Chapter 14 Cultural and Spiritual Aspects of Patient Care

Chapter 14  Cultural and Spiritual Aspects of Patient Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. 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:
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 health care provider or your faith healer, but not both.”

ANS: B
A person’s health care choices are influenced by religious beliefs and culture. Many people use religious or folk medicine in addition to modern medicine.

DIF: Cognitive Level: Application REF: p. 192|Table 14-3
OBJ: Theory #1 TOP: Religious Influence in Health Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

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

ANS: D
The response to the general question requesting any special concerns would include information relative to food, spiritual practices, and rabbinical visitation. The other questions do have importance, but the general question will allow the nurse to hear what is most significant to the patient.

DIF: Cognitive Level: Application REF: p. 192|Table 14-3
OBJ: Theory #7 TOP: Religion and Health Care
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

3. 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:
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.

ANS: A
Stereotyping occurs when common characteristics of a cultural group are applied to an individual with no attention to the individual’s characteristics.

DIF: Cognitive Level: Comprehension REF: p. 190 OBJ: Clinical Practice #5
TOP: Stereotyping KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

4. 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:
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.”

ANS: B
Baptism is very important to practicing Roman Catholic patients, and even stillborn is baptized. Baptism should be performed by the priest, but any believer can baptize in an emergency.

DIF: Cognitive Level: Application REF: p. 186|Box 14-1
OBJ: Theory #6 TOP: Religious Characteristics
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

5. 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:
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.

ANS: C
A simple translation guide can be used with a cooperative patient in this nonacute setting. The other solutions are unworkable and unrealistic.

DIF: Cognitive Level: Application REF: p. 191 OBJ: Clinical Practice #3
TOP: Communication KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort