Culture, Spirituality, and Alternative / Complementary
Modalities Exam Questions & Answers
The nurse is performing an admission assessment of a new client. When assessing potential cultural
influences on the client's care, the nurse should address what domains? Select all that apply. - ✔✔
-Decision-making processes
-Nutrition
-Communication
-Expressions of pain
The nurse has observed that a client who identifies as a Mormon has drunk the coffee that was on the
breakfast tray. How should the nurse best interpret this observation? - ✔✔The client's personal religious
practices may differ from those of the larger religious group.
An elderly Jewish client received a lunch tray that consists of a cheeseburger, French fries, and an apple.
The client tells the nurse to remove the tray. What is the nurse's understanding of why the client wants
the tray removed? - ✔✔Clients of the Jewish faith do not allow the mixture of dairy and meat.
A client is resting in bed. The nurse visits the client to reassess the client's pain. The nurse notices that a
visitor is in the room and is touching the client in various places on the client's body. The nurse
understands that this type of practice is called: - ✔✔therapeutic touch.
A client with diabetes comes to the clinic for a follow-up visit. During the visit, the client, who is Jewish,
tells the nurse that a holiday will be coming up next week that requires the client to fast for the day. The
client takes an oral antidiabetic medication daily and checks blood glucose levels twice a day. Which
response by the nurse would be most appropriate? - ✔✔"Tell me more about what is involved so we can
plan for this better."
The nurse is setting goals for end-of-life care with a client who states, "I'm not a religious person, but I
consider myself a spiritual person." Based on this conversation, what is the best question to ask about
the client's spirituality? - ✔✔"What are the beliefs that guide your daily decisions?"
, A client in home hospice care verbalizes to the caregiver a desire to meet with the client's minister. The
caregiver does not want the minister to visit or to interact with the minister because of different values
and beliefs and asks the home health nurse how to handle this situation. To prevent further
disagreement between the client and caregiver, what is the best recommendation for the nurse to
implement? - ✔✔Arrange for an alternative caregiver to be available for the client when the minister
visits.
The parent of an Indonesian young adult reports through an interpreter to the nursing supervisor that
the staff nurse sometimes shouts at the client. The nurse tells the supervisor that she has not been
shouting at the client. What would the supervisor expect to note after observing a care interaction
between the staff nurse and the young adult adolescent client? - ✔✔There is a language barrier present.
A newly admitted client with bone cancer tells the nurse that the folk healer has not been able to help
him. What principle of culturally competent care will the nurse keep in mind during the client's
conventional medical course of treatment? - ✔✔All people have the right to care based on their
personal preferences and values.
A client with a history of posttraumatic stress is panting and breathing heavily while shouting out some
strange words. The nurse reviews the nursing assessment and understands that the client is practicing a
form of relaxation called power breathing. The best action for the nurse to take is to: - ✔✔allow privacy,
but check on the client frequently.
The nurse is caring for a client who is a recent immigrant from China. Through the hospital interpreter,
the client expresses an unwillingness to eat the fried fish that was on the meal tray, describing it as "too
hot." What is the nurse's best action? - ✔✔Ask the interpreter to ask the client about the specific
meaning of the description of "hot."
The nurse is attending a family meeting where a recent immigrant's treatment plan is being discussed.
The client is a retired English teacher and defers to the oldest son when the care team asks the client
questions. How should the nurse best interpret the client's action? - ✔✔The client's action may reflect
cultural and familial norms.
A nurse is completing an admission assessment. The nurse asks the client about social support systems
and the client asks the nurse to explain social support systems. Which statement describes a social
support system? - ✔✔"It is a group of providers at home and in the community that help a client in
times of need."
Modalities Exam Questions & Answers
The nurse is performing an admission assessment of a new client. When assessing potential cultural
influences on the client's care, the nurse should address what domains? Select all that apply. - ✔✔
-Decision-making processes
-Nutrition
-Communication
-Expressions of pain
The nurse has observed that a client who identifies as a Mormon has drunk the coffee that was on the
breakfast tray. How should the nurse best interpret this observation? - ✔✔The client's personal religious
practices may differ from those of the larger religious group.
An elderly Jewish client received a lunch tray that consists of a cheeseburger, French fries, and an apple.
The client tells the nurse to remove the tray. What is the nurse's understanding of why the client wants
the tray removed? - ✔✔Clients of the Jewish faith do not allow the mixture of dairy and meat.
A client is resting in bed. The nurse visits the client to reassess the client's pain. The nurse notices that a
visitor is in the room and is touching the client in various places on the client's body. The nurse
understands that this type of practice is called: - ✔✔therapeutic touch.
A client with diabetes comes to the clinic for a follow-up visit. During the visit, the client, who is Jewish,
tells the nurse that a holiday will be coming up next week that requires the client to fast for the day. The
client takes an oral antidiabetic medication daily and checks blood glucose levels twice a day. Which
response by the nurse would be most appropriate? - ✔✔"Tell me more about what is involved so we can
plan for this better."
The nurse is setting goals for end-of-life care with a client who states, "I'm not a religious person, but I
consider myself a spiritual person." Based on this conversation, what is the best question to ask about
the client's spirituality? - ✔✔"What are the beliefs that guide your daily decisions?"
, A client in home hospice care verbalizes to the caregiver a desire to meet with the client's minister. The
caregiver does not want the minister to visit or to interact with the minister because of different values
and beliefs and asks the home health nurse how to handle this situation. To prevent further
disagreement between the client and caregiver, what is the best recommendation for the nurse to
implement? - ✔✔Arrange for an alternative caregiver to be available for the client when the minister
visits.
The parent of an Indonesian young adult reports through an interpreter to the nursing supervisor that
the staff nurse sometimes shouts at the client. The nurse tells the supervisor that she has not been
shouting at the client. What would the supervisor expect to note after observing a care interaction
between the staff nurse and the young adult adolescent client? - ✔✔There is a language barrier present.
A newly admitted client with bone cancer tells the nurse that the folk healer has not been able to help
him. What principle of culturally competent care will the nurse keep in mind during the client's
conventional medical course of treatment? - ✔✔All people have the right to care based on their
personal preferences and values.
A client with a history of posttraumatic stress is panting and breathing heavily while shouting out some
strange words. The nurse reviews the nursing assessment and understands that the client is practicing a
form of relaxation called power breathing. The best action for the nurse to take is to: - ✔✔allow privacy,
but check on the client frequently.
The nurse is caring for a client who is a recent immigrant from China. Through the hospital interpreter,
the client expresses an unwillingness to eat the fried fish that was on the meal tray, describing it as "too
hot." What is the nurse's best action? - ✔✔Ask the interpreter to ask the client about the specific
meaning of the description of "hot."
The nurse is attending a family meeting where a recent immigrant's treatment plan is being discussed.
The client is a retired English teacher and defers to the oldest son when the care team asks the client
questions. How should the nurse best interpret the client's action? - ✔✔The client's action may reflect
cultural and familial norms.
A nurse is completing an admission assessment. The nurse asks the client about social support systems
and the client asks the nurse to explain social support systems. Which statement describes a social
support system? - ✔✔"It is a group of providers at home and in the community that help a client in
times of need."
