client consumes cold foods when a "hot" illness is present

The nurse is planning to reinforce instructions to the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse is aware of which related fact?

This Ethnic group views food as a primary form of socialization

An Appalachian family has brought a toddler to the emergency department with a fractured arm. The nurse knows that nonverbal communication is important to evaluate with assessing the family. Which factors are involved in nonverbal communication? Select all that apply.

Touch Body Posture Use of Space Eye Behavior Facial Expressions

A Hispanic-American mother brings her child to the clinic for an examination.Which is most important when gathering data about the child?

Touching the child during the examination

The nurse is caring for a Jewish client who follows a kosher diet. Which foods should the nurse use in planning meals for the client? Select all that apply.

Tuna Chicken Potatoes Apples

Judaism: Abortion

Varies; Therapeutic may be acceptable

Judaism: blood & blood products

acceptable

Judaism: medications

acceptable

Judaism: surgical procedures

acceptable

Judaism: organ donation

acceptable in certain circumstances; practice varies

Judaism: birth related religious practices

circumcision

Judaism: visitors

family, friends, rabbi

Jehovahs Witness: Organ donation

forbidden

In Hispanic Culture Respect is

grown, given according to age and sex

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "I have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement?

"Tell me what you know about complementary therapies."

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the nurse that she would like to take an herbal substance to help lower her blood pressure. Which statement by the nurse is most important to provide to the client?

"You will need to talk to your PHCP before using an herbal substance."

Family role is important to which culture?

Hispanic

The secret to good health is to balance hot & Cold within the body according to which culture

Hispanic

Which culture frequently consults folk healers?

Hispanic

Atonement and forgiveness are important parts of therapy for

Hispanic Culture

Proper consideration should be given to cultural rituals such as shaking hands and standing up to greet and saying goodbye to people in

Hispanic Culture

Which culture believe that God gives health and allows illness for a reason?

Hispanic Culture

The nurse is preparing a session regarding nutrition for a group of culturally diverse pregnant women. The nurse determines that the priority nursing intervention includes which action?

Identify the cultural food preferences of each client

The nurse is assigned to care for a client who is traditional Chinese. The nurse enters the room and following a greeting and introduction to the client, the nurse begins to discuss the plan of care for the day. During the discussion, the client turns away from the nurse. The nurse should take which action?

Continue with the discussion

Where does Hispanic/Latino Culture originate from?

Central & South America(Mexico, Guam) Cuba Puerto Rico

In Hispanic culture who has a special bond?

Child's Parents & Grandparents

A 24-year-old Chinese-American who delivered her baby yesterday is breastfeeding her infant girl. The client's mother asked the nurse not to include cold foods on her daughter's tray because they are not good for the baby. The nurse responds by telling the client that she can have what she wants; it is not up to her mother. This response of the nurse demonstrates which cultural characteristic?

Ethnocentrism

The nurse knows when preparing the Filipino-American client for a surgical procedure it is important to assess for which culturally relevant influences? Select all that apply.

Familial Hierarchy Cultural Practices Reactions to surgery Pain Management Plans

Jehovahs Witness: Visitors

Family, Elders, and members of congregation

An Asian-American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method?

Foods considered to be yin

The nurse is planning to reinforce nutrition instructions to an African-American client. When reviewing the plan, the nurse is aware that which food may be a common dietary practice of clients with African-American heritage?

Fried Foods

The nurse is assigned to collect data from a Hispanic-American client during the hospital admission. On initial meeting of the client, the nurse should plan to do which?

Greet the client with a handshake

Hispanic Culture is influenced by

The Roman Catholic Church

Common health concerns for hispanic culture include

DM Obesity Lactose Efficiency Infant morbidity or mortality

The nurse is assigned to care for an Asian-American client. The nurse, when planning care for this client, considers that the client may believe what is the cause of illness if they follow traditional beliefs?

Illness is caused by an imbalance between yin & yang

The nurse is caring for an elderly Hispanic client who is a migrant farm worker and has been admitted for asthma. The nurse is unfamiliar with the cultural practices and beliefs of the client's home land. Which questions are appropriate for the nurse to ask when caring for this client? Select all that apply.

-What do you believe is causing your illness -Are there any remedies you have used in the past? -Who do you usually see for help when you are sick

A Spanish-speaking client arrives at the triage desk in the emergency department and states to the nurse "No speak english, need interpreter." What action should the nurse take

Seek an interpreter from the hospitals interpreter services

Jehovahs Witness: Birth Control

Sterilization is forbidden; other methods are individual choice

The nurse determines that which herbal therapies can be prescribed for use as an antispasmodic? Select all that apply.

Chamomile Peppermint Oil

The nurse is caring for a Hispanic client who reports that she is a practicing Roman Catholic. Which actions by the nurse demonstrate spiritual and cultural sensitivity? Select all that apply.

-Allow the client to observe communion daily if requested -Facilitate anointing of the client by a priest if requested.

The hospice nurse is caring for five clients from various religious backgrounds. Which observations should the nurse expect for the clients of the various religious backgrounds? Select all that apply.

-A client of the Muslin faith having their bed positioned toward Mecca -A Hindu-believing family arranges to have the clients body cremated within 24 hours of death

Judaism: healing practices

prayers offered

The nurse is caring for an older Appalachian client recovering from open heart surgery. In order to provide culturally appropriate care, the nurse should be aware that which aspects of reporting pain may be impacted by the Appalachian culture? Select all that apply.

-Appalachian clients may want to appear to be stoic -Appalachian clients may be afraid of addition tendencies -Appalachian Clients may not want to appear to be complainers

The nurse is caring for a Southeast Asian woman who presented to the emergency department with complaints of a headache and nausea. The client is accompanied by her adult son. Upon examination, the nurse notes long pale red welts on both arms. Which actions should the nurse take next? Select all that apply.

-Ask if she has used any home remedies -Assess cultural health beliefs and practices -Recognize the redness is a result of a traditional form of healing

The nurse is caring for a new immigrant from the Philippines who is in labor. The client is 4 cm dilated and 30% effaced. This is her first child. The mother is grimacing. Her pulse, respiratory rate, and blood pressure are elevated. The nurse offers to check on a prescription for an epidural. The mother declines. The nurse hypothesizes the client may be declining the epidural for which reasons? Select all that apply.

-Filipino mothers fear drug addiction -Filipino mother believe pain is a form of spiritual atonement for one's past deeds.

The nurse caring for a Chinese-American client plans to use communication according to Chinese-American cultural beliefs and practices. Which techniques are considered disrespectful in the Chinese-American's view of communication? Select all that apply.

Maintaining eye contact Closing the conversation abruptly Touching the opposite sex in public

The nurse consults with a dietitian regarding the dietary preferences of an Asian-American client. Which food should the nurse suggest to include in the diet plan?

Rice

A client is seen in the clinic for a physical examination. Laboratory studies are performed and reveal that the hemoglobin and hematocrit are low, indicating the need for further diagnostic studies and possibly a blood transfusion. The client is a Jehovah's Witness and states he will never have a blood transfusion. Which would be an appropriate action by the clinic nurse?

Support the client's decision not to receive a blood transfusion

The nurse is assisting in preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that surgery is necessary. Considering the client's religious preferences, the nurse should first verify with the client and then document which information?

The administration of blood and blood products is forbidden

The nurse is reinforcing discharge instructions to a Chinese client regarding prescribed dietary modifications. During the teaching session, the client continually turns away from the nurse. Which nursing action is most appropriate?

Continue with the instructions, verifying client understanding.

The nurse is providing care to a client diagnosed with multiple sclerosis. The nurse knows that which populations are affected by this disease? Select all that apply.

-Multiple sclerosis affects women twice as often as men - Multiple sclerosis occurs in adults between the ages of 20 & 50 years -Multiple Sclerosis most often affects caucasians of northern european ancestry.

The nurse is caring for an older Orthodox Jewish client whose condition is terminal. The nurse is implementing a plan of care and wishes to communicate this plan with the family and client. The nurse should be aware of which end-of-life religious practices when planning and communicating with the client and family? Select all that apply.

-The client may demonstrate a high level of anxiety -Religious laws are suspended during times of severe illness -If the client dies, care is given so that the body is not be touched by a person of the opposite sex

The nurse is caring for a non-english-speaking client. Best Practices for client safety and quality of care incorporate which actions by the nurse?

-Use interpreters who are familiar with health care -Avoid the use of relatives as interpreters to prevent misinterpretation -Use dialect-specific interpreters who are the same gender if possible - Become familiar with common health care words used in the clients language

Judaism: diet

some use only kosher prepared foods; milk & meat not mixed; prohibit predatory fowl, shellfish, and pork products

The nurse is preparing to deliver a food tray to a client whose religion is Judaism and follows Kosher preferences. The nurse checks the food on the tray and notes that the client has received a roast beef dinner with whole milk as a beverage. Which action should the nurse take?

Call the dietary department and ask for a new meal tray without the milk

The nurse is caring for an African-American client admitted for a planned surgery. The nurse enters the room and after a greeting and introduction to the client describes the routine for preparing for surgery. The client looks away from the nurse. Which nursing action is appropriate?

Continue with the explanation