Question 1

A single African-American working mother of three children who is in a state of poverty often misses appointments for the children's immunizations or well child check-ups. The nurse understands that the likely reason for this could be that she:

Accepted Answer

A)   is more concerned with surviving day-to-day problems than with taking a child to a clinic when there is no obvious illness.
B)   would rather enjoy her time off in leisure activities than taking the children to a clinic.
C)   is from a culture that values nontraditional medical care from curanderos and faith healers.
D)   belongs to a religious group that is opposed to immunizations and medical treatment. A

Question 2

The nurse is aware that cultural influences shape the worldview of all people, which define for each person the concepts of the: (Select all that apply.)

Accepted Answer

A)   meaning of life's events.
B)   basis of a value system.
C)   rational explanation of life's mysteries.
D)   meaningful employment.
E)   difference between good and evil. A, B, C, E

Question 3

A nurse is caring for a Catholic patient who has just given birth to a nonviable fetus. When considering the religion of this patient, the nurse should:

Accepted Answer

A)   discourage baptism since the fetus is nonviable.
B)   baptize the fetus if a priest is not immediately available.
C)   encourage the mother to consider tubal ligation.
D)   discuss hormonal contraception with the mother. B

Question 4

A nurse is caring for a postpartum patient who adheres to the beliefs of Orthodox Judaism. The question that would be the most culturally sensitive would be:

Accepted Answer

A)   "Would you like crab cakes for your lunch?"
B)   "Would you like your husband to give you a back rub?"
C)   "Has your husband decided on a name for your new baby?"
D)   "Will your doctor circumcise your baby tomorrow?"

Question 5

A Roman Catholic patient going to surgery for an emergency cesarean delivery is afraid the baby may not survive, and because she is Roman Catholic, she asks you to be sure that the baby is baptized when it is born. Your response to her should be:

Accepted Answer

A)   "There won't be time to baptize the baby in the operating room."
B)   "I will call your priest to come in, but if he is unable to be there, I'll be sure the baby is baptized."
C)   "Baptisms are not usually done in the hospital, and certainly not in the operating room, but I will tell the charge nurse your concerns."
D)   "You need to think positively. Both you and the baby are going to be just fine."

Question 6

The nurse understands that acupuncture and acupressure are alternative therapies based on:

Accepted Answer

A)   healing through meditation and prayer.
B)   concepts of hot and cold and balancing those against the illness.
C)   the power of suggestion and autohypnosis.
D)   interrupting or changing the flow of energy fields in the body.

Question 7

Protestant denominations that use their own holy books in addition to the Bible include: (Select all that apply.)

Accepted Answer

A)   Baptists.
B)   Christian Scientists.
C)   Mormons.
D)   Lutherans.
E)   Episcopalians.

Question 8

The nurse is aware that Muslims and Orthodox Jews have similar dietary restrictions in that both groups require that their followers:

Accepted Answer

A)   remain mainly vegetarians.
B)   avoid milk and meat at the same meal.
C)   eat only meat that has been slaughtered according to their religious law.
D)   avoid shellfish.

Question 9

Although the words spirituality and religion are often used interchangeably, spirituality actually refers to which of the following? (Select all that apply.)

Accepted Answer

A)   Concerns of the spirit
B)   Formalized system of beliefs
C)   Understanding one's place in the world
D)   An element of religion
E)   Belief in a higher power or creative force

Question 10

A 76-year-old Hispanic woman is in the skilled nursing facility where she is to participate in a rehabilitation program following a hip replacement. She is alert, oriented, and cooperative but speaks only Spanish; her adult children interpret for her when they are present. The nurse plans the most effective way to communicate with this patient is to:

Accepted Answer

A)   communicate with the patient when the children are present and can translate.
B)   arrange to have one of the children present at all times.
C)   create a translation guide with commonly used Spanish and English words and phrases.
D)   call on the facility translator for every interaction with the resident.

Question 11

The nurse is sensitive to the fact that Hispanics believe that some foods and fluids have "hot and cold" properties that affect their health by:

Accepted Answer

A)   destroying the pathogen causing the disease.
B)   restoring equilibrium to the body.
C)   strengthening the mind to dispel an evil spirit.
D)   ensuring healing.

Question 12

A young African-American man is admitted to the hospital in sickle cell crisis. He is unmarried and lives with an extended family headed by his grandmother. The nurse takes into consideration that this type of family arrangement is:

Accepted Answer

A)   egalitarian.
B)   patriarchal.
C)   matriarchal.
D)   transcultural.

Question 13

A nurse caring for a patient who is a practicing Jehovah's Witness and who has had surgery confirms that ___________ is on hand to be infused.

Accepted Answer

A)   frozen packed cells
B)   Dextran
C)   5% glucose in water
D)   normal saline

Question 14

A nurse's neighbor confides that she has been treating a health problem through a faith healer in her religion but is worried because the condition seems to be worsening. She asks the nurse what she should do. The nurse's best response would be:

Accepted Answer

A)   "Faith healing, although frequently effective, makes a disease more difficult or even impossible to treat with modern medicine."
B)   "Many people use medical treatment along with faith healing. Is there anything in your religion that forbids medical treatment?"
C)   "Faith healing may take longer than medical treatment to work. Are you doing exactly as your healer is directing you?"
D)   "You should see a physician or your faith healer, but not both."

Question 15

A young Hindu woman who is part of a traditional Hindu family is in a coma and is going to be transferred to the ICU. The family member whom the nurse should consult about this health matter would be the:

Accepted Answer

A)   eldest woman in the family.
B)   family council.
C)   patient's husband.
D)   the older siblings.

Question 16

A nurse caring for a newborn of Eastern European Jewish ancestry is aware that this patient is predisposed to:

Accepted Answer

A)   Tay-Sachs disease.
B)   sickle cell anemia.
C)   diabetes mellitus.
D)   sickle cell trait.

Question 17

A desired outcome for a patient with a nursing diagnosis of "spiritual distress" is that the patient expresses:

Accepted Answer

A)   acceptance that she is not being punished by God with illness.
B)   concern about the meaning and importance of her life.
C)   continued anger at God for afflicting her with the illness.
D)   refusal to participate in religious rituals that have no meaning for her now.

Question 18

A nurse who practices in a culturally competent manner is one who is able to:

Accepted Answer

A)   work in a large facility where there are a variety of diverse cultures.
B)   assist a patient from another culture to change and adapt to the medical culture.
C)   look at the world through the eyes of the culturally diverse patient.
D)   recognize which cultural traits are harmful in the health care culture.

Question 19

The concept of ____________ described by Dr. Madeline Leininger is the force that allows people to grow, remain well, and avoid or face death.

Accepted Answer

The answer of The concept of ____________ described by Dr....

Question 20

A person who believes and practices the Christian Science religion is most likely to:

Accepted Answer

A)   seek the latest technological medical and surgical care available.
B)   use medicinal herbs and drugs rather than surgery to treat illness and disease.
C)   use prayer and altered thinking to correct the causes of illness and disease.
D)   require the dead to be buried within 24 hours of the death.

Exam 14: Cultural and Spiritual Aspects of Patient Care