Prep U Spirituality, 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 Quest...

Which statement by the nurse demonstrates a cultural bias?

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

After completing diagnostic testing, the surgeon has scheduled a newborn with the diagnosis of an imperforate anus for surgery the next day. The infant's parents are Catholic and do not want the surgery to take place unless the infant has first been baptized. The nurse asks the parents

"Do you want me to help arrange the baptism?"

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.

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 client diagnosed with terminal lung cancer tells the nurse that he would like to seek spiritual advice. Which intervention by the nurse best provides spiritual support for this client?

The nurse could ask the client who his spiritual advisor is and make the contact.

Which of the following patient statements most clearly suggests the potential nursing diagnosis of Spiritual Anxiety?

"Now that I'm nearing the end, I'm worried that God won't think I lived a good enough life."

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

Which of the following statements is true about biologic variation?

Both genetics and environment produce biologic variation.

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

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

Need to accommodate for prayer in private

Which of the following factors should be the primary factor in a nurse's decision whether to pray with a patient?

The patient's openness to being prayed for.

The client who is in end stages of cancer is requesting spiritual support. The nurse should:

ask the client what spiritual activities would be most helpful.

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

that definitions of family differ

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."

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

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.

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

Mediterranean and Africa.

The parents of an infant who just died from sudden infant death syndrome (SIDS) are angry at God and refuse to see any members of the clergy. Which nursing diagnosis is most appropriate?

Spiritual distress

When providing care to Aboriginal clients, it may be important for the nurse to elicit help from the

Spiritual healer.

The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. Then nurse informs the parents that the development of a child's spirituality is best accomplished by:

Teaching through parental behaviors.

Upon assessment, the nurse is addressing the beliefs of a newly admitted man who reports practicing the Adventist religion. Based upon the nurse's familiarity with this religion, she appropriately asks the patient:

"What are your beliefs about the use of narcotics for pain?"

A client recently diagnosed with cancer informs the nurse that she values and finds comfort in her faith. The nurse is aware that faith is best defined as which of the following?

A belief in something for which there is no proof or material evidence.

Which description best matches the role of a parish nurse?

A nurse who works to reintegrate the healing tradition into the life of a faith community

Members of which of the following religious traditions are likely to have the most stringent restrictions and parameters placed on their medical care?

Christian Scientist.

A nurse is caring for clients at the healthcare facility. Which of the following populations require special spiritual care? Select all that apply.

Clients with mental illness, acute pain, chronic pain

When a 76-year-old client diagnosed with terminal cancer expresses hopelessness and despair to the nurse, the nurse should first

Listen attentively and with empathy.

A client, age 22, is admitted in a psychotic episode. His frequent requests to speak with the hospital chaplain are interspersed with profanities regarding God and the devil. The most therapeutic nursing intervention would be to:

Continue providing safe, effective care and give anti-psychotic medications as ordered to reduce symptoms of psychosis.

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

When caring for a client who is experiencing spiritual distress, what should the nurse do first?

Help the client explore his or her own values and beliefs.

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

A client with a fetal demise at 40 weeks asks the nurse, "How could God let this happen?" An appropriate goal for the client with a nursing diagnosis of "spiritual distress related to infant loss as verbalized by the client" would be that the client will

Participate in supportive spiritual practices.

Which of the following statements is true?

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

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

Possible coping mechanisms

The nurse is caring for a patient with Parkinson disease. The patient informs the nurse that he has been angry with God because of his worsening illness, but after talking to the hospital chaplain, he is ready to return to the church choir and become active again in the men's group at the church. What is an appropriate nursing diagnosis for this patient?

Readiness for Enhanced Spiritual Well-Being

A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery unit. The client's condition rapidly deteriorates and despite efforts by the staff, the client dies. After the client's death, the nursing staff displays many emotions. With whom should the nurse-manager consult to help the staff cope with this unexpected death?

The chaplain, because his educational background includes strategies for handling grief

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.

A dying patient requests that the nurse pray with him. The nurse is not accustomed to praying aloud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this patient?

The nurse should select a formal prayer or Bible passage to use to pray aloud.

A nurse is caring for a terminally ill client who believes that death and reincarnation are the ultimate gifts from God to humankind. How can the nurse provide spiritual support to this client?

The nurse should support and build on the clients' faith.

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 multipara gives birth to a neonate at 24 weeks' gestation. After 12 hours, the neonate's condition deteriorates, and death appears likely within the next few minutes. The parents are Roman Catholic, and they request that the neonate be baptized. The nurse should:

baptize the neonate, regardless of the nurse's own religious beliefs.

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

A primiparous client has just given birth to a healthy male infant. The client and her husband are Muslim, and the husband begins chanting a song while holding the neonate. How does the nurse interpret the father's actions?

singing to his son from the Koran in praise of Allah

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

A nurse is caring for a spiritually distressed client. Which of the following are the factors affecting spiritual distress? Select all that apply.

Sociocultural deprivation. & Self-alienation. & Chronic illness.

The nurse is aware that clients who are Christian Scientists may not approve of

Immunizations

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.

A client with terminal cancer tells the nurse that she is not afraid to die and she is thinking about how to plan her funeral. The most appropriate referral the nurse could suggest would be to the: You Selected:

pastoral care department.

A mother tells the nurse that her 4 1/2-year-old child "does not seem to know the difference between right and wrong." This behavior is typical of which levels as described by Kohlberg's theory of levels of moral development?

preconventional

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.

To obtain subjective data related to a 16-year-old client's spirituality, the nurse should

Ask the client if religion or a higher power/being is significant.

A client who's a member of Jehovah's Witnesses refuses a blood transfusion based on his religious beliefs and practices. His decision must be followed based on which ethical principle?

Autonomy of the client

A nurse is caring for a client whose left foot was surgically removed due to gangrene. The client tells the nurse that focusing more on his spiritual life helped him overcome the loss of his foot. Which of the following statements appropriately describes the spiritual dimension?

Being in harmony with the universe.

A psychiatrist who has been working with a client on spirituality asks the client to read a book called, "The Power of Spirituality on Thinking and Life," and to discuss it the following week. The nurse identifies this as a form of:

Bibliotherapy

Which of the following food groups would be appropriate to suggest to a client who practices tenets of Islam?

Broiled chicken sandwich with skim milk

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

The son of a dying patient is surprised at his mother's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what she really wants. She's never been a religious person in the least." What is the nurse's best action in this situation?

Contact the chaplain to arrange a visit with the patient.

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

When a nurse asks himself or herself questions such as "Why am I here?" the nurse is attempting to

Develop a philosophical base for clearer thinking.

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 nurse is caring for an infant who is to be administered an enema. What spiritually oriented interventions could the nurse follow with newborns and infants?

Encourage parents to be present during the treatment.

A nurse cares for a client who states that he believes that God can be seen in everything and every action. The nurse recognizes this as what characteristic of spirituality?

Self-reflective

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.

An 80-year-old woman who identifies herself as a devout Catholic has recently relocated to an assisted-living facility. The woman is pleased with most aspects of her new living situation, but laments the fact that she is no longer close to the church where she was in the habit of attending daily mass each morning. What nursing diagnosis may apply to this problem that the woman has identified?

Impaired Religiosity

A 19-year-old male with cystic fibrosis (CF) is hospitalized for a serious lung infection and is in need of a lung transplant. However, he has a rare blood type that complicates the process of obtaining a donor organ. He has also been diagnosed with bipolar disorder and treated successfully since mid-adolescence with medication and therapy. The client requests to see a chaplain to help him make plans for a funeral and donation of his body to science after death. How should the nurse interpret the client's request?

It is a signal of the client's growing awareness that he is likely to have a shortened lifespan and should be supported by unit staff.

To which unlicensed assistive personnel (UAP) should the nurse assign a male orthodox Muslim client who needs complete morning care?

Joe, who has one client requiring complete morning care

A nurse is administering a prescribed dose of an injection to a middle-aged client with Bell's palsy. What are the sources of fulfillment in the middle-years of an adult client's life?

Productive activity

When attempting to facilitate spiritual support for a school-age child with a life-threatening disease and his family, which action would hinder the nurse-client relationship?

Promoting the nurse's personal values and beliefs if she considers the family's to be inappropriate

Which of the following statements about religion and spirituality is most accurate?

Religion is an organized system of spiritual beliefs.

While preparing a client for surgery, a nurse discovers that the client's view about spirituality is entirely different from the nurse's. What is the most appropriate action by the nurse?

Respect the privacy of his spiritual beliefs and rituals.

Family members of a dying patient have asked for the hospital chaplain's help in having a member of the clergy come to the patient's bedside to perform anointing of the sick. The nurse who is providing care for the patient should recognize that the family is likely:

Roman Catholic.

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 client hints that he would like to discuss his spiritual and religious beliefs with someone. What is the best nursing intervention at this point?

Speak with the client further about his needs to assess how best to intervene.

A college foreign exchange student is living with a family in England and is confused about the family's Catholic prayers and rituals. The student longs for her Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress?

Spiritual alienation

When preparing for a spiritual counselor to visit a hospitalized patient, the nurse should:

Take measures to ensure privacy during the counselor's visit.

Nurses are aware that culture links a wide variety of behaviors and events uniquely. For Westerners, which of the following is a culturally linked behavior to autopsy?

The cause of death can be discovered.

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

Upon assessment, the patient reports he does not belong to an organized religion. The nurse is correct to interpret this statement as which of the following?

The patient is not affiliated with a specific system of belief regarding a higher power.

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 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

The nurse is instructing a Hindu client to increase protein in the diet. Which foods are appropriate to include in this client's diet? Select all that apply.

lentil soup, broiled fish sandwich

Risk factors for mental disorders

may be specific to an ethnic group.

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

A nurse is caring for a client with HIV. The client is angry, anxious, depressed, and defensive when asked questions regarding spirituality. What should the nurse say to make the client comfortable?

"I can see from your response that you might not have expected these questions."

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.

A nurse is caring for a client with end-stage heart failure who is awaiting a heart transplant. The client tells the nurse that he thinks he's going to die before a donor heart is found. He also tells the nurse that he hasn't been attending a church but wants to talk with a priest. What action should the nurse take?

Contact the clergy member who is assigned to the transplant team.

A Jewish client requests an orthodox diet while hospitalized. The nurse should refer this request to the:

dietitian.

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

drug metabolism

A multipara at 16 weeks' gestation is diagnosed as having a fetus with probable anencephaly. The client is a devout Baptist and has decided to continue the pregnancy and donate the neonatal organs after the death of the neonate. The nurse should:

explore the nurse's own feelings about the issues of anencephaly and organ donation.

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

falling out.

A client with mitral valve prolapse is advised to have elective mitral valve replacement. Because the client is a Jehovah's Witness, he declares in her advance directive that no blood products are to be administered. As a result, the consulting cardiac surgeon refuses to care for the client. It would be most appropriate for the nurse caring for the client to:

realize the surgeon has the right to refuse to care for the client.

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 manager has assigned a nurse as the circulating nurse for a surgical abortion. The nurse has a religious objection and wishes to refuse to participate in an abortion. The nurse manager of the operating room should:

change the assignment without comment.

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

Past and current life actions.