Ch 5 PrepU: Cultural and Spiritual Assessment

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

Matters of the human soul are referred to as what?

Spirituality

The path one pursues in the search for life's meaning and purpose.

Spirituality

A nursing instructor is teaching about cultural awareness and sensitivity in client care. The student demonstrates understanding of the above when making which of the following statements?

"Cultural awareness happens first when the nurse obtains culturally specific information from the client's health history."

Which of the following would be most appropriate for the nurse to ask when beginning to assess a client's spirituality?

"What gives you hope or peace?"

A nurse recognizes the need to assess a client's spirituality after the client has been admitted from the emergency department to the medical unit. How should the nurse best initiate this assessment?

"Would you describe yourself as being a religious or spiritual type of person?"

What would the nurse include when describing the effects of religion and spirituality on clients? Select all that apply.

-Increased adherence to medical regimens -Enhanced coping with end-of-life issues -Improved client sense of well-being

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

Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?

Conduct a cultural assessment to better understand the client's perception of pain and illness.

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?

Conscious incompetence

Based on a colleague's feedback, a nurse learns that she is aware of cultural differences in a general way but does not know what the specific differences are or how to communicate with a person of a specific culture. This nurse exhibits which of the following?

Conscious incompetence

When performing a spiritual assessment, what may help the nurse to identify related nursing diagnoses, needed interventions, and improve client care?

Gaining relevant information about the client's spirituality.

A nurse assesses spirituality in order to gain an understanding of what in relation to the client's life?

Identify possible coping mechanisms

When caring for a client from a culturally different background, what is the goal for incorporating the client's health beliefs and practices into the nursing plan of care?

Improvement of the client's health outcomes

A nurse is relying heavily on gestures and simplified language during the assessment of a client from another culture who speaks minimal English. During the lengthy assessment, the nurse asks the client if she is "okay" by making a circle with his thumb and forefinger. The nurse should be aware of which of the following?

In some cultures, this gesture is offensive.

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.

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?

It varies in different situations.

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.

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

Listening

A nurse is planning care that is grounded in the fact that clients are holistic beings. Which of the following components constitute the view of clients as holistic beings?

Mind, body, spirit

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 care.

A nurse has identified the goal of becoming more culturally sensitive and competent. What is the primary rationale for cultural sensitivity in health care settings?

Obtain accurate assessment data.

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 nurse learns that a client routinely engages in spiritual practices. Which activities should the nurse document as being spiritual in nature? Select all that apply.

Prayer Attending church Yoga

After completing an admission assessment the client asks if the room door can be closed so that the client can have silence when reading the Bible. What does this indicate to the nurse about the client's spirituality?

Reading the Bible provides comfort to the client

A nurse is completing an admission assessment of an adult client, during which the client states, "I've never been a religious man, but I'm definitely spiritual." How should the nurse best understand an aspect of the relationship between spirituality and religion?

Religion consists of the spiritually focused rituals and practices of a group.

The nurse is assessing a client's ability to employ coping mechanisms when given a diagnosis of cancer. What type of assessment would be beneficial for the nurse to use?

Spiritual assessment

A nurse's colleague states, "I think Mrs. Nguyen in room 412 is a Buddhist, so she'll definitely be a vegetarian." The nurse should understand what principle of religion and spirituality when planning clients' care?

The beliefs of members of a particular religion are not necessarily homogeneous.

The nurse prepares to complete a spiritual assessment with a client. What should the nurse keep in mind when completing this assessment?

The reason is to better understand the client's spiritual perspective related to health

A clinic nurse is conducting a comprehensive assessment of a client. The nurse observes that the client rarely makes eye contact and holds his head low during the assessment. Using knowledge of cultural practices how should the nurse best interpret this practice?

The client may be showing the nurse respect.

What outcome should the nurse prioritize when addressing a client's social, cultural, and spiritual issues?

The client will express meaning and purpose in life.

When the nurse completes a spiritual assessment, most of the data will be subjective data.

True

The previous week a client from a non-English speaking culture desired time to say prayers before eating breakfast. Another client from the same culture is currently being admitted. What should the nurse do to support the new client's spiritual needs?

assess if the client would like time for prayers before breakfast

A client from a non-English speaking culture is experiencing a health problem. What should the nurse do to ensure that communication with this client is culturally appropriate?

be respectful of the client's culture

While listening to a lecture, the students learn that there are three dimensions of cultural humility, which include (Select all that apply.)

collaborative partnerships self-awareness respectful communication

Stereotyping is defined as

expecting all members of a cultural group to hold the same beliefs and behave in the same way.

A nursing instructor is teaching the importance of religion and spirituality to clients. The instructor identifies which of the following as the first step in promoting the spiritual aspect of holistic care?

reflect on one's own spiritual dimension

The most effective way for a nurse to learn about an ethnic group within the community in which he/she practices is

spend time with a variety of individuals of that ethnic group.

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

that definitions of family differ