Depending on denomination, may have strong beliefs about conception, artificial insemination, and birth control
Christianity
Which nursing diagnosis often occurs when a patient's sense of purpose or meaning of life is threatened and is often precipitated by major events such as natural disaster, loss of a loved one, or critical illness.
spiritual distress
A nurse has a patient who's engagement with others in insufficient in frequency and lacking in quality. What is the most likely nursing diagnosis for this patient?
true or false: When conducting a cultural assessment, it is important that the nurse does not skip over any questions because this could lead in culturally insensitive care.
False: it is not feasible to complete a comprehensive cultural assessment on every patient. It is the nurse's job to decide which questions are most pertinent to the individual patient.
The National Standards for Culturally and Linguistically Appropriate Services in Health Care mandate that standards:
a. should be applied in private offices
b. may be used in public settings
c. should be used in hospitals
d. be upheld in every healthcare setting
d. be upheld in every healthcare setting
May request for gown change and basin of water placed near the bed for a ritualistic washing of hands before praying
Muslim
True or false: The field of nursing has only recently begun incorporating the spiritual needs of patients into nursing care.
false: nursing has a long history of incorporating spirituality that goes all the way back to Florence Nightingale
Which of the five community health domains of healthy people 2030 are addressed in this scenario:
A community health nurse attends monthly meetings with her community's policymakers to discuss ways to reduce household food insecurity and hunger.
economic stability (includes employment, food security, housing instability, and poverty)
Name 2 of the 4 main aims of performing a culture assessment
1. Gain knowledge of patient's beliefs and values
2. Compare needs of specific patient with general themes
3. Identify similarities and differences among cultural beliefs
4. Generate holistic picture to develop nursing care plan
One of the objectives of the cultural assessment is to
a. assess the patient's knowledge of available healthcare resources and services in their community
b. determine whether there is a higher incidence of a particular disease or illness in a patient's neighborhood
c. focus on detrimental health habits such as smoking, alcohol, or drug use
d. expose conditions in the patient's environment that may influence whether a patient will comply with their care plan
b. determine whether there is a higher incidence of a particular disease or illness in a patient's neighborhood
For postmortem care, family may ask that the arms lay parallel to the body (not crossed) and that the patient be buried whole along with any item(s) that may have hair, skin, or blood of the patient on them
Judaism
What is an appropriate outcome for a patient experiencing spiritual distress?
express meaning and purpose in life
How is the tax base of a community an indicator of its educational system?
indicates the amount of funding the educational system has
high tax base = more resources for the educational system = good
primary building blocks
The purpose of comparing culture care needs of the specific individual with the general themes of the people from similar cultural backgrounds is to
a. identify the dietary needs of a specific religion
b. determine if the patient needs a spiritual consultation
c. provide a picture of the individual's culture-based care needs
d. consider how closely the patient follows their religion
c. provide a picture of the individual's culture-based care needs
May not accept blood transfusions
Jehovah's witness
explain the difference between religion and spirituality
Spirituality is anything that pertains to a person's relationship with nonmaterial life force or higher power. Religion consists of the spiritually focused rituals and practices of a group
Which of the five community health domains of healthy people 2030 are addressed in this scenario:
A community health nurse goes to a local high school and gives a presentation that focuses on reducing bullying of transgender students.
social and community context (includes civic participation, discrimination, incarceration, and social cohesion)
nursing diagnosis defined as loneliness experienced as a negative condition
social isolation
What is the nurse's best response when a Muslim patient has a basin of water on their bedside stand that they do not want emptied?
a. politely tell them that the water is a health hazard
b. empty it because it could spill and get the bed wet
c. talk with them about why they should not have it here
d. support and accommodate their preferences
d. support and accommodate their preferences
May want to place shrines of deities at the bedside
Hinduism
Name the components of the HOPE assessment tool
H - sources of hope
O - organized religion
P - personalized spirituality and practices
E - effects on medical care and end-of-life issues
What are the five domains of Healthy People 2030 that focus on community health assessment (related to the social determinants of health).
1. economic stability
2. education accessibility and quality
3. healthcare accessibility and quality
4. neighborhood and built environment
5. social and community context
What is the FICA framework used to assess?
religion/spirituality:
Faith/beliefs
Importance/influence
Community
Address
Which of the following best defines culturally competent care?
a. care that is generalized so that it will not offend any particular ethnic/cultural group
b. the ability to work effectively within the cultural context of the patient's beliefs and values
c. a process of striving to find ways to may people of other cultures realize the importance of healthcare
d. enabling patients to attain a sense of health and well-being by asking them why they might be resistant to healthcare directives
b. the ability to work effectively within the cultural context of the patient's beliefs and values