NCLEX RN - Cultural and Spirituality
A client has been prescribed valproic acid for the treatment of bipolar disorder. The client tells the nurse, "I know that vitamin B can help with depressive episodes, so I am going to give that a try." What is the nurse's best response?
"Be sure to dialogue with your care provider before you start taking vitamin B supplements."
The nurse is caring for a group of clients in an acute medicine setting. What statement by a client would most warrant a referral to spiritual care, with the client's permission?
"It feels like one round of bad news after another for me, like I am being punished."
A client with chronic pain comes to the clinic for an evaluation. During the visit, the client asks the nurse about possibly using acupuncture for pain relief. Which response by the nurse would be most appropriate?
"Restoring the energy balance in your body could help with pain relief."
A hospital client's health status has declined sharply, and a referral to palliative care has been made. A nurse has suggested a referral to spiritual care, but a colleague states, "That is not likely necessary because the client's health record states 'no religion.'" How should the nurse bestrespond to the colleague's statement?
"The absence of an identified religion does not mean that a client does not have spiritual needs."
The nurse is performing an admission assessment of a new client. When assessing potential cultural influences on the client's care, the nurse should address what domains? Select all that apply.
-decision-making processes -nutrition -expressions of pain -communication
An alert and oriented adult client who is a Jehovah's Witness refuses a life-saving blood transfusion. The client's partner, who is not a Jehovah's Witness, requests that the client receive the blood. Which is the most appropriate action by the nurse?
Respect the client's right to refuse the transfusion.
A client is 2 days postoperative of a hip replacement. The prescriber removed the gauze dressing and gave the patient and nurse instructions to keep the site open to air. In the afternoon, the nurse observed the client rubbing an oil on the surgical site. What is likely the client's rationale regarding the application of the complementary oil?
Tea tree oil has antibacterial properties.
The nurse has observed that a client who identifies as a Mormon has drunk the coffee that was on the breakfast tray. How should the nurse best interpret this observation?
The client's personal religious practices may differ from those of the larger religious group.
After unsuccessful CPR efforts, the nurse must prepare an Islamic client for the morgue. Which nursing action should the nurse take?
asking the client's family if they want to perform the ritualistic washing
A nurse is assessing the posterior lung fields for a client who is experiencing difficulty breathing. The nurse lifts off the shirt and notices red, circular areas along the midspine area. What type of therapy is this?
cupping
