Chapter 4: Cultural, Spiritual, and Environmental Influences on the Child

Chapter 4: Cultural, Spiritual, and Environmental Influences on the Child

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Elsa is working with an 11-year-old patient in the outpatient pediatric clinic. As Elsa reviews the chart, she reads that the patient follows the Muslim tradition. When Elsa enters the room, she notes that the child is wearing a hijab on her head. Elsa has never worked with this tradition before. Elsa should:
Realize that her verbal and non-verbal communication will impact the care she gives the child.
Not ask the parent for input on the care of the child because this would disrespect the family and child.
Have another nurse, who has experience with this culture, take care of the patient.
Realize that the patient is uncomfortable and seek a fellow nurse to help her.

ANS: 1

	Feedback
1.	Verbal and non-verbal communication differs in each culture, thus this must be taken into consideration when working with the child.
2.	The lack of communication with the parent and child is not therapeutic for the child.
3.	Another nurse may be beneficial, but since Elsa has already started caring for the child, this may create problems.
4.	There is no indication of the patient feeling uncomfortable.

A pediatric nursing class has been assigned to use the Giger and Davidhizar Transcultural Assessment Model. The students are assigned to families they do not have a prior relationship with. When performing the assessment, one of the students is given a seat in close proximity to a grandmother on the couch. The student should know that according to this model:
Visiting a family is considered a privilege.
It is important to identify the family lifestyle.
Sitting close to the grandmother can affect the communication.
Only the interpersonal relationships of the individuals are emphasized.

ANS: 3

	Feedback
1.	Does not address the economic standing of the family
2.	Does not identify a “lifestyle”
3.	Space is a component of the model.
4.	Views the family’s interactions with society

A staff educational day has been planned for the pediatric unit of a major hospital. The goal is to make the staff culturally competent. This is important because:
This competency meets JCAHO requirements.
This competency meets cultural care requirements for the hospital system.
This allows nurses to tailor their care to the patient and provide holistic care.
This education is needed to reach Magnet status.

ANS: 3

	Feedback
1.	Not the purpose of the goal
2.	Can be a purpose of the hospital, but does not take precedence over the patient.
3.	Important to view the patient holistically in order to provide quality care
4.	Not the purpose of the goal

Hussain’s parents have a language barrier with the nursing staff on the pediatric floor. When working with communication barriers, it is important to:
Use pictures when an interpreter is not available.
Use hand gestures to attempt to communicate.
Ask the interpreter to speak to the family over the phone.
Require the family to provide a family member to interpret.

ANS: 1

	Feedback
1.	This is appropriate if there are pictures for the conversation.
2.	Each culture is sensitive to body language. Avoid using gestures because this may offend the family.
3.	Speaking over the phone can cause communication breakdown, which will not be effective for the conversation.
4.	It is a responsibility of the hospital to provide an interpreter for the patient.

Social skills between different cultures are important for a pediatric nurse to understand. All of the following are part of social skills except:
Personal space.
Eye contact.
Diet.
Exercise.

ANS: 4

	Feedback
1.	Influences social skills of cultures
2.	Influences social skills of cultures
3.	Influences social skills of cultures
4.	Not an influence of social skills of cultures

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