Cultural and Spirituality exam

Welcome to your Cultural and Spirituality exam

Question 162. Cultural

A client identifies as a member of the indigenous Two-Spirit community from North America. The nurse should consider:

Which of the following actions promotes understanding and respectful care for this client? Select all that apply.

Assuming the client's sexual preferences based on the term "Two-Spirit".

Recognizing that Two-Spirit is a unique cultural and spiritual role within many indigenous communities.

Utilizing gender-neutral pronouns unless the client specifies their preference.

Suggesting the client identifies as transgender because they identify as Two-Spirit.

Encouraging open communication about the client's individual experiences and needs.

Ignoring discussions about gender and focusing only on physical health.

Providing resources that are inclusive of Two-Spirit identities.

Asking invasive questions about the client's past out of personal curiosity.

Advocating for the client's rights and privacy within the healthcare setting.

Question 165. Cultural

A client is of traditional Chinese heritage. The nurse seeks to understand the client’s cultural way of responding to significant life events.

Which of the following practices are commonly associated with Chinese cultural traditions? Select all that apply.

Holding a 'red egg and ginger' party for newborns.

Celebrating the 100th-day post-birth of a child.

Fasting during the 7th month of the lunar calendar.

Wearing white during funeral ceremonies.

Throwing elaborate sweet 16 birthday parties.

Engaging in a month-long confinement period post-birth for mothers.

Serving specific foods during weddings for good luck.

Burning paper money during funerals.

Having a bar mitzvah when boys turn 13.

Question 156. Cultural

A client identifies as a practicing Hindu. In planning for the nutritional needs of the client, the nurse understands the following about the traditional Hindu diet. Select all that apply.

Most Hindus are vegetarians.

Pork is a staple food.

Beef is consumed without restrictions.

Many Hindus refrain from consuming onions and garlic.

Alcohol is widely accepted.

Fasting is observed during certain festivals.

Dairy products are commonly consumed.

Eggs are often avoided by strict vegetarians.

Fish consumption varies depending on regional practices.

Question 158. Cultural

When you care for a client who does not speak English, it is necessary to call on a professional interpreter who is familiar with medical terminology.
Which of the following are proper principles for working with interpreters? Select all that apply.

Expect the interpreter to interpret your statements word-for-word so there is no misunderstanding by the client.

If you feel that an interpretation is not correct, stop and address the situation directly with the interpreter.

Pace a conversation so there is time for the client’s response to be interpreted.

Direct your questions to the interpreter.

Ask the client for feedback and clarification at regular intervals.

Have the interpreter sit next to or slightly behind the client.

Avoid using acronyms, jargon, and jokes.

Avoid using “I” statements while asking questions.

Question 159. Cultural

A client identifies as a practicing Muslim. When planning for the nutritional needs of the client, the nurse should recognize which of the following? Select all that apply.

Halal meat is permissible.

Alcohol is allowed.

Fasting occurs from sunrise to sunset during Ramadan.

Pork is permissible.

Fish is usually considered halal.

The use of blood in food is permitted.

Lamb and chicken are commonly consumed meats.

Prayer before meals is customary.

Foods are typically divided into halal and haram categories.

Question 163. Cultural

A client identifies as a follower of Rastafarianism. In planning for the nutritional needs of the client, the nurse should understand which of the following about the Ital diet. Select all that apply.

Consumption of canned or processed foods.

Pork and shellfish are strictly avoided.

Alcohol is promoted.

Salt and artificial additives are typically avoided.

Vegetarian or vegan diet is preferred.

Seafood is widely consumed.

Synthetic foods are integral.

Natural foods and herbs are emphasized.

Meat is the main component.

Question 160. Cultural

A client identifies as adhering to a Mediterranean diet. In planning for the nutritional needs of the client, the nurse should recognize which of the following? Select all that apply.

High consumption of red meat.

Olive oil is a primary fat source.

High intake of fresh fruits and vegetables.

Dairy products are avoided entirely.

Moderate consumption of fish and poultry.

Wine is consumed in moderation.

Butter and cream are main fat sources.

Whole grains are part of daily consumption.

Processed foods and sugars are staples.

Question 161. Cultural

A client identifies as following a traditional Japanese diet.
In planning for the nutritional needs of the client, the nurse should understand which of the following? Select all that apply.

Rice is a staple food.

Dairy products are predominant.

Seafood is frequently consumed.

Fermented foods like miso and natto are included.

Beef consumption is historically rooted.

Vegetables are served in various forms.

Bread is more common than rice.

Tea is a popular beverage.

Deep-fried foods are a daily component.

Question 157. Cultural

A client has been diagnosed with amyotrophic lateral sclerosis (ALS) and tells the nurse that she has a loss of faith and fears being alone as the disease progresses and the burden it will place on her partner. She is wondering about her purpose for living and says she struggles with finding a source of meaning of why she has ALS. The nurse is conducting an assessment.
For each potential assessment question, mark to specify whether the assessment question would be appropriate in interviewing the client at this time.

	Appropriate	No appropriate
“What gives you meaning or purpose in your life?”
“Who or what provides you with strength and hope?”
“What ethnic group do you belong to?”
“What has helped you get through this healthcare experience?”
“Do you have a specific gender orientation?
“How has illness affected you and your family?”
“Is prayer something helpful to you?”

10.

Question 164. Cultural

A client identifies as a practicing Muslim. In planning for tests or procedures, the nurse should consider:

Which of the following are key prayer times to be aware of when scheduling? Select all that apply.

Before sunrise

Midday

Early morning

Just after sunset

Midnight

After breakfast

Night

Mid-afternoon

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