Deck 4: Cultural and Religious Influences to Care

Question 1

You are given the unfortunate task of caring for a child who is in critical condition. From the patient's record, you acknowledge the family practices Catholicism. Which of the following actions should take place for this unfortunate child?

A) No blood products should be administered to this child.
B) Accommodations should be made for the child to be baptized.
C) Time should be given for the family to implement spiritual practices to promote the child's healing.
D) Time should be given for "laying on of hands" or prayer groups prior to consenting to treatment.

Answer 1

B

Question 2

You are assigned to care for a male infant who will need a circumcision. What ritual must you adhere to if this child is of Jewish faith?

A) The circumcision must be cancelled immediately.
B) The circumcision must be delayed for 8 days.
C) The circumcision must not be performed in the hospital.
D) The family must congregate in a prayer circle prior to circumcision.

Answer 2

B

Question 3

You are working in an emergency room when you encounter a female child of Somali descent. Upon physical examination, you notice the female has undergone circumcision. As a pediatric nurse, what do you need to remember in this situation?

A) Female circumcision is illegal in the United States and law enforcement should be notified.
B) Female circumcision is performed for various cultural reasons but has no medical value.
C) This act is considered to be female genital mutilation and law enforcement should be notified.
D) This child is in immediate medical danger and the physician should be immediately notified.

Answer 3

B

Question 4

A Muslim woman is accompanying her child in during the child's hospital stay. What would be important to clarify with this child's mother during this time?

A) Whether the child has any physical limitations
B) If the child is allergic to any medications
C) If the child is able to accept any blood products as treatment
D) If she needs time and undisturbed privacy for daily prayer sessions

Question 5

If a pediatric nurse has the ability to stand back and view other cultural groups as unique, distinct, important, and influential while demonstrating respect, which characteristic is this nurse exhibiting?

A) Cultural competence
B) Cultural sensitivity
C) Cultural humility
D) Cultural awareness

Question 6

As a pediatric nurse, you encounter an infant, with parents who worship as Jehovah's Witnesses, who is in need of a life-saving blood transfusion. The religious beliefs of the family deem this practice as unacceptable and the treatment is refused. What is the best course of action to save this child's life?

A) Treat the patient against the wishes of the family
B) Provide informed consent to the family and then treat the child
C) Explain to the family that the child will die without this treatment
D) Secure state guardianship through the courts for mandated transfusion therapy

Question 7

What ability does a pediatric nurse possess if he or she exhibits a high degree of cultural intelligence?

A) Possesses a set of skills that enables the nurse to study and learn about diverse cultures and come to an understanding of cultural practices and needs
B) Sees the perspective of another outside of the nurse's own cultural group, especially those aspects that are most important to the other
C) Stands back and views other cultural groups as unique, distinct, important, and influential, while demonstrating respect
D) Able to differentiate whether a behavior is driven by an individual's cultural background or whether that behavior is characteristic of a specific person

Question 8

If a patient who worships as a Jehovah's Witness presents with a diagnosis of anemia, which of the following treatments would be acceptable according to the religious beliefs?

A) Stem cell transfusions
B) Erythropoietin infusions
C) Plasma protein transfusions
D) Epidural blood patches

Question 9

Even for families in which English is the first language, complex medical terms and treatment plans may be difficult to understand and important information can be missed. What action can the pediatric nurse and the healthcare facility take to ensure the highest levels of health literacy?

A) Speak only to the patient's primary caregiver
B) Ensure all information and documents are written to the language and literacy of the primary caregiver
C) Make sure information is presented to the patient directly
D) Make sure informed consent has been given to the family to ensure understanding of treatment

Question 10

As part of understanding the variances among ethnicities, the pediatric nurse should anticipate what type of diet for patients who worship as Islamic Muslims?

A) Vegan diet
B) Beef-free diet
C) Pork-free diet
D) Gluten-free diet