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Culture, Spirituality, and Alternative / Complementary Modalities Exam Questions & Answers
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The nurse is performing an admission assessment of a new client. When assessing potential cultural influences on the client's care, the nurse should address what domains? Select all that apply. - ✔✔
A client in home hospice care verbalizes to the caregiver a desire to meet with the client's minister. The caregiver does not want the minister to visit or to interact with the minister because of different values and beliefs and asks the home health nurse how to handle this situation. To prevent further disagreement between the client and caregiver, what is the best recommendation for the nurse to implement? - ✔✔Arrange for an alternative caregiver to be available for the client when the minister visits. The parent of an Indonesian young adult reports through an interpreter to the nursing supervisor that the staff nurse sometimes shouts at the client. The nurse tells the supervisor that she has not been shouting at the client. What would the supervisor expect to note after observing a care interaction between the staff nurse and the young adult adolescent client? - ✔✔There is a language barrier present. A newly admitted client with bone cancer tells the nurse that the folk healer has not been able to help him. What principle of culturally competent care will the nurse keep in mind during the client's conventional medical course of treatment? - ✔✔All people have the right to care based on their personal preferences and values. A client with a history of posttraumatic stress is panting and breathing heavily while shouting out some strange words. The nurse reviews the nursing assessment and understands that the client is practicing a form of relaxation called power breathing. The best action for the nurse to take is to: - ✔✔allow privacy, but check on the client frequently. The nurse is caring for a client who is a recent immigrant from China. Through the hospital interpreter, the client expresses an unwillingness to eat the fried fish that was on the meal tray, describing it as "too hot." What is the nurse's best action? - ✔✔Ask the interpreter to ask the client about the specific meaning of the description of "hot." The nurse is attending a family meeting where a recent immigrant's treatment plan is being discussed. The client is a retired English teacher and defers to the oldest son when the care team asks the client questions. How should the nurse best interpret the client's action? - ✔✔The client's action may reflect cultural and familial norms. A nurse is completing an admission assessment. The nurse asks the client about social support systems and the client asks the nurse to explain social support systems. Which statement describes a social support system? - ✔✔"It is a group of providers at home and in the community that help a client in times of need."
The nurse is providing care for a client who immigrated three months ago. The nurse observes that the client is reluctant to make eye contact when responding to the nurse's questions. What is the nurse's best response? - ✔✔Consider the norms around nonverbal communication in the client's culture. A hospital client's health status has declined sharply, and a referral to palliative care has been made. A nurse has suggested a referral to spiritual care, but a colleague states, "That is not likely necessary because the client's health record states 'no religion.'" How should the nurse best respond to the colleague's statement? - ✔✔"The absence of an identified religion does not mean that a client does not have spiritual needs." The nurse is caring for a group of clients in an acute medicine setting. What statement by a client would most warrant a referral to spiritual care, with the client's permission? - ✔✔"It feels like one round of bad news after another for me, like I am being punished." After unsuccessful CPR efforts, the nurse must prepare an Islamic client for the morgue. Which nursing action should the nurse take? - ✔✔asking the client's family if they want to perform the ritualistic washing A pregnant client late in her first trimester comes to the clinic for a follow-up visit. The woman tells the nurse that she has been having morning sickness, but she "tried using this band on her wrist," and it helped cut down on the number of episodes she was having. The nurse interprets this therapy as an example of - ✔✔acupressure. A client who has been using benzodiazepines for anxiety wants to add an alternative therapy. The nurse suggests biofeedback. How will the nurse best describe biofeedback to the client? - ✔✔It is a way to concentrate on the body's response during a stressful situation. A school nurse is called to assess a preadolescent, a newly immigrated Vietnamese person attending a new school. A teacher tells the nurse that the student sits in the back of the class and won't speak when spoken to, although the parents confirmed the student speaks English. Which assessment finding is most likely? - ✔✔The student is experiencing cultural shock. A Jehovah's Witness client is admitted after a serious car accident and continues to experience severe anemia after significant blood loss. The family remains adamantly opposed to blood product support. What is the nurse's best intervention? - ✔✔Offer the client alternative treatment options to consider.
The Orthodox Jewish family of a client admitted for cochlear implantation expresses outrage at their child being served a pork dish after they identified their religion to the nursing staff. What is the nurse's best response? - ✔✔Recognize their request and respectfully take corrective action. A client admitted with acute pyelonephritis now reports having a severe migraine, but declines PRN analgesics. What should the nurse discuss with this client? Select all that apply. - ✔✔-Ask the client which migraine treatments are helpful when at home.
A diabetic patient is reviewing the hospital menu to order lunch. The client asks the nurse for suggestions for "cold" foods to order. What is the nurse's understanding of why the client asking about suggestions for "cold" foods? - ✔✔The client is balancing the disease with cold foods. A nurse is conducting a spiritual assessment on a client admitted for surgery and developing a plan of care based on this assessment. To help ensure that the nurse is most successful in meeting the client's spiritual needs and promote a comfortable working relationship with the client, which aspect would be most important initially for the nurse? - ✔✔developing an awareness of one's own beliefs about the connection between spirituality and health The family of a client with a terminal illness tells the hospice nurse supervisor that they have lost hope for a peaceful death for their loved one. While talking to this family about their concerns, the nurse would immediately explore their concerns about which health care issue? - ✔✔effective management of the client's physical discomfort A client in a long-term nursing care facility who decides to be placed on hospice care expresses to the nurse, "I have outlived my family and friends; I have lost hope and there is no need for me to continue on." What underlying client concerns would the nurse first address with this client? - ✔✔loneliness and feelings of isolation In the hospital setting, the child of a client who is dying tells the nurse, "It is hard to just sit here for hours and not say or do anything." As the nurse responds to the child's statement, what issue is most important for the nurse to focus on during their discussion? - ✔✔Know that being present with the person is important. A client is admitted for an exacerbation of irritable bowel syndrome who insists on being allowed to keep a head covering on at all times. What is the best response by the nurse? - ✔✔"Please help me to understand this practice." A client on vacation experiences severe allergy symptoms, headache, and sinusitis (without respiratory distress). This client adamantly declines any supportive medications when offered. The nurse questions the client and learns the client receives weekly acupuncture treatments for these symptoms. What is the nurse's best response? - ✔✔"Let us try this until you can have acupuncture."
The nurse has recently accepted a position in a community with an ethnically and culturally diverse population. What action should the nurse first perform in order to enhance cultural competence? - ✔✔Thoughtfully reflect on the characteristics of their own culture. A hospital client has told the nurse that their religion involves the burning of incense and has asked permission to do so on the unit. The nurse is aware that this practice would violate the hospital's fire regulations. What is the nurse's best action? - ✔✔Dialogue with the client about alternative rituals or the possibility of performing the ritual outdoors. The nurse is assessing a client whose history includes type 2 diabetes and atrial fibrillation, treated with warfarin. The client tells the nurse that the client began taking ginseng supplements several days ago in an effort to boost the immune system. After providing health education, what is the nurse's priority action? - ✔✔Collaborate with the care team to have the client's prothrombin time and international normalized ratio (INR) assessed. A nurse is making a home visit to a client who is receiving chemotherapy as part of the treatment plan for cervical cancer. The client reports nausea as a side effect of treatment. The client asks the nurse, "I do not want to put any other medicines in my body. Do you have any suggestions for a natural remedy to help with my nausea?" Which suggestion would the nurse most likely make? Select all that apply. - ✔✔- Lavender
A client is experiencing inadequate pain control. The client consulted with the healthcare provider to bring in a licensed acupuncturist to the hospital to perform a treatment. What action does the nurse take? - ✔✔Assist the client as needed in facilitating the acupuncturist's visit. A client admitted for post-mastectomy breast reconstruction is experiencing acute, moderate anxiety. The client asks, "How can I feel better about the surgery?" What is the nurse's best response? - ✔✔"Let me stay with you. Focus on my voice and breathe deeply." A client admitted for post-mastectomy breast reconstruction is experiencing acute, moderate anxiety. The client asks, "How can I feel better about the surgery?" What is the nurse's best response? - ✔✔"Let me stay with you. Focus on my voice and breathe deeply."