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.

Accepted Answer

Spiritual distress often involves concerns about meaning, faith, and connection, particularly in times of illness or near the end of life. Allowing the client to express concerns about dying (A) can help them process their feelings and fears. Soliciting an appropriate member of the clergy with the client's consent (B) can provide spiritual support and guidance. Providing comfort by sitting quietly at the client's bedside (D) can offer a sense of presence and support without the need for words, which can be comforting to someone experiencing spiritual distress. Suggesting that family members limit their visits (C) and encouraging the client to leave the TV on and keep room blinds open (E) do not directly address the spiritual needs of the client and could potentially increase feelings of isolation or distraction from addressing spiritual concerns.

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?

Accepted Answer

Finding an interpreter is crucial to ensure effective communication, especially when dealing with patients from non-English speaking backgrounds. This can help clarify any misunderstandings or fears the patient may have about the procedure.

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.

Accepted Answer

A,B,C,E

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?

Accepted Answer

Asking if there are any specific cultural interventions at this time is the best way to ensure that the client receives care that is respectful and appropriate to their cultural background. This approach directly addresses the need for cultural sensitivity and allows for the incorporation of specific cultural practices into the client's care.

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?

Accepted Answer

Being present for the client shows support and provides a safe space for them to express their feelings, which can help address spiritual distress.

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?

Accepted Answer

D  Transcultural care involves crossing cultural boundaries and incorporating clients' cultural beliefs and values into nursing care, ensuring respect and understanding of diverse cultural backgrounds.

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?

Accepted Answer

The answer of During an assessment, a client reports performing...

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?

Accepted Answer

The client experienced stereotyping, as the health-care provider's comment about her body weight likely made her feel judged or discriminated against based on her physical appearance, leading to her avoiding further gynecologic care.

Question 9

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

Accepted Answer

The client is demonstrating a biomedical health belief by seeking a scientific, medical intervention (influenza vaccination) to prevent illness, which aligns with the principles of Western medicine.

Question 10

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

Accepted Answer

The nurse is assessing the client's culture, which encompasses rituals, values, customs, and beliefs that are shared by a group of people.

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?

Accepted Answer

Culturally competent care involves understanding and respecting the cultural context of a client's beliefs and values, and integrating this understanding into their care plan.

Question 12

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

Accepted Answer

Assessing whether the client practices a religion is the first step in addressing spirituality concerns, as it provides a foundational understanding of the client's spiritual or religious background, which can influence their values, coping mechanisms, and needs.

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?

Accepted Answer

Clients have the right to receive care that is considerate of their culture, religion, and spiritual being. This ensures that healthcare is delivered in a manner that is respectful and sensitive to individual cultural backgrounds. The Joint Commission emphasizes the importance of culturally competent care, which does not necessarily mean providing a nurse of the same culture, religion, or ethnicity, but rather ensuring that care is respectful and considerate of these aspects.

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.

Accepted Answer

The answer of During an assessment, a client states, "I'm...

Question 15

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

Accepted Answer

Spiritual distress often manifests as feelings of hopelessness, signs of depression, and anger towards a higher power or God, as these emotions can indicate a struggle with faith or spiritual beliefs during difficult times. Reading the Bible (C) can be a sign of seeking comfort or understanding in one's faith, rather than distress. Requesting a visit from a member of the clergy (D) can indicate a desire for spiritual support or guidance, not necessarily distress.

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?

Accepted Answer

The client delayed seeking care due to economic reasons, specifically not having access to health insurance, which made it financially challenging to seek medical attention.

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?

Accepted Answer

Restoring comfort and relationship with self, others, or God addresses the holistic nature of spiritual needs, especially after a significant loss like the death of a spouse. It encompasses the possibility of reconnecting with one's faith or spiritual beliefs, which can be a crucial aspect of coping and healing.

Question 18

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

Accepted Answer

The nurse should become familiar with aspects of the client's culture that may impact care to ensure culturally competent care.

Question 19

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

Accepted Answer

The answer of A client is demonstrating signs of spiritual...

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