UCCS Basic Health Assessment Chap. 10

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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

A nurse is completing a comprehensive assessment of a client who has been referred to the clinic. Which of the following would be most appropriate for the nurse to ask when beginning to assess the client's spirituality?

"What gives you hope or peace?"

The nurse is reviewing community census data. On what should the nurse focus as the most important risk factor for health-related problems?

Age

The nurse is caring for a married female client who defers to her husband to answer all assessment questions. The nurse understands that it is common in some cultures 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 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

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 nurse's personal reflection reveals that the nurse tends to see their own culture as the "gold standard" to which all other cultures should aspire. This nurse should create learning goals to address what phenomenon?

Ethnocentrism

A nurse is assessing a community to determine if it can provide appropriate services related to the fastest-growing aspect of the health care system? Which area is the nurse evaluating?

Home health care

When describing a spiritual assessment to a group of students, which of the following would an instructor most likely include?

Knowledge of the spiritual temperament of the community is helpful.

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 client's spiritual end of life issues if she is unable to?

Make a referral to the appropriate professional.

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.

Funds have been cut to a local public high school in a community in which a nurse works. Which of the following is a direct consequence the nurse should suspect of this action?

School health programs are eliminated

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.

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 nurse is alert for the following community problem that can arise from unclear boundaries?

disruption in services

Because the nurse realizes that spirituality varies, information gained will assist the nurse in

individualizing interventions to meet specific needs.

When the nurse is attempting to demonstrate nursing presence, which intervention would be most therapeutic?

sitting with the client as he or she shares feelings about being ill

The public health nurse understands that the purpose of a community assessment is which of the following?

to determine the health-related concerns of its members


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