C HAPTER 14: C ULTURAL AND S PIRITUAL
A SPECTS OF P ATIENT C ARE
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse understands that when an Asian patient refers to yi n, the patient
is referring to a balancing force that is represented by:
a. light.
b. a masculine force.
c. cold and feminine elements.
d. harmony.
ANS: C
Yin is the balancing force to yang that is represented by elements that
are dark, cold, and feminine.
DIF: Cognitive Level: Comprehension REF: p. 192|Table
14-3 OBJ: Theory #7 TOP: Nutritional Practices KEY:
Nursing Process Step: Planning MSC: NCLEX:
Physiological Integrity: Basic Care and Comfort
2. The nurse understands that acupuncture and acupressure are alternative
therapies based on:
a. healing through spiritual practices.
, b. concepts of hot and cold a nd balancing those against the illness.
c. the power of suggestion and autohypnosis.
d. interrupting or changing the flow of energy fields in the body.
ANS: D
Acupressure, massage, and acupuncture all are based on theories of
energy flow in the body that can b e manipulated to affect health.
DIF: Cognitive Level: Comprehension REF: p. 192|Table
14-3 OBJ: Theory #5 TOP: Alternative Treatments KEY:
Nursing Process Step: Planning MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
3. A nurse is carin g for a Catholic patient who has just given birth to a
nonviable fetus. When considering the religion of this patient, the nurse
should:
a. discourage baptism since the fetus is nonviable.
b. baptize the fetus if a priest is not immediatel y available.
c. encourage the mother to consider tubal ligation.
d. discuss hormonal contraception with the mother.
ANS: B
Within the Catholic religion, infants must be baptized soon after birth
because of the belief that babies not baptized will not go to Heaven.
Even aborted fetus es must be baptized. If a priest is not immediatel y
available, the nurse may baptize by pouring hol y water on the head and
saying, “I baptize you in the name of the Father, of the Son, and of the
Hol y Spirit.”
, DIF: Cognitive Level: Application REF: p. 186|Box 14 -1
OBJ: Clinical Practice #6 TOP: Religious Influence
in Health Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrit y: Coping and
Adaptation
4. A nurse caring for a patient who is a practicing Jehovah’s Witness a nd
who has had surgery confirms that ______ is on hand to be infused.
a. frozen packed cells.
b. Dextran.
c. 5% glucose in water.
d. normal saline.
ANS: B
Jehovah’s Witnesses are not permitted to take blood into their bodies,
but blood expanders such as Dextran can be infused.
DIF: Cognitive Level: Application REF: p. 186|Table 14 -1
OBJ: Clinical Practice #1 TOP: Religious Influence
in Health Care KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrit y: Basic Care and
Comfort
5. A practicing member of the Church of Jesus Christ of Latter Day Saints is
being prepared for surgery on his left knee. The nurse should remove all
the personal possessions with the exception of:
a. the wedding ring.
b. the religious medallion around the neck.
A SPECTS OF P ATIENT C ARE
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse understands that when an Asian patient refers to yi n, the patient
is referring to a balancing force that is represented by:
a. light.
b. a masculine force.
c. cold and feminine elements.
d. harmony.
ANS: C
Yin is the balancing force to yang that is represented by elements that
are dark, cold, and feminine.
DIF: Cognitive Level: Comprehension REF: p. 192|Table
14-3 OBJ: Theory #7 TOP: Nutritional Practices KEY:
Nursing Process Step: Planning MSC: NCLEX:
Physiological Integrity: Basic Care and Comfort
2. The nurse understands that acupuncture and acupressure are alternative
therapies based on:
a. healing through spiritual practices.
, b. concepts of hot and cold a nd balancing those against the illness.
c. the power of suggestion and autohypnosis.
d. interrupting or changing the flow of energy fields in the body.
ANS: D
Acupressure, massage, and acupuncture all are based on theories of
energy flow in the body that can b e manipulated to affect health.
DIF: Cognitive Level: Comprehension REF: p. 192|Table
14-3 OBJ: Theory #5 TOP: Alternative Treatments KEY:
Nursing Process Step: Planning MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
3. A nurse is carin g for a Catholic patient who has just given birth to a
nonviable fetus. When considering the religion of this patient, the nurse
should:
a. discourage baptism since the fetus is nonviable.
b. baptize the fetus if a priest is not immediatel y available.
c. encourage the mother to consider tubal ligation.
d. discuss hormonal contraception with the mother.
ANS: B
Within the Catholic religion, infants must be baptized soon after birth
because of the belief that babies not baptized will not go to Heaven.
Even aborted fetus es must be baptized. If a priest is not immediatel y
available, the nurse may baptize by pouring hol y water on the head and
saying, “I baptize you in the name of the Father, of the Son, and of the
Hol y Spirit.”
, DIF: Cognitive Level: Application REF: p. 186|Box 14 -1
OBJ: Clinical Practice #6 TOP: Religious Influence
in Health Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrit y: Coping and
Adaptation
4. A nurse caring for a patient who is a practicing Jehovah’s Witness a nd
who has had surgery confirms that ______ is on hand to be infused.
a. frozen packed cells.
b. Dextran.
c. 5% glucose in water.
d. normal saline.
ANS: B
Jehovah’s Witnesses are not permitted to take blood into their bodies,
but blood expanders such as Dextran can be infused.
DIF: Cognitive Level: Application REF: p. 186|Table 14 -1
OBJ: Clinical Practice #1 TOP: Religious Influence
in Health Care KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrit y: Basic Care and
Comfort
5. A practicing member of the Church of Jesus Christ of Latter Day Saints is
being prepared for surgery on his left knee. The nurse should remove all
the personal possessions with the exception of:
a. the wedding ring.
b. the religious medallion around the neck.
