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 checkups. 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.

Question 2

The nurse understands that when an Asian patient refers to yin, the patient is referring to a balancing force that is represented by:

Accepted Answer

A)  light. 
B)  a masculine force. 
C)  cold and feminine elements. 
D)  harmony.

Question 3

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 4

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 5

A nurse caring for an African who is visiting the United States knows the following about transcultural nursing to be true:

Accepted Answer

A)  Nursing care based on a patient's cultural and spiritual needs, improves outcomes. 
B)  Nursing care based on scientific principles and evidence-based care improves patient outcomes. 
C)  Nursing care based on the patients' needs and wishes improves therapeutic response. 
D)  Nursing care based on the patient family's needs and wishes improves outcomes.

Question 6

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 7

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 8

The nurse is aware that when an Orthodox Jewish family has a baby boy, it is expected that the:

Accepted Answer

A)  baby will be circumcised by the health care provider as soon as possible after the birth. 
B)  husband of the woman will provide the physical care she needs. 
C)  naming of the baby will be done by the mother before she leaves the hospital. 
D)  baby will be circumcised on the eighth day of life when he is named.

Question 9

The nurse must be alert to nonverbal expressions to assess pain in patients from a(n):

Accepted Answer

A)  Hispanic background. 
B)  Pacific Islander background. 
C)  European background. 
D)  African American background.

Question 10

A nurse is caring for a prisoner who is hospitalized for injuries received during a terrorist attack at a nightclub in which several people were killed. While the hospital staff's safety is well managed by the police, to remain grounded in providing care to this patient, an important principle for the nurse to remember about transcultural nursing is:

Accepted Answer

A)  human caring is not a universal aspect of every culture. 
B)  all cultures provide what every human needs in order to grow, remain well, avoid illness, and survive or face death. 
C)  nurses are expected to provide care that is congruent with their own cultural needs. 
D)  based on choices this patient made according to his spiritual beliefs, he doesn't deserve quality health care.

Question 11

Karen is a recent graduate. She is planning to go to India with her church group as a nurse on a medical mission trip. She will be working in a church funded clinic. Which of the following shows willingness for the development of cultural competence?

Accepted Answer

A)  She is planning to attend an Indian Food cooking class. 
B)  She is learning simple phrases in the Indian language so she will be able to communicate with her patients. 
C)  She is reviewing her materials from school on public health. 
D)  She is obtaining all of the necessary travel documents and immunizations.

Question 12

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 13

A nurse referring to an older Asian man says, "He probably uses acupuncture and believes in yin and yang." This remark is an example of:

Accepted Answer

A)  stereotyping of the patient. 
B)  ethnocentrism of the patient. 
C)  cultural sensitivity on the part of the nurse. 
D)  a worldview of the nurse.

Question 14

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 15

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.

Question 16

The nurse supervisor becomes concerned when observing the nurse caring for an Orthodox Jewish patient preparing to trim the patient's beard with a(n):

Accepted Answer

A)  pair of scissors. 
B)  electric razor. 
C)  razor blade. 
D)  barber's straight razor.

Question 17

A woman who is part of a traditional Muslim family is hospitalized after an accident. It is most important for the nurse to include in the care to:

Accepted Answer

A)  provide privacy when the priest comes to administer the sacrament of the sick. 
B)  respect her need for modesty in keeping her body covered. 
C)  keep her hair covered at all times. 
D)  refrain from touching the soles of her feet.

Question 18

The most culturally sensitive and useful question the admitting nurse should ask the Jewish patient would be:

Accepted Answer

A)  "Do you follow any dietary restrictions or will you eat hospital food as it is prepared here?" 
B)  "Are there any medications or treatments your religion does not allow in your medical treatment?" 
C)  "Would you like me to notify your rabbi so that he can make visits to you during your stay?" 
D)  "Tell me about any religious practices you observe that we need to incorporate into your care."

Question 19

A practicing member of the Church of Jesus Christ of Latter Day Saints is being prepared for surgery on his left knee. The nurse should remove all the personal possessions with the exception of:

Accepted Answer

A)  the wedding ring. 
B)  the religious medallion around the neck. 
C)  undergarments. 
D)  linen socks.

Question 20

The nurse takes into consideration that culture and religion influence life choices that include: (Select all that apply.)

Accepted Answer

A)  smoking. 
B)  drug use. 
C)  frequency of intercourse. 
D)  nutrition. 
E)  reading material.
F) use of caffeine.

Exam 14: Cultural and Spiritual Aspects of Patient Care