NCLEX Culture/Spirituality Review
The nursing instructor is providing a session on cultural beliefs related to health and illness and gives some examples. A client of African-Caribbean descent tells the nurse that the present illness may have resulted from a curse from a competitor. Which statement describes the belief of this client?
"Illness is a disharmonious state that may be caused by demons and spirits"
The nurse educator is providing an in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. Which response is appropriate?
"It is a process of learning a different culture to adapt to a new or changing environment."
Which statement made by the nursing student indicates a need for further teaching by the nursing instructor on the concept of ethnocentrism?
"It is imposing one's beliefs on individuals from another culture."
A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "I have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement?
"Tell me what you know about complementary therapies."
An antihypertensive medication has been prescribed for a client with hypertension. The client tells the nurse that she would like to take an herbal substance to help lower her blood pressure. Which statement by the nurse is most important to provide to the client?
"You will need to talk to your PHCP before using an herbal substance."
The hospice nurse is caring for five clients from various religious backgrounds. Which observations should the nurse expect for the clients of the various religious backgrounds? Select all that apply.
-A client of the Muslin faith having their bed positioned toward Mecca -A Hindu-believing family arranges to have the clients body cremated within 24 hours of death
The nurse checks the food on a tray delivered for an Orthodox Jewish client and notes that the client has received a cheeseburger and potato fries with whole milk as a beverage. Which action should the nurse take?
Call the dietary department and ask for a different meal.
The nurse is preparing to deliver a food tray to a client whose religion is Judaism and follows Kosher preferences. The nurse checks the food on the tray and notes that the client has received a roast beef dinner with whole milk as a beverage. Which action should the nurse take?
Call the dietary department and ask for a new meal tray without the milk
The nurse determines that which herbal therapies can be prescribed for use as an antispasmodic? Select all that apply.
Chamomile Peppermint Oil
The nurse is assigned to care for a client who is traditional Chinese. The nurse enters the room and following a greeting and introduction to the client, the nurse begins to discuss the plan of care for the day. During the discussion, the client turns away from the nurse. The nurse should take which action?
Continue with the discussion
The nurse is caring for an African-American client admitted for a planned surgery. The nurse enters the room and after a greeting and introduction to the client describes the routine for preparing for surgery. The client looks away from the nurse. Which nursing action is appropriate?
Continue with the explanation
The nurse is reinforcing discharge instructions to a Chinese client regarding prescribed dietary modifications. During the teaching session, the client continually turns away from the nurse. Which nursing action is most appropriate?
Continue with the instructions, verifying client understanding.
An Asian-American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method?
Foods considered to be yin
The nurse is assigned to collect data from a Hispanic-American client during the hospital admission. On initial meeting of the client, the nurse should plan to do which?
Greet the client with a handshake
The nurse is preparing a session regarding nutrition for a group of culturally diverse pregnant women. The nurse determines that the priority nursing intervention includes which action?
Identify the cultural food preferences of each client
The nurse is assigned to care for an Asian-American client. The nurse, when planning care for this client, considers that the client may believe what is the cause of illness if they follow traditional beliefs?
Illness is caused by an imbalance between yin & yang
The nurse caring for a Chinese-American client plans to use communication according to Chinese-American cultural beliefs and practices. Which techniques are considered disrespectful in the Chinese-American's view of communication? Select all that apply.
Maintaining eye contact Closing the conversation abruptly Touching the opposite sex in public
The nurse knows that spatial behavior is related to territoriality in many Latino cultures. Which client needs are associated with territoriality? Select all that apply.
Privacy Security Autonomy Self-Identity
The nurse consults with a dietitian regarding the dietary preferences of an Asian-American client. Which food should the nurse suggest to include in the diet plan?
Rice
A Spanish-speaking client arrives at the triage desk in the emergency department and states to the nurse "No speak english, need interpreter." What action should the nurse take
Seek an interpreter from the hospitals interpreter services
The nurse is reinforcing instructions to a Native-American client regarding the procedure for collecting a urine sample. The nurse observes that the client continually stares at the floor during the instructional session. The nurse interprets this as being indicative of which behavior?
Attentiveness
A Hispanic-American mother brings her child to the clinic for an examination.Which is most important when gathering data about the child?
Touching the child during the examination
The nurse is caring for a Hispanic client who reports that she is a practicing Roman Catholic. Which actions by the nurse demonstrate spiritual and cultural sensitivity? Select all that apply.
-Allow the client to observe communion daily if requested -Facilitate anointing of the client by a priest if requested.
The nurse is caring for an older Appalachian client recovering from open heart surgery. In order to provide culturally appropriate care, the nurse should be aware that which aspects of reporting pain may be impacted by the Appalachian culture? Select all that apply.
-Appalachian clients may want to appear to be stoic -Appalachian clients may be afraid of addition tendencies -Appalachian Clients may not want to appear to be complainers
The nurse is caring for a Southeast Asian woman who presented to the emergency department with complaints of a headache and nausea. The client is accompanied by her adult son. Upon examination, the nurse notes long pale red welts on both arms. Which actions should the nurse take next? Select all that apply.
-Ask if she has used any home remedies -Assess cultural health beliefs and practices -Recognize the redness is a result of a traditional form of healing
The nurse is caring for a new immigrant from the Philippines who is in labor. The client is 4 cm dilated and 30% effaced. This is her first child. The mother is grimacing. Her pulse, respiratory rate, and blood pressure are elevated. The nurse offers to check on a prescription for an epidural. The mother declines. The nurse hypothesizes the client may be declining the epidural for which reasons? Select all that apply.
-Filipino mothers fear drug addiction -Filipino mother believe pain is a form of spiritual atonement for one's past deeds.
A nursing student is asked to identify the practices and beliefs of the Amish society. Which should the student identify? Select all that apply.
-Many choose not to have health insurance - They believe that health is a gift from God - They use both traditional and alternative health care, such as healers, herbs and massage - Funerals are conducted in the home without a eulogy, flower decorations, or any other display. Caskets are plain and simple, without adornment
The nurse is providing care to a client diagnosed with multiple sclerosis. The nurse knows that which populations are affected by this disease? Select all that apply.
-Multiple sclerosis affects women twice as often as men - Multiple sclerosis occurs in adults between the ages of 20 & 50 years -Multiple Sclerosis most often affects caucasians of northern european ancestry.
The nurse is caring for a group of clients who are taking herbal medications at home. Which client should be given instructions with regard to avoiding the use of herbal medications?
A 10-year old female with a UTI
Why should the nurse who is focusing on facilitating positive outcomes regarding health care services become familiar with the cultural beliefs and practices of a childbearing woman?
A culturally diverse woman may have beliefs that impact the delivery of health care services
The nurse knows when preparing the Filipino-American client for a surgical procedure it is important to assess for which culturally relevant influences? Select all that apply.
Familial Hierarchy Cultural Practices Reactions to surgery Pain Management Plans
The nurse is planning to reinforce nutrition instructions to an African-American client. When reviewing the plan, the nurse is aware that which food may be a common dietary practice of clients with African-American heritage?
Fried Foods
The nurse is assisting with collecting data from an African-American client admitted to the ambulatory care unit who is scheduled for a hernia repair. Which information about the client is of lowest priority during the data collection?
Psychosocial
The nurse is providing care to a Cuban-American client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. Which nursing action is most appropriate?
Request permission to move the client to a private room, and allow the family members to visit
A client is seen in the clinic for a physical examination. Laboratory studies are performed and reveal that the hemoglobin and hematocrit are low, indicating the need for further diagnostic studies and possibly a blood transfusion. The client is a Jehovah's Witness and states he will never have a blood transfusion. Which would be an appropriate action by the clinic nurse?
Support the client's decision not to receive a blood transfusion
The nurse is assisting in preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that surgery is necessary. Considering the client's religious preferences, the nurse should first verify with the client and then document which information?
The administration of blood and blood products is forbidden
The nurse educator is describing the yin and yang theory of the ancient Chinese philosophy of Tao to a group of nursing students. The nurse educator explains that in this theory, foods are classified as hot and cold and are transformed into yin and yang energy when metabolized by the body. The nursing student understands this theory when the student makes which statement?
The client consumes cold foods when a "hot" illness is present
The nurse is planning to reinforce instructions to the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse is aware of which related fact?
This Ethnic group views food as a primary form of socialization
An Appalachian family has brought a toddler to the emergency department with a fractured arm. The nurse knows that nonverbal communication is important to evaluate with assessing the family. Which factors are involved in nonverbal communication? Select all that apply.
Touch Body Posture Use of Space Eye Behavior Facial Expressions
The nurse is caring for a Jewish client who follows a kosher diet. Which foods should the nurse use in planning meals for the client? Select all that apply.
Tuna Chicken Potatoes Apples
The nurse is caring for an older Orthodox Jewish client whose condition is terminal. The nurse is implementing a plan of care and wishes to communicate this plan with the family and client. The nurse should be aware of which end-of-life religious practices when planning and communicating with the client and family? Select all that apply.
-The client may demonstrate a high level of anxiety -Religious laws are suspended during times of severe illness -If the client dies, care is given so that the body is not be touched by a person of the opposite sex
The nurse is caring for a non-english-speaking client. Best Practices for client safety and quality of care incorporate which actions by the nurse?
-Use interpreters who are familiar with health care -Avoid the use of relatives as interpreters to prevent misinterpretation -Use dialect-specific interpreters who are the same gender if possible - Become familiar with common health care words used in the clients language
The nurse is caring for an elderly Hispanic client who is a migrant farm worker and has been admitted for asthma. The nurse is unfamiliar with the cultural practices and beliefs of the client's home land. Which questions are appropriate for the nurse to ask when caring for this client? Select all that apply.
-What do you believe is causing your illness -Are there any remedies you have used in the past? -Who do you usually see for help when you are sick
The nurse is preparing to assist a client of Orthodox Jewish faith with eating lunch. A kosher meal is delivered to the client. Which nursing action is appropriate when assisting the client with the meal?
Allowing the client to unwrap the utensils and prepare his own meal for eating.
A 24-year-old Chinese-American who delivered her baby yesterday is breastfeeding her infant girl. The client's mother asked the nurse not to include cold foods on her daughter's tray because they are not good for the baby. The nurse responds by telling the client that she can have what she wants; it is not up to her mother. This response of the nurse demonstrates which cultural characteristic?
Ethnocentrism
