Culture, Spirituality, and Alternative/Complementary Modalities 37 of 50
Question 1 The nurse has admitted a client who identifies as being orthodox Jewish. When planning a diet that meets the client's nutritional needs within the confines of religious
restrictions, the nurse should take what actions? Select all that apply.
You Selected:
Encourage the client's family to bring in foods for the client as they wish, unless contraindicated.
Ensure that the client's meals contain no pork.
Correct response:
Encourage the client's family to bring in foods for the client as they wish, unless contraindicated.
Ensure that the client's meals contain no pork.
Rationale: Judaism prohibits the consumption of pork. Special precautions are involved in the preparation of dairy products, but there is no blanket prohibition on dairy. It is
unnecessary to delegate the client's nutritional planning to an individual who shares the same religion or to deliver supper trays before sundown each day. As with all clients,
bringing in outside food is encouraged unless there are particular reasons why this is unsafe.
Question 2 The nurse is admitting a new client and is assessing the client's spirituality. What assessment question best addresses the client's spirituality?
You Selected:
"Do you have any particular beliefs about the afterlife?"
Correct response:
"What is it that most provides you with meaning in your life?"
Rationale Spirituality is a broad concept that is not limited to formal religion. It involves beliefs around hope, meaning, and transcendence. Questions about particular churches,
temples, and religions are more closely aligned with an assessment of religious practices. It would erroneous to assume that a client belongs to the Christian religion.
Question 3 The nurse is working with a client who is distraught after being diagnosed with late-stage pancreatic cancer. In addition to practicing active listening, what nursing
action is most appropriate?
You Selected:
Teach the client progressive relaxation techniques and guided imagery.
Correct response:
Facilitate a referral to spiritual care.
Rationale: A traumatic diagnosis often signals the need for specialized spiritual care. It is inappropriate and ineffective to perform education when a client is in distress.
Antianxiety medications are not normally a first-line intervention for psychosocial distress.
Question 4 The nurse is assessing a client whose history includes type 2 diabetes and atrial fibrillation, treated with warfarin. The client tells the nurse that the client began taking
ginseng supplements several days ago in an effort to boost the immune system. After providing health education, what is the nurse's priority action?
You Selected:
Collaborate with the care team to have the client's prothrombin time and international normalized ratio (INR) assessed.
Correct response:
Collaborate with the care team to have the client's prothrombin time and international normalized ratio (INR) assessed.
Rationale: Ginseng is contraindicated with warfarin, which is commonly prescribed for the treatment of atrial fibrillation; an increased risk of hypercoagulation can occur.
Chvostek's and Trousseau's signs are suggestive of hypocalcemia, which is unrelated to ginseng use. Similarly, blood glucose levels and potassium levels are not significantly
affected.
, Question 5 The nurse is assessing a client who is in her first trimester of pregnancy. The client states that her nausea has been problematic at times, but says that she is able to
partially control it using ginger supplements. What is the nurse's best response?
You Selected:
"Have you let your care provider know that you are taking ginger?"
Correct response:
"Have you let your care provider know that you are taking ginger?"
Rationale: A priority is ensuring that the care provider is aware of the client's use of a herbal supplement during pregnancy. Ginger is not associated with hyperglycemia or
hypoglycemia. Exploring the source of the client's information or the possible use of pharmacologic alternatives are secondary to ensuring there is communication with the care
provider.
Question 6 A client is experiencing pain during recovery from a stroke and has expressed an interest in Reiki, an energy-based therapy. What actions by the nurse are
appropriate? Select all that apply.
You Selected:
Assess the client's expectations for this form of treatment.
Encourage the client to view Reiki as a complement for current treatment rather than a substitute.
Assist the client with contacting a Reiki practitioner if needed.
Make a referral to the hospital's spiritual care department so the client can discuss the request.
Correct response:
Assist the client with contacting a Reiki practitioner if needed.
Assess the client's expectations for this form of treatment.
Encourage the client to view Reiki as a complement for current treatment rather than a substitute.
Rationale: Reiki is an energy-based therapy that poses no significant risks; it does not involve spinal manipulation. It is appropriate for the nurse to assist the client in facilitating
this treatment. The nurse should assess what the client hopes to gain from this alternative therapy. A desire for alternative treatments does not necessarily indicate a need for
specialized spiritual care.
Question 7 The nurse is performing an admission assessment of a new client. When asked about the use of herbs and supplements, the client states, "Just valerian for the past few
weeks." What nursing actions are appropriate? Select all that apply.
You Selected:
Assess for a history of recreational drug use.
Assess the client for recent nausea, vomiting, or anorexia.
Ensure that the client's ordered blood tests include liver enzymes.
Ensure that the care provider is made aware of the client's use of valerian.
Correct response:
Assess the client for recent anxiety or insomnia.
Ensure that the care provider is made aware of the client's use of valerian.
Rationale: Valerian is an herb that is often used to treat anxiety or insomnia. It is not used to treat nausea or loss of appetite. There is no direct risk of hepatotoxicity associated
with valerian, and it is not frequently abused. As with all herbs, the care provider must be made aware of the client's use.
Question 1 The nurse has admitted a client who identifies as being orthodox Jewish. When planning a diet that meets the client's nutritional needs within the confines of religious
restrictions, the nurse should take what actions? Select all that apply.
You Selected:
Encourage the client's family to bring in foods for the client as they wish, unless contraindicated.
Ensure that the client's meals contain no pork.
Correct response:
Encourage the client's family to bring in foods for the client as they wish, unless contraindicated.
Ensure that the client's meals contain no pork.
Rationale: Judaism prohibits the consumption of pork. Special precautions are involved in the preparation of dairy products, but there is no blanket prohibition on dairy. It is
unnecessary to delegate the client's nutritional planning to an individual who shares the same religion or to deliver supper trays before sundown each day. As with all clients,
bringing in outside food is encouraged unless there are particular reasons why this is unsafe.
Question 2 The nurse is admitting a new client and is assessing the client's spirituality. What assessment question best addresses the client's spirituality?
You Selected:
"Do you have any particular beliefs about the afterlife?"
Correct response:
"What is it that most provides you with meaning in your life?"
Rationale Spirituality is a broad concept that is not limited to formal religion. It involves beliefs around hope, meaning, and transcendence. Questions about particular churches,
temples, and religions are more closely aligned with an assessment of religious practices. It would erroneous to assume that a client belongs to the Christian religion.
Question 3 The nurse is working with a client who is distraught after being diagnosed with late-stage pancreatic cancer. In addition to practicing active listening, what nursing
action is most appropriate?
You Selected:
Teach the client progressive relaxation techniques and guided imagery.
Correct response:
Facilitate a referral to spiritual care.
Rationale: A traumatic diagnosis often signals the need for specialized spiritual care. It is inappropriate and ineffective to perform education when a client is in distress.
Antianxiety medications are not normally a first-line intervention for psychosocial distress.
Question 4 The nurse is assessing a client whose history includes type 2 diabetes and atrial fibrillation, treated with warfarin. The client tells the nurse that the client began taking
ginseng supplements several days ago in an effort to boost the immune system. After providing health education, what is the nurse's priority action?
You Selected:
Collaborate with the care team to have the client's prothrombin time and international normalized ratio (INR) assessed.
Correct response:
Collaborate with the care team to have the client's prothrombin time and international normalized ratio (INR) assessed.
Rationale: Ginseng is contraindicated with warfarin, which is commonly prescribed for the treatment of atrial fibrillation; an increased risk of hypercoagulation can occur.
Chvostek's and Trousseau's signs are suggestive of hypocalcemia, which is unrelated to ginseng use. Similarly, blood glucose levels and potassium levels are not significantly
affected.
, Question 5 The nurse is assessing a client who is in her first trimester of pregnancy. The client states that her nausea has been problematic at times, but says that she is able to
partially control it using ginger supplements. What is the nurse's best response?
You Selected:
"Have you let your care provider know that you are taking ginger?"
Correct response:
"Have you let your care provider know that you are taking ginger?"
Rationale: A priority is ensuring that the care provider is aware of the client's use of a herbal supplement during pregnancy. Ginger is not associated with hyperglycemia or
hypoglycemia. Exploring the source of the client's information or the possible use of pharmacologic alternatives are secondary to ensuring there is communication with the care
provider.
Question 6 A client is experiencing pain during recovery from a stroke and has expressed an interest in Reiki, an energy-based therapy. What actions by the nurse are
appropriate? Select all that apply.
You Selected:
Assess the client's expectations for this form of treatment.
Encourage the client to view Reiki as a complement for current treatment rather than a substitute.
Assist the client with contacting a Reiki practitioner if needed.
Make a referral to the hospital's spiritual care department so the client can discuss the request.
Correct response:
Assist the client with contacting a Reiki practitioner if needed.
Assess the client's expectations for this form of treatment.
Encourage the client to view Reiki as a complement for current treatment rather than a substitute.
Rationale: Reiki is an energy-based therapy that poses no significant risks; it does not involve spinal manipulation. It is appropriate for the nurse to assist the client in facilitating
this treatment. The nurse should assess what the client hopes to gain from this alternative therapy. A desire for alternative treatments does not necessarily indicate a need for
specialized spiritual care.
Question 7 The nurse is performing an admission assessment of a new client. When asked about the use of herbs and supplements, the client states, "Just valerian for the past few
weeks." What nursing actions are appropriate? Select all that apply.
You Selected:
Assess for a history of recreational drug use.
Assess the client for recent nausea, vomiting, or anorexia.
Ensure that the client's ordered blood tests include liver enzymes.
Ensure that the care provider is made aware of the client's use of valerian.
Correct response:
Assess the client for recent anxiety or insomnia.
Ensure that the care provider is made aware of the client's use of valerian.
Rationale: Valerian is an herb that is often used to treat anxiety or insomnia. It is not used to treat nausea or loss of appetite. There is no direct risk of hepatotoxicity associated
with valerian, and it is not frequently abused. As with all herbs, the care provider must be made aware of the client's use.
