302 - Healing + Caring and Spirituality in Nursing

Which details would the nurse include during a culturally appropriate nursing assessment with respect to the cultural phenomenon of communication? Select all that apply. a). Preferred language b). Tonal preference c). Use of nonverbal communication d). Proximity to others e). Comfort with touch

a). Preferred language b). Tonal preference c). Use of nonverbal communication

Match steps in the Plan/Do/Study/Act (PDSA) quality improvement process with the associated task. a). Problem identification b). Collect information c). Review outcome d). Put into practice OPTION: 1). Study 2). Plan 3). Do 4). Act

a). Problem identification = 2). Plan b). Collect information = 3). Do c). Review outcome = 1). Study d). Put into practice = 4). Act

In 2016 approximately __________% of nurses worldwide were over 50 years of age.

55

Health care systems are evaluated on the quality of care provided. Which are quality of care measures and nursing indicators? Select all that apply. a). Patient falls b). Supply costs c). Hospital acquired infections d). Information technology updates e). Medication administration errors

a). Patient falls c). Hospital acquired infections e). Medication administration errors

The nurse is performing a spiritual assessment on a new admission and is using the FICA spiritual assessment tool to assist with the process. Which questions are specific to the FICA assessment tool? Select all that apply. a). "Do you consider yourself spiritual or religious?" b). "Do your spiritual beliefs influence your health or medical decisions?" c). "Are you a part of a spiritual community or church?" d). "Where do you find your source of hope?" e). "How would you like me to address your health care concerns?"

a). "Do you consider yourself spiritual or religious?" b). "Do your spiritual beliefs influence your health or medical decisions?" c). "Are you a part of a spiritual community or church?" e). "How would you like me to address your health care concerns?"

A patient with stage IV heart failure has an advanced directive requesting no lifesaving measures if cardiorespiratory arrest occurs. The nurse believes there are certain lifesaving steps the patient should still consider. Which statements by the nurse are evidence of the values clarification process? Select all that apply. a). "Have you thought about the consequences of your decision?" b). "Why is this choice so important to you?" c). "Are you certain you know what you are doing?" d). "Did you consider what this would do to your family?" e). "Will your health care provider go along with your decision?" f). "Have you thought about what my advice for additional care means?"

a). "Have you thought about the consequences of your decision?" b). "Why is this choice so important to you?"

Match the values clarification concept with the question examples. a). "What would happen if this choice were implemented?" b). "Why is this important to you?" c). "Have you done anything about this yet?" OPTIONS: 1). Prizing 2). Acting 3). Believing 4). Knowing 5). Choosing

a). "What would happen if this choice were implemented?" = 5). Choosing b). "Why is this important to you?" = 1). Prizing c). "Have you done anything about this yet?" = 2). Acting

Which scenarios show implicit bias toward patients with disabilities? Select all that apply. a). A nurse helps a disabled person onto a scale without first asking the person if they want help. b). The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair. c). There is not a ramped entry to the clinic. d). A nurse uses a teach-back approach to determine learning. e). Evidence-based practice methods are used for patient care.

a). A nurse helps a disabled person onto a scale without first asking the person if they want help. b). The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair. c). There is not a ramped entry to the clinic.

The Institute of Medicine (IOM) publication, The Future of Nursing, provides key messages for nursing practice. Which key messages does the publication advocate that nurses incorporate into practice? Select all that apply. a). Achieve higher education. b). Enforce information improvement. c). Become full partners in health care. d). Practice at a level you are comfortable with. e). Adhere to the IT department renovation of the EHR.

a). Achieve higher education. b). Enforce information improvement. c). Become full partners in health care.

Match the characteristic associated with cultural competence with the correct definition. a). Acquiring, maintaining, and sharing new cultural information with others b). Effectively communicating and including cultural beliefs in patient care c). Recognizing limitations in knowledge and understanding of other cultures d). Learning and gaining new information about other cultures OPTIONS: 1). Cultural humility 2). Cultural awareness 3). Cultural skill 4). Cultural knowledge 5). Cultural proficiency

a). Acquiring, maintaining, and sharing new cultural information with others = 5). Cultural proficiency b). Effectively communicating and including cultural beliefs in patient care = 3). Cultural skill c). Recognizing limitations in knowledge and understanding of other cultures = 1). Cultural humility d). Learning and gaining new information about other cultures = 4). Cultural knowledge

Which rationales for asking specific questions during a cultural assessment are accurate? Select all that apply. a). Allows the nurse to see the health concerns from the patient's perspective b). Allows the patient to maintain control during the hospital stay c). Helps eliminate miscommunication between the nurse and the patient d). Strengthens the nurse-patient relationship e). Leads to a shorter hospital stay

a). Allows the nurse to see the health concerns from the patient's perspective c). Helps eliminate miscommunication between the nurse and the patient d). Strengthens the nurse-patient relationship

For which reasons is it important for the nurse to have knowledge about different religious and spiritual health practices? Select all that apply. a). Allows understanding of rationales behind specific behaviors b). Improves communication between cultures c). Improves the patient's confidence in the nurse's skill d). Allows for more tailored nursing care e). Often improves medical treatment adherence

a). Allows understanding of rationales behind specific behaviors b). Improves communication between cultures d). Allows for more tailored nursing care e). Often improves medical treatment adherence

Match the nursing quality with the appropriate nursing practice. a). Calming the patient b). Delivering care on time c). Understanding the patient's view d). Providing information OPTIONS: 1). Listening 2). Evidence-based practice 3). Dependence 4). Presence 5). Compassion 6). Consistency

a). Calming the patient = 4). Presence b). Delivering care on time = 6). Consistency c). Understanding the patient's view = 1). Listening d). Providing information = 2). Evidence-based practice

The National League for Nursing describes four values in nursing. Match the nurse's behavior with the corresponding value. a). Caring b). Integrity c). Diversity d). Excellence OPTIONS: 1). Giving health-promotion advice 2). Supporting community outreach for older adults 3). Respecting cultural beliefs 4). Listening to patients' feelings

a). Caring = 1). Giving health-promotion advice b). Integrity = 4). Listening to patients' feelings c). Diversity = 3). Respecting cultural beliefs d). Excellence = 2). Supporting community outreach for older adults

The nurse is caring for a patient recently diagnosed with stage 4 breast cancer. The nurse is amazed because the patient always has a smile on her face, frequently talks about her future goals, and often states "I know God has a plan for me." Which characteristics of spirituality is the patient showing based on these behaviors? Select all that apply. a). Connectedness b). Self-transcendence c). Inner strength d). Faith and hope e). Meaning/purpose in life

a). Connectedness c). Inner strength d). Faith and hope e). Meaning/purpose in life

Match the term associated with spirituality with its description. a). Connecting to one's inner self, which allows one to connect to others b). Being connected to oneself, others, and a higher power c). An energy source that inspires motivation d). Peace during times of great stress OPTIONS: 1). Faith/hope 2). Inner strength 3). Self-transcendence 4). Connectedness 5). Meaning/Life purpose

a). Connecting to one's inner self, which allows one to connect to others = 3). Self-transcendence b). Being connected to oneself, others, and a higher power = 4). Connectedness c). An energy source that inspires motivation = 2). Inner strength d). Peace during times of great stress = 1). Faith/hope

Which statements about culturally competent nursing care are true? Select all that apply. a). Cultural competence begins with cultural awareness. b). Cultural competence is a cognitive thought process. c). Cultural competence can increase health disparities. d). Cultural competence incorporates the patient's culture into his or her health care plan. e). Once cultural competence is achieved, it cannot be lost.

a). Cultural competence begins with cultural awareness. d). Cultural competence incorporates the patient's culture into his or her health care plan.

Which statements comply with The Joint Commission's (TJC) requirements to incorporate spiritual health into patient care? Select all that apply. a). Do you belong to a faith community? b). How often do you attend religious gatherings? c). Do you require a special diet because of spiritual beliefs? d). Do you and your spouse share the same spiritual beliefs? e). Do you have family members that you are close to and that live nearby?

a). Do you belong to a faith community? c). Do you require a special diet because of spiritual beliefs? e). Do you have family members that you are close to and that live nearby?

Which actions by the nurse would be considered spiritual care interventions? Select all that apply. a). Encouraging the patient to practice deep breathing exercises b). Telling the patient that prayer helps and you want to pray with him or her c). Bringing a bible for the patient to read and learn about Jesus d). Asking if the hospital could provide a specific spiritual provider e). Encouraging therapeutic touch sessions such as massage

a). Encouraging the patient to practice deep breathing exercises d). Asking if the hospital could provide a specific spiritual provider e). Encouraging therapeutic touch sessions such as massage

Which basis of individual belief is the nurse expressing, based on education, to a postoperative patient? a). Evidence b). Awareness c). Scope d). Conviction

a). Evidence

The nurse is caring for a Middle Eastern patient whose cultural beliefs make it difficult to accept direction from a person of a different culture. Using Leininger's Cultural Care Theory, which approach would the nurse take to communicate a plan of care with this patient? a). Include the patient in creating the plan of treatment that includes cultural elements of caring. b). Explain to the patient that it is important to follow the nurse's advice as a medical professional. c). Discuss a treatment plan that has been used in the United States with great benefit. d). Provide the patient with a brochure on the types of treatment available.

a). Include the patient in creating the plan of treatment that includes cultural elements of caring.

The nurse is discussing with a student the importance of caring for patients to promote health and healing. Principles of which contributor's theory would be part of this discussion? a). Jean Watson b). Imogene King c). Betty Newman d). Rosemary Rizzo Parse

a). Jean Watson

Which activities would be recommended for nurses who wish to explore their own spirituality more thoroughly? Select all that apply. a). Journaling specific beliefs and thoughts b). Questioning why someone believes the way they do c). Learning from others with different beliefs d). Identifying which spiritual beliefs are most important e). Attending a spiritual service different from one's own

a). Journaling specific beliefs and thoughts c). Learning from others with different beliefs d). Identifying which spiritual beliefs are most important e). Attending a spiritual service different from one's own

Which action would the nurse take first when working with a patient who has a specific set of values and beliefs regarding health care that is different from that of the nurse? a). Listen to the patient's beliefs about their health care. b). Suggest that the patient consider other care formats. c). Explain personal thoughts about care to the patient. d). Describe other methods of care.

a). Listen to the patient's beliefs about their health care.

The nurse is responsible for caring for patients with cognitive impairment on a gerontology unit. Which practice demonstrates the nurse's provision of a caring environment for this patient population? a). Listening and getting to know the patients. b). Avoiding asking too many questions to maintain the patients' privacy. c). Encouraging the patients' family to keep them company. d). Talking with the family directly, rather than the patients.

a). Listening and getting to know the patients.

A patient is a Jehovah's Witness and does not want a blood transfusion, but her health care provider has indicated that her life is at risk without it. According to the ICNP nursing analysis during times of spiritual distress, the nurse would expect to provide support to the patient for which need? a). Moral Distress b). Spiritual Distress c). Decisional Conflict d). Hopelessness

a). Moral Distress

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior? (TOP TO BOTTOM) a). Negotiate b). Recommend c). Acknowledge d). Explain e). Listen OPTION: 1). Reach an agreement on a behavior plan in partnership with the patient. 2 Understand risky behavior. 3 Explain to the patient that their thoughts are being heard. 4 Consider the patient's knowledge about HIV. 5 Ask the patient to consider alternative behaviors. 6 Consider alternative medication. 7 Provide current information about sexually transmitted diseases.

a). Negotiate = 1). Reach an agreement on a behavior plan in partnership with the patient. b). Recommend = 5 Ask the patient to consider alternative behaviors. c). Acknowledge = 3 Explain to the patient that their thoughts are being heard. d). Explain = 7 Provide current information about sexually transmitted diseases. e). Listen = 4 Consider the patient's knowledge about HIV.

Which activities would most likely be considered a way to practice spirituality? Select all that apply. a). Prayer b). Meditation c). Reflection e). Yoga

a). Prayer b). Meditation c). Reflection d). Working e). Yoga

Which statements relate to the American Nurses Association (ANA) Code of Ethics? Select all that apply. a). Provides a statement related to the ethical values, obligations, and duties for the nursing profession b). Provides a statement related to the proper care of persons with cancer c). Serves as the profession's nonnegotiable ethical standard d). Expresses nurses' understanding of the commitment to society e). Provides a standardized approach to patient care

a). Provides a statement related to the ethical values, obligations, and duties for the nursing profession c). Serves as the profession's nonnegotiable ethical standard d). Expresses nurses' understanding of the commitment to society

Which statements are true about religion? Select all that apply. a). Religion usually follows specific rituals or rules. b). Religion is linked to a defined system of worship or faith-based organization. c). Spirituality is viewed the same regardless of one's identified religion. d). Religious beliefs can affect medical decisions. e). People from the same religion all follow the same beliefs.

a). Religion usually follows specific rituals or rules. b). Religion is linked to a defined system of worship or faith-based organization. d). Religious beliefs can affect medical decisions.

Which terms are components of the Health Belief Model? Select all that apply. a). Self-efficacy b). Self-doubt c). Perceived severity d). Perceived barriers e). Self-awareness

a). Self-efficacy c). Perceived severity d). Perceived barriers e). Self-awareness

A young child was admitted to the emergency department after a bicycle injury. The child is worried about punishment because they were not supposed to be riding their bike. Which methods would the nurse use to create a caring environment using Watson's theory? Select all that apply. a). Show sensitivity to the child's fears. b). Sit with the parents to determine the extent of the accident to assist in care planning. c). Explain treatment procedures. d). Discuss the accident with the patient. e). Suggest the patient is at fault for the accident as a way of cautioning them to refrain from that behavior.

a). Show sensitivity to the child's fears. c). Explain treatment procedures. d). Discuss the accident with the patient.

Which behavior illustrates caring behavior rather than codependency when a nurse is providing care for a young homeless individual? a). Spending time finding an available homeless shelter in the area. b). Explaining the need to contact Social Services to the patient. c). Discussing the need to remain in contact after discharge. d). Spending time determining why the patient is homeless.

a). Spending time finding an available homeless shelter in the area.

The nurse is caring for a newly diagnosed paraplegic patient after a car accident. The patient is angry, withdrawn, and not sleeping well. Which spiritual concept might the patient be experiencing? a). Spiritual distress b). Spiritual sensitivity c). Spiritual regret d). Spiritual adversity

a). Spiritual distress

For which reasons is it important to encourage the practice of spirituality when caring for patients, regardless of whether the patient follows an organized religious community? Select all that apply. a). Spirituality has been shown to improve treatment adherence. b). Spirituality has been shown to have a positive impact on health and well-being. c). A strong sense of spirituality can help lower anxiety levels. d). Spiritual people have a greater tendency to find joy in life. e). Spiritual people believe in God, which provides hope.

a). Spirituality has been shown to improve treatment adherence. b). Spirituality has been shown to have a positive impact on health and well-being. c). A strong sense of spirituality can help lower anxiety levels. d). Spiritual people have a greater tendency to find joy in life.

Match the nursing theory to its major construct. a). Suggests that nursing is transcultural b). Suggests a holistic approach to caring that promotes healing and wholeness c). Emphasizes human-to-human relationships d). Builds on phenomenologic studies based on perinatal nursing concepts OPTIONS: 1). Bandura's Theory 2). Travelbee's theory 3). Watson's theory 4). Leininger's theory 5). Swanson's theory

a). Suggests that nursing is transcultural = 4). Leininger's theory b). Suggests a holistic approach to caring that promotes healing and wholeness = 3). Watson's theory c). Emphasizes human-to-human relationships = 2). Travelbee's theory d). Builds on phenomenologic studies based on perinatal nursing concepts = 5). Swanson's theory

Which methods suggest the nurse is applying their beliefs to patient care? Select all that apply. a). Use of direct pressure to control bleeding on post angioplasty patients based on previous cases b). Application of aromatherapy based on comments from family members c). Use of stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course d). Use of hydrogen peroxide to clean a wound based on a health care provider's directive e). Application of care by listening to the patient while performing a dressing change

a). Use of direct pressure to control bleeding on post angioplasty patients based on previous cases c). Use of stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course e). Application of care by listening to the patient while performing a dressing change

Which questions would best encourage cultural competency when first encountering a patient with complaints of low back pain in the emergency department? Select all that apply. a). What concerns you the most about your low back pain? b). Was there a specific event that led to the pain? c). Have you tried herbal remedies to help with the pain? d). Have you sought treatment from an alternative health care provider? e). How long has the pain been present?

a). What concerns you the most about your low back pain? c). Have you tried herbal remedies to help with the pain? d). Have you sought treatment from an alternative health care provider?

According the Giger and Davidhizar Transcultural Assessment Model, which questions might be asked when addressing the social orientation cultural phenomenon? Select all that apply. a). What is your role in the family? b). Do you attend church regularly? c). What do you consider your ethnicity? d). Do you know of any familial diseases seen in your family? e). What do you enjoy doing if you have free time?

a). What is your role in the family? b). Do you attend church regularly? c). What do you consider your ethnicity? e). What do you enjoy doing if you have free time?

The nurse recognizes that the staff seems apprehensive when discussing a new electronic medical record that will be placed on each unit and will require staff training. Based on Lewin's Change Theory, which stage does the staff apprehension represent? a). Movement b). Unfreeze c). Refreeze d). Contemplate

b). Unfreeze

Which concept does the "I" represent in the FICA Assessment Tool? a). Inclusion of family in medical decision making b). Integration in a community c). Importance of faith d). Inspiration and hope

c). Importance of faith

The nurse is caring for a patient who received multiple doses of naloxone after an opioid overdose. After regaining consciousness, the patient is visibly upset and regrets what happened. Which actions would the nurse take? Select all that apply. a). Tell the patient that they should not engage in risky behavior. b). Allow the patient to share their feelings. c). Explain to the patient that drugs are illegal and should not be used as a means to avoid dealing with issues. d). Let the patient know that the nurse understands what is happening and will work with them to determine the best course of action. e). Explain to the patient that they will be placed on a psychiatric floor pending further investigation from a health care provider. f). Work with the patient to determine a plan of care that is consistent with their values and beliefs.

b). Allow the patient to share their feelings. d). Let the patient know that the nurse understands what is happening and will work with them to determine the best course of action. f). Work with the patient to determine a plan of care that is consistent with their values and beliefs.

The nurse is caring for a patient who has been diagnosed with coronavirus infection. The nurse understands that this is a contagious illness but also understands the need to provide a caring environment. Which behaviors would the nurse use when caring for a patient in isolation? Select all that apply. a). Provide daily care from a distance to guard against potential exposure. b). Allow the patient to verbalize how the infection was transmitted. c). Create a human-to-human relationship in the face of isolation precautions. d). Perform clinical duties in isolation of the patient. e). Perform basic daily tasks as needed if complications arise.

b). Allow the patient to verbalize how the infection was transmitted. c). Create a human-to-human relationship in the face of isolation precautions. e). Perform basic daily tasks as needed if complications arise.

A nurse explains all options related to the patient's surgery, reminding the patient the decision is theirs. Which ethical principle is the nurse respecting? a). Justice b). Autonomy c). Beneficence d). Nonmaleficence

b). Autonomy

The nurse is caring for a Native American patient, newly diagnosed with lung cancer, who smokes his own tobacco. Which strategy would the nurse implement when providing culturally competent nursing care for this patient? a). Cultural accommodation b). Cultural care restructuring c). Cultural negotiation d). Cultural maintenance

b). Cultural care restructuring

An adolescent comes into the clinic after a single dose of naloxone and is very concerned about being arrested for possession of an opioid without a prescription. Which action would the nurse take to reduce the patient's fears and expand a caring environment? a). Let the patient know that the authorities will be notified if the patient does not comply with medication-assisted treatment. b). Explain that the nurse is there to provide care, not judgment. c). Present the facts about opioid overdose and opinions about opioid use. d). Suggest that adolescence is a difficult time.

b). Explain that the nurse is there to provide care, not judgment.

Which actions by the nurse specifically incorporate culture into a nursing intervention? Select all that apply. a). Introducing yourself to the patient b). Ordering a kosher diet c). Assisting with activities of daily living d). Requesting a same-gender health care provider e). Requesting an interpreter

b). Ordering a kosher diet d). Requesting a same-gender health care provider e). Requesting an interpreter

A patient who has battled lung cancer for 5 years states that he has not prayed since the diagnosis because he did not believe it would help. He now wants to start praying and going to church. Which spiritual goal would be appropriate for this patient? a). Patient will attend church every Sunday for the next 6 weeks. b). Patient will speak to a spiritual counselor within 1 week of discharge. c). Patient will consult with family members about his desire to start attending church. d). Patient will start praying this afternoon.

b). Patient will speak to a spiritual counselor within 1 week of discharge.

Informatics have benefited the nursing workflow. Which elements are ways informatics have benefited nursing? Select all that apply. a). Improves telehealth b). Reduces patient care costs c). Provides evidence for practice d). Develops devices for patient care e). Increases patient safety through data and communication

b). Reduces patient care costs c). Provides evidence for practice e). Increases patient safety through data and communication

To help patients make better health care decisions, which attribute do nurses use to understand their own beliefs? a). Self-reflection b). Self-awareness c). Self-control d). Self-determination

b). Self-awareness

Which action would the nurse take first when caring for an anxious patient with suspected early onset Alzheimer disease? a). Suggest that Alzheimer disease is a debilitating illness but that some medications work. b). Sit with the patient and listen to their fears and concerns. c). Explain that if the nurse is unavailable, someone else will step in for him or her. d). Stay with the patient and suggest a family discussion about Alzheimer disease.

b). Sit with the patient and listen to their fears and concerns.

The nurse is caring for a Puerto Rican patient who must make a decision about whether to have surgery for an advanced-stage brain tumor. Which action or characteristic would the nurse expect to see based on the patient's ethnicity? a). The patient will likely avoid eye contact with the nurse while discussing treatment options. b). The patient will likely consult with the family before making a decision. c). The patient may request that the nurse not tell the family of the advanced stage of the tumor. d). The patient may have concerns about the possibility of a blood transfusion during the surgery.

b). The patient will likely consult with the family before making a decision.

To provide culturally competent nursing care, the nurse must be aware of interactions among which cultures? Select all that apply. a). The health care provider's personal culture b). The patient's personal culture c). The nurse's personal culture d). The health care system's culture e). The personal culture of the patient's significant other

b). The patient's personal culture c). The nurse's personal culture d). The health care system's culture

Which concepts are included in Hildegard Peplau's Theory of Interpersonal Relations? Select all that apply. a). Patient adaptation b). Therapeutic interactions c). Person as a whole d). Interpersonal roles e). Environment

b). Therapeutic interactions d). Interpersonal roles

Which interventions are most appropriate when a patient speaks the predominant language but it is not his or her native language? Select all that apply. a). Speak louder. b). Use a professional interpreter. c). Have the child translate for the family member. d). Provide written materials. e). Limit the use of slang.

b). Use a professional interpreter. d). Provide written materials. e). Limit the use of slang.

The nurse is performing wound care on a patient after a double mastectomy. The patient quietly asks, "Do you think my husband will still love me after he sees how I look now?" Which nursing intervention encourages open reflection by the patient? a). Continue performing tasks while the patient is speaking. b). Tell the patient you are busy but you will send a psychologist to talk with her. c). Be physically present and actively listen when the patient is talking. d). Call the hospital chaplain who also had a mastectomy to meet with the patient.

c). Be physically present and actively listen when the patient is talking.

A patient was admitted to the unit considering a termination of pregnancy (TOP) due to severe fetal abnormalities. The nurse understands the patient's concerns, but the nurse's belief system excludes TOP as an option. Which caring behaviors would the nurse implement to ensure the patient's medical needs are met? a). Ensure the patient understands what the process is and how the procedure is done. b). Discuss the situation with the patient's husband to avoid upsetting her further. c). Ensure the convergence of values and choices does not affect care. d). Express a neutral affect while caring for the patient.

c). Ensure the convergence of values and choices does not affect care. (A caring environment ensures a commitment to care regardless of convergences of values and choices. This is a difficult situation for the nurse and the patient; a caring environment is beneficial to both.)

The nurse is concerned that a patient they are treating may have psychological issues that could affect their care. Which type of belief is the nurse expressing? a). Awareness b). Conviction c). Experience d). Stereotyping

c). Experience

Which characteristic describes the classification of a practice theory? a). May be generalized to other settings b). Is difficult to test in nursing practice c). Guides nursing care of specific populations d). Is the most abstract and theoretical theory

c). Guides nursing care of specific populations

The nurse is performing a cultural health assessment on a patient who is of African descent. Which question would be most important to include in the cultural assessment based on the patient's ethnicity? a). Which is your preferred language? b). How do you best learn new information, verbal or written? c). Have you ever been told of a genetic susceptibility to a specific disease? d). Is physical touch acceptable from a stranger?

c). Have you ever been told of a genetic susceptibility to a specific disease?

Which cultural issue is the patient most likely to hide from the nurse? a). Food preference b). Personal view on euthanasia c). Illiteracy d). Role in the family environment

c). Illiteracy

When caring for patients who may have differing beliefs and values, which essential component of Watson's Theory of Human Caring/Caring Science would the nurse consider? a). Understanding that caring is a feeling not shared by all cultures. b). Providing hope to patients signifies healing. c). Integrating the art of caring and the science of healing. d). Sharing the beneficial meaning of health outcomes.

c). Integrating the art of caring and the science of healing.

Which nursing action exemplifies cultural awareness? a). Learning a foreign language b). Asking a coworker about her religious beliefs c). Questioning one's own religious beliefs d). Maintaining and acquiring new cultural knowledge

c). Questioning one's own religious beliefs

The nursing shortage is affecting the delivery of health care. Which is not a reason for the nursing shortage? a). Average nurse's age b). Nurse-to-patient ratio c). Rising health care costs d). Slow academic enrollment

c). Rising health care costs

Which theory predicts general health behaviors of an individual? a). Maslow's Hierarchy of Needs b). Lewin's Change Theory c). Rosenstock's Health Belief Model d). Erikson's Theory of Development

c). Rosenstock's Health Belief Model

Which statements align with the concept of spirituality? Select all that apply. a). Spirituality is synonymous with religion. b). Spirituality is defined by belonging to an organized religion. c). Spirituality is the expression of meaning and purpose in life. d). Spirituality exists regardless of religious beliefs. e). Spirituality is a personal experience.

c). Spirituality is the expression of meaning and purpose in life. d). Spirituality exists regardless of religious beliefs. e). Spirituality is a personal experience.

Which caring approach is congruent with Watson's theory? a). Suggesting methods essential to caring in the United States. b). Encouraging the family's interaction with the patient to increase trust. c). Using a holistic approach to patient care. d). Being emotionally present in all situations.

c). Using a holistic approach to patient care.

Which approach would the nurse take to help with their internal conflicts related to the provision of palliative care to a stage IV cancer patient who has decided to discontinue care modalities? a). Values system b). Higher-order reasoning c). Values clarification d). Self-awareness

c). Values clarification

A nurse is caring for a woman who declines medications as she delivers her first child. The nurse supports the use of some medication to assist with the birth. Which concept does this scenario illustrate? a). Values clarification b). Values distortion c). Values conflict d). Values system

c). Values conflict

The nurse is providing care for a patient with a new breast cancer diagnosis. Which question by the nurse represents the spiritual connection practice of reflection? a). This is a tough thing to hear. Do you know anyone who has had breast cancer? b). Have you told your children yet? c). What are your thoughts about this new diagnosis? d). Have you decided whether you are going to have mastectomy?

c). What are your thoughts about this new diagnosis?

Which questions would the nurse ask during a culturally appropriate health assessment of a patient with complaints of cough based on the 4 Cs of Culture? Select all that apply. a). Who have you consulted regarding your condition? b). Can you communicate clearly about your issue? c). What do you think caused the cough? d). How do you cope with the cough? e). What is your biggest concern about the cough? f). What do you call the type of cough that you have been experiencing?

c). What do you think caused the cough? d). How do you cope with the cough? e). What is your biggest concern about the cough? f). What do you call the type of cough that you have been experiencing?

The nurse is caring for a patient of Hispanic descent who understands English but is not fluent in the language. Which action or statement by the nurse would be most appropriate when attempting to alleviate the patient's concern about an upcoming medical procedure? a). Speaking loudly, explain, "The risks of an adverse event during the procedure are minimal." b). "Having cold feet prior to a medical procedure is normal." c). "The CRNA is very competent and experienced at putting patients to sleep." d). "Would you like me to have an interpreter come to the room so I can more thoroughly answer any questions or concerns that you may have?"

d). "Would you like me to have an interpreter come to the room so I can more thoroughly answer any questions or concerns that you may have?"

When assessing a patient, the nurse asks, "What health remedies have you used to address your health issues?" Which cultural phenomenon is the nurse assessing? a). Communication b). Space c). Social orientation d). Environmental control

d). Environmental control

A 16-year-old patient who is physically stable and healing is acting withdrawn. At various times during interactions with the patient, the nurse observes the patient sucking his thumb. Which contributor's theory would be beneficial if applied to this patient's care? a). Rosenstock b). Maslow c). Imogene King d). Erikson

d). Erikson

A patient and a family member disagree about the use of alternative medicine. After the family member leaves the room, the patient asks the nurse for advice. Using the values clarification process, which action would the nurse take? a). Suggest the patient leave the hospital. b). Suggest the patient find alternative treatment. c). Administer a sedating medication so treatment can be initiated. d). Help the patient make an informed decision about next steps.

d). Help the patient make an informed decision about next steps.

Which spirituality-related outcome written by a student nurse suggests the need for additional learning? a). After consulting with the dietician, the patient will identify acceptable ways to blend dietary restrictions with religious customs. b). Patient will discuss treatment choices with a trusted confidant to explore acceptable options before beginning treatment. c). Patient will contact a spiritual counselor within 2 weeks of discharge. d). Patient will start attending church every Sunday immediately after discharge.

d). Patient will start attending church every Sunday immediately after discharge.

The nurse is caring for a patient who is refusing an important medical treatment because of personal religious beliefs. Which action is best for the nurse to take? a). Talk to the patient's family about the importance of accepting the treatment. b). Respect the patient's right to refuse the treatment, and notify the prescribing health care provider. c). Explain again the risks associated with refusal of treatment. d). Talk to the patient about the need to incorporate the patient's beliefs into his or her care.

d). Talk to the patient about the need to incorporate the patient's beliefs into his or her care.

Order the hierarchical approach to providing culturally competent care. a). Involve the patient when providing the options. b). Acknowledge the differences but build similarities. c). Negotiate a treatment plan that includes patient values and beliefs. d). Understand the patient's values and beliefs. Understand your values and beliefs. e). Explain your perception of the patient's problem.

d). Understand the patient's values and beliefs. Understand your values and beliefs. e). Explain your perception of the patient's problem. b). Acknowledge the differences but build similarities. a). Involve the patient when providing the options. c). Negotiate a treatment plan that includes patient values and beliefs.

Which approach best illustrates how a nurse would apply Travelbee's Interpersonal Theory of Nursing when caring for a child who has an upcoming surgery for a radial fracture? a). Maintain a direct and leading approach to care. b). Suggest the child is strong and capable enough to meet care needs. c). Discuss patient care with nursing team members. d). Use a compassionate approach to care.

d). Use a compassionate approach to care.

Which demonstrates the effect of quality measures on patient outcomes? a). Practicing care based on your experiences b). Collecting patient-related insurance information c). Understanding the Plan/Do/Study/Act (PDSA) process d). Using electronic health record (EHR) data to track patient falls

d). Using electronic health record (EHR) data to track patient falls

A nurse is assisting in the care of a woman having in vitro fertilization. The nurse's religious belief system considers natural fertilization to be the appropriate means of conception. Which concept describes what the nurse is experiencing? a). Self-reflection b). Values clarification c). Self-awareness d). Values conflict

d). Values conflict

The nurse is implementing concepts from which theorist when facilitating a patient's independence? a). Betty Newman b). Hildegard Peplau c). Madeline Leininger d). Virginia Henderson

d). Virginia Henderson