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Question 1: A nurse is caring for a patient who believes that their illness is
caused by a spiritual imbalance and the ill will of another person. This
patient's health belief system is best described as: A. Scientific/Biomedical
B. Holistic C. Magico-religious D. Indigenous - 🧠 ANSWER ✔✔Correct
Answer: C. Rationale: The magico-religious health belief system views
illness as being caused by supernatural forces, such as "voodoo,
witchcraft, or the evil eye." The scientific/biomedical system is based on
,cause-and-effect. The holistic system focuses on balance of the mind,
body, and spirit.
Question 2: A patient from a Jehovah's Witness faith is admitted after a
motor vehicle accident and requires surgery. The patient's hemoglobin is
critically low, but they refuse a blood transfusion. What is the nurse's
priority action? A. Explain to the patient that the transfusion is necessary to
save their life. B. Ask the patient's family to convince them to have the
transfusion. C. Notify the provider of the patient's refusal and explore
potential blood-conservation techniques. D. Document the refusal and
proceed with the transfusion based on implied consent. - 🧠 ANSWER
✔✔Correct Answer: C. Rationale: Patients of the Jehovah's Witness faith
often refuse blood transfusions. The nurse must respect the patient's
autonomy and spiritual beliefs. The priority is to notify the provider and
advocate for the patient by discussing medically acceptable alternatives,
such as blood-conservation methods or non-blood volume expanders.
Question 3: A nurse is assessing a patient's spirituality. Which question
best assesses the core spiritual issue of "Faith"? A. "Do you believe that
you will get better?" B. "Who do you turn to when you are in trouble?" C.
"What gives your life meaning and purpose?" D. "Do you have a religious
,preference?" - 🧠 ANSWER ✔✔Correct Answer: C. Rationale: Faith is the
core issue of spirituality and is often assessed by asking about what gives
a person's life meaning, purpose, and strength. The other questions relate
more to hope or religion.
Question 4: A patient who recently immigrated from China is refusing pain
medication after surgery, despite rating their pain as 8/10. The nurse
recognizes this may be due to a cultural belief that: A. Pain is a sign of
weakness and should be endured. B. Pain medication is not effective. C.
The medical staff is not trustworthy. D. Illness is a punishment from a
higher power. - 🧠 ANSWER ✔✔Correct Answer: A. Rationale: Some
cultures, including certain Asian cultures, may view the expression of pain
as a sign of weakness. The patient may be stoic and refuse medication
even when in significant pain. The nurse must assess this respectfully.
Question 5: A nurse is overheard stating, "All patients from that culture are
non-compliant because they don't value modern medicine." This is an
example of: A. Cultural competence B. Cultural stereotyping C.
Ethnocentrism D. Racism - 🧠 ANSWER ✔✔Correct Answer: B. Rationale:
Stereotyping is the unsubstantiated belief that all people of a certain racial
or ethnic group are alike in certain respects. Ethnocentrism is the belief that
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, one's own culture is superior, and racism involves prejudice and
discrimination.
Question 6: A patient who is a devout Muslim is admitted to the hospital.
Which cultural consideration should the nurse prioritize in the plan of care?
A. Ensuring a Kosher diet is ordered. B. Asking if the patient needs to face
Mecca for prayer at certain times of the day. C. Removing all religious
symbols from the room. D. Offering a blood transfusion if needed. - 🧠
ANSWER ✔✔Correct Answer: B. Rationale: Patients of the Islamic faith
may pray five times a day facing Mecca. The nurse should assess the
patient's desire to maintain this practice and facilitate it. A Kosher diet is
associated with Judaism.
Question 7: A patient is admitted with an acute, reversible state of
confusion, disorientation, and agitation. The nurse recognizes these as
signs of: A. Dementia B. Depression C. Delirium D. Sensory deprivation - 🧠
ANSWER ✔✔Correct Answer: C. Rationale: Delirium is an acute,
reversible state of disorientation and confusion and is considered a medical
emergency. Dementia is a progressive, chronic, and irreversible decline in
mental function.