NURS 224: Cultural Assessment

Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness? a) "I need to understand the client's cultural background to best interpret the client's needs." b) "A person's race is an effective characteristic of his or her cultural background." c) "I understand a client's culture if I am familiar with the client's ethnic values." d) "A disability is not a factor in determining a client's cultural needs."

a) "I need to understand the client's cultural background to best interpret the client's needs."

A nurse has a regular client who is an immigrant from China and who follows the traditional medical system of that culture. To improve the ability to understand and work with this client, the nurse researches this client's cultural view of health. Which of the following would the nurse most likely discover? a) A focus on maintaining balance between yin and yang b) Respect for nature and use of masks and sand paintings c) Prayers to God and saints for spiritual reparations for sins d) Use of herbs, roots, talismans, and amulets

a) A focus on maintaining balance between yin and yang

A nurse's personal reflection reveals that the nurse tends to see their own culture as the "gold standard" to which all other cultures should aspire. This nurse should create learning goals to address what phenomenon? a) Ethnocentrism b) Unconscious incompetence c) Stereotyping d) Acculturation

a) Ethnocentrism

A client has a nursing diagnosis of impaired social interaction. What is a common characteristic of this diagnosis? a) Insufficient quantity or quality of social exchange b) Low eye contact c) Poor listening skills d) Loneliness experienced as a negative state

a) Insufficient quantity or quality of social exchange

When describing a spiritual assessment to a group of students, which of the following would an instructor most likely include? a) Knowledge of the spiritual temperament of the community is helpful. b) Reviewing all religious denominations before approaching a client is important. c) It is of little importance for a nurse to understand his or her own spirituality. d) Spirituality is a deep emotion that is not able to be described.

a) Knowledge of the spiritual temperament of the community is helpful.

When performing a cultural assessment on a client from another country, what can a nurse do to ensure the client receives culturally sensitive care? a) Show genuine interest in the client's culture and personal life experiences. b) Develop a plan of care after talking to the client's family. c) Develop a plan of care based on the nurse's own knowledge of a client's culture. d) After the focused assessment, decide if a cultural assessment is necessary.

a) Show genuine interest in the client's culture and personal life experiences.

The nurse is assessing a client's ability to employ coping mechanisms when given a diagnosis of cancer. What type of assessment would be beneficial for the nurse to use? a) Spiritual assessment b) Cultural assessment c) Physical assessment d) Mini-Mental status assessment

a) Spiritual assessment

What outcome should the nurse prioritize when addressing a client's social, cultural, and spiritual issues? a) The client will express meaning and purpose in life. b) The client will engage in interactions with others. c) The client will express a sense of oneness with self and others. d) The client will engage in worship weekly.

a) The client will express meaning and purpose in life.

The nurse is setting an outcome with the client experiencing social isolation. Which goal would be appropriate? a) The client will initiate interaction with others. b) The client will express feelings of connectedness with God. c) The client will express meaning and purpose in life. d) The client will attend a church event every week.

a) The client will initiate interaction with others.

Within all age groups from 1 to 44 years, a nurse knows that the most common cause of mortality is from what source? a) Unintentional injuries b) Suicide c) Malignant neoplasms d) Lower respiratory diseases

a) Unintentional injuries

When performing a cultural assessment, an important point to remember would be a) that definitions of family differ b) to use first names of those you are speaking to c) that alternative therapies are reasons for seeking care d) that the cultural/ethnic background is evident in the client's appearance

a) that definitions of family differ

A nurse assesses a 4-year-old boy who experiences gas, a stomachache, and diarrhea after consuming lactose products. The nurse recognizes the data as what type of biological variation? a) Anatomic b) Biochemical c) Developmental d) Body surface

b) Biochemical

A nurse is assigned to care for a client who practices a religion different from her own. 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 his religion but would like to learn more. The nurse is in which stage of cultural awareness? a) Unconscious incompetence b) Conscious incompetence c) Conscious competence d) Unconscious competence

b) Conscious incompetence

The nurse is caring for a client who is from another country, and states to the charge nurse, "I just don't know if the client really understands what I am saying, and I am not understanding the client either, even though he speaks English." What stage of cultural awareness is the nurse experiencing? a) Unconscious incompetence b) Conscious incompetence c) Conscious competence d) Unconscious competence

b) Conscious incompetence

Which vital statistic should a nurse recognize as demonstrating that a community lacks adequate services or programs to meet the needs of its members? a) Below average mortality rates b) High rates of teen pregnancy c) Expected birth rates d) Low infant mortality

b) High rates of teen pregnancy

A nurse is gathering health information about a community that is economically unstable. Which of the following should she expect to find? a) A large tax base b) Higher morbidity and morality c) Reduced incidence of lung diseases d) Low unemployment rates

b) Higher morbidity and morality

A nurse is studying U.S. Census Bureau trends, specifically the nature and size of households in the last 50 years. Which of the following is an example of such a change? a) The number of married couples has increased. b) Household size has decreased. c) Number of unmarried partner households has decreased. d) Number of divorced people has decreased.

b) Household size has decreased.

A nurse is preparing to conduct a community assessment. Upon completing the assessment, what would the nurse expect as the primary outcome? a) Development of a common bond with community members b) Identification of health-related concerns in the community c) Creation of a partnership with local health care providers d) Increase in the number of health services provided

b) Identification of health-related concerns in the community

An instructor is describing culture and minority. Which statement would be most accurate for the instructor to include related to minority? a) It refers to a group with less power or prestige in society. b) It means that a group has smaller population numbers. c) The group does not hold the accepted primary values. d) The members fail to act in appropriate ways.

b) It means that a group has smaller population numbers.

Which of the following best reflects nursing's view of clients as holistic beings? a) Physical, psychosocial, religious b) Mind, body, spirit c) Id, ego, superego d) Spiritual, egocentric, naive

b) Mind, body, spirit

The nurse reviews data collected while completing a spiritual assessment with a client. Which data should the nurse focus as the primary source of information for this assessment? a) Objective b) Subjective c) Medical record d) Secondary sources

b) Subjective

When the nurse is attempting to demonstrate nursing presence, which intervention would be most therapeutic? a) stating, "I'm sure your illness is not punishment for sins you've committed." b) sitting with the client as he or she shares feelings about being ill c) providing a client with a copy of the client's preferred holy book d) scheduling treatments around a client's prayer times

b) sitting with the client as he or she shares feelings about being ill

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? a) Gun control b) Prenatal care c) Accident prevention d) Substance abuse

c) Accident prevention

When assessing a client's spirituality, the nurse has the client complete a Brief Religious Coping Questionnaire. When reviewing the completed questionnaire, the nurse identifies which of the following as indicating positive religious coping? a) Client feels stress is something from God that is to be endured. b) Client wonders if God has abandoned him or her. c) Client looks to God for support in a crisis. d) Client decides what to do without relying on God.

c) Client looks to God for support in a crisis.

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? a) High unemployment rates mean that she could lose the job at the hospital. b) High unemployment rates mean there will be no raises for employees this year. c) High unemployment rates are associated with higher morbidity and mortality rates. d) There will be more suicides for the hospital to handle.

c) High unemployment rates are associated with higher morbidity and mortality rates.

A nurse is assessing a community's environmental protection. What would the nurse address? a) Major local employers b) Local law enforcement agencies c) Sewage treatment facilities d) Educational facilities

c) Sewage treatment facilities

During an interview, a client tells the nurse about spending time out of doors and hiking to connect with the earth and observe the activities of small animals. The nurse would document this client's hiking behavior as supporting: a) Exercise needs b) Religious activities c) Spirituality d) Relaxation

c) Spirituality

A nurse recognizes the need to perform a spiritual assessment of a newly admitted hospital client, but the circumstances surrounding the client's diagnosis and family dynamics make this challenging. What variable is likely to have the greatest impact on enhancing the quality of data from the nurse's spiritual assessment? a) The nature of the nurse's spiritual beliefs b) The nurse's knowledge of major religions c) The quality of rapport between the nurse and the client d) The setting in which the assessment is performed

c) The quality of rapport between the nurse and the client

The previous week a client from a non-English speaking culture desired time to say prayers before eating breakfast. Another client from the same culture is currently being admitted. What should the nurse do to support the new client's spiritual needs? a) schedule breakfast after time for prayers b) emphasize the importance of physical health as a priority c) assess if the client would like time for prayers before breakfast d) explain that there is no control over the time when breakfast arrives

c) assess if the client would like time for prayers before breakfast

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? a) Cultural desire b) Cultural knowledge c) Cultural skill d) Cultural awareness

d) Cultural awareness

When reviewing the demographics of various communities, the nurse would identify a community with a large percentage of which demographic as most likely to have health-related concerns? a) Teenagers b) Young adults c) Middle-age individuals d) Elderly

d) Elderly

Within the 65-year-old and older age group, a nurse knows that the most common cause of mortality is from what source? a) Unintentional injuries b) Suicide c) Malignant neoplasms d) Heart disease

d) Heart disease