The nurses are preparing a plan of care
How does the
for an elderly Mexican-American patient
that is in poor health. Which of the
following would be most appropriate?
a. Arrange a home hospice care for
the patient
b. Recommend placing px in nursing
home
c. Plan for a long term stay in the
hosp
d. Involve the family in pt’s care
A female Jewish American comes to the
hospital because of heart failure. The pt
requests the female nurse but there was
no available female nurse. What should
the nurse do?
a. Tell her that she will not be cared
for at that hospital
b. Tell the patient that she has no
option but to take care of this px
c. Ignore them and give a male nurse
d. Explain to her that you repect
her belief but female nurse is
not available
A nurse is preparing a delivery of food tray
to a client whose religion is Jewish. The
nurse checked the food in the tray and
notes that client has received a roast beef
with whole milk as a beverage. Which
action will the nurse take?
a. Replace whole milk with fat-free
milk
b. Call the dietary department and
ask for a new meal tray
c. Deliver the food tray to the patient
d. Ask the dietary department to
replace the roast beef with pork
A 50-year-old Jewish lady had a right total
knee arthroplasty this morning in a
catholic hospital. Crying hysterically, she
rates her pain scale at 9/10 every hour.
On the hour (blah) of receiving a pain
medication which is Hydrocodone every
4hrs. The nurse became suspicious of a
drug-seeking behavior.
nurse handle the situation?
a. Withhold the hydrocodone at the
next dose so the pt wont become
addicted
b. Be aware when a person of the
Jewish culture is ill, they regress to
childish behavior
c. Explain to the px that she is an
adult, and she needs to act like
one
d. Acknowledge that the Jewish
culture is emotional when
expressing pain
What is the best response when
discussing prevention with a client she
says, “Disease is controlled by the
supernatural so I don't see why I should
take steps to prevent it”
a. It is still important to do everything
in your power to maintain your
health
b. That isnt true, illness is based on
the body, not the supernatural
c. I guess you dont need to do
anything then
d. I respect your opinion but i want
to discuss some of the benefits
and see if you can find a
compromise
A nurse is about to initiate an invasive
procedure on an elderly African-American
man.
a. Ask the patient’s children for
permission to perform the
procedure
b. Do your best to maintain a
professional distance with the px at
all times
c. Avoid physical touch except when
necessary to perform the
intervention
d. Perform the procedure as usual
but explaining the purpose of
the procedure to the client
Mr. A is a 45-year old african-american
patient who is recovering from a motor
vehicle accident in which he received
numerous cuts throughout his body. Mr. a
asked the nurse what he should expect in
healing process. What should the nurses
response be:
a. Darkened skin heals faster.
b. You should be concerned about
hypertension
c. you may have extensive or
intensive scarring
d. Your bone density will delay
healing
An american nurse adolescent states to
the nurse, “I have cancer because it is
God’s will, it will make make stronger”.
The most appropriate response by the
nurse is:
a. You’re too young to think that way
that way you still have many years
to live
b. Tell me how you feel about the
treatment plan
c. Ill move your family into the waiting
area to give you some quiet time
d. Ill contact the hospital chaplain for
you
If the American or Mexican or American-
Mexican patient asks for a curandero,
brought into the hospital to help in the
healing practices. What would be the
appropriate answer by the nurse?
a. We do not believe in those here at
the hospital.
b. they can’t heal you, only medicine
can.
c. Absolutely I will have someone
start contacting people for this
to happen
d. No.
A Mexican-American family who rushes to
the emergency room because their little
boy, aged 8, fell and broke his arm. The
family consists of a mom, dad, little boy,
little sister, who is 4 years old, grandma
and aunt. The adult of the family knows
little about English, how would you
communicate with the family?
Get a translator that the hospital has to
provide to translate in order that
communication will be clear both the
healthcare worker and the family or to
the patient
A nurse is caring for a patient who
migrated or immigrated from Afghanistan
2 years ago. The nurse notices that the
patient speaks English very well and talks
to her family in any language quietly and
calmly. When bringing educational
materials, which action is appropriate?
a. Bring material in dari, the most
common language in Afghanistan
b. Assess the patient’s English
literacy and desire language for
forms.
c. Use a translator that speaks
Parsee to ensure the family is
educated as well.
d. Understand that the patient will
likely refuse education and
therefore language is not
important.
A patient presents with trouble sleeping,
high response to loud noises and muscle
aches and pains due to lack of sleep. She
is diagnosed with post-traumatic stress
disorder and is worried about receiving
care. What response by the nurse is
appropriate?
a. Don't worry. You have nothing to
be afraid of
b. Your family may not understand,
so you should not tell them.
c. There is no help we can give you
d. I know of some groups of
women who meet and work
through some of these fears and
feelings. Would you be
interested in that?
The nurse is discussing a procedure for a It is a process in which patients and their
Japanese-American patient. During the doctors makes special decision together
discussion, the patient smiles and nods while taking into an account of clinical
his head. How should a nurse interpret guidelines and the patients preference, life
this nonverbal behavior? situation, needs, and values.
a. Patient agreement to require a. Cultural-bound syndrome
procedure b. Mental health
b. Patient understands the procedure c. Cultural blindness
c. Patient is avoiding d. Shared decision making
embarrassment or shame
d. An acceptance of the treatment A cumulative psychological wounding over
generations resulting from a massive
This means a cluster of symptoms that group trauma.
define or describe an illness in a particular a. Cultural-bound syndrome
culture. b. Cultural norms
a. Cultural blindness c. Cultural blindness
b. Cultural-bound syndrome d. Historical trauma
c. HIstorical trauma
d. Cultural norms The provider has no perceived cultural
difference or potential barriers to giving
It is a state of mental well-being in which appropriate care. This means:
the individual realizes their own abilities a. Cultural pain
that can cope with the demands of daily b. Cultural-bound syndrome
life. c. Cultural blindness
a. Culture shock d. HIstorical trauma
b. Culture pain
c. Culture blindness It is a behavior pattern that are typical to
d. Mental health specific groups

It is a precipitated by anxiety that results The mental health nurse is interviewing a

from losing all the familiar signs and client of Asian descent regarding the
symbols of course intercourse clients health care practices. The nurse
a. Cultural norms understands that cultural competence is
b. Mental health important in the care of this client. Cultural
c. Cultural pain competence is best described as what?
d. Culture shock a. Knowing the characteristics of
each individual culture group in
A feeling of insecure, embarrassed, angry, America.
confused, or apologetic, uncertain, or b. A combination of persons belief
inadequate because of conflicting about cultural values and
expectations and pressures of being a knowledge about his/her culture.
minority. c. The clients ability to tell the health
a. Cultural blindness care provider about his/her cultural
b. Culture shock beliefs and practices.
c. Cultural pain d. The ability to understand and
d. Cultural norms effectively interact with
individuals or members of the
 community from diverse cultural
or ethnic backgrounds.
A psychiatric mental health nurse must be
aware of the client's cultural background
because?
a. It influence perception of health
and illness
b. It influence the adoption of
traditional gender roles
c. It helps the care provider avoid
offending the client
d. It helps the care provider choose
treatment option
When conducting an assessment with
clients from another country what can a
nurse do to ensure clients receive
culturally sensitive care?
a. After the focus assessment, decide
if a culture assessment is
necessary.
b. Show genuine interest in clients'
culture and personal life
experiences.
c. Develop a plan of care after taking
the clients family
d. Develop a plan of care based on
the nurse's own knowledge of
clients culture.
An older adult client in the hospital has not
had a bowel movement for 3 days and the
nurse plan to give client stool softener this
morning. The client decline of the
medication, however, stating that a client
spouse will be bringing the client a herbal
medication later in the day that is often
used by the members of the ethnic group.
Which reaction demonstrate cultural care
accommodation or negotiation?
a. Teach the client about risk
associated and non standard
doses of herbal remedies.
b. Teaching the client about benefits
of medication that has approved
ordered by the client.
c. Ensuring that the herb are sent to
the hospital pharmacy for
clearance before the client is
allowed to take them.
d. Documenting the clients wishes
and informing the clients care
team that the client will be
taking.
The nurse taking care of the client in the
middle eastern descent has been newly
diagnosed with type 2 diabetes. The client
is assisted that the client's family should
provide all the food. How should a nurse
respond?
a. Explaining to the family that they
must check with the staff before
giving the client food and
beverage.
b. Requesting consultation to a
dietitian.
c. Providing client and family with
detailed instructions with
dietary requirements of the
condition.
d. Informing the client health care
provider on the client's reluctancy
to eat facility prepared food.
Which statement is true about culture?
a. Culture is static
b. Culture identity reflects what
determines behavior
c. Culture is based solely to a
common purpose.
d. Acculturation eventually leads to
emergence of the dominant culture
A nurse educator is discussing spirituality
for a nurse in mental health class. The
nurse educator ask a student nurse.
Which of the following is most consistent
with spirituality?
a. Living according to ones belief.
b. Participation in common ways of
worshiping.
c. Closely intertwined with belief
about health and mental illness.
 d. Feeling a connection to a higher
power.
In order to help preserve and maintain
clients personal beliefs regardless of the
hot foods. Which action should be
culturally competent nurse take?
a. Discuss the possibility of the family
providing the appropriate foods.
b. Ask for a dietary consult with an
understanding of hot and cold food
belief.
c. Assure the client that this needs to
be considered by the staff
d. Educate staff to help them
assist the client in selecting
food choices from the client's
menu that supports this belief.
A client who is recently immigrated in
Eastern Europe comes to a clinic for an
evaluation. During the assessment the
nurse notes that the client has adapted
the cultural areas mannerism and dress
code. The nurse interpret that this is
what?
a. Cultural identity
b. Acculturation
c. Linguistic competent
d. Cultural competence
A female muslim patient has been
assigned to a mele nurse. As the nurse
enter the room, the patient becomes very
upset. The nurse understand that this
patient is upset because of what
component of this patient's religious
belief?
a. She does not think she is ill
b. Her husband is not present
c. She prefers to be taken care by
a female
d. She cannot speak in English
The nurse is doing discharge teaching
with an African-American patient
regarding nutritional intake. What food
custom should the nurse consider when
developing this educational plan? This are
the menu:
a. Raw fish is the main component of
the diet.
b. Many meats and vegetables are
fried in lard
c. Red meat is the primary source of
protein in the diet
d. Rice is eaten with all meals
The nurse is caring for a muslim patient
and knows that individuals of this religion
pray several times a day. Which
intervention is most appropriate in caring
for this patient?
a. Encourage patient to plan prayers
around treatment
b. Schedule patient care around
this prayer times
c. Activities take precedence over
religious belief
d. IF the patient is praying, interrupt
for care, and allow him/her to finish
later
A young client had just learned a
diagnosis of stage 4 lung cancer. The
client is about to graduate from school and
get married. The client says “I can’t
believe in God anymore”. Which situation
would the nurse identify the client is
expressing?
a. A justice complaint
b. Spiritual distress
c. Fear of unemployment
d. Premarital anxiety
A client admitted in a major cardiac
surgery states a religious preference, then
the client l;ists all the church rules that the
client agrees with. What does the
admitting nurse understand about the
client’s religious status?
a. The client is a former membedr of
the group
b. The client is an outsider trying to
be a part of the group
 c. The client has been
excommunicated by the group
d. The client is dissenting member
of the group
A client asked the nurse to pray for the
client. What would be the best initial
response by the nurse who believes in
prayer?
a. May I call the chaplain to come to
pray with you?
b. I know your faith is important to
you, it is in me too.
c. What should I pray for?
d. Isn’t it wonderful that we have God
who shares our concerns with us?
A client in the emergency department has
a severe injury and treatment requires red
blood cell possible blood transfusion. The
client is a Jehovah’s Witness who believes
it is a medical rape for nurses to give
transfusion. Which statement by the nurse
would most slightly lead to resolution of
this conflict.
a. You must accept the transfusion, if
you don’t you will need to leave
b. Don’t worry you can ask for pardon
after transfusion.
c. May I call a representative of
your religion so that I could
understand your position.
d. I understand your position and I
will be with you as you die.
A nurse is admitting a client to the hospital
and is aware that which is the best time
for the nurse to conduct an initial spiritual
assessment?
a. At the beginning of assessment
process prior to taking the vital
signs.
b. After introduction and prior to the
beginning of assessment.
c. At the beginning of the
assessment process immediately
after taking the vitals signs.
d. At the end of the admission
process.
The nurse caring for a client in an acute
care setting recognizes which observation
as an environment cue to spiritual
preferences?
a. The client saying a prayer before
breakfast.
b. Client expressing fear of death.
c. A minister at the bedside.
d. A rosary sitting on the bedside
table.
The dying client states “Part of what
makes dying hard is that I don’t know for
sure where I’m going. What do you
believe happens here after?” Which
ethical guidelines should guide in
response by the nurse?
a. Share one’s personal belief.
b. Share all spiritual beliefs favoring
none.
c. Never share spiritual belief.
d. First assess the client’s belief.
A nursing student has attended nutritional
in-service regarding dietary practices on a
variety of religions. Which statement made
by the nurse student would indicate the
need for further teaching?
a. Mormons typically avoid coffee
and tea.
b. Most Hindus are vegetarians and
do not eat beef.
c. If a Jewish client practices a
Kosher diet it is inappropriate to
mix their ??
d. Muslims eat all forms of meat.
The student nurse is following a preceptor
on an assigned clinical shift. Which
behavior of the nurse would the student
interpret as caring?
a. Make sure that all medications and
treatment are done on time.
 b. Advising the physician that the
client wants to speak to him/her
prior to the procedure.
c. Using aseptic technique when
performing a dressing change.
d. Explaining an invasive
procedure to the client then
asking if it is alright to begin the
procedure.
A catholic patient with diabetes receives
the following item on his meal tray on the
Friday before Easter for which of the food
does not the nurse offer to substitute
which among the menu needs the nurse
to have substitute
a. Apple sauce
b. Cheese and cracker
c. Spaghetti with meat sauce
d. Toss salad with ranch dressing
Which of the following would be most
appropriate outcome for a patient who has
a nursing diagnosis of spiritual distress
related to loneliness?
a. Encourage the patient to meditate
two to three times a week
b. The patient will set up a time to
speak to a close friend in one
week
c. Encourage the patient to phone his
brother and set up a time to go out
for dinner
d. The parient will experience greater
connection with family member in
two months
A hospice nurse is caring for a client who
is dying with pancreatic cancer. The
Filipino patient tells the nurse “I feel no
connected to God and I’m worries that I
feel no real meaning of life.” What would
be the nurse best response to the patient?
a. Give the patient a hug and tell him
that life has still meaning
b. Arrange a spiritual advisor to visit
the patient
c. Ask if the patient would like to
talk about his feeling
d. Call in a close friend or relative to
talk with the patient
A nurse who is comfortable with
one’s own spirituality is caring for a
patient who needs spiritual
conunseling. Which nursing action
would be most appropriate for this
patient?
a. Calling the patient own
spiritual advisor first
b. Asking wheteher the
patient has a spiritual
advisor and the patient
wishes to consult
c. Attempting to consult the
patient and if unsuccessful
making a referral to a
spiritual advisor
d. Advising the patient and
spiritual advisor concerning
health options and the best
choice for the client
Even though the nurse performs a
detailed nursing history in spiritual. In
which spirituality is assessed on
admission problems with spiritual distress
may not surface until days after the
admission. What is the probable
explanation for this?
a. Patients usually want to conceal
information about their speed
spiritual needs
b. Patients arenot concerened about
spiritual needs after their spiritual
advisor visits
c. Family memebers and close
friends often initiate spiritual
concerns
 d. Illness increases spiritual
concerns which maybe difficult
for patients to express in words
A nurse who is caring for a patient on a
pediatric ward is assessing the children
for their spiritual needs. Which is the most
important source of learning the child’s
own spirituality?
a. The child’s church or religious
organization
b. What parent says about God and
religion
c. How parents behave in
relationship to one another and
their children to others and to
God
d. The spiritual advisor of the family
A Roman Catholic family of a baby who
was born with a hydrocephaliltis requests
a baptism for their infant. Why is it
imperative that the nurse provide baptism
to be performed?
a. Baptism frequently postponed, it
prevents death or suffering
b. It is legally required that the nurse
provide for this care when the
family makes this request
c. It is a nursing function to assure
the salvation of the baby
d. Lack of baptism when desired
may increase the family’s
sorrow and suffering
A nurse work in the emergency
department assesses how patients
religious belief affect their treatment plan
with which patient would the nurse be
most likely to encounter resistance during
emergency life-saving situation?
a. A patient of an Adventist faith
b. A patient who is an Orthodox
Jewish
c. A patient who is a Jehova’s
Witness
A nurse is teaching a novice nurse on how
to provide culturally competent care to
patients in cultural diverse community
health clinic. Although all of the following
are important to providing culturally
competent nursing care. Which one is the
most basic?
a. Learning the predominant
language of the community
b. Obtaining significant information
about the community
c. Recognizing the importance of
patients family
d. Treating each patient at the
clinic as an individual
The father of an American Indian has just
died. What should the nurse do
immediately after death?
a. Provide privacy so that the family
may touch and kiss the deceased,
goodbye
b. Ask about providing help with a
death ceremony
c. Carefully wrap the deceased
clothing for the family to take home
d. Mention the deceased by name
frequently
A nurse is assessing the health care
disparities among population groups.
Which area is the nurse monitoring?
a. Outcomes of health conditions
b. Prevalence of complications
c. Incidence of diseases
d. Accessibility of health care
services
The nurse is providing to a cultural diverse
population. Which action indicates the
nurse is successful in the role of providing
culturally competent and congruent care?
a. Provide care that is based on
meanings generated by
predetermined criteria.
b. Provide care that makes the nurse
the leader in determining what is
needed
c. Provide care that is the same as
the values of a professional health
care system
d. Provide care that fits the clients
value, life patterns and set of
meanings

A blood transfusion is not accepted

treatment option. Which of the following
responses should the nurse make?
a. I believe in this case we should
really make an exception and
accept blood transfusion.
b. I know your family would approve
your decision to make transfusion
c. Why does your religion mandate
that you cannot receive any blood
transfusion
d. Let's discuss the necessity of
blood transfusion with your
religious and spiritual leaders
and come to a reasonable
solution