assessment ch 10
A nurse is planning a program to address measures to reduce the leading cause of mortality in children age 1 to 14 years. Which of the following topics would best address this cause of death?
Accident prevention
A nurse is planning a program to address measures to reduce the leading cause of mortality in children age 1 to 14 years. Which of the following would the nurse include?
Accident prevention
A nurse experienced in doing community assessments realizes that the following is true regarding education?
The higher the community's education level, the healthier the community.
The nurse is setting an outcome with the patient experiencing social isolation. Which goal would be appropriate?
The patient will express meaning and purpose in life.
The nurse is setting an outcome with the patient experiencing spiritual distress. Which goal would be appropriate?
The patient will express meaning and purpose in life.
After assessing a community, the nurse plans programs to address the community's government. Which of the following would be most appropriate?
Using open forum community meetings
A Muslim teenager is in the hospital for surgical repair of a severe fracture in the leg during the month of Ramadan, which the client says he would like to observe during his stay. Which of the following interventions should the nurse be prepared for in caring for this client?
Withhold all food and drink between sunrise and sunset
When assessing a rural community, the nurse will most likely identify which of the following as lacking related to health care services?
obstetric care
Shared practices and rituals used to express one's faith can be called
religion
A client of Chinese origin enters your office to be seen. You can assume
the client may be well acculturated to your dominant culture, so don't assume.
A nurse is determining the adequacy of long-term care services in a community. Which of the following are long-term care services that should be offered in a community? Select all that apply.
• Skilled nursing care facilities • Rehabilitation centers • Assisted-living centers
Spirituality is a human experience that (Select all that apply.)
• includes a supreme being • seeks to transcend self
From a critical cultural perspective, culture refers to which of the following?
A dynamic process enacted between people and their families
When assessing a community, the nurse is reviewing statistics related to adult mortality in clients who are 65 years of age and older. The nurse would assess the community for health programs to address which of the following as the major cause of death in this age group?
Heart disease
The nurse is concerned with the rising unemployment rate of the community in which she lives. How will the nurse be affected by this problem?
High unemployment rates are associated with higher morbidity and mortality rates.
A nurse recognizes the need to assess a client's spirituality after the client has been admitted from the emergency department to the medical unit. How should the nurse best initiate this assessment?
"Would you describe yourself as being a religious or spiritual type of person?"
A nurse is assessing the religious beliefs of a community. Which of the following would be a sign of a healthy community?
A Jewish synagogue and Christian church that partner together to operate a food pantry
The nurse is performing a community health assessment. When performing data collection, the nurse should seek out what informants?
A combination of community leaders and "typical" residents
The incidence of infant mortality varies in the United States. What group has 1.4 times the number of infant deaths than Whites and is more likely to begin prenatal care in the third trimester?
American Indians
The nurse is planning to assess a community. Which of the following activities would be most appropriate for the nurse to do when collecting objective data about a community?
Analyze census data.
A client who practices Catholicism is chronically ill and states that he feels disconnected from his support system, because he is unable to attend church services. What is the most appropriate action by the nurse?
Arrange for the chaplain to meet the client
A nursing student demonstrates understanding of the different communities when classifying Mothers Against Drunk Driving (MADD) as which type of community?
Based on specific function
While preparing a Hindu client for surgery, it becomes apparent that the client's view about spirituality is entirely different from the nurse's. What is the most appropriate action by the nurse?
Be respectful, open, and willing to discuss spiritual issues as appropriate
The nurse is caring for a married female patient from the Middle East who defers to her husband to answer all assessment questions. The nurse understands that it is common in this culture for the male to hold a dominant role in the relationship. What stage of cultural awareness does the nurse display?
Conscious competence
A nurse is assigned to care for a client who practices Orthodox Judaism. After reading the client's medical record, the nurse takes time to talk with the client about how to make his hospital stay more comfortable. The nurse admits to the client that she is not familiar with Orthodox Judaism but would like to learn more. The nurse is in which stage of cultural awareness?
Conscious incompetence
A new graduate nurse from a small community college is going to work in an urban setting. She embraces the thought of working in a more diverse setting and wants to learn about different cultures. What behavior is this nurse exhibiting?
Cultural desire
A nurse is assessing a client from India who complains of panic, sexual dysfunction, fatigue, weakness, and loss of appetite. Which culture-bound syndrome should the nurse suspect in this client?
Dhat
When reviewing the demographics of various communities, the nurse would identify a community with a large percentage of which age as most likely to have health-related concerns?
Elderly
A nurse is gathering information about the history of the community in which she works. Which of the following should she include in this study?
Ethnic groups who settled in the area, based on information from the local library
A client requests to be cared for by a nurse who is a member of his own culture. The nurse recognizes that which barrier exists in regards to this client's nursing care?
Ethnocentrism
When performing a spiritual assessment, what may help the nurse to identify related nursing diagnoses, needed interventions, and improve patient care?
Gaining relevant information about the patient's spirituality.
A nurse is assessing a Navajo client, who has presented to the health clinic with complaints of feeling endangered, confusion, bad dreams, and hallucinations. Which culture-bound syndrome should the nurse suspect in this client?
Ghost sickness
A nurse is gathering health information about a community that is economically unstable. Which of the following should she expect to find?
Higher morbidity and morality
A nurse is preparing to conduct a community assessment. Upon completing the assessment, which of the following should the nurse expect as the primary outcome?
Identification of health-related concerns in the community
A nurse is relying heavily on gestures and simplified language during the assessment of a client from another culture who speaks minimal English. During the lengthy assessment, the nurse asks the client if she is "okay" by making a circle with his thumb and forefinger. The nurse should be aware of which of the following?
In some cultures, this gesture is offensive.
A nurse has just learned that a community recreation league for youth has just been eliminated due to lack of funding. Which of the following results should the nurse suspect?
Increased gang activity
A nurse has just learned that a community course on water safety in a beachfront town has recently been eliminated due to a lack of funding. Which of the following results should the nurse expect?
Increased sports injuries
A nurse is working with a client who has received a terminal diagnosis. To help the nurse identify the client's possible coping responses, which of the following would be most important for the nurse to understand about spirituality?
It varies in different situations.
The nurse is explaining to the patient that the physician wrote an order to administer a blood transfusion for severe anemia. The patients emphatically refuses the blood transfusion. What religious practice should the nurse inquire about?
Jehovah's Witness
The nurse is conducting an assessment of a rural community. Which of the following community assessment findings is most characteristic of rural communities?
Limited access to specialized health care
Participating in the community allows the nurse to be accepted as a member of it. This method of data collection allows the nurse to participate in the daily life of the community, obtain information about the structures and influences of the community, and also do which of the following?
Make observations.
Within the 45-64 years of age group, a nurse knows that the most common cause of mortality is from what source?
Malignant neoplasms
Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?
Mediterranean and Africa.
A mother brought a child in to the Emergency Department stating that she thinks her child's appendix has ruptured. Before any diagnostic tests can be done, the father comes in and says, "I don't want anything done, we will take the child to our church where prayer will heal him." What is an appropriate action by the nurse at this time?
Notify the ethics committee immediately.
After teaching a group of students about spirituality and religion, the instructor determines that the students need additional teaching when a student states which of the following?
Nursing has only recently begun to incorporate spirituality into client care.
After teaching a group of students about spirituality and religion, the instructor determines that the students need additional teaching when they state which of the following?
Nursing has only recently begun to incorporate spirituality into client care.
When performing an assessment of a patient, the nurse observes that the patient begins to cry when asked if she has a religious preference. What part of the care plan would the nurse document this assessment finding?
Objective data
An instructor is emphasizing the need for nurses to be culturally sensitive and competent for which reason?
Obtain accurate assessment data
The city police department has had to make significant budget cutbacks and have been forced to decrease their workforce. The nurse has seen in increase in injuries caused by violent crimes in the emergency department. What would be a priority nursing diagnosis for this issue?
Other-Directed Violence related to insufficient police protection
As a novice nurse caring for a patient from a different culture, what may you find confusing or upsetting?
Patient's nonverbal communication
How can a nurse determine if the members of a community are involved in the government and political structures?
Percentage of registered voters that actually vote
A patient asks the nurse if there are church services in the hospital because the patient attends mass every Sunday. The nurse realizes that this patient is demonstrating:
Religion
While preparing a client for surgery, a nurse discovers that the client's view about spirituality is entirely different from hers. What is the most appropriate action by the nurse?
Respect the privacy of his spiritual beliefs and rituals
A nurse cares for a client who practices Hinduism. The nurse understands that Hindus believe illness is caused by which type of behavior?
Result of past and current life actions
A nurse must perform a nonformal spiritual assessment of a client. Which tool would be most appropriate for the nurse to use?
SPIRIT assessment tool
When evaluating a community's education, which of the following would the nurse use to identify the effectiveness of the community's school system?
Scores on standardized tests
During the assessment of a Caucasian client with wax accumulation in the ear, the nurse observes that the earwax is wet. The nurse recognizes that this is related to what physiologic variation among racial groups?
Secretions produced by apocrine glands are based on genetic traits.
The nurse chooses to use a formal assessment technique when doing a client's spiritual assessment. Which of the following techniques would be most appropriate?
Self-response assessment instrument
The school nurse is in the talking to a group of students about sexually transmitted diseases. One of the students says, "I know that most of the 10th grade has already had sex. There's drinking and parties, and this is where a lot of it happens." What type of data is the nurse collecting?
Subjective
A nurse knows that the most important risk factor for assessing health related problems is what demographic information?
age
The biggest obstacle to the use of facilities and services within a community is the lack of what among its members?
transportation
The nursing instructor is discussing the importance of spiritually assessing a patient in order to be able to provide holistic care. What suggestion can she give to the student who is not sure of the correct questions to ask?
" You may use the FICA spiritual assessment tool."
What is an important part of being present with a patient?
Listening
The nurse recognizes that which of the following are signs of a healthy local government? Select all that apply.
• Government leaders are accessible to the community • A high percentage of the community members are registered to vote • Open community meetings are regularly held • There is an atmosphere of tolerance among different groups
Using Roy's adaptation model, the nurse identifies that the goal of nursing care is to assist the client to achieve what? Select all that apply.
• Optimal mental health • Physical health • Role function • Interdependence
A nurse is assessing a community's formal and informal means of communication. Which of the following are examples of informal means of communication? Select all that apply.
• Word of mouth • Newsletters • Bulletin board notices • Fliers distributed door-to-door
The nurse experienced in working with different communities understands that the following groups are at higher risk for health problems and increased mortality: (Select all that apply.)
• unmarried people • elderly • immigrant farm families
Which statement by the nurse who is caring for a practicing Muslim patient demonstrates cultural sensitivity?
"I will bring you a basin of water for your prayer time."
The eudaimonistic model of health emphasizes:
The biopsychosocial and spiritual wellness of the person.
A Hispanic woman brings her school age child to the clinic for an intestinal ailment that has lasted for 5 days. Based on the client's culture, which of the following options would be most likely as a response when the family is asked about possible alternatives for treating the child's ailment?
A curandera
Which of the following would be the best indication that a community's police department is inadequate?
A high rate of homicides
During a spiritual assessment, the nurse asks if a patient's faith is helpful to them. The nurse is assessing the patient's:
Religious practices
When considering the various cultural aspects associated with death rituals, which of the following should guide a nurse's practice?
Rituals for burial and bereavement are likely to reflect original cultural practices.
In working with a Japanese woman, a nurse assesses the environment and high-risk behaviors associated with this client's cultural group. Why is it important for the nurse to take these factors into account?
To find clues to the current health status of an individual
The nurse is admitting a bed-bound patient who is a practicing Muslim. Acting as an advocate for the patient and demonstrating cultural sensitivity, what arrangements should the nurse make?
Transfer the patient to a room that faces east.
To determine the sources of strength for a patient, the nurse could ask, "In what ways do they help?"
True
A nurse is assessing a community of Native Americans. One important piece of health-related information that the nurse should obtain is the incidence of
diabetes mellitus.
A nursing instructor is describing formal and informal channels of communication that occur within a community. The instructor determines that the teaching was successful when the students identify which of the following as an example of informal communication?
filers
While interviewing a hospitalized client, he states, "The holy days of Ramadan are coming soon. I am not to have any food or drink from sunrise to sunset during this time." Further assessment reveals that the client's request is associated with which religion?
islam
A Hindu client on hospice care tells his nurse that he is not afraid of death. He explains that this is because he believes he has lived a very good life and therefore his next life should be even better than this one, as all of his life actions will be carried into the next. The nurse recognizes this belief as which of the following?
karma
When performing a cultural assessment, an important point to remember would be
that definitions of family differ
What questions should be included in a spiritual assessment? Select all that apply.
• "Do you need a private place to pray?" • "What gives you meaning to your life?" • "How does your spiritual practices help you to deal with pain?
Risk factors for mental disorders
may be specific to an ethnic group.
The nurse and a Hispanic client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan
nutritional information specifically for a Hispanic client.
Which of the following would be most appropriate for the nurse to ask when beginning to assess a client's spirituality?
"What gives you hope or peace?"
Several pregnant patients have recently been told that the obstetrics unit at their local rural hospital will be closing, effective in 1 month. This is the second obstetric unit in a rural facility that has closed within a 40-mile radius. What is the problem is the community facing?
A lack of accessibility to meet health care needs.
The nurse is performing an admission assessment on a patient with a diagnosis of pancreatic cancer. The nurse asks the patient about religious preference. The patient states, "Leave me alone about religion. I don't want to talk about it with you!" What is the best intervention by the nurse?
Collaborate with the hospital clergy.
A nurse is participating in an educational exercise in which she is conducting a self-examination of her own biases. This activity addresses what construct of cultural competence?
Cultural awareness
A nurse is planning care that is grounded in the fact that clients are holistic beings. Which of the following lists of components constitute the view of clients as holistic beings?
Mind, body, spirit
A nurse is assessing a community's environmental protection. The nurse should address which of the following?
Sewage treatment facilities
A nurse is assessing a client who recently immigrated to the United States from Kenya. When the nurse asks the client her reason for coming to the health clinic, the client responds by saying, "bad blood." The nurse recognizes that the client is most likely referring to which of the following?
Sexually transmitted infection
When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?
Show genuine interest in the client's culture and personal life experiences.
The nurse is conducting a health history of the patient who presents to the urgent care with complaints of shortness of breath. The nurse asks, "Who lives with you?" Which type of assessment is the nurse conducting?
Social assessment
The nurse is assessing a patient's ability to employ coping mechanisms when given a diagnosis of cancer. What type of assessment would be beneficial for the nurse to use?
Spiritual assessment
Family members have brought food to the room of a woman who delivered a baby boy earlier that day. The nurse is invited to eat the food and participate in the celebration of the birth. Which action should the nurse take?
The nurse should eat food of personal liking and rejoice in the family's celebration.
A patient of Islamic faith is being educated on a new diagnosis of diabetes mellitus. The patient asks no questions during or after the session. What does the nurse understand may be the reason for the patient not asking questions?
The patient considers asking questions of the nurse a sign of mistrust in her abilities.
What outcome should the nurse prioritize when addressing a patient's social, cultural, and spiritual issues?
The patient will express meaning and purpose in life.
A community health nurse assesses the economics of a community because income definitely has a direct relationship to the health of the residents.
true
