Deck 8: Ethnic, Cultural, and Spiritual Aspects of Care

Question 1

The nurse identifies the diagnosis of "spiritual distress" for a client.Which interventions should the nurse plan for this client? Select all that apply.

A)Allow the client to express concerns about dying.
B)Solicit an appropriate member of the clergy with the client's consent.
C)Suggest that family members limit their visits during the client's distress.
D)Provide comfort by sitting quietly at the client's bedside.
E)Encourage the client to leave the TV on and to keep room blinds open.

Answer 1

Allow the client to express concerns about dying.
Solicit an appropriate member of the clergy with the client's consent.
Provide comfort by sitting quietly at the client's bedside.

Question 2

A client from a non-English speaking culture becomes visibly upset when the phlebotomist arrives to draw a blood sample, and he changes clothes to leave the hospital.What should the nurse do at this time?

A)Find an interpreter to help with communication.
B)Call the health-care provider to stop the client from leaving.
C)Provide the paperwork for the client to sign before leaving the hospital.
D)Help the client get dressed and obtain a wheelchair to escort them to the exit.

Answer 2

Find an interpreter to help with communication.

Question 3

The nurse strives to provide culturally competent care.Which areas that influence the patient's health should the nurse understand? Select all that apply.

A)Behavior
B)Perceptions
C)Expectations
D)Family structure
E)Decision-making process

Answer 3

Behavior
Perceptions
Expectations
Decision-making process

Question 4

A client from a non-English speaking culture is dying.Which should the nurse do to ensure that this client receives culturally specific care?

A)Suggest the family leave.
B)Ask the chaplain to see the client.
C)Ask if there are any specific cultural interventions at this time.
D)Provide towels and a clean gown for the family to bathe the body.

Question 5

A client with a terminal illness is angry with God.Which intervention should the nurse use to address this client's spiritual distress?

A)Be present.
B)Leave the client alone.
C)Put on soft music and dim the lights.
D)Offer pain medication and a back massage.

Question 6

The nursing instructor is preparing a training tool that addresses transcultural nursing.Which information about transcultural care should be included on this tool?

A)It crosses cultural boundaries.
B)It is the knowledge of various cultural beliefs and values.
C)It is the difference between groups of people in a certain geographic area.
D)It is showing respect and incorporating client cultural beliefs and values in nursing care.

Question 7

During an assessment, a client reports performing self-care techniques to balance the hot disease state of diabetes.Which health belief should the nurse realize that this client practices?

A)Holistic
B)Biomedical
C)Folk healing
D)Religious based

Question 8

A client reports not having a gynecologic examination or Pap smear for five years since the health-care provider made a comment about her body weight.Which barrier to health care did this client experience?

A)Language
B)Education
C)Stereotyping
D)Misunderstanding

Question 9

A client makes an appointment at the health clinic to receive an annual influenza vaccination.Which health belief is this client demonstrating?

A)Holistic
B)Biomedical
C)Folk healing
D)Religious based

Question 10

Before creating a plan of care, the nurse assesses a client's rituals, values, customs, and beliefs.What is the nurse assessing?

A)Culture
B)Race
C)Ethnicity
D)Heritage

Question 11

The nurse provides care to the whole client, incorporating within that care the cultural context of the client's beliefs and values.Which type of care is the nurse providing?

A)Culturally competent
B)Culturally insensitive
C)Culturally incompetent
D)Culturally assimilated

Question 12

The nurse prepares to address a client's spirituality concerns.Which should the nurse assess first?

A)Whether the client practices a religion
B)The client's understanding of religion
C)The client's definition of morality
D)The frequency of the client's health complaints

Question 13

A health-care organization is preparing for a site visit from The Joint Commission.What should the organization ensure about addressing client's culture?

A)Clients have the right to expect care to be provided by a nurse of the same culture.
B)Clients have the right to expect care to be provided by a nurse of the same religion.
C)Clients have the right to expect care to be provided by a nurse of the same ethnicity.
D)Clients have the right to receive care that is considerate of culture, religion, and spiritual being.

Question 14

During an assessment, a client states, "I'm religious.I go to church twice a week." Which characteristics might the nurse expect this client to demonstrate? Select all that apply.

A)Hope
B)Acquiescence
C)Purpose to life
D)Empowerment
E)Sense of control

Question 15

A client is experiencing spiritual distress.Which should the nurse expect to assess in the client? Select all that apply.

A)Exhibits feelings of hopelessness
B)Shows signs of depression
C)Reads the Bible
D)Requests a visit from a member of the clergy
E)Exhibits anger at God

Question 16

A homeless client reports having foot pain for several months, but is just now seeking medical attention because he did not have access to health insurance.For which reason has this client delayed seeking care?

A)Geography
B)Economics
C)Stereotyping
D)Misunderstanding

Question 17

A client stopped attending church services after the death of a spouse.Which should the nurse identify as a goal to meet this client's spiritual needs?

A)Receive comfort from nature and entertainment.
B)Identify a support system other than belief in a deity.
C)Restore comfort and relationship with self, others, or God.
D)Find meaning in the illness without the aid of a supreme being.

Question 18

The nurse thoughtfully plans care for an assigned client.What should the nurse do to provide culturally competent care?

A)Deliver appropriate care that is not discriminatory to any race, sex, or ethnic group.
B)Become familiar with any facet of the client's culture that may have an impact on the care.
C)Show respect for each client.
D)Openly discuss thoughts and beliefs about the client's culture.

Question 19

A client is demonstrating signs of spiritual distress.In which way would the nurse fail to provide spiritual care to this client?

A)The nurse does not understand the relationship between mind, body, and spirit.
B)The nurse's religious background differs greatly from that of the client.
C)The nurse believes that the client's illness is caused by a lack of religious practice.
D)The nurse notifies a clergyman, with the client's consent, to provide spiritual care.