PrepU chapter 10, 11, 12

Which of the following statements is true about biologic variation? Cultural practices produce biologic variation. Drug metabolism differences are not culture based. Race is based on physical variations. Both genetics and environment produce biologic variation.

Both genetics and environment produce biologic variation.

The nurse plans time to sit with a client to help address the client's spiritual needs. Why is this important? Nurses have the most time to address a client's spiritual needs Clients are holistic beings consisting of body, mind, and spirit Nurses are easier to talk to than spiritual advisors or chaplains Clients feel more comfortable talking with nurses

Clients are holistic beings consisting of body, mind, and spirit

Which of the following is not a true statement about intimate partner violence?

Intimate partner violence is caused by the "victim" refusing her husband's desire for sex.

Which of the following is not a true statement about intimate partner violence? - The annual cost in the United States for intimate partner violence exceeds $4 billion for medical and health services, and over $1 billion for lost productivity. - One in every three women worldwide is a victim of intimate partner violence at some point in her life. - Intimate partner violence is based on the abuser's need to maintain power and control over the victim. - Intimate partner violence is caused by the "victim" refusing her husband's desire for sex.

Intimate partner violence is caused by the "victim" refusing her husband's desire for sex.

A client arrives at the clinic accompanied by her husband. When the client is in the examination room she says to the nurse, "He loves me so much. He only lets me go out when he is with me because he says other men look at me." What type of behavior is this husband exhibiting?

Isolation

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 Facing east while praying Discussions with a spiritual leader Meditation Adherence to special dietary practices

Journaling Discussions with a spiritual leader Meditation

A nurse is assessing a boy who appears to be undernourished. She can find no signs of physical abuse. She considers whether this may be a case of child abuse. Which of the following are included in the definition of child abuse? Select all that apply.

Neglect Sexual abuse Physical abuse Emotional abuse

Which statement by the nurse demonstrates a cultural bias? "The client is old and wouldn't be able to understand the discharge instructions." "I don't understand how a woman would be sexually interested in another woman." "The client is Muslim, so I'll need to arrange care around his need to pray five times a day." "American healthcare is really so much better than that provided by any other country."

"American healthcare is really so much better than that provided by any other country."

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? - "A major hand gesture is one for indicating height." - "If any hand gesture is used, always clarify if there seems to be a strange reaction on the other's part." - "I can make a circle with my thumb and forefinger and people of all cultures know it means OK." - "There are many different elements of body language and hand gestures."

"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? - "A person's race is an effective characteristic of his or her cultural background." - "I understand a client's culture if I am familiar with the client's ethnic values." - "I need to understand the client's cultural background to best interpret the client's needs." - "A disability is not a factor in determining a client's cultural needs."

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

The nursing instructor is educating her students on the important of assessing for victims of abuse and violence. What statement by the students indicate an understanding of when to assess for abuse and violence?

"I will assess a client for abuse and violence with every client encounter."

The client states his pain is "intolerable" and requests pain medication. The nurse observes the client to be talking and laughing with visitors. How should the nurse best respond? "I will be back with your pain medication." "You do not look like you are in pain." "I cannot imagine you are having pain the way you are laughing in here." "If we can get some visitors out of your room, you might rest better."

"I will be back with your pain medication."

A 4-year-old has been sexually abused. As you watch her play with anatomically correct dolls, she inserts the male doll's penis into the female doll's mouth. What is your best response to this action?

"What are the dolls doing?"

What open-ended question might be helpful when assessing abuse with a client demonstrating discomfort discussing the issue? "Abuse is more prevalent than most people think." "I know you have been abused. Please tell me about it." "What can I tell you about abuse?" "What would you like me to know?"

"What would you like me to know?"

The nurse identifies which of the following as risk factors for spiritual distress? (Select all that apply.) experiencing a new love life negative life changes natural disasters chronic illnesses ability to forgive

negative life changes natural disasters chronic illnesses

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? - Unconscious competence - Unconscious incompetence - Conscious incompetence - Conscious competence

Conscious competence

The nurse suspects that a female client is the victim of abuse. What physical assessment finding caused the nurse to come to this conclusion? Select all that apply. - Bruises around the wrists - Welts across the back - Healing circular wounds along the inner thighs - Bruising around the left eye and neck - Tan lines around the chest and lower abdomen

- Bruises around the wrists - Welts across the back - Healing circular wounds along the inner thighs - Bruising around the left eye and neck

What are some basic rules for nurses to follow when assessing for violence? Select all that apply.

- Perform assessment and screening only when the client is alone in a safe, private environment - Be very patient when the client talks - Demonstrate compassion, not judgment

After reviewing a client's completed danger assessment questionnaire, the nurse determines that the client is in significant danger of intimate partner violence (IPV) leading to homicide. The client says that she would prefer to return home and that she does not have a safety plan. Which of the following nursing interventions should the nurse implement at this point? Select all that apply.

- Schedule a follow-up appointment. - Have the client complete Assessment Tool 10-2: Assessing a Safety Plan. - Encourage the client to call with any concerns. - Provide the client with contact information for shelters and groups.

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 the balance between yin and yang - Use of herbs, roots, talismans, and amulets - Prayers to God and saints for spiritual reparations for sins - Respect for nature and use of masks and sand paintings

A focus on maintaining the balance between yin and yang

A client with cancer is talking to the primary nurse about the diagnosis and states, "I feel like it is God's will that I have this cancer. If I get out of the hospital, I want to take nature walks like I used to before I got so sick. I feel so close to God when I do this." The nurse understands that this client is demonstrating which of the following? Acceptance of the diagnosis Viewing the cancer as punishment for past lifestyle Signs of depression Traumatization over this diagnosis

Acceptance of the diagnosis

A nurse suspects that a 9-year-old girl who is in the office today regarding a sprained wrist has been physically abused. The nurse would like to screen the girl for signs of abuse. The girl's father is in the examination room. What should the nurse do in this situation?

Ask the father to leave the room so that the nurse can talk with the child in private

Which approach would be most appropriate when counseling a woman who is a suspected victim of violence?

Ask, "Have you ever been physically hurt by your partner?"

Which approach would be most appropriate when counseling a woman who is a suspected victim of violence? Wait until she comes in a few more times to make a better assessment. Call her home to ask her some questions about her marriage. Offer her a pamphlet about the local battered women's shelter. Ask, "Have you ever been physically hurt by your partner?"

Ask, "Have you ever been physically hurt by your partner?"

A woman newly immigrated to the United States is admitted to the obstetric unit. While doing a transcultural assessment, how would the nurse individualize questions for this client? - Realizing that some women are not allowed an education in their home country - Directing assessment questions only with the client's husband or family members - Assessing if the client speaks and understands English - Requesting a professional translator fluent in the woman's language

Assessing if the client speaks and understands English

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? - Unconscious competence - Conscious competence - Unconscious incompetence - Conscious incompetence

Conscious incompetence

During a spiritual assessment the nurse realizes that personal beliefs differ significantly from those of the client. What should the nurse do? Discuss the differences with the client Continue with the assessment End the assessment Ask another nurse to complete the assessment

Continue with the assessment

The nurse observes that a client who is Jewish and follows an Orthodox way of life. The client is not eating the food that the dietary department is sending. What would be the best lunch to bring this client? Sliced pork, stuffing, and green peas. Crab cakes, french fries, and a roll. Roast beef sandwich, mashed potatoes, and a cup of ice cream. Cottage cheese, peaches, and crackers with tea.

Cottage cheese, peaches, and crackers with tea.

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 Cultural knowledge Conscious incompetence Cultural skill

Cultural desire

The nurse knows that she will be caring for a client 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 clients needs. What is the nurse demonstrating? Unconscious incompetence Cultural assessment Unconscious competence Cultural knowledge

Cultural knowledge

A client just died, and the nurse is preparing the body for the funeral home. The client 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 client's religious beliefs concerning death? Burn all bandages with the client's blood. Discard all clothes of the client. Place a medal with the client. Do not cross the client's arms.

Do not cross the client's arms.

A nurse is working with a 25-year-old woman who has struggled with anger, depression, and anxiety since her mother stole her identity and opened up seven different credit cards in her name. The nurse recognizes this as which type of abuse?

Economic abuse

The spouse of a client believed to be a victim of intimate partner violence refuses to leave the room for the nurse to complete an assessment. What should the nurse do first?

Ensure for personal safety

The spouse of a client believed to be a victim of intimate partner violence refuses to leave the room for the nurse to complete an assessment. What should the nurse do first? - Ensure for personal safety - Call the police - Ask Security to remove the spouse - Keep the room door closed

Ensure for personal safety

Which technique should a nurse implement when interviewing with a child who has suffered physical abuse by the father?

Establish a reassuring environment

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? Ethnicity Stereotyping Ethnocentrism Egocentrism

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? PRN FACES PIE FICA

FICA

The student nurse is aware that culturally competent care is described as which of the following? - Being aware of differences across groups but not recognizing that differences appear within the same group - Following five constructs of cultural awareness, knowledge, skill, encounters, and desire - Expecting that all members of a particular culture hold the same beliefs - Realizing that the nurse's own culture is the best and all others are inferior

Following five constructs of cultural awareness, knowledge, skill, encounters, and desire

When performing a spiritual assessment, what may help the nurse to identify related nursing diagnoses, needed interventions, and improve client care? Establishing a close nurse-client relationship. Gathering information about the client's mental status from the client's family. Gathering current objective data. Gaining relevant information about the client's spirituality.

Gaining relevant information about the client's spirituality.

A nurse is in the process of selecting a spiritual assessment tool to use with clients. Which of the following characteristics should this tool possess? Select all that apply. Specific to a religious denomination Containing precise questions that would guide a client's responses related to specific spiritual needs General introductory questions Objectivity

General introductory questions Objectivity

The nurse is planning the discharge of a client with hypertension. What would be an appropriate intervention to ensure support and accountability for this client? Carry a low-sodium diet sheet when they go to the grocery store. Follow-up with the primary care physician in 1 week. Have the client inquire about joining his local congregation's support group for hypertension. Be sure that they join the local gym.

Have the client inquire about joining his local congregation's support group for hypertension.

During a group session a victim of intimate partner violence describes the events that led up to the most recent episode of abuse. If using the Tension Building/Explosion Model, what should the nurse expect the victim to describe? Select all that apply.

Honeymoon Battering Criticism

A nurse is working with a client who confides in the nurse that her boyfriend will not let her get a job and insists on controlling all of their money. He gives her only a small allowance each month to buy food and a few necessities. When the nurse offers information on how to seek help for economic abuse, the client just shakes her head and says, "It's no use. Nothing can be done." Which of the following nursing diagnoses would be most appropriate in this situation?

Hopelessness related to remaining in a prolonged abusive relationship and inability to seek counseling and healthy supportive relationships

Which of the following are forms of psychological (emotional) abuse? Select all that apply.

Humiliating Insulting Threatening to destroy property

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 Searching for meaning and purpose Finding common practices shared with a group Defining the meaning of the afterlife

Identifying possible coping mechanisms

After completing a spiritual assessment, a nurse determines that the client has signs and symptoms requiring medical diagnosis and treatment. What should the nurse do? Ignore the medical problem. Make a referral to a primary care provider. Treat the medical condition. Return to the client to further discuss spirituality.

Make a referral to a primary care provider.

Sickle cell disease and other hemoglobinopathies such as thalassemia are often found in persons originating from which geographical regions? Northern and Central Europe. Australia and New Zealand. Mediterranean and Africa. Central and South America.

Mediterranean and Africa.

The nurse notes that an adolescent male has ptosis of the left eye. What should the nurse suspect as the reason for this finding? -Undiagnosed neurologic disease - Nerve damage caused by repeated eye injuries - Need for corrective lenses - Undiagnosed eye disease

Nerve damage caused by repeated eye injuries

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? - Tell the father that if he takes the child from the Emergency Department, the police will be notified. - Notify the ethics committee immediately. - Lock the father out of the Emergency Department. - Tell the mother and father that you will call social service if they do not allow treatment.

Notify the ethics committee immediately.

A client expresses to the nurse visiting her home that her husband has threatened to kill her. The nurse understands that threats of harm and intimidation are which type of abuse? Physical Economic Psychological Sexual

Psychological

While discussing care needs a client states the desire to be positive about the upcoming medical treatments and expect them to help cure the disease. Which nursing diagnosis should the nurse identify for this client? Spiritual distress Hopelessness Risk for spiritual distress Readiness for enhanced hope

Readiness for enhanced hope

A client who is a victim of intimate partner violence (IVP), after undergoing a physical assessment of injuries she recently received from her husband, tells the nurse that she has had enough and is ready leave him, taking the children with her. She asks the nurse if the nurse knows of any safe places for her to go. Which of the following nursing diagnoses would be most appropriate for this client? - Low self-esteem related to lack of confidence related to presence of prolonged physical abuse - Readiness for enhanced self-health management related to request for information on safe locations to go after leaving her home - Risk for powerlessness related to physical abuse by husband - Risk for violence (self-directed) related to ongoing history of being a victim of IVP

Readiness for enhanced self-health management related to request for information on safe locations to go after leaving her home

After completing an admission assessment the client asks if the room door can be closed so that the client can have silence when reading the Bible. What does this indicate to the nurse about the client's spirituality? The client reads the Bible instead of praying The client has limited reading material Reading the Bible provides comfort to the client Noise interrupts the client's ability to concentrate when reading

Reading the Bible provides comfort to the client

When the nurse asks a client of African origin for the 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 Low blood volume due to diet High blood pressure Sudden collapse preceded by dizziness

Sexually transmitted infection

An adult female client is being assessed for intimate partner violence (IPV). She acts as if the abuse she has suffered is normal. What could be a reason for her actions?

She has a history of violence in her family

In the assessment of a client, the nurse is having her complete a daily spiritual experiences self-assessment scale. Which of the following should the nurse mention to the client before giving her this assessment tool? She should not complete the scale if she is a member of an organized religion. She should base her answers on whether she feels that she should have the indicated experiences. She should confirm all of her answers with a spiritual leader whom she trusts. She may substitute another word for God in the scale, if she would like.

She may substitute another word for God in the scale, if she would like.

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. - Develop a plan of care after talking to the client's family. - After the focused assessment, decide if a cultural assessment is necessary. - Develop a plan of care based on the nurse's own knowledge of a client's culture.

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

Which of the following is true about violence against women?

Some experts purport that cultural attitudes influence violence.

Matters of the human soul are referred to as what? Values and beliefs Ethnicity Spirituality Culture

Spirituality

A client in the hospice unit has fewer than 3 months to live. The client 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? Change the subject to distract the client from these thoughts. Tell the client not to feel that way or dwell on the negative. Give the client anti-anxiety medication. Stay with the client and provide presence.

Stay with the client and provide presence.

The nurse is setting an outcome with the client experiencing spiritual distress. Which goal would be appropriate? The client will initiate interaction with others. The client will attend a community event every week. The client will express feelings of connectedness with others. The client will express meaning and purpose in life.

The client will express meaning and purpose in life.

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. Self-care is highly valued in the Hanes family. Fathers are not involved with their children. Education is highly valued for sons and daughters.

The family values taking sick roles and caregiver roles.

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 is young, and the pregnancy was unexpected and the baby is unwanted. - The mother is from a lower socioeconomic level and is not able to buy what is needed for the baby. - The new mother may believe buying infant clothing before the delivery is bad luck. - The new mother and requires education about how to prepare for the new baby.

The new mother may believe buying infant clothing before the delivery is bad luck.

The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family?

The nurse must allow the elderly mother to decide if she wants to leave the situation or not.

The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family? - The main focus of the nurse's actions should be on improving the elderly mother's self-esteem - Placement for the elderly woman in a nursing home within the community. - A top nursing priority will be to legally remove the son from the home. - The nurse must allow the elderly mother to decide if she wants to leave the situation or not.

The nurse must allow the elderly mother to decide if she wants to leave the situation or not.

What must occur before a client will be willing to teach the nurse about her culture? The nurse needs to hide her biases The nurse needs to establish a value-based partnership The nurse needs to establish rapport and trust The client's family must allow it

The nurse needs to establish rapport and trust

The nurse prepares to complete a spiritual assessment with a client. What should the nurse keep in mind when completing this assessment? It offers the nurse a chance to subjectively discuss the client's spiritual beliefs It gives the nurse an opportunity to speak freely about personal spiritual beliefs and practices The reason is for the nurse to share personal views in relation to what the client believes The reason is to better understand the client's spiritual perspective related to health

The reason is to better understand the client's spiritual perspective related to health

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? Do not mix dairy and meats together on the client's tray Serve meals as normal, but do not include pork Withhold all food and drink between sunrise and sunset Serve only kosher meats at all three meals

Withhold all food and drink between sunrise and sunset

Spirituality can best be described as a part of community identification. a source of inner strength. necessary for healing. another way of expressing a connection to a church.

a source of inner strength.

What aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? Select all that apply. alternative medicine practices nutritional or dietary considerations age when immigration to the United States occurred whether there are any existing language barriers reasons for immigrating to the United States

alternative medicine practices nutritional or dietary considerations whether there are any existing language barriers

The nurse is interviewing Mr. Jenkins and, due particularly to his nervous affect and his reaction when his son is mentioned, suspects potential elder abuse. In assessing Mr. Jenkins, the nurse should

make sure that the assessment includes questions to ensure that Mr. Jenkins has access to food and needed medication.

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? emphasize the importance of physical health as a priority schedule breakfast after time for prayers assess if the client would like time for prayers before breakfast explain that there is no control over the time when breakfast arrives

assess if the client would like time for prayers before breakfast

A nurse plans to complete a spiritual assessment while doing an interview and history of the client. The nurse believes that the best time to complete this spiritual assessment is which of the following? at the end of the interview it is not necessary to do a spiritual assessment in the middle of the interview at the beginning of the interview

at the beginning of the interview

A male nurse is caring for an elderly woman who has become withdrawn and somewhat confused since the nurse has come on duty. When the nurse goes into the room to bathe the client, she refuses to allow it. The best explanation for her actions would be which of the following? depression fear in strange surroundings cultural differences confusion

cultural differences

The nurse knows that nonverbal communication can be difficult to interpret among of people of different cultures because of the many variations. These variations include which of the following? (Select all that apply.) eye contact beliefs hand gestures patterns of space touch

eye contact hand gestures patterns of space touch

A nurse is aware that religion can sometimes negatively affect health. Which of the following is an example? practicing yoga receiving blood transfusions taking multiple medications failure to seek timely and proper medical care

failure to seek timely and proper medical care

The culturally competent nurse knows that culture includes among its elements the following things: (Check all that apply.) family structure race religion community spirituality family function

family structure religion community spirituality family function

When the nurse tells the client 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 past present none of the above

future

The nurse and a client are developing a transcultural nursing care plan related to hypertension. The nurse will include in the plan - contact number for the cardiac rehabilitation program at the medical center. - referral to a cardiac specialist. - nutritional information specifically for the client's culture. - educational materials given to all clients with hypertension.

nutritional information specifically for the client's culture.

When interviewing a pediatric client and attempting to determine the presence of abuse, the nurse should

remain calm and accepting in response to any information the client discloses.

A nursing student realizes that which of the following is an important variation of communication? silence beliefs spirituality death rituals

silence

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

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