Deck 3: Cultural and Spiritual Considerations

Question 1

The nurse is reviewing the temporal relationships of the Western society. Which should the nurse be mindful of when caring for clients of Western culture?

A) Flexible orientation.
B) Present moment.
C) Traditions of the past.
D) Future oriented.

Answer 1

Future oriented.

Question 2

The nurse is interviewing a client and wishes to determine the roles of various members of an extended family living together in one household. Which statement should the nurse use to assess this information? Select all that apply.

A) "What language is spoken in your house?"
B) "Is every member in your household employed?"
C) "Tell me about the responsibilities of family members in your home."
D) "Who makes the decisions for your family members?"
E) "Are you happy with your place in the family?"

Answer 2

"Tell me about the responsibilities of family members in your home."
"Who makes the decisions for your family members?"

Question 3

The nurse would like to explore to what extent acculturalization has impacted the diet of a client that has recently immigrated to the United States. Which question should the nurse ask the client?

A) "Are there any foods you avoid for cultural reasons?"
B) "Has your diet changed in any way since you moved here?"
C) "Do you use any dietary health remedies or practices that are related to your culture?"
D) "Is there any time of the year that you change your diet for cultural reasons?"

Answer 3

"Has your diet changed in any way since you moved here?"

Question 4

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

A) "What can we do to accommodate your needs during your stay here?"
B) "I will let your healthcare provider know that you need to be discharged."
C) "Fasting may be harmful to your body during your illness."
D) "You must eat a high protein diet during times of illness."

Question 5

The new nurse expresses frustration to the preceptor about caring for clients with differing healthcare beliefs and practices. Which action should the preceptor take?

A) Encourage the nurse to reduce expression for the values of others.
B) Encourage the nurse to closely examine their own cultural practices and beliefs.
C) Inform the manager of the concern for the nurse to be able to care for clients.
D) Recommend that the nurse meet with a counselor to discuss ethnic biases.

Question 6

The nurse is assessing the client's ethnicity. Which should the nurse understand is included in the assessment? Select all that apply.

A) Religious preference.
B) Dietary practices.
C) Political beliefs.
D) Marital status.
E) Nationality.

Question 7

The nurse is preparing to obtain a mini heritage assessment on a client. Which question should the nurse include?

A) "What is your religious preference?"
B) "Do you speak English?"
C) "Are you able to adapt with other cultures?"
D) "What ethnicity do you identify with?"

Question 8

The nurse is evaluating the nonmaterial culture of a client. Which should the nurse focus upon?

A) Social structure.
B) Clothing.
C) Heritage.
D) Religious affiliation.

Question 9

The nurse manager is discussing cultural considerations with a group of staff nurses. Which statements by the staff nurses indicate an appropriate understanding of cultural concepts? Select all that apply.

A) "Culture can best be described as an awareness of belonging to a group in which certain characteristics differentiate the members of one group from another."
B) "A good description of culture is one that recognizes socially transmitted beliefs, behaviors, values, customs, lifestyles, and ways of thinking of a specific population that guides an individual's worldview."
C) "Culture is the certainty that one's own beliefs, way of life, values, and customs are superior to others."
D) "Culture is the identification of an individual or group by shared genetic heritage and biologic characteristics."
E) "Decisions made by an individual are largely influenced by culture."

Question 10

The nurse is researching matriarchal cultures to understand how this family pattern affects healthcare. Which culture should the nurse anticipate to research?

A) Appalachian.
B) Italian
C) African American.
D) Filipino.

Question 11

The nurse has asked a client if there is anyone else that should be included in the nutritional conversation. Which should the nurse recognize is the cultural importance eliciting this information?

A) The client may defer to an elder when answering questions.
B) The client may not understand the information.
C) The client may not want to discuss nutritional information.
D) The client may not be the person that grocery shops.

Question 12

During an admission assessment, the client tells the nurse that they have been taking herbs to help lower the blood pressure. Which question should the nurse ask the client?

A) "What herbs have been used to manage your condition?"
B) "Have you shared this with your healthcare provider?"
C) "Where you aware that herbal preparations may interfere with your treatment?"
D) "When was the last dosage of the herbal remedies taken?"

Question 13

The nurse educator discusses the expectations concerning the acceptance of a client's cultural beliefs with new nurses. Which statement made by the nurse should the educator recognize indicates the need for further teaching?

A) "The acceptance of different cultural values is needed to provide quality nursing care."
B) "Cultural values may dictate my client assignments on the nursing unit."
C) "My own cultural values are irrelevant to the acceptance of the values of others."
D) "I understand that my role as a nurse may be viewed differently based on the cultural beliefs."

Question 14

The nurse is evaluating the subculture of a client. Which should the nurse recognize reflects a generational subculture?

A) A client whose parents were born in another country.
B) A client who was born during a specified period of time.
C) A client who was born in the Unites States but whose children are born elsewhere.
D) A client who was born in the United States but siblings were born in another country.

Question 15

The nurse is assessing an adolescent client fluent in English that immigrated to the United States at the age of

A) He has no interest in the interview.
B) He is embarrassed about his ethnicity.
C) He is assimilated into the American culture.
D) He wishes to deny his Asian heritage.
E) When asked what cultural preferences he has, he states "I am American." What should the client's statement indicate to the nurse?

Question 16

The nurse is caring for an older adult Native American client who is experiencing severe chest pain. The client is accompanied by a tribesman at the insistence of the client. The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped. The client's son insists that his father be treated and states he feels the tribe's teachings are antiquated. Which action by the nurse is the most appropriate?

A) Call the social worker to plan a family meeting without the tribesman.
B) Interview the client and ascertain his wishes and beliefs.
C) Convene the hospital ethics committee.
D) Call the nursing supervisor.

Question 17

The educator has discussed with nursing staff the importance of recognizing the culturally specific roles and relationships that exist within a family. Which statement made by a nurse indicates an understanding of the information?

A) "The familial title of the family member will indicate what role they have."
B) "A family member's occupation will indicate what family role they have."
C) "The family member who has the highest educational level has the most significant role."
D) "A family member's age is significant when it comes to cultural roles and relationships."

Question 18

The nurse is preparing an educational program for the staff on cultural considerations. The nurse includes the following definition: "The adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture." Which term should the nursing staff understand this definition is being referred to?

A) Ethnicity.
B) Assimilation.
C) Ethnocentrism.
D) Culture.

Question 19

The nurse is assessing a client's ethnicity. Which statement should the nurse recognize reflects an American subculture?

A) "I am Chinese American."
B) "I am of Irish descent."
C) "I am British."
D) "I am multiethnic."

Question 20

The nurse is reviewing overall cultural beliefs in relation to health and illness. Which should the nurse recognize is the basis for belief that centers around the cause of illness?

A) Behavior.
B) Germ theory.
C) Scientific theory.
D) Nonscientific theory.

Question 21

The nurse is caring for a non-English speaking client suspected of having food borne illness. Which information should the nurse focus on?

A) Inquire as to whether the client has eaten a newer version of a traditional diet.
B) Inquire as to whether new foods have been added to traditional foods.
C) Inquire about the type of food preparation methods that are used.
D) Inquire about common dietary staples used in the food.

Question 22

The nurse receiving report on a patient is told the client is experiencing spiritual distress. Which should the nurse understand the client may exhibit?

A) Withdrawal.
B) Aggression.
C) Hostility.
D) Emptiness.
E) Nightmares.

Question 23

The nurse has provided discharge teaching using an interpreter for a non-English-speaking client. Which additional material should the nurse provide the client?

A) A medical language translation dictionary.
B) Instructions written in the client's native language.
C) Discharge information with pictures and drawings.
D) The number for language interpretation.

Question 24

The nurse is caring for a client in a lower socioeconomic group. When caring for the client, which should the nurse understand is a common healthcare practice?

A) The client is more likely to use the emergency room for routine care.
B) Episodic acute care is usually sought.
C) The client has a mistrust of the healthcare system.
D) There is a knowledge deficit about the illness.

Question 25

The educator is reviewing with a new nurse the factors that ethnicity and culture can influence in a client. Which factors should the educator include? Select all that apply.

A) Roles.
B) Nonverbal communication.
C) Occupation.
D) Health practices.
E) Relationships.

Question 26

The nurse is assessing a client's spiritual strengths using the interpretive framework from a narrative spiritual assessment. Which question should the nurse ask the client to assess their communion?

A) "How does your spirituality affect your joy, sorrow, and coping?"
B) "What is your relationship with God?"
C) "Describe your values?"
D) "Have you experienced any spiritual hunches?"

Question 27

The educator is reviewing the nursing staff's spiritual care competence. Which statement made by a nurse should the educator be concerned with?

A) "I have provided care for a client that was experiencing spiritual distress."
B) "I do not think that clients are comfortable talking about their spiritual preferences."
C) "I am not comfortable praying with a client so when a client requests to pray, I offer to call the Chaplain."
D) "I will ask the client to explain their prayer ritual if I do not understand it."

Question 28

The nurse educator is presenting information on culture and ethnicity to the nurses on the unit. Which statement by a nurse should the educator recognize indicates further teaching is required?

A) "I noticed that clients of different cultures have more than one different belief."
B) "When identifying individuals of the same race, they will have shared genetic heritage, biologic and physiologic characteristics."
C) "Ethnic groups share common values over generations."
D) "An individual may self-identify with an ethnic group that is different from the ethnic group of their birth or race."

Question 29

The nurse admitting a client to the unit is obtaining information regarding the client's spiritual practices. Which questions should the nurse include in the assessment? Select all that apply.

A) "Are there any dietary restrictions associated with your spiritual practice?"
B) "Would you feel more comfortable with your family present?"
C) "How do your spiritual beliefs influence your health?"
D) "Do you have any rituals that you perform at certain times of the day?"
E) "Would you like your spiritual leader to be contacted?"

Question 30

The nurse is performing a mini cultural assessment. Which question should the nurse include?

A) "Do you participate in ethnic activities?"
B) "Do you have extended family nearby?"
C) "Do you identify with a specific ethnic or group?"
D) "Where were your parents and grandparents born?"