Nursing Assessment Chapter 11, PrepU Chapter 12 Religion, Prep U chapter 12, (1) PrepU Chapter 11 Culture, Test questions, Chapter 11 study questions, The Point Chapter 4, PA Study Guide Ch. 11, Health Assessment Chapter 11 Questions, Chapter 11: Ass...

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

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for the client's culture.

The nurse identifies which of the following as risk factors for spiritual distress? (Select all that apply.)

negative life changes natural disasters chronic illnesses

Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

The nurse and a Hispanic client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan

nutritional information specifically for a Hispanic client.

The nurse is meeting with a client for the first time and begins to assess the client's perspective of spirituality. Which questions are appropriate when focusing on the establishment of a trusting nurse-client relationship? Select all that apply.

"Do you belong to any formal religion?" & "Are you interested in having a member of the clergy visit during your hospitalization?" & "Are you aware of the research that confirms a connection between physical health and spiritual comfort?"

A nursing instructor is teaching students about communication in different cultures. When discussing the meaning of hand gestures and body language in different cultures, the nurse realizes that further instruction is necessary when a student makes which statement?

"I can make a circle with my thumb and forefinger and people of all cultures know it means OK."

Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?

"I need to understand the client's cultural background to best interrupt the client's needs."

The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors as they help to provide care to him. How should the nurse best respond?q

"I will be back with your pain medication."

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?

Cultural desire

A patient of African origin comes to the clinic requesting treatment for "bad blood". The nurse is aware that the patient is most likely referring to which disorder?

A sexually transmitted disease

If a client seems reluctant to make eye contact, a health care provider should consider the possibility that this is which of the following?

An indication of discomfort or intimidation

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?

Asian traditions of medicine include Chinese medical practitioners and herbalists who focus on maintaining balance between yin and yang.

A Navajo Native American client states having "bad dreams, and feelings of confusion and danger." The nurse notes the client's mother died one month ago. What would the nurse do next?

Ask how long the client slept last night.

An Asian patient comes in to the clinic accompanied by her son. He explains that his mother has "not been feeling well". The nurse observes scars that resemble cigarette burns. What is the nurses best intervention to this assessment finding?

Ask the patient if she has had moxibustion.

An Afghani woman is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?

Assess if the client speaks and understands English.

The nurse is working with a client in the hospital who is Muslim. Which of the following considerations that is unique to a client of this faith should the nurse be prepared to address in this situation?

Assisting the client in turning in his bed to face east during his prayer time

A nurse assesses a 4-year-old boy who experiences gas, a stomachache, and diarrhea after consuming lactose products. The nurse recognizes this data as what type of biological variation?

Biochemical

Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

A nurse is working with her first client from a Muslim culture. In working with this client, the nurse quickly realizes that culture has a major impact on health and health care. Which of the following are examples of culture affecting health care? Select all that apply.

Client refuses hospital meal because it contains pork & Client demands that a male nurse be assigned to him. & Client requests that he be allowed a time of silence in the afternoons to pray.

The nurse is performing an admission assessment on a patient with a diagnosis of pancreatic cancer. The nurse asks the patient about religious preference. The patient states, "Leave me alone about religion. I don't want to talk about it with you!" What is the best intervention by the nurse?

Collaborate with the hospital clergy.

An adult African American female 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 should the nurses do to provide better care to this client?

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

The nurse is caring for a married female patient from the Middle East who defers to her husband to answer all assessment questions. The nurse understands that it is common in this culture for the male to hold a dominant role in the relationship. What stage of cultural awareness does the nurse display?

Conscious competence

A nurse is assigned to care for a client who practices Orthodox Judaism. 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 Orthodox Judaism but would like to learn more. The nurse is in which stage of cultural awareness?

Conscious incompetence

The nurse observes that a patient who is Jewish and follows an Orthodox way of life. The patient is not eating the food that the dietary department is sending. What would be the best lunch to bring this patient?

Cottage cheese, peaches, and crackers with tea.

The nurse knows that she will be caring for a patient from Southern Korea who has been visiting with a family member. The nurse obtains some information about the Korean culture so that she will be able to meet the patients needs. What is the nurse demonstrating?

Cultural knowledge

A nurse is assessing a client from India who complains of panic, sexual dysfunction, fatigue, weakness, and loss of appetite. Which culture-bound syndrome should the nurse suspect in this client?

Dhat

A patient just died, and the nurse is preparing the body for the funeral home. The patient practiced Judaism and a rabbi was present at the time of death. The nurse is careful to do which of the following to honor the patient's religious beliefs concerning death?

Do not cross the patient's arms.

A pediatric nurse is assessing children of various cultures. The nurse notes an African-American child's motor development is better than children of the same age from different cultures. What would the nurse do next?

Document the findings in the client's records.

A nurse is assessing a client before administration of an antibiotic. The nurse should be aware that which of the following represents a biochemical variation that may exist between clients of different cultures?

Drug metabolism

A client requests to be cared for by a nurse who is a member of his own culture. The nurse recognizes that which barrier exists in regards to this client's nursing care?

Ethnocentrism

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

A nurse is using a quick reference to guide the spiritual assessment. A published acronym related to the assessment of spirituality is which of the following?

FICA

People of all cultures believe that autonomy is a universal right of health care consumers.

False

The student nurse is aware that culturally competent care is described as which of the following?

Following five constructs of cultural awareness, knowledge, skill, encounters, and desire

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

The nurse is planning the discharge of a patient with hypertension. What would be an appropriate intervention to ensure support and accountability for this patient?

Have the patient inquire about joining his local congregation's support group for hypertension.

A nursing instructor is teaching about spirituality, major world religions, and common beliefs. The instructor realizes that a student understands the differences based on which of the following statements?

Hindus believe that illness is the result of past and current life actions.

The nurse is being oriented to the oncology unit. Which is a true statement regarding the potential population of this nursing unit?

Hispanic women have higher rates of cervical cancer than white women.

A nursing instructor is teaching about similarities between Buddhism and Hinduism. The nursing student is correct when stating which of the following?

Many who follow Buddhism and Hinduism are vegetarians.

A nurse supervisor is instructing a novice nurse on methods of introspective reflection to help the novice gain an understanding of self beliefs and biases about the relationship between spirituality and health. Which of the following methods should the supervisor recommend to the novice? Select all that apply.

Journaling - Meditation - Discussions with a spiritual leader

A Hindu client on hospice care tells his nurse that he is not afraid of death. He explains that this is because he believes he has lived a very good life and therefore his next life should be even better than this one, as all of his life actions will be carried into the next. The nurse recognizes this belief as which of the following?

Karma

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

Mediterranean and Africa.

A nurse begins an interview with a client who is a Native American. The nurse should recognize that this client will display what type of behavior when responding to questions or engaging in conversation with the nurse?

Look down

After completing a spiritual assessment, a nurse determines that the patient has signs and symptoms requiring medical diagnosis and treatment. What should the nurse do?

Make a referral to a primary care provider.

A nurse is performing a spiritual assessment on a client that is diagnosed with aggressive form of lymphoma. What is the best intervention by the nurse to address the patient's spiritual end of life issues if she is unable to?

Make a referral to the appropriate professional.

A nurse realizes that when assessing beliefs about health and illness among patients from different cultures, which of the following is true?

Most patients hold a combination of beliefs when it comes to illness.

The nurse is caring for Hindu client. What should the nurse include in the assessment phase?

Need to accommodate for prayer in private

A mother brought a child in to the Emergency Department stating that she thinks her child's appendix has ruptured. Before any diagnostic tests can be done, the father comes in and says, "I don't want anything done, we will take the child to our church where prayer will heal him." What is an appropriate action by the nurse at this time?

Notify the ethics committee immediately.

When performing an assessment of a patient, the nurse observes that the patient begins to cry when asked if she has a religious preference. What part of the care plan would the nurse document this assessment finding?

Objective data

Using Roy's adaptation model, the nurse identifies that the goal of nursing care is to assist the client to achieve what? Select all that apply.

Optimal mental health & Physical health & Role function & Interdependence

Which of the following statements is true?

Pork and wine are forbidden in many ethnic groups for religious reasons.

During an interview, a patient tells the nurse about spending time out of doors and hiking to connect with the earth and observe the activities of small animals. The nurse would document this patient's hiking behavior as supporting:

Spirituality

A patient asks the nurse if there are church services in the hospital because the patient attends mass every Sunday. The nurse realizes that this patient is demonstrating:

Religion

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.

A nursing student realizes that which of the following is an important variation of communication?

Silence

When assessing the client, the nurse finds that verbal responses are minimal, with little eye contact and he states he does not "get out much". Which nursing diagnosis would be most appropriate?

Social interaction, impaired

The nurse is assessing a patient'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 nursing student is caring for his first patient who is of Latin American descent. Before entering the room, the student reviews how this patient perceives space. The student realizes that when he speaks to the patient, he needs to do which of the following?

Stay close together when talking.

A patient in the hospice unit has fewer than 3 months to live. The patient states, "I have been good all my life ... I do not know why God is punishing me like this." What is the most appropriate action for the nurse?

Stay with the patient and provide presence.

Suzie is a 16-year-old daughter in the Hanes family. She is the youngest of five children. She has had a series of illnesses and does not seem to be regaining her strength. She likes school but is falling behind a bit. Her mother is very attentive to her needs but does not seem overly concerned with the continuing pattern of illness. Which of the following is most likely a Hanes family belief?

The family values taking sick roles and caregiver roles.

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 patient is being educated on a new diagnosis of diabetes mellitus. The patient asks no questions during or after the session. What cultural consideration does the nurse understand may be the reason for the patient not asking questions?

The patient considers asking questions of the nurse a sign of mistrust in her abilities.

An unresponsive patient comes to the emergency department following an automobile accident with severe internal bleeding. The patient is scheduled for emergency surgery. During history taking, the patient's father states that the patient is a Jehovah's Witness. Which should concern the nurse?

The patient might need a blood transfusion.

A nursing student is caring for an older Hispanic adult. The nurse's preceptor asks the student what would be an important assessment to make to provide quality nursing care for this client. What would be the student's most appropriate response?

Transcultural assessment

To determine the sources of strength for a patient, the nurse could ask, "In what ways do they help?"

True

A nurse provides care for an African-American client who experiences tremors, muscle weakness, and nausea. The client's family believes that the client is affected by some kind of black magic. The nurse recognizes this as which culturally bound syndrome?

Voodoo

The nurse is to perform an assessment on a newly admitted client from Bolivia, South America who was involved in a minor automobile accident with a local family member. The nurse understands that the first phase of assessment begins when?

When meeting the client for the first time.

A Muslim teenager is in the hospital for surgical repair of a severe fracture in the leg during the month of Ramadan, which the client says he would like to observe during his stay. Which of the following interventions should the nurse be prepared for in caring for this client?

Withhold all food and drink between sunrise and sunset

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

Which nursing intervention best demonstrates the nurse's attempt to provide effective spiritual care to a client in spiritual distress?

assessing the spiritual needs of a client who is critical ill

A nurse should assess patients for signs of spiritual distress, which include which of the following? (Select all that apply.)

crying, wishing to die, anger

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

cultural differences

A nurse is aware that which of these represents a biochemical variation that may exist between clients of different cultures?

drug metabolism

A nurse is aware that religion can sometimes negatively affect health. Which of the following is an example?

failure to seek timely and proper medical care

A culture-bound syndrome seen in the African American community is

falling out.

Risk factors for mental disorders

may be specific to an ethnic group.

A nursing instructor is teaching the importance of religion and spirituality to patients. 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

A nurse cares for a client who believes in Hinduism. The nurse understands that Hindus believe illness is caused by which type of behavior?

result of past and current life actions

To give spiritual care to a client, it is not necessary for the nurse to

share the same religious beliefs as the client to provide effective spiritual care.

A nurse is caring for a patient who is an American Indian. When working with this patient, the nurse consider that the patient believes which of the following as true about eye contact?

shows disrespect

A nursing student realizes that which of the following is an important variation of communication?

silence

What aspects of culture are relevant when conducting a health assessment on an Asian client admitted for surgery? Select all that apply.

whether there are any existing language barriers & alternative medicine practices & nutritional or dietary considerations

An Asian patient has been admitted to a medical floor with a diagnosis of pneumonia. Upon admission the patient is very talkative and friendly to the nurse. When the nurse approaches the patient's bed to listen to his lung sounds, the patient becomes very quiet and starts to pull away. The nurse realizes that this is because of the patient's perception of which of the following?

space

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