Fundamentals Success: Diversity & Spirituality

A nurse is caring for a woman who on admission stated that she belongs to a church that traditionally prohibits blood transfusions. However, the woman agreed to receive packed red blood cells as part of her medical regimen. The husband says to the nurse in the hall, "I can't believe that she is having packed red blood cells. We both have attended our church our whole lives, and now she is going against the convictions that we have had faith in for over 30 years." What is the best response by the nurse?

A) "Do you think you could be as supportive as you can possibly be?" B) "THIS IS A DIFFICULT TOPIC. HOWEVER, LETS SIT DOWN AND TALK ABOUT IT." C) "how do you feel about your wife willingness to have a transfusion?" D) "Men don't always understand what women are going through. ask her about how she feels."

A client who has a diagnosis of a terminal illness ask the nurse to pray together for a recovery from the illness. Which response by the nurse will provide spiritual support for the client? select all that apply A) "I will see if the social worker is able to meet with you to help you with your religious needs." B)"I am uncomfortable with prayer, but if it is alright with you, I will refer you to the chaplain." C)"We are unable to change some things, and we just have to move forwards as best we can." D)"I think it is better if you pray with members of your family/" E)"you sound as though you feel hopeless."

A) "I will see if the social worker is able to meet with you to help you with your religious needs." B)"I am uncomfortable with prayer, but if it is alright with you, I will refer you to the chaplain." E)"you sound as though you feel hopeless."

A primary health-care provider prescribes a regular diet for a client who follows a kosher diet. Which meal arranged by the nurse is culturally appropriate? Select all that apply A) Chicken lo mein, fried rice, pineapple, tea B) Sliced beef, mixed veggie, baked potato, cola C) Hamburger on bun, potato chips, milk D) Curried shrimp, egg noodles, coffee E) Eggs, buttered roll, orange juice F) Oatmeal, toast, hot chocolate

A) Chicken lo mein, fried rice, pineapple, tea B) Sliced beef, mixed veggie, baked potato, cola E) Eggs, buttered roll, orange juice F) Oatmeal, toast, hot chocolate

A nurse overhears two health-care personnel having a conversation. One person says to the other, "I think that turning that Muslims woman's bed toward Mecca is bizarre." Which specific barrier to culturally competent care is demonstrated by the statement? A) Ethnocentrism B) Chauvinism C) Racism D) Sexism

A) Ethnocentrism

A nurse is caring for a group of clients who have diverse religious affiliations. The nurse is planning a class on what foods constitute a nutritious diet. When preparing for class, which religion should the nurse recognize that traditionally prohibits the ingestion of pork and products made of pork? select all that apply A) Islam B) Jewish C) Mormon D) Jehovahs Witness E) Seventh-day Adventist

A) Islam B) Jewish E) Seventh-day Adventist

A nurse is caring for a client who belongs to a church that traditionally prohibits blood transfusion. The client is to have a total hip replacement and states, " I cannot have a blood transfusion." Which should be implemented by the nursE? select all that apply A) Teach the client about non-blood plasma expanders. B) Inform the client about intraoperative blood salvaging C) explain the benefits of a blood transfusion in the event of surgical bleeding. D) tell the client about the option of preoperative autologous blood transfusions. E) describe how whole blood can be treated just the red blood cells for a transfusion

A) Teach the client about non-blood plasma expanders. B) Inform the client about intraoperative blood salvaging

A dying client says to the nurse, "I know I am dying, and what scares me the most is i don't know what is going to happen on the other side. do you believe that there is a heaven and a hell?" Which is an appropriate response by the nurse? Select all that apply. A) "What do you think about heaven and hell?" B) "I really don't know; I have not thought about it?" C) "This is a topic you should explore with your spiritual advisor." D) "I practice a religion that supports concepts about heaven and hell/"

A) What do you think about heaven and hell

A nurse is caring for a client for the first time. Which is the initial intervention that should be performed by the nurse before planning to meet the hygiene needs of this client? A) determine the clients preference about hygiene practices B) assess the clients ability to assist with hygiene activities C) collect the clients toiletries needed for the bath D0 ensure the clients bathroom will be available

A) determine the clients preference about hygiene practices.

A nurse is caring for several clients who state that they faithfully practice the religion of either Orthodox Judaism or islam. Which food custom common to both Islam and Orthodox Judaism should the nurse consider when meeting these clients' nutritional needs? A) pork is prohibited in the diet B) meat cannot be eaten on Fridays C) special cookware is used for different meals. D) meat and dairy products are served at different meals

A) pork is prohibited in the diet

A home-care nurse working in a rural community determines that there is an underutilization of services by the members of the community. Which does the nurse conclude is the most common cause for the underutilization of services? A) the culture independence B) the varieties of ethnicity C) a decreased intelligence D) a disinterest in health

A) the culture independence

A family from another country immigrates to the US. Which of the following reflects the concept of acculturation? select all that apply A) the husband attending school to learn english B) the family members celebrate Christmas together C) the parents expect their children to attend college D) the wife prepared a meal with turkey on thanksgiving E) the grandparents live in the same house as the rest of the family

A) the husband attending school to learn english D) the wife prepared a mean with turkey on thanksgiving

A male client refuses to have a male nurse as a caregiver. The client tells the nurse in charge, "I don't want a man for a nurse, Nursing is a woman jobs; they are great." Which of the following can be attributed to the client based on his statement? A) Racism B) Sexism C) Chauvinism D) Misogynism

B) Sexism

A nurse is teaching an older adult who immigrated to the United States 10 years ago about foods that are low in sodium. Which is most important when teaching this client? A) Encourage the asking of questions. B) Seek feedback that is measurable C) Use humor when appropriate D) Observe family interactions

B) seek feedback that is measurable

A nurse is caring for four clients who each engage in one of the following behaviors. Which of the following is based on religion belief? A) drinks lemon juice to treat hypertension B) wears an amulet to chase away bad spirits C) massages a foot to relieve migraine headache pain D) brushes the teeth after every meal to prevent tooth decay

B) wears an amulet to chase away bad spirits

A young adult who is receiving chemotherapy for cancer says to the nurse, "I was brought up as a Christian by my parents, but since I have been on my own I have not practiced my religion. I guess I should get more involved again." Which is the best response by the nurse? A)"Which religion do you belong to?" B)"how long has it been since you went to church?" C) What can I do to support your religious endeavors?" D) "When do you want me to call your spiritual advisor to come visit you?"

C) What can I do to support your religious endeavors

A nurse is assisting a client with morning care. Which is the most important for the nurse to do when assisting the client with the care of the hair? A) use rubbing alcohol to remove tangles B) ensure that the clients hair is left dry, not wet. C) ask the client what should be done with the hair. D) comb hair from the proximal to distal end of the hair shafts.

C) ask the client what should be done with the hair

A nurse is caring for a client who recently immigrated to the US and how is not completely fluent in English. The nurse discussing options for continuity of care after the client is discharged from the hospital. Which is the most appropriate response by the nurse after presenting various options? A) "which seems to be the option that best meets tour needs as you see them?" B) In light of your values and beliefs, I believe that home care might be the best option C) do you have any questions regarding any of the options that we discussed?" D) I think that you should take some time to discuss these options with your family members/"

C) do you have any questions regarding any of the options that we discussed

A 4-year-old boy is admitted to the emergency department and diagnosed with leukemia. The parents are informed that their child has an excellent prognosis if treated with chemotherapy. The parents adamantly refuse drug therapy because it is not consistent with their religious beliefs. They believe that prayer can cure everything. What should the nurse do? A) encourage the parents to seek the prayers of one of their church's clergy. B) explain to the parents how the chemotherapeutic regimen will cure the leukemia C) talk with the nursing supervisor about referring this situation to the ethics committee D) accept the decision based on the First Amendment of the Constitution of the United States

C) talk with the nursing supervisor about referring this situation to the ethics committee.

A client who has a sorrowful and dejected facial expression says to the nurse, "I am very sorry for some of the things that I did in my early life." Which is the best response by the nurse? A) "That was a long time ago, and it seems as though you have done many good things in your later life." B) "God is total love and forgives our past transgressions." C) "You seemed very sad as you shared that with me." D) "I want to do something to make you feel better."

C)"You seemed very sad as you shared that with me/"

A nurse is caring for a client who recently was diagnose with a terminal illness. The client says to the nurse, "I was told this morning that I have 3 to 6 months to live. I have to just keep faith." Which response by the nurse is appropriate when considering the needs of this client? A) "you have a few months left. its important that you make the most of the days you do have." B) "I am sorry to hear about your terminal illness. Lets talk about what the future holds for you." C) "You should get a second opinion. There may be additional medical interventions that can help you." D) "Some people express spiritual needs. Let me know if there is some way that I can help you meet similar needs."

D) "Some people express spiritual needs. Let me know if there is some way that I can help you meet similar needs."

A culturally competent nurse is planning to teach a client about a new regimen of self-care. Which must the nurse assess first about the client before implementing the teaching plan? A) religious affiliation B) support system C) national origin D) health beliefs

D) health beliefs

A nurse is planning care in the spiritual realm for clients with a variety of ages, which age group should the nurse identify generally is more involved with expanding and refining spiritual beliefs? A) Adolscents B) Older adults C) Young adults D) Middle-age adults

D) middle age adults

A home-care nurse is assessing a client and family members from a cultural perspective. Which is most important for the nurse to do? A) recall experiences of caring for clients with similar background B) recognize beliefs common to the clients ethnic group. C) interview the members of the clients family D) use the client as the main source of data

D) use the client as the main source of data