Test Bank by Videbeck Chapter 7:
Client's Response to Illness Q's All
Solved.
A nurse in a multicultural community knows that to give a client meaningful spiritual care within
the health care context it must be what?
A. Congruent with the client's societal standards
B. Congruent with cultural mores
C. Congruent with the client's family's wishes
D. Congruent with the client's beliefs - Answer D. Congruent with the client's beliefs
To be meaningful, spiritual care within the health care context must be congruent with the
client's spiritual beliefs. Just as with social and cultural assessments, making assumptions or
generalizations about a client's spiritual needs based on ethnic or religious affiliation is almost
certain to be an oversimplification. Spiritual care designed to meet anything other than the
client's beliefs and needs is not meaningful for the client.
A client who recently immigrated from Eastern Europe comes to the clinic for an evaluation.
During the assessment, the nurse notes that the client has adopted the local area's mannerisms
and dress. The nurse interprets this as what?
A. Cultural identity
B. Cultural competence
C. Acculturation
D. Linguistic competence - Answer C. Acculturation
The client is exhibiting acculturation, the socialization process by which minority groups learn
and adopt selective aspects of the dominant culture. Cultural identity refers to the set of
cultural beliefs with which one looks for standards of behavior. Linguistic competence is the
capacity to communicate effectively and convey information that is easily understood by diverse
audiences. Cultural competence is a set of skills that respect and respond to the health beliefs,
practices, and cultural and linguistic needs of diverse clients to bring about positive health care
outcomes.
Which characteristic would be most prevalent in an individual demonstrating low self-efficacy?
A. Self-motivation
, Self-efficacy is a belief that personal abilities and efforts affect the events in our lives. A person
who believes that his or her behavior makes a difference is more likely to take action. People
with low self-efficacy have low aspirations, experience much self-doubt, and may be plagued by
anxiety and depression. People with high self-efficacy set personal goals, are self-motivated,
cope effectively with stress, and request support from others when needed.
In order to help preserve and maintain a client's cultural belief regarding the need for "hot
foods," which action should the culturally competent nurse take?
A. Educate the staff to help them assist the client in selecting food choices from the client's
menu that supports this belief
B. Assure the client that these needs will be considered by the staff
C. Discuss the possibility of the family providing the appropriate foods
D. Ask for a dietary consult with an understanding of the "hot and cold food" belief - Answer
A. Educate the staff to help them assist the client in selecting food choices from the client's
menu that supports this belief
In cultural care preservation/maintenance, the nurse assists the client in maintaining health
practices that are derived from membership in a certain ethnic group. The nurse helps the client
select and obtain foods congruent with these beliefs most effectively by educating staff. This is
not necessarily possible or even advised if there are medically required food restrictions
The nurse is reviewing notes taken during an initial interview with a client who reports high
levels of stress related to employment. The notes include the following:
- The client is married and has 2 adult children who "visit a few times each year."
- The client reports sleeping 5-6 hours each night but waking frequently with thoughts of work.
- The client has a gym membership but reports "I'm usually so exhausted after work that I just
go home and watch TV."
- The client reports, "I don't usually have time for lunch at work, but I sometimes grab
something from the vending machine."
Based on these notes, which factors would the nurse identify as negatively influencing the
client's ability to cope with stress? Select all that apply.
A. Lack of social support
B. Poor family support
C. Activity level
D. Sleep pattern
E. Nutritional choices - Answer C. Activity level
Client's Response to Illness Q's All
Solved.
A nurse in a multicultural community knows that to give a client meaningful spiritual care within
the health care context it must be what?
A. Congruent with the client's societal standards
B. Congruent with cultural mores
C. Congruent with the client's family's wishes
D. Congruent with the client's beliefs - Answer D. Congruent with the client's beliefs
To be meaningful, spiritual care within the health care context must be congruent with the
client's spiritual beliefs. Just as with social and cultural assessments, making assumptions or
generalizations about a client's spiritual needs based on ethnic or religious affiliation is almost
certain to be an oversimplification. Spiritual care designed to meet anything other than the
client's beliefs and needs is not meaningful for the client.
A client who recently immigrated from Eastern Europe comes to the clinic for an evaluation.
During the assessment, the nurse notes that the client has adopted the local area's mannerisms
and dress. The nurse interprets this as what?
A. Cultural identity
B. Cultural competence
C. Acculturation
D. Linguistic competence - Answer C. Acculturation
The client is exhibiting acculturation, the socialization process by which minority groups learn
and adopt selective aspects of the dominant culture. Cultural identity refers to the set of
cultural beliefs with which one looks for standards of behavior. Linguistic competence is the
capacity to communicate effectively and convey information that is easily understood by diverse
audiences. Cultural competence is a set of skills that respect and respond to the health beliefs,
practices, and cultural and linguistic needs of diverse clients to bring about positive health care
outcomes.
Which characteristic would be most prevalent in an individual demonstrating low self-efficacy?
A. Self-motivation
, Self-efficacy is a belief that personal abilities and efforts affect the events in our lives. A person
who believes that his or her behavior makes a difference is more likely to take action. People
with low self-efficacy have low aspirations, experience much self-doubt, and may be plagued by
anxiety and depression. People with high self-efficacy set personal goals, are self-motivated,
cope effectively with stress, and request support from others when needed.
In order to help preserve and maintain a client's cultural belief regarding the need for "hot
foods," which action should the culturally competent nurse take?
A. Educate the staff to help them assist the client in selecting food choices from the client's
menu that supports this belief
B. Assure the client that these needs will be considered by the staff
C. Discuss the possibility of the family providing the appropriate foods
D. Ask for a dietary consult with an understanding of the "hot and cold food" belief - Answer
A. Educate the staff to help them assist the client in selecting food choices from the client's
menu that supports this belief
In cultural care preservation/maintenance, the nurse assists the client in maintaining health
practices that are derived from membership in a certain ethnic group. The nurse helps the client
select and obtain foods congruent with these beliefs most effectively by educating staff. This is
not necessarily possible or even advised if there are medically required food restrictions
The nurse is reviewing notes taken during an initial interview with a client who reports high
levels of stress related to employment. The notes include the following:
- The client is married and has 2 adult children who "visit a few times each year."
- The client reports sleeping 5-6 hours each night but waking frequently with thoughts of work.
- The client has a gym membership but reports "I'm usually so exhausted after work that I just
go home and watch TV."
- The client reports, "I don't usually have time for lunch at work, but I sometimes grab
something from the vending machine."
Based on these notes, which factors would the nurse identify as negatively influencing the
client's ability to cope with stress? Select all that apply.
A. Lack of social support
B. Poor family support
C. Activity level
D. Sleep pattern
E. Nutritional choices - Answer C. Activity level
