Chapter 21: Cultural and Spiritual
Awareness
MULTIPLE CHOICE
1. A nurse is caring for a diabetic patient who frequentl y uses
alternative medicine to manage ailments. The patient feels nauseous
and requests ginger tea. What should the nurse be aware of before
giving the patient ginger tea?
a. Nothing; natural remedies do not cause unwanted side
effects.
b. Ginger can cause blood glucose levels to decrease.
c. Ginger causes blood glucose levels to rise. .
d. Ginger can cause a diabetic patient to become more nauseous.
ANS: B.
Nurses should be aware of natural remedies and their interactions
because more patients turn to these remedies as opposed to medication
for management of ailments. In this scenario, the nurse should be
aware of the fact that ging er can cause blood glucose levels to
decrease, possibl y causing harm to the diabetic patient.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 490 OBJ: List practice issues related to cultural
competence.
TOP: Cultural/spiritual assessment MSC: NCLEX®:
Psychosocial integrity
,2. A nurse manager is looking for ways to improve the cultural
competency of unit staff. Which action would help the manager
accomplish this?
a. Propose voluntary cultural competence training.
b. Hire bicultural clinical and administrative staff. .
c. Hire staff from the same ethnic background.
d. Avoid issues pertaining to cultural competence.
ANS: B.
The nurse manager can improve the staff’s cultural competence by
hiring bicultural clinical and administrative staff to improve education,
care delivery, and outcomes. The nurse manager should also propose
mandatory cultural competence training and hire st aff from different
ethnic backgrounds. .
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 489 OBJ: List practice issues related to cultural
competence.
TOP: Culturall y diverse workforce MSC: NCLEX®:
Psychosocial integrity
3. A nurse is educating a patient’s famil y on holistic nursing. Which
statement by a family member leads the nurse to determine that
more education is needed?
a. “Holistic nursing is an attitude.”
b. “Holistic nursing is a way of being.”
c. “Holistic nursing focuses on healing t he person as a whole.”
d. “Holistic nursing focuses on healing the system causing the
ailment.”
ANS: D
, Holistic nursing is an attitude, a way of being, and is focused on
healing the person as a whole. It is not focused on the system causing
the ailment.
PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating REF:
p. 492
OBJ: Assess spiritual needs of patients in the health care setting.
TOP: Holistic nursing MSC: NC LEX®: Psychosocial integrit y
4. A nurse is gathering data on a patient of a different culture . Which
action can the nurse take to enhance communication while
gathering cultural data?
a. Ignore the patient’s culture and focus on the reason for
hospital admission.
b. Use hand gestures to get points across to a patient with poor
English.
c. Use closed -ended questions to gather information. .
d. Determine the patient’s level of fluency in English.
ANS: D.
The nurse should determine the patient’s level of fluency in English to
enhance communication. If needed, the nurse should obtain an
interpreter. The nurse should not avoid the patient’s culture during the
assessment. Hand gestures should not be used because they could be
offensive to the patient. The nurse should use open -ended questions or
questions phrased in different ways as a method to gather data .
PTS: 1 DIF: Cognitive Level: Application/Appl ying REF:
Box 21.2
OBJ: List practice issues related to cultural competence.
TOP: Culture and spiritualit y MSC: NC LEX®: Psychosocial
integrit y
, 5. The nurse understands that the following organization belie ves that
cultural competence in nursing is necessary.
a. Nurse Practice Acts of state boards of nursing .
b. Code of Ethics of the American Nurses Association
c. Accreditation standards of the National League of Nursing
d. Accreditation standards of The Joint Com mission (TJC)
ANS: B
The American Nurses Association indicates in its Code of Ethics the
necessit y of the nurse to be sensitive to individual needs. State boards
of nursing are involved in the regulation and licensure of nursing
practices. The National League of Nursing is involved with
accreditation of nursing programs. TJC is involved with hospital
accreditation.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 486
OBJ: List practice issues related to cultural competence.
TOP: Necessit y o f cultural competence MSC: NC LEX®:
Psychosocial integrity
6. In what culture are older adults respected and unquestioned?
a. Asian
b. African American
c. Hispanic
d. Native American
ANS: B
Awareness
MULTIPLE CHOICE
1. A nurse is caring for a diabetic patient who frequentl y uses
alternative medicine to manage ailments. The patient feels nauseous
and requests ginger tea. What should the nurse be aware of before
giving the patient ginger tea?
a. Nothing; natural remedies do not cause unwanted side
effects.
b. Ginger can cause blood glucose levels to decrease.
c. Ginger causes blood glucose levels to rise. .
d. Ginger can cause a diabetic patient to become more nauseous.
ANS: B.
Nurses should be aware of natural remedies and their interactions
because more patients turn to these remedies as opposed to medication
for management of ailments. In this scenario, the nurse should be
aware of the fact that ging er can cause blood glucose levels to
decrease, possibl y causing harm to the diabetic patient.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 490 OBJ: List practice issues related to cultural
competence.
TOP: Cultural/spiritual assessment MSC: NCLEX®:
Psychosocial integrity
,2. A nurse manager is looking for ways to improve the cultural
competency of unit staff. Which action would help the manager
accomplish this?
a. Propose voluntary cultural competence training.
b. Hire bicultural clinical and administrative staff. .
c. Hire staff from the same ethnic background.
d. Avoid issues pertaining to cultural competence.
ANS: B.
The nurse manager can improve the staff’s cultural competence by
hiring bicultural clinical and administrative staff to improve education,
care delivery, and outcomes. The nurse manager should also propose
mandatory cultural competence training and hire st aff from different
ethnic backgrounds. .
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 489 OBJ: List practice issues related to cultural
competence.
TOP: Culturall y diverse workforce MSC: NCLEX®:
Psychosocial integrity
3. A nurse is educating a patient’s famil y on holistic nursing. Which
statement by a family member leads the nurse to determine that
more education is needed?
a. “Holistic nursing is an attitude.”
b. “Holistic nursing is a way of being.”
c. “Holistic nursing focuses on healing t he person as a whole.”
d. “Holistic nursing focuses on healing the system causing the
ailment.”
ANS: D
, Holistic nursing is an attitude, a way of being, and is focused on
healing the person as a whole. It is not focused on the system causing
the ailment.
PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating REF:
p. 492
OBJ: Assess spiritual needs of patients in the health care setting.
TOP: Holistic nursing MSC: NC LEX®: Psychosocial integrit y
4. A nurse is gathering data on a patient of a different culture . Which
action can the nurse take to enhance communication while
gathering cultural data?
a. Ignore the patient’s culture and focus on the reason for
hospital admission.
b. Use hand gestures to get points across to a patient with poor
English.
c. Use closed -ended questions to gather information. .
d. Determine the patient’s level of fluency in English.
ANS: D.
The nurse should determine the patient’s level of fluency in English to
enhance communication. If needed, the nurse should obtain an
interpreter. The nurse should not avoid the patient’s culture during the
assessment. Hand gestures should not be used because they could be
offensive to the patient. The nurse should use open -ended questions or
questions phrased in different ways as a method to gather data .
PTS: 1 DIF: Cognitive Level: Application/Appl ying REF:
Box 21.2
OBJ: List practice issues related to cultural competence.
TOP: Culture and spiritualit y MSC: NC LEX®: Psychosocial
integrit y
, 5. The nurse understands that the following organization belie ves that
cultural competence in nursing is necessary.
a. Nurse Practice Acts of state boards of nursing .
b. Code of Ethics of the American Nurses Association
c. Accreditation standards of the National League of Nursing
d. Accreditation standards of The Joint Com mission (TJC)
ANS: B
The American Nurses Association indicates in its Code of Ethics the
necessit y of the nurse to be sensitive to individual needs. State boards
of nursing are involved in the regulation and licensure of nursing
practices. The National League of Nursing is involved with
accreditation of nursing programs. TJC is involved with hospital
accreditation.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 486
OBJ: List practice issues related to cultural competence.
TOP: Necessit y o f cultural competence MSC: NC LEX®:
Psychosocial integrity
6. In what culture are older adults respected and unquestioned?
a. Asian
b. African American
c. Hispanic
d. Native American
ANS: B
