Chapter 08: Culture, Ethnicity, and Spirituality

Chapter 08: Culture, Ethnicity, and Spirituality

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. To include a cultural focus in patient care planning, which belief about faith will the nurse incorporate? Faith is a:

a.	Belief of body and mind
b.	Manner of expressing spirituality
c.	Use of spiritual resources without empiric proof
d.	Search for the sacred, transcendent, or universal

 

ANS: C

Faith is the ability to draw on spiritual resources without having physical and empiric proof. Body and mind refer to psychosomatic concepts. A manner of expressing spirituality refers to religion. A search for the sacred, transcendent, or universal refers to spirituality.

 

DIF:   Cognitive Level: Comprehension  REF:  Page 151

TOP:  Nursing Process: Assessment (Learning and Teaching)

MSC: NCLEX: Psychosocial Integrity

 

2. A culturally diverse patient refuses to participate in a group because of the presence of a person who “can put spells on.” The nurse recognizes a priority need to explore this patient’s:

a.	Economic status
b.	Home environment
c.	Health-illness beliefs
d.	Educational background

 

ANS: C

Culture influences beliefs about health and illness, including causes of illness. What the nurse might label as delusional might be a culturally determined belief about illness causation. The other assessments do not relate to the situation as directly.

 

DIF:   Cognitive Level: Application        REF:  Page 143

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

3. An Asian-American patient diagnosed with depression explains to the nurse that eating two specific foods will restore the balance of hot and cold and she will be cured. The nurse should:

a.	Explain that foods cannot cure mental disorders.
b.	Arrange for the patient to talk with the dietitian.
c.	Change the subject to focus on medication compliance.
d.	Accept that cultural beliefs about illness die slowly.

 

ANS: B

Culturally determined beliefs about health and illness should be respected. If there are no contraindications to the patient eating the foods mentioned, the nurse should facilitate obtaining them. Attempt to explain the flaw in the patient’s belief is an attempt to negate culturally determined beliefs. Changing the subject does not address patient concerns. Assuming that the belief is inflexible suggests the patient’s beliefs have no merit.

 

DIF:   Cognitive Level: Application        REF:  Page 160

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

 

4. When working with a patient newly emigrated from Asia who has been assessed as having xenophobia, the nurse could anticipate making the assessment that the individual:

a.	Resists sharing food with others
b.	Would be reluctant to ride an elevator
c.	Is unlikely to talk with nonfamily members
d.	Fears the consequences of going out of doors

 

ANS: C

Xenophobia is defined as a morbid fear of strangers. The xenophobic individual would not necessarily resist sharing food (fear of germs), riding in elevators (fear of closed spaces), or going out of doors (fear of open spaces).

 

DIF:   Cognitive Level: Application        REF:  Page 146

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

5. The nurse plans to use pamphlets to teach a newly immigrated Vietnamese patient about diabetes mellitus. Before initiating this education, the priority information for the nurse to obtain is the patient’s:

a.	Ability to read and understand English
b.	Readiness and ability to learn this material
c.	Previous knowledge and interest in the subject
d.	Willingness to participate and follow instructions

 

ANS: A

Pamphlets are useful only if the patient can read and understand the language in which the material is written. The other options are secondary to this priority concern.

 

DIF:   Cognitive Level: Analysis             REF:  Pages 147-148

TOP:    Nursing Process: Assessment MSC:   NCLEX: Psychosocial Integrity