EAQ chapter 2

Which question is most appropriate for the nurse to ask a patient who is from another culture?

"Are there particular treatments you prefer for your condition?"

Which question addresses the patient's spiritual needs?

"Do you have beliefs, values, or practices that help you manage stress?"

Which questions would the nurse use to complete the Brief RCOPE assessment? Select all that apply.

"Do you question God's power?" "Do you ask God to forgive your sins?" "Do you wonder if God has abandoned you?" "Do you look for a stronger connection with God?"

Which action indicates to the nurse that a patient's parents are Turkish?

A blue glass eye is placed on the crib.

Which statement about culture is the most correct?

A complex system that includes knowledge, beliefs, and customs of a group

A geriatric patient with severe fever and reddish discoloration of the tongue tells the nurse, "I'm sick because of imbalance in yin and yang ." Which cultural group shares the same beliefs as this patient?

Asian

The nurse is caring for a patient from Spain who has recently immigrated to the United States. Which action by the nurse is in accordance with Title VI of the Civil Rights Act of 1964?

Assessing the patient in the presence of an interpreter

Which factors are included in the cultural assessment? Select all that apply.

Beliefs Religion Primary language

Which is the best way for the nurse to determine the religious affiliation of a patient?

By cultural assessment

Which interpersonal dimensions are responsible for acculturative stress? Select all that apply.

Family separation Loss of social status Lack of social network

Which action made by the nurse indicates culturally competent practice when planning a presentation for a community who has had a recent influx of immigrants from Central America?

Researches the traditions of this group

Which environmental factors cause acculturative stress? Select all that apply.

Unemployment Language barriers

Which question does the nurse include when using the FICA Spiritual History Tool to determine importance of spirituality for a newly admitted patient?

"Have your beliefs influenced how you handle stress?"

Which statements would make the nurse believe that a patient would likely follow traditional practices? Select all that apply.

"I attend religious services whenever I find time." "I have friends from the same cultural background as mine." "I love to participate in religious traditions with my family."

While assessing an Asian patient with a sore throat, the nurse finds that the patient has a naturalistic perspective toward illness. Which statement by the patient is consistent with this perspective?

"I have a sore throat because of excess heat in my body."

Which statement (if made by a patient) indicates a belief in a magicoreligious perspective of illness?

"I think I'm a victim of witchcraft."

While caring for a patient with cholera, the nurse finds that the patient has a biomedical perspective. Which statement by the patient is consistent with this perspective?

"I'm ill because I was in an unhygienic environment."

After a teaching session about religion and spirituality, which statement by the staff nurse indicates an understanding of religion?

"Religion is an organized system of beliefs concerning purpose and cause of universe."

Which statement made by a staff nurse indicates an understanding of the instruction provided regarding the hot/cold theory of health and illness?

"The body is controlled by maintaining a balance of temperature, dryness, and moisture."

Which question would the nurse include in the assessment to determine a patient's religious practices?

"Would you like to tell me about your religion?"

Which condition would a nurse be concerned about in a Muslim teenager who recently migrated to the United States and is having difficulty adjusting to the Catholic culture of a new school?

Acculturative stress

The nurse is planning to conduct an educational session for seniors at a community center who look after their grandchildren. From which cultural groups would the nurse expect to see the maximum number of participants? Select all that apply.

Alaskan native American Indian

Which culture would the nurse expect a patient to be from when told, "I've been taking a tonic given by a braucher for the past two weeks"?

Amish

An Asian-American patient who believes in the yin/yang theory tells the nurse, "I am eating yang foods to alleviate the symptoms of my illness." Which symptoms would the nurse expect to find in the patient? Select all that apply.

Cold Emptiness

An older Alaskan native patient who recently migrated to the contiguous United States tells the nurse, "I don't interact with my European neighbors because I don't like their practices. They do not take care of their grandchildren properly. They let them go to late-night parties." Which experience is the patient having, based on the statements made?

Culture shock

Lack of which resource has the greatest influence on the health of recently arrived immigrants?

Current employment

Which indicates a potential social determinant of an individual's health?

Educational level

Which action will be important when caring for a patient from a different culture?

Examine one's feelings about cultural diversity.

Which action would the nurse perform first to be considered culturally competent?

Examine one's own personal values and beliefs

Which statement is true regarding acculturation?

Individuals adopt the culture of the majority.

Which statements represent the basic characteristics of culture? Select all that apply.

Learned from birth Shared by all members Dynamic and ever changing Adapted to specific conditions

Which factors are characterized as societal dimensions of acculturative stress? Select all that apply.

Legal status Discrimination Political forces

Which statement explains cultural competency in relation to the emerging majority?

Many minorities in the United States together represent 38% of the total population.

Which statement is true regarding the biomedical theory of illness?

Microorganisms such as bacteria and viruses cause disease.

Which patient action indicates a risk for acculturative stress?

Moving away from family for a job

Which finding during the initial visit indicates successful acculturation for a new family who recently emigrated to the United States from another country?

Obtaining employment and learning the new language

The patient states, "I'm visiting a traditional healer who has taken care of all the women in my family during pregnancy." The nurse uses which term to document this patient's alternative medicine choice?

Partera

When caring for an infant born with cleft lip and palate to parents of Mexican heritage, which action allowed by the nurse indicates an understanding of the patient's culture?

Placing a religious trinket in the crib

A Hispanic patient who was in a car accident has severe leg pain but is refusing analgesics and will not undergo treatment. Which is the best nursing intervention?

Provide alternative treatment according to the patient's culture.

Which action by the staff nurse would demonstrate culturally competent nursing care? Select all that apply.

Providing the diet preferred by the patient Considering the cultural beliefs of the patient Conveying the patient's needs to the nurse manager

Which action by the nurse caring for a patient of Native American descent indicates a need for further teaching regarding cultural competence?

Refers patient to pastoral care services

Which information will the nurse learn about a patient using the Brief RCOPE assessment tool?

Religious coping

Which information does the nurse include in a presentation for the unit staff on patient assessment of religious and spiritual practices? Select all that apply.

Use the FICA and the Brief R-Cope tools to assess the patient Assess spirituality along with association with organized religion Associations with religion and spirituality increase physical health Spiritual leaders influence health care decision making in the patient

Which pain control strategies reported by the patient with fibromyalgia would the nurse document as complementary therapies? Select all that apply.

Uses acupuncture and Reiki Practices meditation and yoga