Chapter 4: Cultural, Spiritual, and Environmental Influences on the Child My Nursing Test Banks

Chapter 4: Cultural, Spiritual, and Environmental Influences on the Child

Multiple Choice

1. Elsa is working with an 11-year-old patient in the outpatient pediatric clinic. As Elsa reviews the chart, she reads that the patient follows the Muslim tradition. When Elsa enters the room, she notes that the child is wearing a hijab on her head. Elsa has never worked with this tradition before. Elsa should:

1. Realize that her verbal and non-verbal communication will impact the care she gives the child.

2. Not ask the parent for input on the care of the child because this would disrespect the family and child.

3. Have another nurse, who has experience with this culture, take care of the patient.

4. Realize that the patient is uncomfortable and seek a fellow nurse to help her.

ANS: 1

Feedback
1. Verbal and non-verbal communication differs in each culture, thus this must be taken into consideration when working with the child.
2. The lack of communication with the parent and child is not therapeutic for the child.
3. Another nurse may be beneficial, but since Elsa has already started caring for the child, this may create problems.
4. There is no indication of the patient feeling uncomfortable.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

2. A pediatric nursing class has been assigned to use the Giger and Davidhizar Transcultural Assessment Model. The students are assigned to families they do not have a prior relationship with. When performing the assessment, one of the students is given a seat in close proximity to a grandmother on the couch. The student should know that according to this model:

1. Visiting a family is considered a privilege.

2. It is important to identify the family lifestyle.

3. Sitting close to the grandmother can affect the communication.

4. Only the interpersonal relationships of the individuals are emphasized.

ANS: 3

Feedback
1. Does not address the economic standing of the family
2. Does not identify a lifestyle
3. Space is a component of the model.
4. Views the familys interactions with society

KEY: Content Area: Culture | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

3. A staff educational day has been planned for the pediatric unit of a major hospital. The goal is to make the staff culturally competent. This is important because:

1. This competency meets JCAHO requirements.

2. This competency meets cultural care requirements for the hospital system.

3. This allows nurses to tailor their care to the patient and provide holistic care.

4. This education is needed to reach Magnet status.

ANS: 3

Feedback
1. Not the purpose of the goal
2. Can be a purpose of the hospital, but does not take precedence over the patient.
3. Important to view the patient holistically in order to provide quality care
4. Not the purpose of the goal

KEY: Content Area: Culture | Integrated Processes: Teaching/Learning | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

4. Hussains parents have a language barrier with the nursing staff on the pediatric floor. When working with communication barriers, it is important to:

1. Use pictures when an interpreter is not available.

2. Use hand gestures to attempt to communicate.

3. Ask the interpreter to speak to the family over the phone.

4. Require the family to provide a family member to interpret.

ANS: 1

Feedback
1. This is appropriate if there are pictures for the conversation.
2. Each culture is sensitive to body language. Avoid using gestures because this may offend the family.
3. Speaking over the phone can cause communication breakdown, which will not be effective for the conversation.
4. It is a responsibility of the hospital to provide an interpreter for the patient.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

5. Social skills between different cultures are important for a pediatric nurse to understand. All of the following are part of social skills except:

1. Personal space.

2. Eye contact.

3. Diet.

4. Exercise.

ANS: 4

Feedback
1. Influences social skills of cultures
2. Influences social skills of cultures
3. Influences social skills of cultures
4. Not an influence of social skills of cultures

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 4 | Type: Multiple Choice

6. The community pediatric nurse is conducting a home visit with a new family. The nurse knows when she is in the home, it will be important to get a thorough assessment. The assessment should consist of:

1. The number of family members living in the home.

2. The employment of the adults in the home.

3. How personal space is perceived.

4. All of the above should be considered in the assessment.

ANS: 4

Feedback
1. An important component, along with other choices
2. An important component, along with other choices
3. An important component, along with other choices
4. Family members, employment, and personal space should all be assessed by the nurse.

KEY: Content Area: Community/Culture | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

7. Culturally competent care includes:

  1. 1. Treating others exactly how you would like to be treated.
  2. 2. Seeing individuals as unique.
  3. 3. Treating individuals within the same cultural group the same.
  4. 4. Providing care without concern of your own values.

ANS: 2

Feedback
1. This is important to understand the cultural norms and values
2. Cultural competence includes treating individuals as unique beings.
3. Not all cultural groups follow the same norms and values.
4. Realization of personal values enables the nurse to be culturally competent.

KEY: Content Area: Cultural Care | Integrated Processes: Communication/Documentation | Client Need: Teaching/Learning | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

8. A nurse is caring for a 12-year-old patient who has recently been hospitalized. Which statement by the patient proves that the nurse did not perform a complete cultural assessment?

1. Im glad that my prayer times work around my care.

2. I feel better when my mom stays with me.

3. Im not allowed to eat pork, and it is on my lunch tray.

4. My mom does not like it when my room is messy.

ANS: 3

Feedback
1. The nurse has planned care to allow for prayer time for the patient.
2. The nurse understands the importance of family.
3. The nurse should have assessed dietary restrictions for the patient and ensured a proper diet is brought to the patient.
4. Family values play a role in the cultural practice of the family.

KEY: Content Area: Cultural Care | Integrated Processes: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

9. Pediatric visitations should:

  1. 1. Be 24 hours a day for parents and grandparents.
  2. 2. Be semi-structured for other visitors.
  3. 3. Provide time for socialization and playing.
  4. 4. All of the above.

ANS: 4

Feedback
1. Family-centered care is important to the healing process for the child.
2. Visits should be structured in order to allow the child time to rest.
3. Play helps decrease stress for the child.
4. All of the above statements should be included in visitations.

KEY: Content Area: Family-Centered Care | Integrated Processes: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension|  REF: Chapter 4 | Type: Multiple Choice

10. A nurse promotes family-centered care when:

  1. 1. Caregivers can room in and provide care to their child.
  2. 2. The nurse provides the care as the physician orders.
  3. 3. Care is provided after the family steps out of the room.
  4. 4. Visitation guidelines are strictly followed.

ANS: 1

Feedback
1. Including the family in providing care is being family centered.
2. The family needs to be involved in the care in order for it to be family centered.
3. Care should be provided continuously and hold the needs of the family and patient as a high priority.
4. Visitation guidelines are set by the family, not the staff.

KEY: Content Area: Family Care | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

11. When utilizing an interpreter, which item does not need to be documented?

  1. 1. Name of the individual interpreting
  2. 2. Primary language of the patient and caregiver
  3. 3. Pictures used to communicate an idea
  4. 4. Understanding of the patient and the care provider

ANS: 3

Feedback
1. The name must be provided to verify who is giving the information.
2. The primary language documentation will provide future workers with information to help the patient.
3. If an interpreter is being used, pictures may only supplement the discussion. The interpreter should be communicating the health-care providers explanations word-for-word.
4. Clarity of the information provided through the interpreter should be documented to identify if the family is understanding the information provided.

KEY: Content Area: Legal Issues | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

12. A nursing student understands pediatric cultural and dietary needs when she tells the parent of her patient:

  1. 1. You can bring in food from home.
  2. 2. The hospital food should be adequate.
  3. 3. I dont know how the food is prepared.
  4. 4. Food from home will only make your child miss home.

ANS: 1

Feedback
1. Food from home will comfort the child and help him/her understand the types of food that are seen as healthy choices in a time of illness.
2. Hospital food may not be prepared in the proper manner for consumption by some cultures.
3. Learning how the food is prepared will enable the staff to provide for the needs of the child.
4. Children will eat food that is familiar to them and is in compliance with their cultural and spiritual needs.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

13. Staff education should include:

  1. 1. Education on cultures common to their practice.
  2. 2. Annual updates and reviews.
  3. 3. Self-reflection on the care providers own values and beliefs.
  4. 4. All of the above.

ANS: 4

Feedback
1. Education should provide information about cultures the staff is not exposed to frequently.
2. Updates and reviews will allow staff to identify the needs of the patients on a continuous basis.
3. Self-reflection will identify biases and how not to let them interfere with the care provided to the patient.
4. All of the above answers should be included in staff education.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

14. Spiritual assessments should be performed:

  1. 1. During every contact with health-care providers.
  2. 2. During hospitalizations.
  3. 3. Annually.
  4. 4. As needed.

ANS: 1

Feedback
1. Spiritual assessments should be conducted during every contact with health-care providers. This would include well-child visits.
2. May need to know this information for immunizations and at well-child checkups.
3. Should be done at each visit in case the situation has changed for the patient.
4. Needs to be performed at every visit to identify changes in the spiritual needs.

KEY: Content Area: Legal Issues | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

15. Effective communication can be confirmed when:

  1. 1. The patient or caregiver asks questions.
  2. 2. When the patient and caregiver do not verbalize questions.
  3. 3. The receiver of the messages understands the information as the provider intended the message to be received.
  4. 4. The receiver of the message speaks the same language as the person giving the message.

ANS: 3

Feedback
1. Questions are asked to verify information and gather more information.
2. The patient and caregiver may need time to think about information before asking questions.
3. Effective communication entails understanding the message that the sender intended for the receiver.
4. The language does not determine the understanding of the patient or caregiver.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

16. When performing an initial assessment, the FICA Spiritual Assessment tool will:

  1. 1. Help the care provider to include spiritual needs in the care plan.
  2. 2. Will complete the questionnaire in the chart.
  3. 3. Be answered by the parent or care provider.
  4. 4. Only be answered by the patient.

ANS: 1

Feedback
1. The FICA tool assesses faith, importance, community, and addresses care needs within the care plan.
2. Information will be gathered, but should not be the basis of the history or the care.
3. The child should be allowed to have input.
4. The family will have an influence on the spiritual care of the child.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

17. An example of a nurse-patient relationship would be:

  1. 1. Attending a birthday party outside of the hospital.
  2. 2. Providing special toys for favorite patients.
  3. 3. Reporting suspected child abuse.
  4. 4. Keeping a secret about suspected child abuse to keep confidentiality with the patient.

ANS: 3

Feedback
1. The birthday party is beyond the professional boundaries of a nurse.
2. Demonstrating favoritism is not a professional action a nurse should display.
3. Nurses must report actual or suspected child abuse.
4. A nurse is a mandatory reporter and must report any suspicions of child abuse.

KEY: Content Area: Professionalism | Integrated Processes: Communication/Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

18. The medical clinics staff ensures quality multidisciplinary care by:

  1. 1. Following hospital policies.
  2. 2. Documenting and sharing all information.
  3. 3. Not questioning other disciplines.
  4. 4. Utilizing the correct form when obtaining data.

ANS: 2

Feedback
1. Hospital policies may be unit and discipline specific.
2. Multidisciplinary relationships include sharing information and having respect for differences in opinion.
3. Questions should be asked in order to strive for the best care possible for a patient.
4. Forms are important, but do not always reflect needs of the entire staff.

KEY: Content Area: Professionalism | Integrated Processes: Communication/Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

19. Which finding most likely demonstrates lack of full disclosure?

  1. 1. Health questionnaire completed in the waiting room
  2. 2. Inability to explain how long symptoms have occurred
  3. 3. Poor eye contact during exam
  4. 4. Providing family history

ANS: 2

Feedback
1. Others may be able to see the paperwork being filled out in a waiting room.
2. Potential embarrassment and disgrace to have a disease may prevent the patient or caregiver from discussing the length of symptoms.
3. Based on culture, eye contact may not be allowed.
4. Family history does not provide full disclosure of the needs of the patient.

KEY: Content Area: Professionalism | Integrated Processes: Communication/Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

20. A parent with a low-income job can get more groceries with less money when:

  1. 1. Purchasing processed food.
  2. 2. Purchasing fresh fruits and vegetables.
  3. 3. Purchasing meat products.
  4. 4. Purchasing snack foods.

ANS: 1

Feedback
1. Processed foods are less expensive and have lower nutritional value than fresh foods.
2. Fresh fruits and vegetables tend to be higher priced in certain parts of the country because of the cost of shipping and the season.
3. Meat is expensive because of the cost of processing and shipping.
4. Snack foods come in small packages and do not provide nutritional content. Snack foods are more expensive for the quantity.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

21. The nurse tells the caregivers of a 5-year-old patient that the patient will be discharged at lunch time. At 12:00 noon, the family is not present, but does come in at 2:00 p.m. The caregivers are wondering why the nurse thinks that they are late. This could be attributed to:

  1. 1. Lack of discharge paper processing.
  2. 2. Cultural differences in lunch time.
  3. 3. The caregivers believing that the child is being watched adequately.
  4. 4. The nurse being busy and losing track of time.

ANS: 2

Feedback
1. The discharge paper processing cannot be completed without the caregivers being present.
2. Appointments should be made by clock time, not daily event times.
3. The caregivers may have a difference of opinion on time.
4. The later discharge occurred because the caregiver did not arrive at the set time.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

22. The female caregiver of a patient wears a scarf that covers her head and face when males enter the room. The nurse noted that male nurses were entering the room without notice to the caregiver. The nurses best action would be to:

  1. 1. No intervention is needed by the nurse.
  2. 2. Place a sign on the door stating that all males must first knock and ask permission prior to entering the room.
  3. 3. Only allow female caregivers.
  4. 4. Only allow male caregivers.

ANS: 2

Feedback
1. A plan should be made to help the female care provider feel at ease.
2. The family is considered the patient in pediatrics. Nurses should advocate and provide interventions that will maintain the cultural beliefs of the family unit.
3. Solely female caregivers may not be arranged because of staffing.
4. Solely male caregivers may not be arranged because of staffing.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

23. Due to genetics, African American patients are at higher risk for:

  1. 1. Liver cancer.
  2. 2. Injury.
  3. 3. Infectious diseases.
  4. 4. Diabetes.

ANS: 4

Feedback
1. Liver cancer is seen more in Caucasian males.
2. Injury is the highest risk factor for all ages of children, no matter the race.
3. Infectious diseases do not have a higher presence in one race over another.
4. African Americans are at a higher risk for diabetes due to genetics.

KEY: Content Area: Culture | Integrated Processes: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge |  REF: Chapter 4 | Type: Multiple Choice

24. European Americans may wear a horn charm to ward off evil spirits. They believe that diseases may be caused from a curse called:

  1. 1. The evil spirit of the ancestors.
  2. 2. The disease.
  3. 3. The evil spell.
  4. 4. The maloic.

ANS: 4

Feedback
1. The curse of the evil spirits may be a reason to wear the horn.
2. The disease is not seen as an evil spirit.
3. The evil spell can be the outcome of  the disease process.
4. The maloic is the curse that is thought to cause disease.

KEY: Content Area: Culture | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

25. Asian Americans may use this to cure diseases.

  1. 1. Balance of hot and cold fluids
  2. 2. Increased vegetable intake
  3. 3. Increase in exercise to sweat out impurities
  4. 4. Well-balanced diet

ANS: 1

Feedback
1. Asians believe in the balance of hot and cold in the body.
2. Vegetables are common in the Asian American diet.
3. Exercise is not seen as a way to rid impurities of the body in order to help with an illness.
4. A well-balanced diet is important, but is not noted to be the cure of for diseases.

KEY: Content Area: Culture | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

26. Spirituality can be defined as:

  1. 1. Defining God.
  2. 2. Feeling a greater being has control over world events.
  3. 3. The concept of where and how the human race began.
  4. 4. All of the above.

ANS: 4

Feedback
1. God can come in different forms for all patients and caregivers.
2. A greater being gives a sense of control.
3. Ideas of how the human race began helps with coping for patients.
4. Spirituality is defining God, feeling a greater being has control over world events, and the concept of where and how the human race began.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

27. This religious affiliation may not accept blood products, so frequent blood draws and procedures that may involve blood loss should be limited.

  1. 1. Atheism
  2. 2. Buddhism
  3. 3. Jehovahs Witness
  4. 4. Judaism

ANS: 3

Feedback
1. Atheism does not have a belief system that affects any medical procedure.
2. Buddhism seeks a balance and will accept blood products.
3. Jehovahs Witnesses may not accept blood transfusions.
4. Judaism allows for blood procedures.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

28. These two religious affiliations do not eat pork products.

  1. 1. Muslim and Mormonism
  2. 2. New Age and Atheism
  3. 3. Judaism and Muslim
  4. 4. Judaism and Buddhism

ANS: 3

Feedback
1. Mormonism allows for pork products.
2. There are no diet restrictions for people of the New Age or Atheist faiths.
3. The Jewish and Muslim faiths do not permit the eating of pork.
4. A Buddhist does not have diet restrictions for pork.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

29. This religious group may need assistance with ablution, which is a process of washing prior to praying.

  1. 1. Buddhist
  2. 2. Christian
  3. 3. Muslim
  4. 4. Mormon

ANS: 3

Feedback
1. Buddhists do not have the need for ablution.
2. Christianity does not require ablution prior to prayer time.
3. Those of the Muslim faith may need assistance with ablution prior to saying prayers.
4. Mormonism does not require ablution prior to prayer time.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension |  REF: Chapter 4 | Type: Multiple Choice

30. Christians believe:

  1. 1. Salvation comes from the belief that Jesus Christ died on the cross for all sins and transgressions.
  2. 2. The day of rest is called Sabbath and occurs from sundown Friday to sundown on Saturday.
  3. 3. Praying to ancestors will promote good karma.
  4. 4. Life is comprised of suffering.

ANS: 1

Feedback
1. Christians believe that salvation comes from Jesus Christ being a sacrifice for their sins when he died on the cross.
2. The Sabbath occurs on Sunday.
3. Karma and prayers for elders are not Christian practices.
4. Jesus Christ died for sins so suffering does not need to occur.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

31. Family is best defined by:

  1. 1. The patient.
  2. 2. The family bloodline.
  3. 3. The nurse.
  4. 4. The care provider.

ANS: 1

Feedback
1. Family members may not be blood related. The family is defined by who the patient and caregiver say is the family.
2. Family does not need to have a blood relation.
3. The nurse can be part of the family depending on the relationship with the patient.
4. The care provider can be part of the family.

KEY: Content Area: Culture | Integrated Processes: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

32. Inadequate sidewalks in a community represent:

  1. 1. A poor community.
  2. 2. A community with few children.
  3. 3. A community danger.
  4. 4. An industrial community.

ANS: 3

Feedback
1. Poverty is defined by the person, not the community.
2. Each community is different. Some have children and some do not. This cannot be determined by the condition of the sidewalks.
3. Inadequate sidewalks can represent a community danger.
4. The industrial community can be defined as a community element.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

33. A childs home environment will influence culture by:

  1. 1. Promoting shelter from the elements of the weather.
  2. 2. The child observing how to behave and respond to the environment.
  3. 3. Providing a safe place to live.
  4. 4. Providing a place to play and pretend.

ANS: 2

Feedback
1. The shelter will have an element of culture, but it is not an influence.
2. Children learn about their culture by how their caregivers respond to the environment.
3. A safe place should be provided for all children.
4. A safe place is needed for play and pretend, but it is not influenced by culture.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

34. A family from a different ethnic group comes into a clinic. A nurse thinks that they are not interacting well with her because they are not making direct eye contact. The nurse that thinks the family is not interacting well is demonstrating:

  1. 1. Cultural competency.
  2. 2. Cultural bias.
  3. 3. Cultural diversity.
  4. 4. Transcultural nursing.

ANS: 2

Feedback
1. The nurse does not understand the culture and is not competent.
2. Cultural bias may occur when the nurse places his/her own values before the values of a different culture.
3. The nurse is not diverse in the understanding of other cultures.
4. Transcultural nursing identifies the cultural needs of a patient.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis |  REF: Chapter 4 | Type: Multiple Choice

35. A nurse is caring for a child considered to be in spiritual distress. Spiritual distress can be described by the child as:

  1. 1. I feel better after I pray.
  2. 2. I will trust in my God.
  3. 3. I dont agree with Gods decisions.
  4. 4. I feel like God is punishing me.

ANS: 4

Feedback
1. Prayer is a form of comfort, not distress.
2. Trusting in a higher power does not demonstrate distress.
3. Not agreeing with God is a decision, not a demonstration of distress.
4. Spiritual distress is any alteration in spiritual health, as described by the patient or caregiver.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | REF: Chapter 4 | Type: Multiple Choice

36. A fellow nursing student feels offended because the mother of her patient is invading her personal space. Your peer states that the mom is a close talker and is right in my face. You inform her that:

  1. 1. The mom is wrong in invading her space.
  2. 2. This might be a spacial norm for this moms culture.
  3. 3. She should just ignore it until clinical is over.
  4. 4. She should tell the mom not to stand so close when talking.

ANS: 2

Feedback
1. The nurse does not understand the mothers culture.
2. Spatial differences in communication may be different between cultures.
3. The nurse should speak with the mother to discuss the spacial issues.
4. The nurse should discuss the issue with the mother.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

37. The mother of a critically ill baby just found out that her child is likely to die. She asks you to quickly contact a priest. The mom would like a prayer and baptism performed because the baby has yet to be baptized. Your best response would be:

  1. 1. Our chaplain usually comes in during the afternoon.
  2. 2. I will have the secretary call for a priest.
  3. 3. I will call for one as soon as I catch up with your childs charting.
  4. 4. Feel free to call your spiritual leader.

ANS: 2

Feedback
1. Notifying the chaplain right away will help ease the mother.
2. For some Christians, prayer and baptism for an infant can impact whether or not the baby goes to heaven.
3. Delegation for notifying the chaplain should occur.
4. The nursing staff should attempt to contact the priest to ease the situation for the mother.

KEY: Content Area: Culture | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | REF: Chapter 4 | Type: Multiple Choice

38. The father of your patient wants the patient to ingest an herbal tea to help the child feel better. The nurse should:

  1. 1. Allow the dad to give the patient the herbal tea.
  2. 2. Evaluate if the herb will interact with any of the current medications or procedures that will be done.
  3. 3. Ask the doctor.
  4. 4. Not allow the child to ingest the herbal tea.

ANS: 2

Feedback
1. The alternative medicine should be discussed with the medical provider prior to administration.
2. Parents may use alternative medicines when treating illnesses. The nurse should first assess for drug interactions and contraindications.
3. A discussion with the medical provider should occur, and the nurse should assess for drug interactions and contraindications.
4. If contraindications and interactions are not an issue, then the child can ingest the herb.

KEY: Content Area: Culture | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

39. Transcultural nursing entails which of the following?

  1. 1. Communication, space, beliefs, and time
  2. 2. Communication, number of siblings, and skin color
  3. 3. Space, number of siblings, and bedrooms
  4. 4. Space, environment, and dialect

ANS: 1

Feedback
1. These elements of transcultural nursing are included in Giger and Davidhizarss Transcultural Assessment Model.
2. The number of siblings and skin color are not part of transcultural nursing.
3. The number of siblings and bedrooms are not part of transcultural nursing.
4. Dialect is not part of transcultural nursing.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge |  REF: Chapter 4 | Type: Multiple Choice

40. Leiningers Cultural Care Theory includes the elements of:

  1. 1. Values, beliefs, health, siblings, and culture.
  2. 2. Values, beliefs, food, and culture.
  3. 3. Values, beliefs, religion, lifestyles, and perceptions of health.
  4. 4. Values, beliefs, and clothing.

ANS: 3

Feedback
1. Siblings are not part of Leiningers Cultural Care Theory.
2. Food is not part of Leiningers Cultural Care Theory.
3. Leiningers Cultural Care Theory includes culture, delivering culturally competent nursing, environmental context, family values, beliefs, lifestyles, and perceptions of health.
4. Clothing is not part of Leiningers Cultural Care Theory.

KEY: Content Area: Culture | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge |  REF: Chapter 4 | Type: Multiple Choice

41. The care provider can individualize spiritual and cultural care by:

  1. 1. Asking if there is a religious preference.
  2. 2. Assessing the country of origin.
  3. 3. Assessing needs that are verbalized by the patient.
  4. 4. Assessing spiritual and cultural aspects of care and including the patient and caregivers in care planning.

ANS: 4

Feedback
1. Asking about religious preference can be too straightforward for many patients.
2. A country of origin is not the only influence of spiritual and cultural care.
3. Verbalizing needs can help with gaining a full assessment because some people will not communicate their needs.
4. A spiritual and cultural assessment should be performed with each contact with care providers.

KEY: Content Area: Culture | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Application |  REF: Chapter 4 | Type: Multiple Choice

42. A home health nurse is obtaining a cultural assessment on a family of five. The nurse should include which of the following in her assessment?

1. Food preferences

2. Religious beliefs

3. Perceptions of the cause for disease

4. All of the above are correct

ANS: 4

Feedback
1. A part of cultural assessment, along with others
2. A part of cultural assessment, along with others
3. A part of cultural assessment, along with others
4. All are part of a cultural assessment.

KEY: Content Area: Culture | Integrated Processes: Teaching/Learning | Client Need: Health Promotion and Maintenance| Cognitive Level: Knowledge |  REF: Chapter 4 | Type: Multiple Response

Multiple Response

43. Spirituality plays a role in the care of a patient. A nurse should be aware that spirituality consists of:

1. Individualized definitions of God.

2. Individualized concepts of how the human race began.

3. Individualized concepts of what others should believe.

4. Individualized concepts of a greater being who affects daily life.

5. Individualized concepts of eternity.

ANS: 1, 2, 4,

Feedback
1. Needed for a spirituality assessment
2. Needed for a spirituality assessment
3. This is an assessment of the individuals belief system, not others.
4. Needed for a spirituality assessment
5. This is not assessed in a traditional spirituality assessment.

KEY: Content Area: Spirituality | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge |  REF: Chapter 4 | Type: Multiple Response

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