culture and spirituality concept quiz

when caring for clients with the diagnosis of anorexia nervosa or bulimia nervosa, it is important that the nurse understand the sociolcultural influences related to eating disorders in the US. what are these influences? select all that apply A) diet industry B) fashion trends C) fast food industry D) over the counter meds E) competitive women's athletics

A, B & E

a multigravida of asian descent weighs 104 lb, having gained 14 pounds during pregnancy. on her second postpartum day, the client's temperature is 99.2 degrees. she has had poor dietary intake since admission. What should the nurse? A) ask the nursing supervisor to discuss this with the healthcare provider B) encourage the family to bring in special foods preferred by their culture C) order a high-protein milkshake as a between-meal snack to stimulate her appetite D) explain to the family that the dietitian plans nutritious meals that the client should eat

B

an asian client arrives at the mental health clinic with symptoms of anxiety and panic. while speaking with the client, the nurse notes that the client makes very little eye contact. what does this assessment data suggest? A) shyness B) cultural variation C) symptoms of depression D) shame regarding treatment

B

how should nurses provide effective nursing care to clients from different cultural backgrounds? A) by advising clients that some cultural practices may be harmful to health B) by providing care that fits the client's cultural beleifs C) by strictly adhering to organization policies regarding nursing care D) by ignoring the cultural aspect and focusing on the medical aspect of care

B

obesity in children is an ever-worsening problem. what concept should a nurse consider when caring for school-aged children who are obese? A) enjoyment of specific foods is inherited B) these are familial influences on childhood eating habits C) childhood obesity is usually not a predictor of adult obesity D) children with obese parents are destined to become obese themselves

B

a client who has a hemoglobin of 6 gm/dL is refusing blood because of religious reasons. what is the most appropriate action by the nurse? A) call the chaplain to convince the client to receive the blood transfusion B) discuss the case with coworkers C) notify the primary healthcare provider of the clients's refusal of blood products D) explain to the client that they will die without the blood transfusion

C

a client has just been admitted to the psychiatric unit on the involuntary admission status. during the admission assessment the client tells the nurse, I am the second son of God and need to stay a prayer. what is the best response by the nurse? A) interrupting the client and continuing the assessment B) joining the client in prayer and then focusing on the assessment C) quietly leaving the client and coming back later to complete the assessment D) waiting until the client finishes the prayer and then completing the assessment

D

a nurse is with the parents of a 3 year old child who has just died. what is the most therapeutic question for the nurse to ask the parents? A) do you feel ready to consent to an autopsy? B) have you made a decision about organ donation C) would you like to talk about how you'll tell your other children D) can i be of any help with traditional practices that are important to you?

D

a nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients form cultures that are different from their own. how should the nurse manager address this situation? A) assign articles about various cultures so that they can become more knowledgeable B) relocate the nurses to units where they will not have to care for clients form a variety of cultures C) rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures D) plan a workshop that offers opportunities to learn about the cultures they might encounter while at work.

D

the preschool age client is learning sociocultural mores. what should this imply to the nurse regarding this client? A) the child is developing a conscience B) the child is learning about gender roles C) the child is developing a sense of security D) the child is learning about the political process

A

what does the professional nurse consider to be the center of decision-making when providing client care? A) ethics of care B) nursing skills C) analytical skills D) research based practice

A

a 5 year old child who is newly arrived from latin america attends a nursery school where everyone speaks english. the child's mother tells the nurse that her child is no longer outgoing and has become very passive in the classroom. what is the probable reason for the children's behavior? A) culture shock B) social immaturity C) experience of discrimination D) lack of interest in school activites

A

a client who only speaks spanish is being cared for at a hospital in which nursing personnel only speaks english. what communication technique would be appropriate for the nurse to use when discussing healthcare decisions with the client? A) contact an interpreter provided by the hospital B) contact the client's family member to translate for the client C) communicate with the client using spanish phrases the nurse learned in a college course D) communicate with the client with the use of a hospital approved spanish dictionary

A

a mother brings her 9 month old infant to the clinic. the nurse is familiar with the mother's culture and knows that belly binding to prevent extrusion of the umbilicus is a common practice. the nurse accepts the mother's cultural beliefs and is concerned for the infant's safety. what variation of belly binding does the nurse discourage? A) coin the umbilicus B) tight diaper over the umbilicus C) binder that encircles the umbilicus adhesive tape across the umbilicus

A

a nurse understands that value clarification is a technique useful in therapeutic communication because initially it helps clients do what? A) become aware of their personal values B) gain information related to their needs C) make correct decisions related to their health D) alter their value systems to make them more socially acceptable

A

a public health nurse is working with a family with three school-aged children as the unit of service. what should the nurse consider when caring for this family? A) certain members of the family may be capable of giving more support than the nurse B) assessing each family member is not necessary to plan care for the family as a whole C) family values are not as important as other factors regarding how assistance is perceived D) helping the family requires separating health problems from other aspects of the family's life

A

a resident in a nursing home recently immigrated to the US from italy. how does the nurse plan to provide emotional support? A) by offering choices consistent with the client's heritage B) by assisting the client in adjusting to american culture C) by ensuring that the client understands american beliefs D) by correcting the client's misconceptions about appropriate health practices

A

an african man presents to the emergency department to obtain pain medication. the nurse behaves judgmentally and labels the client a drug abuser. what is the nurse demonstrating? A) ethnocentrism B) multiculturalism C) culture encounter D) cultural imposition

A

the nurse is caring for an asian client who had a laparoscopic cholecystectomy six hours ago. when asked whether there is pain, the client smiles and says, no. what should the nurse do? A) monitor for nonverbal cues of pain B) check the pressure dressing for bledding C) assist the client to ambulate around his room D) irrigate the client's nasogastric tube with sterile water

A

which behavior is seen in children at the undifferentiated stage of spiritual development, as propounded by Fowler? A) children have no concept of right or wrong to guide their behaviors B) children imitate the religious behaviors without comprehending any meaning C) children reason and question some of the established parental religious standards D) children have a reverence for religious matters and are able to articulate their faith.

A

what concept of death should a nurse expect a 4 year old child to have? A) cessation of life B) reversible separation C) only affects old people D) force takes one way from family

B

a nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. one of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that "home medicine stuff" to their family members. which response by the recently hired nurse is most appropriate? A) hospital policies should put a stop to this B) everyone should conform to the prevailing culture C) nontraditional approaches to health care can be beneficial D) you are right because they may have a negative impact on people's health

C

as the nurse is discussing psychiatric care with an older adult client, the client says, when i was growing up i was taught to accept my lot in life and not complain. i'm proud of the fact that despite my issues i can still function independently. i dont want to be just put away. the nurse understands that the factors that influence the client's mental health are examples of? A) setting of care B) anxiety disorder C) attitudes and beliefs D) cultural and ethnic disparities

C

the mother of a preschool age child tells the school nurse that her husband is dying of cancer and that she is worried about how her child will cope. as part of their discussion, what does the school nurse include that preschool-age children view death as? A) universal B) irreversible C) a form of sleep D) a frightening ghost

C

what should a nurse consider about the past experiences of clients who have immigrated to this country? A) it affects all of their inherited traits B) there will be a little impact on their lives today C) it is important that their values be assessed first D) how they will interact is permanently established

C

which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences? A) irish american B) african am. C) chinese am. D) egyptian am.

C

which of these cultural groups adopts a combination of dietary, herbal and other naturalistic therapies to prevent and treat illness? A) east asian B) hispanic C) asian indian D) native american

C

after determining that the nurses on the psych unit are uncomfortable caring for clients who are form different cultures than their own, the nurse manager establishes a unit goal that by the next annual review the unit will have achieved what? A) increased cultural sensitivity B) decreased cultural imposition C) decreased cultural dissonance D) increased cultural competence

D

which internal variable influences health beliefs and practices? A) family practices B) cultural background C) socioeconomic factors D) intellectual background

D

which theory proposes that older adults experience a shift from a materialistic to cosmic view of the world? A) activity theory B) continuity theory C) disengagement theory D) gerotranscendence theory

D