Chapter 14

Question 1

A formalized system of belief and worship is:

• Beliefs
• Faith
• Religion
• Spirituality

Answer 1

Religion

Question 2

The largest religion in the world is:

• Christianity
• Judaism
• Islam
• Buddhism

Answer 2

Christianity

Question 3

A 25-year-old female is involved in an auto accident and needs a blood transfusion; however, she refuses a transfusion based on her beliefs. The woman is most likely a:

• Christian Adventist
• Jehovah’s Witness
• Mormon
• Muslim

Answer 3

Jehovah’s Witness

Question 4

The nursing theorist who described care that recognizes cultural diversity and is sensitive to the cultural needs of the patient care and family is:

• Skinner
• King
• Orem
• Leininger

Answer 4

Leininger

Question 5

Which term involves knowledge of a person’s history and an appreciation for their customs?

• Cultural sensitivity
• Cultural awareness
• Cultural competence
• Cultural practice

Answer 5

Cultural awareness

Question 6

“All Hispanics like hot peppers” is an example of:

• Bias
• Generalization
• Prejudice
• Stereotype

Answer 6

Stereotype

Question 7

Keloid formations (abnormal scar formations) are more common is which group of people?

• Chinese
• Hispanic
• African American
• American Indian

Answer 7

African American

Question 8

Which branch of Judaism follows the strictest interpretation of Jewish law?

• Reconstructionist Jews
• Reform Jews
• Conservative Jews
• Orthodox Jews

Answer 8

Orthodox Jews

Question 9

A patient refuses to eat pork and drink alcohol and fasts during the month of Ramadan. The patient’s religion is likely to be:

• Judaism
• Buddhism
• Islam
• Hinduism

Answer 9

Islam

Question 10

Which is a main characteristic that differentiates cultural groups from one another? (Select all that apply)

• Race
• Color
• Gender
• Religious affiliation
• Economic status

Answer 10

Race, color, gender, religious affiliation

Question 11

Consists of the values, beliefs, and practices shared by the majority within a group of people

Answer 11

Culture

Question 12

the way in which the group’s people explain life events and view life’s mysteries

Answer 12

worldview

Question 13

ideas and perceptions seen as good and useful

Answer 13

values

Question 14

concerns the intangible essence of our being that seeks to transcend the self, to understand one’s place in the world, and to find meaning and purpose in life

Answer 14

Spirituality

Question 15

a formalized system of belief and worship

Answer 15

religion

Question 16

ceremonial acts or practices related to health, illness, birth and death

Answer 16

rituals

Question 17

convictions or opinions that one considers to be true

Answer 17

beliefs

Question 18

a belief that cannot be proven, or for which no material evidence exists

Answer 18

faith

Question 19

a person who does not believe in God or a spiritual reality

Answer 19

atheist

Question 20

a person who doubts the existence of God or a nonmaterial reality because it cannot be proved or disproved

Answer 20

agnostic

Question 21

The largest religion in the world is ______?

Answer 21

Christianity

Question 22

the ceremonial removal of the penile foreskin

Answer 22

circumcision

Question 23

a biologic way of categorizing people

Answer 23

race

Question 24

smaller groups within the culture whose members have similar views and goals in addition to or in place of those of the main culture

Answer 24

subcultures

Question 25

a term used by Madeline Leininger to describe care that recognizes cultural diversity and is sensitive to the cultural needs of the patient and family

Answer 25

transcultural nursing

Question 26

Involves knowledge of a people's history and ancestry and an appreciation for their artistic expressions, foods, and celebrations

Answer 26

Cultural awareness

Question 27

Refraining from using offensive language, respecting accepted patterns of communication, and refraining from speaking in ways that are disrespectful to a person's cultural beliefs

Answer 27

Cultural sensitivity

Question 28

Involves knowing yourself, examining your own values, attitudes, beliefs, and prejudices

Answer 28

Cultural competence

Question 29

The tendency of human beings to think that their ways of thinking, believing, and doing things are the only way or the only right way

Answer 29

Ethnocentrism

Question 30

Identifies common trends, patterns, and beliefs of a group

Answer 30

generalization

Question 31

a set opinion or belief about the group that is applied to an individual

Answer 31

stereotype

Question 32

Positive or negative attitude or opinion that is unsupported by evidence

Answer 32

bias or prejudice

Question 33

regional variations of a language with different pronunciation, grammar or word meanings

Answer 33

dialect

Question 34

space acceptable between 2 people when conversing

Answer 34

personal space

Question 35

male dominated household

Answer 35

patriarchal

Question 36

female dominated household

Answer 36

matriarchal

Question 37

equally dominated household

Answer 37

egalitarian

Question 38

attention to mental, social, spiritual and physical aspects

Answer 38

holistic

Question 39

May be related to feelings of guilt and unworthiness if the patient views illness as punishment for wrongdoing or sin

Answer 39

Spiritual distress

Question 40

Culturally competent care is best defined as:

Answer 40

care adapted to the patient's cultural beliefs and values

Question 41

When nursing intervention might be considered insensitive by some cultural groups?

Answer 41

Providing a pitcher of ice water at the bedside

Question 42

Your 45-year-old, mentally competent patient is having excessive blood loss from surgery. She is a Jehovah's Witness and refuses a blood transfusion. Her blood pressure has been falling, and she has a rapid heart rate. What would an appropriate nursing intervention be?

Answer 42

Assist the RN in administering IV fluid boluses and medications to support the blood pressure

Question 43

A patient who is Islamic says she cannot sign the surgical consent form without her husband's consent. You would respond:

Answer 43

Call me when your husband gets here and you have spoken with him

Question 44

An elderly Japanese patient who does not speak English is admitted to the surgical unit after major abdominal surgery, with no family member present. The nurse cannot speak the patient's language. To assess for pain, the nurse should:

Answer 44

Obtain the services of a translator to devise question-and-answer cards regarding pain

Question 45

A person who is an Orthodox Jew may be hesitant to eat hospital food because:

Answer 45

She believes separate dishes and utensils should be used for meat and milk foods, and she is concerned that the hospital may not keep separate sets of dishes and utensils for this purpose

Question 46

A patient who is Roman Catholic asks to have the priest come to hear her confession and administer communion before she goes to surgery. The priest arrives the evening before the patient is scheduled for the operating room but after normal visiting hours. The nurse should:

Answer 46

provide privacy for the priest to hear confession and administer communion

Question 47

Hindus believe that illness or disease is caused by:

Answer 47

misusing the body in some way | sin committed in a former life

Question 48

A patient says to the nurse "Is God punishing me with all this pain?" To continue with a spiritual assessment, the nurse could best respond:

Answer 48

Tell me what you believe about God

Question 49

When an Islamic Arab American dies in the hospital, you know:

Answer 49

not to touch the body before the family bathes it | to turn the bed so that the body faces Mecca