Exam (elaborations)
Chapter 8. Ethnic, Cultural, and Spiritual Aspects of Care
- Course
- Fundamentals of Nursing Care
- Institution
- Allegany College Of Maryland Somerset Campus
Chapter 8. Ethnic, Cultural, and Spiritual Aspects of Care
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Chapter 8. Ethnic, Cultural, and Spiritual Aspects of CareMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse thoughtfully plans care that will be provided to the patients assigned to him or her. To
provide culturally competent nursing care, the nurse will
1. Deliver appropriate care that is not discriminating to any race, sex, or ethnic group.
2. Become familiar with any facet of the patient’s culture that may have an impact on his
or her care.
3. Show respect for each individual for whom he or she provides care.
4. Openly discuss his or her thoughts and beliefs about the patient’s culture.
2. In preparation for contributing to a patient’s plan of care, a nurse will assess a patient’s rituals,
values, customs, and beliefs. The nurse is assessing the patient’s
1. Culture.
2. Race.
3. Ethnicity.
4. Heritage.
3. A nurse provides care that is unique to a patient’s race. The nurse is taking into account the patient’s
1. Acculturation.
2. Ethnocentrism.
3. Diversity.
4. Ethnicity.
4. A nurse provides care to the whole patient, incorporating within that care the cultural context of the
patient’s beliefs and values. The nurse is providing care that is
1. Culturally competent.
2. Culturally insensitive.
3. Culturally incompetent.
4. Culturally assimilated.
5. A nurse plans care that includes a patient’s health-care beliefs because
1. The patient otherwise could accuse the nurse of stereotyping.
2. Not doing so could result in a patient’s discrimination claim.
3. It could determine whether a patient rejects treatment.
4. It results in more expedient and cost-effective care.
6. A nurse suspects that a female patient may have difficulty increasing the protein in her diet. The patient
is most likely
1. Hindu.
2. Jewish.
3. Asian.
4. Mexican.
7. It is important for a nurse to understand that the American family of a dying Hindu patient may
1. Expect the nurse to prepare the body for burial.
2. Use amulets to ward off evil spirits lingering after death.
3. Get comfort from visiting with a psychiatrist or psychologist.
4. Exhibit grieving by thinking only happy thoughts about their loved one.
, 8. The nurse of a Jewish patient who has just died knows that some Jewish families believe that
1. No one, with the exception of close family members, is permitted to touch the body.
2. Only a member of Chevra Kadisha should touch or prepare the body for burial.
3. The eyes must not be closed, nor may anyone remain with the body after preparation
for burial.
4. The patient’s feet must be positioned away from the exit.
9. A female Muslim patient is hospitalized and is scheduled for surgery later in the day. In preparing the
patient for surgery, a nurse will
1. Get the patient’s husband to also sign the consent form.
2. Make arrangements for family members to bring kosher food from home because a
normal diet is allowed.
3. Perform “laying on of the hands,” or allow a trained individual to do so.
4. Allow a shaman to perform a healing ritual in an attempt to thwart surgical intervention.
10. A nurse may fail to provide spiritual care for a patient if
1. The nurse does not understand the relationship between mind, body, and spirit.
2. The nurse’s religious background differs greatly from that of his or her patient.
3. The nurse believes that a patient’s illness is caused by his or her lack of religious practice.
4. The nurse notifies a clergyman, with the patient’s consent, to provide spiritual care.
11. A Native American patient tells a nurse that she does not desire medical treatment for her terminal illness.
Respecting the patient’s decision, the nurse explains to staff nurses that
1. The Native American culture dictates that terminal illnesses are to be treated only by
folk healers.
2. Terminal illness is believed to be a condition created by an imbalance in yin and yang.
3. Some Native Americans feel that rituals performed by a shaman are the best treatment
for illness.
4. Illness is a result of sinful behavior, so medical treatment will not be effective.
12. A nurse, in addressing spirituality concerns of a patient, will first assess
1. Whether the patient practices a religion.
2. A patient’s understanding of religion.
3. The patient’s definition of morality.
4. Whether the patient has a lower frequency of health complaints.
13. Nurses who are comfortable in their religious beliefs are more likely to understand the importance of good
spiritual health in patients because they know
1. Religious beliefs determine patients’ concepts of good health practices.
2. Patients who practice religion do not suffer spiritual distress.
3. Patients with strong belief systems do not suffer long-term illnesses.
4. Religious beliefs give individuals hope and motivate them toward a better outcome.
14. A patient admitted for depression tells a nurse that he feels so hopeless that he doesn’t care if he lives or dies.
The patient tells the nurse that he no longer attends church with his family. The nurse identifies that
possibly the patient
1. Does not value faith the way he previously had.
2. Wishes to be left alone to reflect on his lost faith.
3. Could be experiencing spiritual distress.
4. Wants the nurse to discuss his feelings with his family.
15. While a nurse is trying to complete the morning care for a female patient, she tells the nurse that she does not
want anyone else in the room while her spiritual advisor is visiting. The nurse will
, 1. Assure the patient that once her bath is done, she may see her spiritual advisor.
2. Suggest that she ask her spiritual advisor to visit later because there are several more
patients who need to be cared for as well.
3. Tell the patient that he or she will leave the room if the spiritual advisor visits.
4. Ask the patient when the spiritual advisor plans to visit and schedule her care around it.
16. A nurse is caring for a Mormon patient who had complications following the birth of her sixth child. Although
the physician has told the patient that another pregnancy could result in her death, the patient tells the nurse
that she refuses permanent sterilization. The nurse is aware that
1. The Mormon faith does not permit sterilization.
2. The patient is afraid of having more children.
3. If the patient becomes pregnant again, she will most likely seek an abortion.
4. The patient believes her complications were caused by her sins.
17. A patient in spiritual distress asks a nurse what he thinks about religion. Which of the following replies would
be appropriate and therapeutic?
1. “Religion is not for everyone. Whether you go to church or not does not affect your
health, so don’t worry so much about it.”
2. “We all worry from time to time about whether our beliefs are based on truth or not, so
it’s normal to worry some.”
3. “An individual’s feelings about religion are personal. I cannot divulge personal
information about myself.”
4. “I find comfort in my religious beliefs. Is there a member of the clergy with whom
you would like to visit?”
18. A male patient in dire need of medical assistance has refused treatment, stating it is against his religion. A
nurse correctly identifies and documents the patient’s refusals of treatment because he is a
1. Latter Day Saint.
2. Seventh Day Adventist.
3. Christian Scientist.
4. Buddhist.
19. A female patient who was admitted for severe low-back pain has asked a nurse if she can have more pain
medication. The nurse tells coworkers that patients admitted with back pain are drug seeking. The nurse
is likely demonstrating
1. Misunderstanding.
2. Prejudice.
3. Discrimination.
4. Empathy.
20. A charge nurse will take into consideration when making nursing assignments that a 62-year-old Muslim
woman will
1. Be assigned a female nurse.
2. Require more care than other patients.
3. Require yogurt and sweets be provided at every meal.
4. Need a nurse who has an understanding of astrology.
21. After a Seventh Day Adventist clergyman performed anointing of oil, a nurse bathed the patient. Upon
entering the room, the family immediately became upset. When questioned by the nurse, the family
states:
1. “Bathing is painful and we don’t wish anyone to cause him further discomfort.”
2. “He should not have been bathed for several hours following anointment with oils.”
3. “The Church forbids anyone but family to bathe loved ones.”
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