Nursing Assessment Chapter 11, PrepU Chapter 12 Religion, Prep U chapter 12, (1) PrepU Chapter 11 Culture, Test questions, Chapter 11 study questions, The Point Chapter 4, PA Study Guide Ch. 11, Health Assessment Chapter 11 Questions, Chapter 11: Ass...
A nurse is completing a comprehensive assessment of a client who has been referred to the clinic. Which of the following would be most appropriate for the nurse to ask when beginning to assess the client's spirituality?
"What gives you hope or peace?"
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?"
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 "evil eye" is an example of what?
A cultural-bound syndrome
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
From a critical cultural perspective, culture refers to which of the following?
A dynamic process enacted between people and their families
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 focus on maintaining balance between yin and yang
Skin color is
A genetic variation associated with distance from the equator.
Which of the following would be the best indication that a community's police department is inadequate?
A high rate of homicides
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.
If a client seems reluctant to make eye contact, a health care provider should consider the possibility that this is which of the following?
An indication of discomfort or intimidation
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.
Which of the following statement is true of sickle cell disease and other hemoglobinopathies?
Are associated with adapting to high malaria environments
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 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?
Asian traditions of medicine include Chinese medical practitioners and herbalists who focus on maintaining balance between yin and yang.
A Navajo Native American client states having "bad dreams, and feelings of confusion and danger." The nurse notes the client's mother died one month ago. What would the nurse do next?
Ask how long the client slept last night.
An Asian patient comes in to the clinic accompanied by her son. He explains that his mother has "not been feeling well". The nurse observes scars that resemble cigarette burns. What is the nurses best intervention to this assessment finding?
Ask the patient if she has had moxibustion.
A woman from a foreign country is admitted to the obstetric unit. While doing a transcultural assessment, what would the nurse do first to individualize questions for this client?
Assess if the client speaks and understands English
An Afghani woman is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client?
Assess if the client speaks and understands English.
The nurse is working with a client in the hospital who is Muslim. Which of the following considerations that is unique to a client of this faith should the nurse be prepared to address in this situation?
Assisting the client in turning in his bed to face east during his prayer time
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
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?
Biochemical
A nurse assesses a 4-year-old boy who experiences gas, a stomachache, and diarrhea after consuming lactose products. The nurse recognizes this data as what type of biological variation?
Biochemical
The client comes to the health care provider stating he has a sore throat and believes he needs an antibiotic. This is an example of of what type of model for health?
Biomedical
A nurse cares for a client who is a Jehovah's Witness. The nurse realizes that this client is likely to refuse what type of treatment?
Blood transfusion
Which of the following statements is true about biologic variation?
Both genetics and environment produce biologic variation.
A culture-based syndrome in North American and Western European countries involves an intense fear of obesity, eating binges, and self-induced vomiting is called what?
Bulimia Nervosa
A client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What action should the nurse take to best provide care for this client?
Conduct a cultural assessment to better understand the client's perception of pain and illness.
An adult African American female client comes to the ED with lower abdominal pain. She is extremely emotional and moving wildly on the gurney. A nurse says to another nurse that the client is "way overdoing it." What should the nurses do to provide better care to this client?
Conduct a cultural assessment to better understand the client's perception of pain and illness.
A nurse in a multicultural community knows that to give a client meaningful spiritual care within the health care context the care must include what element?
Congruent with the client's beliefs
The nurse is caring for a married female client who defers to her husband to answer all assessment questions. The nurse understands that it is common in some cultures for the male to hold a dominant role in the relationship. What stage of cultural awareness does the nurse display?
Conscious competence
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
The nurse is caring for a patient who is from another country, and states to the charge nurse, "I just don't know if the patient really understands what I am saying, and I am not understanding the patient either, even though he speaks English." What stage of cultural awareness is the nurse experiencing?
Conscious incompetence
The nurse observes that a patient who is Jewish and follows an Orthodox way of life. The patient is not eating the food that the dietary department is sending. What would be the best lunch to bring this patient?
Cottage cheese, peaches, and crackers with tea.
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 states, "Hispanic people have no clue about primary prevention of illness." The nurse is demonstrating which of the following?
Cultural awareness
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 male nurse is caring for an elderly woman from Iran who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the patient, she refuses to allow it. The best explanation for her actions would be which of the following?
Cultural differences
The nurse knows that she will be caring for a patient from Southern Korea who has been visiting with a family member. The nurse obtains some information about the Korean culture so that she will be able to meet the patients needs. What is the nurse demonstrating?
Cultural knowledge
A nurse is assessing a client before administration of an antibiotic. The nurse should be aware that which of the following represents a biochemical variation that may exist between clients of different cultures?
Drug metabolism
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
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?
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
A nurse recognizes that the belief that one's worldview is the only acceptable truth and that one's beliefs, values, and sanctioned behaviors are superior to all others is called what?
Ethnocentrism
A nurse is using a quick reference to guide the spiritual assessment. A published acronym related to the assessment of spirituality is which of the following?
FICA
People of all cultures believe that autonomy is a universal right of health care consumers.
False
A public health nurse should learn about the racial and ethnic groups that reside in the community for which of the following reasons?
Determines what screenings or programs may be required
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
A pediatric nurse is assessing children of various cultures. The nurse notes an African-American child's motor development is better than children of the same age from different cultures. What would the nurse do next?
Document the findings in the client's records.
The student nurse is aware that culturally competent care is described as which of the following?
Following five constructs of cultural awareness, knowledge, skill, encounters, and desire
When the nurse tells the patient that she will return in 1 hour to administer an intravenous antibiotic, the nurse is showing that she values time in which of the following orientations?
Future
What are the goals of performing a cultural assessment on a client from another culture? Select all that apply.
Gaining knowledge about the client's cultural beliefs and practices, including food and eating rituals, daily and nightly personal hygiene rituals, and sleeping habits & Identifying similarities and differences among the cultural beliefs of the client, health care agency, and nurse & Comparing culture-based care needs of the specific person with the general themes of those of similar cultural background & Generating a holistic picture of the client's care needs, upon which a culturally congruent nursing care plan is developed and implemented
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
The nurse is planning the discharge of a patient with hypertension. What would be an appropriate intervention to ensure support and accountability for this patient?
Have the patient inquire about joining his local congregation's support group for hypertension.
During a patient interview, the nurse is focusing on cultural influences particularly when assessing: (Select all that apply.)
Health care beliefs and practices , Nutrition, High-Risk behaviors
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 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 nursing instructor is teaching about spirituality, major world religions, and common beliefs. The instructor realizes that a student understands the differences based on which of the following statements?
Hindus believe that illness is the result of past and current life actions.
The nurse is being oriented to the oncology unit. Which is a true statement regarding the potential population of this nursing unit?
Hispanic women have higher rates of cervical cancer than white women.
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 assesses the spirituality of a client who is terminally ill with pancreatic cancer. Which of the following is the best rationale for this action, from the nurse's perspective?
Identifying possible coping mechanisms
A hospitalized client 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 nurse is assessing an African woman who recently immigrated to the United States. Which of the following is important for the nurse to understand regarding this client's race?
It is socially constructed.
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
A nurse supervisor is instructing a novice nurse on methods of introspective reflection to help the novice gain an understanding of self beliefs and biases about the relationship between spirituality and health. Which of the following methods should the supervisor recommend to the novice? Select all that apply.
Journaling - Meditation - Discussions with a spiritual leader
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
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
What is an important part of being present with a patient?
Listening
A nurse begins an interview with a client who is a Native American. The nurse should recognize that this client will display what type of behavior when responding to questions or engaging in conversation with the nurse?
Look down
After completing a spiritual assessment, a nurse determines that the patient has signs and symptoms requiring medical diagnosis and treatment. What should the nurse do?
Make a referral to a primary care provider.
A Jewish nurse is performing a spiritual assessment on a Muslim patient that is diagnosed with aggressive form of lymphoma. What is the best intervention by the nurse to address the patient's end of life issues if she is unable to?
Make a referral to the appropriate professional.
A nurse is performing a spiritual assessment on a client that is diagnosed with aggressive form of lymphoma. What is the best intervention by the nurse to address the patient's spiritual end of life issues if she is unable to?
Make a referral to the appropriate professional.
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
A nursing instructor is teaching about similarities between Buddhism and Hinduism. The nursing student is correct when stating which of the following?
Many who follow Buddhism and Hinduism are vegetarians.
Risk factors for mental disorders
May be specific to an ethnic group
Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?
Mediterranean
Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?
Mediterranean and Africa
Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions?
Mediterranean and Africa.
The nurse is preparing to lead a health promotion activity among a group of clients from different cultures. The nurse would expect that which client would require the least amount of personal space?
Middle Easterner
A nurse is planning care that is grounded in the fact that clients are holistic beings. Which of the following components constitute the view of clients as holistic beings?
Mind, body, spirit
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
The nurse is assessing a Japanese client and notices that when being asked questions, the client does not make eye contact. The nurse should include what in the plan of care?
Minimal eye contact due to culture
A nurse realizes that when assessing beliefs about health and illness among patients from different cultures, which of the following is true?
Most patients hold a combination of beliefs when it comes to illness.
The nurse is caring for Hindu client. What should the nurse include in the assessment phase?
Need to accommodate for prayer in private
Which of the following statements is true of cultural groups and magnicoreligious beliefs in their health belief systems?
No culture is without an element of magnicoreligious beliefs
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.
The nurse and a Hispanic client are developing a transcultural care plan related to hypertension. The nurse will include in the plan
Nutritional information specifically for a Hispanic client
The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan:
Nutritional information specifically for the client's culture.
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
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
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 the nurse find confusing or upsetting?
Patient's nonverbal communication
As a novice nurse caring for a patient from a different culture, what may you find confusing or upsetting?
Patient's nonverbal communication
Which of the following statements is true?
Pork and wine are forbidden in many ethnic groups for religious reasons
Which of the following statements is true?
Pork and wine are forbidden in many ethnic groups for religious reasons.
A client of Chinese origin enters your office to be seen. You can assume
The client may be well accultured to your dominant culture, so don't assume
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
Shared practices and rituals used to express one's faith can be called
Religion
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
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
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.
A nurse provides care for a client who experiences anxiety, gastrointestinal complaints, and a fear of being poisoned or killed.The nurse recognizes this as which culture-bound syndrome?
Rootwork
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.
A nurse cares for a client who states that he believes that God can be seen in everything and every action. The nurse recognizes this as what characteristic of spirituality?
Self-reflection
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
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
An instructor is teaching a group of students about culture. Which of the following would the instructor use to best define the term "culture"?
Shared norms for behaviors, values, and beliefs
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.
A nurse is caring for a patient who is an American Indian. When working with this patient, the nurse consider that the patient believes which of the following as true about eye contact?
Shows disrespect
A nursing student realizes that which of the following is an important variation of communication?
Silence
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
When assessing the client, the nurse finds that verbal responses are minimal, with little eye contact and he states he does not "get out much". Which nursing diagnosis would be most appropriate?
Social interaction, impaired
The most effective way for a nurse to learn about an ethnic group within the community in which he/she practice is
Spend time with a variety of individuals of that ethnic group
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
The patient states, "I cannot believe I have breast cancer. I am a good person; I don't know why God is punishing me." The nurse suspects the patient is experiencing:
Spiritual distress
During an interview, a patient 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 patient's hiking behavior as supporting:
Spirituality
The hospice nurse is performing a spiritual assessment for a patient that is admitted with a diagnosis of lung cancer. What does the nurse understand is the importance of spirituality?
Spirituality can influence health care decisions.
The path one pursues in the search for life's meaning and purpose.
Spirituality.
A nursing student is caring for his first patient who is of Latin American descent. Before entering the room, the student reviews how this patient perceives space. The student realizes that when he speaks to the patient, he needs to do which of the following?
Stay close together when talking.
A patient in the hospice unit has fewer than 3 months to live. The patient states, "I have been good all my life ... I do not know why God is punishing me like this." What is the most appropriate action for the nurse?
Stay with the patient and provide presence.
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
Suzie is a 16-year-old daughter in the Hanes family. She is the youngest of five children. She has had a series of illnesses and does not seem to be regaining her strength. She likes school but is falling behind a bit. Her mother is very attentive to her needs but does not seem overly concerned with the continuing pattern of illness. Which of the following is most likely a Hanes family belief?
The family values taking sick roles and caregiver roles.
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 caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?
The new mother may believe buying infant clothing before the delivery is bad luck
The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect?
The new mother may believe buying infant clothing before the delivery is bad luck.
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.
The nurse is preparing to complete a spiritual assessment on a patient. There are many friends and family members at the patients bedside that are volunteering information for the patient. Who should be the focus of the spiritual assessment?
The patient
A patient is being educated on a new diagnosis of diabetes mellitus. The patient asks no questions during or after the session. What cultural consideration 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.
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.
An unresponsive patient comes to the emergency department following an automobile accident with severe internal bleeding. The patient is scheduled for emergency surgery. During history taking, the patient's father states that the patient is a Jehovah's Witness. Which should concern the nurse?
The patient might need a blood transfusion.
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.
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.
The nurse is setting an outcome with the patient experiencing social isolation. Which goal would be appropriate?
The patient will initiate interaction with others.
The nurse is assessing the need for a senior circle group to address the needs of the senior citizen population. She obtains data that demonstrates a large population of 65 years of age and older. What is a concern for a community with a large senior population?
They have more health-related problems.
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
A nursing instructor asks students to list culturally based characteristics. The students should include which of the following? (Select all that apply.)
Touch, eye contact, diet, time
A nursing student is caring for an older Hispanic adult. The nurse's preceptor asks the student what would be an important assessment to make to provide quality nursing care for this client. What would be the student's most appropriate response?
Transcultural assessment
A nursing student is caring for an older adult from a culture different from her own. The nurse's preceptor asks the student what would be an important assessment to make to provide quality nursing care for this client. What would be the student's most appropriate response?
Transcultural assessment
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
While conducting a cultural assessment the nurse would like to include the client's spirituality. What needs to be established before this part of the assessment can be successfully completed?
Trust
A nurse assesses a 4 year old who experiences gas, stomachache, and diarrhea after consuming lactose products. What type of biological variation is this?
biochemical
A nurse is assessing a Hispanic woman. Which of the following diseases is this client most at risk for due to her cultural group?
cervical cancer
A nurse is working with her first client form Muslim culture. The nurse quickly realizes that the culture has a major impact on health and health care. What are examples of culture affecting health care?
client refuses meal because it has pork, demands having a male nurse, time of silence in afternoons to pray
What intervention should a nurse implement to become culturally competent when assessing a client from another culture?
collect relevant cultural data of the client's presenting problem
A nurse is assigned to care for patient 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
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 nurse should assess patients for signs of spiritual distress, which include which of the following? (Select all that apply.)
crying, wishing to die, anger
A male nurse is caring for an elderly woman from Iran who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the patient, she refuses to allow it. The best explanation for her actions would be which of the following?
cultural differences
A nurse provides care for an African-American client who experiences tremors, muscle weakness, and nausea. The client's family believes that the client is affected by some kind of black magic. The nurse recognizes this as which culturally bound syndrome?
Voodoo
The nurse is to perform an assessment on a newly admitted client from Bolivia, South America who was involved in a minor automobile accident with a local family member. The nurse understands that the first phase of assessment begins when?
When meeting the client for the first time.
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
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
A nurse has a regular client from China and who follows traditional medicinal system of that culture. To improve ability to understand and work, nurse researches the client's cultural view on health. Which would the nurse discover?
a focus on maintaining balance between yin and yang
A nurse knows that the most important risk factor for assessing health related problems is what demographic information?
age
The nurse is aware that recreation helps promote health in communities. Lack of such activities and programs for recreation can also lead to such problems as social isolation. When recreation is not available to young people in a community it has been proven to lead to which of the following problems?
alcohol/drug abuse
The nurse spends a day off in a part of a non-English speaking community in order to learn more about the culture to improve interactions when providing client care. What cultural activity is this nurse demonstrating
desire
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 nurse is assessing a client before administration of an antibiotic. The nurse should be aware that which of the following represents a biochemical variation that may exist between clients of different cultures?
drug metabolism
A nurse is aware that which of these represents a biochemical variation that may exist between clients of different cultures?
drug metabolism
A client requests to be care 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
A nurse recognizes that the belief that one's wordlview is the only acceptable truth and that one's beliefs, values, and sanctioned behaviors are superior to all others is called what?
ethnocentrism
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?
assess if the client would like time for prayers before breakfast
Which nursing intervention best demonstrates the nurse's attempt to provide effective spiritual care to a client in spiritual distress?
assessing the spiritual needs of a client who is critical ill
A nurse is aware that religion can sometimes negatively affect health. Which of the following is an example?
failure to seek timely and proper medical care
A culture-bound syndrome seen in the African American community is
falling out.
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
A nurse administrator is leading a seminar on cultural awareness in health care, beginning the seminar by defining culture. Which of the following elements should the nurse administrator include, based on the definition provided by Purnell and Paulanka (2008)?
forms worldview, social transmitted, affects decision making, characteristic of a population of people
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 in this client?
ghost sickness
Spirituality is a human experience that (Select all that apply.)
includes a supreme being & seeks to transcend self
Because the nurse realizes that spirituality varies, information gained will assist the nurse in
individualizing interventions to meet specific needs.
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 nurse is assessing an African woman who recently immigrated to the US. Which is important for nurse to understand regarding this race?
it is socially constructed
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
What is a culture bound syndrome of Malaysia that occurs after a traumatic episode or surprise?
latah
A nurse begins an interview with a client who is a Native American. The nurse should not be surprised to see the client display which type of behavior characteristic of this culture group when responding to questions or engaging in conversation with the nurse?
looking down
Risk factors for mental disorders
may be specific to an ethnic group.
The nurse identifies which of the following as risk factors for spiritual distress? (Select all that apply.)
negative life changes natural disasters chronic illnesses
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.
The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan
nutritional information specifically for the client's culture.
When assessing a rural community, the nurse will most likely identify which of the following as lacking related to health care services?
obstetric care
The nurse desires to learn more about a population of clients from a non-English speaking culture. Which action should the nurse perform as a first step to becoming more culturally aware?
perform self-reflection
A nursing instructor is teaching the importance of religion and spirituality to patients. The instructor identifies which of the following as the first step in promoting the spiritual aspect of holistic care?
reflect on one's own spiritual dimension
Shared practices and rituals used to express one's faith can be called
religion
A nurse cares for a client who believes in Hinduism. The nurse understands that Hindus believe illness is caused by which type of behavior?
result of past and current life actions
During a thorough spiritual assessment, the nurse understands that the questions asked are designed to
reveal beliefs that might affect client care.
A nurse provides care for an African American client who experiences anxiety, gastrointestinal complaints, and a fear of being poisoned or killed. The nurse recognizes which culture-bound syndrome?
rootwork
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
What should a nurse do to ensure an effective face-to-face interaction with clients from different cultural backgrounds?
seek out repeated face to face encounters with members of a culture
A nurse is assessing someone that immigrated to US from Kenya. When nurses asks reason for coming to health clinic, the client responds "bad blood". Nurse recognizes the patient is referring to what?
sexually transmitted infection
To give spiritual care to a client, it is not necessary for the nurse to
share the same religious beliefs as the client to provide effective spiritual care.
A nurse is caring for a patient who is an American Indian. When working with this patient, the nurse consider that the patient believes which of the following as true about eye contact?
shows disrespect
A nursing student realizes that which of the following is an important variation of communication?
silence
An Asian patient has been admitted to a medical floor with a diagnosis of pneumonia. Upon admission the patient is very talkative and friendly to the nurse. When the nurse approaches the patient's bed to listen to his lung sounds, the patient becomes very quiet and starts to pull away. The nurse realizes that this is because of the patient's perception of which of the following?
space
The most effective way for a nurse to learn about an ethnic group within the community in which he/she practices is
spend time with a variety of individuals of that ethnic group.
Which characteristic demonstrates the nurse's understanding and practice of cultural competent nursing? Select all that apply.
states, "I'm really interested in learning about the dietary practices of the Hasidic Jews." & recognizes the need to provide all clients holistic care
The nurse recognizes that which factors can influence the metabolism of drugs that a client may be prescribed?
stress level, nutritional status, smoking
When performing a cultural assessment, an important point to remember would be
that definitions of family differ
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.
In preparing to assess a client form a different culture, a nurse is aware that one needs to assess both factors that affect the client's approach to providers and factors that affect the client's disease, illness, and health state. Which is a factors the nurse should consider that primarily affects the client's approach to providers?
time, space, eye contact and fact positioning, body language and hand gestures, silence, and touch
Which parameter should a nurse identify as a developmental variation in childhood when assessing a 2 month old infant?
timing of motor development
The public health nurse understands that the purpose of a community assessment is which of the following?
to determine the health-related concerns of its members
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 current health statues of an individual
In the assessment of a Chinese client, a nurse asks the client several questions pertaining to the client's culture. The client asks the nurse why she is asking questions about her culture. Which of the following should the nurse mention?
to learn about beliefs and usual behaviors associated with health and illness & assess health relative to diseases prevalent in cultural group & compare and contrast beliefs and practices to standard health care & to avoid stereotyping
The biggest obstacle to the use of facilities and services within a community is the lack of what among its members?
transportation
A community health nurse assesses the economics of a community because income definitely has a direct relationship to the health of the residents.
true
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
What aspects of culture are relevant when conducting a health assessment on an Asian client admitted for surgery? Select all that apply.
whether there are any existing language barriers & alternative medicine practices & nutritional or dietary considerations
What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply.
whether there are any existing language barriers & nutritional or dietary considerations & alternative medicine practices
What is a culture bound syndrome of Asia that features symptoms including fear of wind or cold exposure causing a loss of yang energy.
wild illnes
A nursing instructor is teaching about cultural awareness and sensitivity in patient care. The student demonstrates understanding of the above when making which of the following statements?
"Cultural awareness happens first when the nurse obtains culturally specific information from the patient's health history."
The nurse is meeting with a client for the first time and begins to assess the client's perspective of spirituality. Which questions are appropriate when focusing on the establishment of a trusting nurse-client relationship? Select all that apply.
"Do you belong to any formal religion?" & "Are you interested in having a member of the clergy visit during your hospitalization?" & "Are you aware of the research that confirms a connection between physical health and spiritual comfort?"
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?
Which statement by the nurse demonstrates a cultural bias?
"American healthcare is really so much better than that provided by any other country."
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."
A elderly, diabetic patient comes into the rural community clinic with a foul smelling, old dressing on her foot. The patient tells the nurse that it has been on since she was in the hospital 2 weeks ago but she had to miss her follow-up appointments. What is the best response by the nurse?
"Is transportation a problem for you? If so, let's find out what we do to get you here for your follow-up visits"
A nursing assistant working in a small rural hospital, states to the charge nurse, "The Jewish patient in room 124 says that they are not able to eat the food because it is not kosher. That is ridiculous. There is nothing wrong with this food, I eat it!" What is the best response by the nurse?
"It is important that we are culturally sensitive to other beliefs. Let's see how we can accommodate the patient's food preferences."
The nurse is working with a Hispanic client on how to manage his hypertension. The client states that he is taking herbs recommended from within his community. How should the nurse best respond?
"Let's talk with your physician to see how we an incorporate these into your plan of care.
A student nurse says, "I will not be able to do a good spiritual assessment, because I am not very religious." The instructor addresses this issue with which of the following statements?
"The patient is the focus of the spiritual assessment."
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 patient just died, and the nurse is preparing the body for the funeral home. The patient practiced Judaism and a rabbi was present at the time of death. The nurse is careful to do which of the following to honor the patient's religious beliefs concerning death?
Do not cross the patient's arms.
The eudaimonistic model of health emphasizes:
The biopsychosocial and spiritual wellness of the person.
The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors as they help to provide care to him. How should the nurse best respond?
"I will be back with your pain medication."
The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors as they help to provide care to him. How should the nurse best respond?q
"I will be back with your pain medication."
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 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
A nursing instructor is teaching students about communication in different cultures. When discussing the meaning of hand gestures and body language in different cultures, the nurse realizes that further instruction is necessary when a student makes which statement?
"I can make a circle with my thumb and forefinger and people of all cultures know it means OK."
Which statement by the nurse demonstrates an understanding of the importance that a client's culture plays in the client's health and wellness?
"I need to understand the client's cultural background to best interrupt the client's needs."
The nurse is conducting a cultural assessment with a client who recently immigrated to the United States. Which interview question is of most importance when addressing family history as it impacts the client's care?
"Who is primarily responsible for making family decisions since arriving in the United States?"
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 hospice nurse performs spiritual assessments on four of her clients one afternoon. The nurse knows that, based on recent statistics, which of the following clients is most likely to express nonbelief in God?
A 22-year-old woman
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
A patient of African origin comes to the clinic requesting treatment for "bad blood". The nurse is aware that the patient is most likely referring to which disorder?
A sexually transmitted disease
A nurse works in a health clinic with clients of diverse religious and spiritual beliefs. Which of the following would be more associated with spirituality than with religion?
A young man seeking to connect with God by hiking in the mountains
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 knows that the most important risk factor for assessing health-related problems is what demographic information?
Age
A nurse admits a client to the hospital who is African American. The nurse recognizes that this client is at increased risk for what conditions due to ethnicity or culture? Select all that apply.
Cardiovascular disease, PAD, Asthma
When assessing a client's spirituality, the client completes a Brief Religious Coping Questionnaire. When reviewing the completed questionnaire, the nurse identifies which of the following as indicating positive religious coping?
Client looks to God for support in a crisis
A nurse is working with her first client from a Muslim culture. In working with this client, the nurse quickly realizes that culture has a major impact on health and health care. Which of the following are examples of culture affecting health care? Select all that apply.
Client refuses hospital meal because it contains pork & Client demands that a male nurse be assigned to him. & Client requests that he be allowed a time of silence in the afternoons to pray.
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
The nurse is in the client's room after she has given birth one day ago and observes a family member offering the baby a bottle after the infant has breastfed. The family member states to the new mother, "This baby is not fat enough and needs to eat double the first few weeks." What is the nurse's best action?
Provide information to the client and family about newborn nutritional needs.
