Family, Culture, and Spirituality (Chapter 10 & 11 Quiz)

Which statement is true about race and ethnicity? -Ethnicity may include race, but it is not the same as race. -Ethnicity and race can be used interchangeably. -Race refers to groups whose members share a common heritage that is passed down from generation to generation. -Ethnicity is often used to identify someone by similar skin color, blood type, and bone structure.

Ethnicity may include race, but it is not the same as race. Rationale: The U.S. Census Bureau (2020) has separate categories for race and ethnicity.

A nurse has started a new job working in family health and understands that the overall economic climate can be a major challenge. What family unit is most at risk for this challenge? -Single-parent families -A pregnant teenager who lives at home with her parents -Families who have adequate health insurance -A family member who is living with HIV

Single-parent families Rationale: These families are the hardest hit during economic downturns and have fewer resources.

The nurse is learning about the differences between spirituality, religion, and spiritual care. Which definition demonstrates that the nurse has a correct understanding of spirituality? -A map that tells you what to believe and what values are important in life -Discussions and theories related to God and God's relation to the world -Doctrines about the human soul as it relates to death, judgment, and eternal life -Core issues involving divine experiences on a daily basis that include faith, hope, and love

Core issues involving divine experiences on a daily basis that include faith, hope, and love Rationale: This is a definition of spirituality that is a personal experience for healing.

During an admission assessment, the nurse asks a client about their spiritual needs and beliefs. The client says, "I don't believe in God." How should the nurse document this finding? -Religious preference is unknown. -Religious preference is not stated. -Religious preference is atheism. -The client has no religious belief.

Religious preference is atheism. Rationale: Atheists do not believe in gods or supernatural deities.

A new school health nurse is working in a diverse school district. The nurse is interested in learning how to become a more culturally competent nurse for the spiritual care needs of students and staff. What is one of the most important actions the nurse can take? -Learn about all the religions and cultures in the school by taking a college course. -Make sure all students and staff follow the school lunch policy. -Treat all students and staff the same, regardless of various cultures or religions. -Self-reflect on spiritual needs of self and be sensitive in communicating about spiritual issues of others.

Self-reflect on spiritual needs of self and be sensitive in communicating about spiritual issues of others. Rationale: The culturally competent nurse must attempt to "know thyself" to better understand others who are culturally or spiritually different.

A nurse is learning about family structures. What does the nurse understand a holistic definition of a family to be? -Two or more related people living in the same household -A group of people consisting of a wife, husband, and children -Two or more individuals who provide physical, emotional, economic, or spiritual support to each other and may or may not be related by blood -A group of grandparents, aunts, uncles, and cousins living in a single dwelling

Two or more individuals who provide physical, emotional, economic, or spiritual support to each other and may or may not be related by blood Rationale: A family is two or more individuals who provide physical, emotional, economic, or spiritual support to each other. They may or may not be related by blood, but maintain involvement in each other's lives.

A nurse is conducting a family health assessment and wants to use a genogram. The genogram, constructed with a diagram that evaluates each family member's health risks, includes what information? Select all that apply. -Causes of death -Important health problems -Infections -Neighborhood lived in -Occupations -Finances

-Causes of death Rationale: This information is included in a genogram. -Important health problems Rationale: Health problems can be linked from generation to generation. -Infections Rationale: Infectious diseases are important to include on a genogram. -Occupations Rationale: Individuals may have been exposed to occupational hazards (e.g. asbestos)

The nurse is applying cultural concepts to community outreach work. Which statement by the nurse demonstrates correct understanding of cultural concepts? -"Assimilation is the process of learning to become a member of a society or group." -"I will provide care based on my cultural beliefs because they are more acceptable." -"I believe new members in the community from Thailand are experiencing the acculturation process." -"I can care for minority groups the same if they live in the same neighborhood."

-"I believe new members in the community from Thailand are experiencing the acculturation process." Rationale: Acculturation is a learning process that can take years through which immigrants begin to accept elements of the new culture and maintain their own culture.

A nurse utilizing the HOPE approach to spiritual assessment would ask which questions when addressing the "H" part of the method? Select all that apply. -"What are your sources of internal support?" -"Do you belong to a religious or spiritual community? -"Do you believe in God?" -"What do you hold on to get through your difficult times?" -"Has your illness affected your relationship with God?"

-"What are your sources of internal support?" -"What do you hold on to get through your difficult times?" Rationale: The "H" portion of the HOPE spiritual assessment approach addresses sources of hope, meaning, comfort, strength, peace, love, and connection. Asking a client about their internal support system addresses this.

A new nurse is learning about the three perspectives of family nursing. What do these perspectives include? Select all that apply. -Family as the context of care -Family as an interactional unit -Family as the unit of care -Family as a system -Family as a developmental process -Family with maladaptive coping mechanisms

-Family as the context of care Rationale: In this perspective, the nurse approaches the family unit of the ill individual. -Family as the unit of care Rationale: Nurses must provide family members with individual care. -Family as a system Rationale: Assessment and interventions are developed based on communications among family members.

The nurse is comparing religion and spirituality. Which statements are correct? Select all that apply. -Religion is a "roadmap" that defines beliefs, values, code(s) of conduct, and ethics. -Religion is a dynamic relationship with that which transcends. -Spirituality is considered what is to be believed, how beliefs affect life, and is related to self-image and identity. -Religion is a tradition or system of worship that provides rituals, answers, norms, and a connection with God. -Both spirituality and religion include the support of faith, hope, and love.

-Religion is a "roadmap" that defines beliefs, values, code(s) of conduct, and ethics. Rationale: This is a correct statement. -Religion is a tradition or system of worship that provides rituals, answers, norms, and a connection with God. Rationale: This is a correct statement. -Both spirituality and religion include the support of faith, hope, and love. Rationale: Faith, hope, and love are considered a part of both spirituality and religion.

What is the most important health risk for a family of older adults? Select all that apply. -Social isolation and loneliness -Nutrition and hydration -Falls and safety -Forgetfulness and confusion -Organ deterioration

-Social isolation and loneliness Rationale: According to Maslow, this is a lower-level need. -Nutrition and hydration Rationale: According to Maslow, this is the highest-level need (physiological). -Falls and safety Rationale: Safety needs are lower in the hierarchy according to Maslow. -Forgetfulness and confusion Rationale: Safety needs come after physiological needs.

A nurse educator is planning a program for new graduate nurses regarding various religions. Which aspects of Judaism does the nurse educator include? Select all that apply. -Sacred writings of Scripture are from the Bible. -The Sabbath is celebrated from sunset on Friday to sunset on Saturday. -Passover is celebrated in either March or April. -A rabbi is consulted for spiritual or dietary advice. -Foods must be kosher for some members of the Jewish fate. -Blood transfusions are never allowed.

-The Sabbath is celebrated from sunset on Friday to sunset on Saturday. Rationale: For Orthodox Jews, work is prohibited on the Sabbath, a holy time when they also refrain from traveling or using appliances. -Passover is celebrated in either March or April. Rationale: This is a specific holiday celebrated in the Jewish religion. -A rabbi is consulted for spiritual or dietary advice. Rationale: The role of the rabbi in Judaism is similar to the role of the priest in Catholicism. -Foods must be kosher for some members of the Jewish fate. Rationale: Some members of the Jewish faith consume kosher foods, and there are strict guidelines for how food is prepared before consumption.

The nurse is speaking with a client who the nurse suspects is in spiritual distress. What factors let to this conclusion? -Expressing a lack of love, courage, acceptance, or peace -A willingness to speak with the clergy, even when they'd prefer not to -Reading books about death and the afterlife -A willingness to attend a religious service of a different religion

Expressing a lack of love, courage, acceptance, or peace Rationale: Defining characteristics of spiritual distress includes a lack of connection to self that is demonstrated by expressing a lack of love, courage, acceptance, or peace; a lack of meaning and purpose in life; and feelings of anger or guilt.

How did Leininger and McFarland define culture? -A unique way we view the world by what luggage we carry around in life -The totality of socially transmitted behaviors, arts, beliefs, values, customs, and other characteristics of a population of people that guides their worldview and decision making -The learned, shared, and transmitted knowledge of values and beliefs of a specific group that are transmitted from generation to generation -The integrated pattern of thoughts, communications, actions, customs, beliefs, values, and institutions associated with racial, ethnic, religious, spiritual, biological, geographical, and sociological qualities

The learned, shared, and transmitted knowledge of values and beliefs of a specific group that are transmitted from generation to generation. Rationale: This is Leininger and McFarland's definition of culture.