Week 11 - Jensen - Ch. 10 Cultural Assessment
At a community town hall meeting in a small town, town members ask the nurse, "What is the purpose of a community assessment?" What is the best response by the nurse? "The assessment will help me get to know the community better and make health decisions." "After a brief assessment, I will be able to implement interventions that will improve health." "The purpose of the community assessment is to figure out what resources the town has in place." "A community assessment will help identify population health problems and factors contributing to them."
"A community assessment will help identify population health problems and factors contributing to them."
A nurse is conducting a spiritual assessment on a client. The nurse determines normal spiritual findings when the client makes which of the following statements? "I have prayed every day, but I am still ill." "I am glad I took care of myself all these years." "I have faith that my health will improve." "I should have attended church more often."
"I have faith that my health will improve."
A nursing instructor is teaching nursing students about cultural competence. The instructor determines understanding when the students make which of the following statements? "The nurse needs to assist clients with acculturation to Western beliefs and values." "Cultural competence is easy for all nurses to understand and achieve." "The nurse must be aware of the client's beliefs and values to provide high-quality care." "Recognizing that a client is from a different culture is cultural competence."
"The nurse must be aware of the client's beliefs and values to provide high-quality care."
Which of the following would be most appropriate for the nurse to ask when beginning to assess a client's spirituality? "What religion are you?" "What gives you hope or peace?" "Would you like to speak to a chaplain?" "Do you believe in God?"
"What gives you hope or peace?"
The nurse plans time to sit with a client to help address the client's spiritual needs. Why is this important? Clients feel more comfortable talking with nurses Nurses have the most time to address a client's spiritual needs Clients are holistic beings consisting of body, mind, and spirit Nurses are easier to talk to than spiritual advisors or chaplains
Clients are holistic beings consisting of body, mind, and spirit
The nurse learns that a tornado has ravaged a local community. Which tool should the nurse suggest be used to complete this community assessment? The nursing process Triage and trauma score assessment Community as Partner model Community Assessment for Public Health Emergency Response
Community Assessment for Public Health Emergency Response
The nurse learns that a tornado has ravaged a local community. Which tool should the nurse suggest be used to complete this community assessment? Triage and trauma score assessment Community Assessment for Public Health Emergency Response Community as Partner model The nursing process
Community Assessment for Public Health Emergency Response
A nurse is caring for a 70-year-old client from a different culture whose breast cancer has metastasized. The nurse observes that the client tends to defer responsibility for decision making around treatment options to her eldest son. How should the nurse respond to this? Attempt to dialogue with the client when her son is not present. Confirm that the client wants her son to make these decisions. Request a referral for a social worker. Explain the disconnect between the client's practice and the principle of client autonomy.
Confirm that the client wants her son to make these decisions.
A nurse is participating in an educational exercise in which she is conducting a self-examination of her own biases. This activity addresses what construct of cultural competence? Cultural skill Cultural awareness Cultural knowledge Cultural desire
Cultural awareness
What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds? Develop a cultural habit and build effective relationships Know that nonverbal communications are common across cultures Consider ethnicity as the sole aspect of culture Rely only on textbooks for information on cultural groups
Develop a cultural habit and build effective relationships
Examples of subjective data the nurse would collect on a community include which of the following? (Select all that apply.) Unemployment above state average Expressed concern about lack of a school nurse Expressed concern about insufficient number of long-term beds Long-term care facility at full capacity Expressed concern that no one is available to care for injuries or illnesses during school hours
Expressed concern about lack of a school nurse Expressed concern about insufficient number of long-term beds Expressed concern that no one is available to care for injuries or illnesses during school hours
Which vital statistic should a nurse recognize as demonstrating that a community lacks adequate services or programs to meet the needs of its members? Expected birth rates Low infant mortality High rates of teen pregnancy Below average mortality rates
High rates of teen pregnancy
You are attending a seminar on transcultural nursing at a nursing conference. What aspects of culture relevant to health assessment would you expect to be discussed? (Mark all that apply.) High-risk behaviors Educational goals Health care practitioners Wound care Nutrition
High-risk behaviors Nutrition Health care practitioners
A client states to the nurse, "I must have had bad Karma from a past life; that is why I have cancer." The nurse understands the client believes in which of the following faiths? Hinduism Christianity Islam Orthodox Judaism
Hinduism
A nurse is studying U.S. Census Bureau trends, specifically the nature and size of households in the last 50 years. Which of the following is an example of such a change? Household size has decreased. The number of married couples has increased. Number of unmarried partner households has decreased. Number of divorced people has decreased.
Household size has decreased.
A nurse is preparing to conduct a community assessment. Upon completing the assessment, what would the nurse expect as the primary outcome? Development of a common bond with community members Identification of health-related concerns in the community Creation of a partnership with local health care providers Increase in the number of health services provided
Identification of health-related concerns in the community
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? Finding common practices shared with a group Searching for meaning and purpose Defining the meaning of the afterlife Identifying possible coping mechanisms
Identifying possible coping mechanisms
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 Defining the meaning of the afterlife Searching for meaning and purpose Finding common practices shared with a group
Identifying possible coping mechanisms
A community has experienced an increase in crime over the past several months. The nurse should recognize that this lack of safety may have what effect on residents? Increased psychosocial stress for residents Increased resilience by residents Decreased adherence to prescribed treatments by residents Decreased educational opportunities
Increased psychosocial stress for residents
A nurse has learned that the community's real estate prices have risen sharply over the past several years. The nurse should anticipate what effect from this phenomenon? Decreased access to primary care Decreased numbers of older adults Increases in homelessness Increases in substance abuse
Increases in homelessness
Participating in the community allows the nurse to be accepted as a member of it. This method of data collection allows the nurse to participate in the daily life of the community, obtain information about the structures and influences of the community, and also do which of the following? Form judgements. Make observations. Facilitate immediate changes. Tell people what to do.
Make observations.
The nurse is assessing a client and notices that when being asked questions, the client does not make eye contact. The nurse should include what in the plan of care? Minimal eye contact due to culture History of abuse Fear of authority Uncomfortable answering questions.
Minimal eye contact due to culture
A nurse is performing a focused assessment on a newly admitted client. The client recently emigrated from Central America. The client is talking about the evil eye in a partial use of the dominant language. What is the best response of the nurse? Ask the family, "How long has this been going on?" Obtain a translator. Document abnormal findings for culture. Request a Catholic priest.
Obtain a translator.
The city police department has had to make significant budget cutbacks and have been forced to decrease their workforce. The nurse has seen in increase in injuries caused by violent crimes in the emergency department. What would be a priority nursing diagnosis for this issue? Risk for Ineffective Community Therapeutic Regimen Management Other-Directed Violence related to insufficient police protection Risk for Social Isolation related to insufficient police protection Risk for Impaired Community Processes related to subgroup of ethnic people
Other-Directed Violence related to insufficient police protection
A client asks the nurse if there are church services in the hospital because the client attends mass every Sunday. The nurse realizes that this client is demonstrating: Culture Recreation Religion Spirituality
Religion
A nurse is working with a client who does not own an automobile. The nurse understands that clients living in which type of area are most likely to face transportation challenges? Rural Urban Small town Suburban
Rural
When evaluating a community's education, what would the nurse use to identify the effectiveness of the community's school system? Number of libraries Scores on standardized tests Extracurricular activities School health programs
Scores on standardized tests
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. After the focused assessment, decide if a cultural assessment is necessary. Develop a plan of care based on the nurse's own knowledge of a client's culture. Develop a plan of care after talking to the client's family.
Show genuine interest in the client's culture and personal life experiences.
During an interview, a client 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 client's hiking behavior as supporting: Spirituality Religious activities Relaxation Exercise needs
Spirituality
The client states "What does it matter? I have no purpose in this life." This client is questioning what? Spirituality Cultural practices Religion Cultural beliefs
Spirituality
The path one pursues in the search for life's meaning and purpose. Spirituality Philosophy Denomination Religion
Spirituality
The path one pursues in the search for life's meaning and purpose. Spirituality Religion Denomination Philosophy
Spirituality
The nurse reviews data collected while completing a spiritual assessment with a client. Which data should the nurse focus as the primary source of information for this assessment? Secondary sources Medical record Subjective Objective
Subjective
What must occur before a client will be willing to teach the nurse about her culture? The nurse needs to hide her biases The nurse needs to establish a value-based partnership The client's family must allow it The nurse needs to establish rapport and trust
The nurse needs to establish rapport and trust
A client who practices Judaism requests a clergy person. Which of the following people should the nurse contact? a rabbi a priest a Buddhist priest an imam
a rabbi
The nurse is gathering data about the availability of home health services in various communities. In which community would the nurse most likely discover limited access to these services? a small city a metropolitan area a large suburban community a small rural community
a small rural community
A nurse is conducting a cultural assessment. Which of the following should the nurse include in the assessment? Select all that apply. history of mental illness affiliations values communication physical health
affiliations values communication
The nurse identifies which of the following as risk factors for spiritual distress? (Select all that apply.) chronic illnesses natural disasters experiencing a new love life negative life changes ability to forgive
chronic illnesses natural disasters negative life changes
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. educational materials given to all clients with hypertension. referral to a cardiac specialist. contact number for the cardiac rehabilitation program at the medical center.
nutritional information specifically for the client's culture.
When performing a cultural assessment, an important point to remember would be that definitions of family differ to use first names of those you are speaking to that the cultural/ethnic background is evident in the client's appearance that alternative therapies are reasons for seeking care
that definitions of family differ