Deck 14: Values and Beliefs

Question 1

How does a culturally sensitive nurse care for a patient with a different value system?

A) The nurse is open and nonjudgmental.
B) The nurse treats all patients the same without concern for their value system.
C) The nurse explains the differences between the two value systems.
D) The nurse abandons his or her own value system.

Answer 1

The nurse is open and nonjudgmental.

Question 2

What are indications that an older adult is in spiritual distress? (Select all that apply.)

A) Expressions of the meaningless of life
B) Verbalizations of guilt about past behavior
C) An expressed need to mend a broken relationship
D) Daily prayer to a supreme being
E) Diminished hope

Answer 2

Expressions of the meaningless of life
Verbalizations of guilt about past behavior
An expressed need to mend a broken relationship
Diminished hope

Question 3

Who does the home health nurse expect her 85-year-old Hispanic patient will seek health advice from?

A) Local pharmacist for prescription drugs
B) Folk healer (curandero)
C) Priest of her church
D) Close family members

Answer 3

Folk healer (curandero)

Question 4

What could be a cause of conflict between a 94-year-old Italian man and his grandchildren? (Select all that apply.)

A) Hairstyle and clothing
B) Lack of reverence for age and wisdom
C) Rejection of traditional ethnic foods
D) Process of selecting a spouse
E) Desire for education

Question 5

An 80-year-old Orthodox Jewish patient dies in the hospital. What should be the first action by the nurse?

A) Notify the rabbi to send a member of the synagogue to stay with the body.
B) Inform the mortuary about the desire of the patient to be cremated.
C) Prepare the body for the ritual bath by temple members before embalming.
D) Facilitate removal of the body because the burial must take place 48 hours after death.

Question 6

What are influenced by an individual's values and beliefs? (Select all that apply.)

A) Health practices
B) Perception of illness
C) Social status
D) Spouse selection
E) Morality

Question 7

What influences a patient's value system? (Select all that apply.)

A) Religion
B) Philosophy
C) Family
D) Financial status
E) Society

Question 8

What are included in the five pillars of the Islamic faith? (Select all that apply.)

A) To make a confession of faith
B) Perform five daily prayers at the appropriate time
C) Observe Ramadan
D) Make a pilgrimage to Mecca
E) To care for children

Question 9

What would an 80-year-old African-American woman most likely believe would aid in improving her health?

A) Eating fresh fruits and vegetables
B) Daily exercise
C) A visit from her pastor to pray for her recovery
D) The close attendance of her family

Question 10

What does the "R" remind the nurse to assess when using the spiritual assessment prompt SPIRIT?

A) Rituals
B) Religious objects
C) Rosary
D) Religious reading materials

Question 11

What is included in the spiritual beliefs of Native Americans?

A) There is no life after death.
B) All things in the world have a spirit.
C) After death, the spirit stays as part of the tribe.
D) The spirit world is the protector of health.

Question 12

A terminally ill Roman Catholic patient asks the nurse to place spiritual objects near her bed. What would the nurse place at the bedside?

A) Koran and prayer mat
B) Rosary and vial of holy water
C) Torah and prayer shawl
D) Bible and whole kernels of corn

Question 13

At what age is a person's value system well established?

A) 5
B) 8
C) 10
D) 12

Question 14

A nurse wants to provide culturally sensitive care. What is the most effective way to develop an appreciation and understanding of diverse beliefs and values?

A) Interact with persons of another culture.
B) Increase personal knowledge of another culture.
C) Remain open-minded.
D) Travel to diverse regions.

Question 15

The nurse is sensitive to the cultural beliefs of Native Americans; they practice rituals for the improvement of their health by creating harmony among __________. (Select all that apply.)

A) mind
B) faith
C) wellness
D) spirit
E) body

Question 16

The home health nurse is caring for an 85-year-old patient with conservative economic values. What does the nurse expect from the older adult?

A) Using credit cards rather than cash
B) Hoarding old prescription drugs for later use
C) Seeking the care of a physician frequently
D) Seeking to qualify for food stamps

Question 17

What would the nurse include in the plan of care for a Muslim woman? (Select all that apply.)

A) Provide time for five daily prayers
B) Address all health questions to the husband
C) Assign only female caregivers
D) Keep all cut flowers and greenery out of the room
E) Remind caregivers to be especially protective of the patient's modesty

Question 18

What menu items would be inappropriate for a Muslim patient?

A) Fish and tomatoes
B) Liver and onions
C) Chicken and broccoli
D) Pork chops and sweet potatoes

Question 19

The nurse is careful not to remove the yarmulke from the head of the Jewish patient. What does the yarmulke symbolize?

A) Having been circumcised
B) The belief that God is higher than man
C) God's endless love and protection
D) The justice of Talmudic law

Question 20

How can a nurse best enhance a spiritual leader's visit to a long-term care facility?

A) Take the resident's roommate to the dayroom.
B) Pull the curtain for privacy.
C) Close the door to the room.
D) Give notice to the CNAs of the presence of the spiritual leader.

Question 21

During the admission process, the registered nurse makes a nursing diagnosis of spiritual distress. Which question(s) may help clarify the situation? (Select all that apply.)

A) "What gives you meaning to life?"
B) "Are there any spiritual objects that you want in your room?"
C) "Do you want a particular spiritual counselor notified?"
D) "Is there any special religious practice that you would want us to be aware of?"
E) "What is your cultural background?"

Question 22

The nurse explains that Muslims have a great reverence for their holy book, called the __________.

Question 23

After the burial of a Jewish man who was a resident in a long-term care facility, the nurse is aware that the family will observe a 7-day period of mourning known as ___________ following the burial.

Question 24

When the patient asks the nurse to pray for him because he does not know how to pray, the nurse assures him that a supreme being can hear a prayer of any type, such as prayer that is __________. (Select all that apply.)

A) ritualized
B) read from a holy book
C) structured
D) informal and conversational
E) recited from childhood memory
F) None of the above