nur 104 prep u questions 3
when preparing for a spiritual counselor to visit a hospitalized client, the nurse should
take measures to ensure privacy during the counselors visit
when the client tells the nurse that she believes gods reality is personal, and that god is the creator of all beings, the nurse determines that the client is expressing
theism
after being informed that his wife only has a few hours to live, the nurse hears the husband say: if you take my wife i will never pray to you ever again, what should the nurse do
use silence and allow the husband to express his emotions
the nurse is collecting a health history of a client and notes the client is apprehensive in answering questions. the client states my spiritual healer will be here soon, what is the best response
we can wait until your healer arrives and work together to answer these questions
the nurse is conducting a sexual history on a 24 yo female who states she would love to have sex w multiple people. what is the best response
what do you hope to accomplish by doing that
the nurse assessing an adolescents need for further info regarding sexual health should ask which question
what questions or concerns do you have about ur sexual health
a client has been admitted for chest pain. a nurse told the family that they could not be w the client. the family became upset and the client now wants to leave. what is the most culturally appropriate response
would you feel more comfortable with your family with you
the nurse is caring for a client who practices catholicism and was diagnosed w cancer, the client states god is punishing me for my past sins, how should the nurse respond
you sound upset, would you like to talk about it
a nurse is assisting a terminally ill female client w bathing, the client says she has great respect and faith in a spiritual leader. the nurse interprets this as fulfilling which need
sense of security for present and future
a female client has had surgery and asks how she can have sex with her husband
simulation of the genitals by the mouth and tongue may be used to reach orgasm
a college foreign exchange student is living with a family in england and is confused about daily catholic prayers. she is protestant, which type of spiritual distress is she experiencing
spiritual alienation
When a nurse supports the client's spiritual needs, the nurse supports which level of the Maslow's hierarchy of needs?
self actualization needs
a client starts crying when asked about sexual function and states she is scared to have sex bc it hurts too much. which factors should the nurse further explore to determine a cause
previous trauma, fear of pain, vaginal infection, estrogen levels
when a 19 yo male tells the nurse he isn't able to achieve an erection the nurse recognizes the client is experiencing
primary impotence
a dying client's family asked for a chaplain to perform the anointing of the sick. which religion are they?
roman catholic
which nursing actions are appropriate when collecting a health history for a client whose primary language differs from dominant language
use facility telephonic interpreting system, have bilingual nurse assist, request assistance from certified interpreter
a family has immigrated and settled in a neighborhood that primarily speaks their native language. the nurse caring for them recognizes that which family member will likely require the greatest amount of time to learn the dominant language
the 45 yo mother in the family who doesnt work outside the home
A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change?
the client states i feel like i abandoned my religion
a client is seeking care. the nurse is completing a cultural assessment. which scenario would demonstrate cultural assimilation
the client's child learned the dominant language as a second language
which sexually transmitted infection has the following characteristics : thin, foamy, greenish, vaginal discharge that cause itching of the vulva and vagina
trichomoniasis
a client from a minority culture has been hospitalized, her weight is decreasing each day and the nutritional intake is declining. which nutrition assessment question is most appropriate
what type of food do you eat at home
the nurse recommends a barrier method of contraception for a client who is concerned about the side effects of hormonal contraception. which method might the nurse suggest
cervical cap
a client recently diagnosed with cancer informs the nurse that they value faith and finds comfort in their faith. the nurse is aware that faith is best defined as
a belief in something for which there is no proof or material evidence
how would the nurse respond to a female client who says "i don't think ive ever had an orgasm, is that normal"
a normal sexual response for women may include multiple plateaus without an orgasm as a result
the client speaks a nondominant language, and the nurse doesnt understand it. which agency resources is best for the nurse to use in this case
a professional interpreter
what is the priority assessment for the nurse when developing a plan of care for a client living in poverty
access to care
the nurse is caring for a client who states no one can understand god, the nurse would document the cleints spiritual belief as
agnostic
a client is diagnosed with lactase deficiency, and needs calcium in his diet. which menu choice is the best option
baked salmon, steamed spinach and sweet potato, salad, hard boiled egg, carrots, celery, cucumber
a student nurse is not looking forward to clinical rotation on geriatric unit, she states how can i get them to move faster they are so slow. how should the instructor respond
be careful on the negative attitude in your approach. how fast an individual moves will depend on physical ability not necessarily age
a nurse provides care on the palliative unit of a hospital, which intervention will support a client who has expressed strong spiritual beliefs
carefully assessing verbal and nonverbal cues of spiritual needs by the client
in the female reproductive system, what corresponds with the penis
clitoris
a client who practices islam dies surrounded by family members. which action by the nurse demonstrates cultural sensitivity related to the clients death
consulting the family member prior to performing post mortem care
a client believes the illness is caused by an imbalance of yin and yang, the nurse states you can call it whatever you believe, but you have a metabolic disorder, what is the nurse demonstrating
cultural blindness
a nurse is caring for a client with bacterial pneumonia and a high fever, the health care provider prescribes a cool compress, but the client insists that she needs warm blankets bc they will help her recover more quickly. the nurse recognizes that the clients request is an example of
cultural ritual
the nurse is caring for a client who recently immigrated into the country, the nurse should implement interventions aimed at addressing what issue
culture shock
which set of terms best reflects nursing's view of clients as holistic beings
mind, body, spirit
a nurse is working with a local group to address health disparities. which concepts would be important for the group to address
minority, disadvantaged, less powerful
when conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. which questions should the nurse ask
do you feel your faith is helpful to you, is religion significant to u, is their anyone form your church you would like to talk to
the nurse is assessing a 27 yo navajo male who is being admitted for surgery. the client requests a visit from the spiritual healer. what is the best response
do you have a preference as to which leader you would like to visit
the client expressed that it's important the spouse be present to receive all medical info. using the concepts of culturally competent care, which is best response
document the clients request in the nursing care plan
the parents of 3 children are interested in fostering spiritual development in their children. the nurse informs the parents that the development of a childs spirituality is best accomplished by
educating through parental behaviors
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
ethnic identity
what is associated with the resolution phase of the male sexual response cycle
feelings of relaxation and fulfillment
how is culture learned by each new generation
formal and informal experiences
a nurse practitioner is teaching students about sexual health and is evaluating their knowledge of sexual identity. she knows they understand when they say what
gender role behavior is the behavior a person conveys about being male or female
an older adult client who only speaks the nondominant language has been admitted to the emergency department after suffering a fall and hip fracture. who is the best person to perform translation services
hospital translator
which nursing title is being recognized by the american association of nursing that aids and assists the clients with spiritual needs in the community
parish nursing
a nurse reads in a clients chart that he has gender dysphoria. the nurse determines that the client understands the diagnosis when making what statement
people whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria
the nursing diagnosis spiritual distress related to crisis of illness as evidenced by loss of meaning in life and overuse of pain med is created for a client who attempted to take his life. which intervention is appropriate
plan and coordinate a multidisciplinary team conference including the chaplain
when talking with a client, the nurse notes that the client keeps backing up, what would be the most appropriate response
ask the client about personal space preferences
the nurse is caring for a terminally ill client who immigrated from mexico, which nursing intervention regarding spiritual care is appropriate
ask the client if a spiritual leader is desired
the nurse works in an urban hospital. which action by the nurse demonstrates the delivery of culturally sensitive care to clients
asking the client questions regarding health care beliefs related to clients culture, allowing client to keep religious necklace on them until going into operating room, integrating clients cultural practices when assisting with creation of plan care
the client has several family members in the waiting room. which nursing action is most appropriate
assess the clients beliefs about family support during hospitalization
a client presents with concerns of low testosterone and feels it is due to a pituitary gland disorder. which teaching would the nurse use on how testosterone is produced
gonads are the reproductive organs of the male and are responsible for the production of testosterone and spermatozoa
a nurse who usually works on the surgical unit is asked to float to the oncology unit. which statement by the nurse indicates the possibility of the nurse experiencing culture shock
i am very stressed now bc i don't understand how things work on this unit
which nursing intervention reflects practice according to madeline leiningers transcultural nursing theory
incorporating the clients request for complementary treatment therapy
a nurse expresses a desire to become culturally competent in the care of females from africa. which statement by the nurse demonstrates an understanding of this population of clients
infibulation is the narrowing of the vaginal opening through the creation of a covering seal
which teaching statement best exemplifies cultural competence in relation to time for the american culture
it's important to be on time for your health care appointment
during hospitalization for a suicide attempt, the client informs the nurse that she doesn't want to go to work bc her boss expects sexual pleasures. the nurse informs the client that this is illegal behavior and is called
quid pro quo harassment
a gerontology nurse is discussing sexual dysfunction with an older adult male client, she determines the education has been successful when the client states
malnutrition may cause impotence
during the menstrual cycle, when does ovulation typically take place
on day 14
the nurse conducted a comprehensive assessment on a new client. based on the notes for which disorder is this client at high risk
osteoporosis
the nurse is justified in assessing for sexual dysfunction among male clients who are receiving which
antihypertensive medication
a nurse is working with a client who is suffering with pain with no relief. the nurse wants to help nurture his spirituality and can do so in which ways
promoting meaning / purpose, promoting love and relatedness, promoting forgiveness
when reviewing the chart of an older adult client, the nurse notes that the client identifies as japanese. the nurse realizes the client is referring to which cultural factor
ethnicity
the nurse attended a seminar on diversity. which statement by the nurse would require further education
ethnicity and race are the same thing and are affected by cultural practice
applying masters and johnson description of sexual response, place the phases in order
excitement, plateau, orgasm, resolution
the nurse is trying to help a client ambulate after surgery but is aware the client may feel threatened by physical closeness ( the client is from a culture that tends to prefer more personal space ) what would be the most appropriate action
explain the purpose and need for assistance during ambulation
the nurse is teaching a black client about common health conditions, which statement made by the client most directly addresses a health problem with increased incidence in the population group
it is important to monitor my blood pressure
which factors contribute to the concept of a culture
language, art and music, communication styles, beliefs about health practices, items and clothing
the nurse is preparing a talk on health issues in the lbgqt population. what statistic would the nurse include
lgbtq youth are more likely to attempt suicide
a bedridden hospitalized client expresses a belief that missing weekly church is a failure, which is an appropriate nursing diagnosis for this client
spiritual distress related to inability to attend church services evidenced by verbal states of guilt
when a man cannot achieve an erection the phase of the sexual response in which the man is experiencing difficulty is
excitement phase
the nurse is caring for a client who perceives time differently. what action should the nurse take
maintain flexibility when the client requests interventions at specific times
a nurse is working with a culturally diverse group of clients. the nurse understands that cultural norms
require an individualized approach by the nurse