Nokea
The nurse is doing an assessment interview of a patient. During the interview, the patient comments, Our people are connected with nature. Our seasons, and our weather they all have many lessons to teach us. The nurse interprets the patient?s statement as an expression of which of the following?
- A. Religiousness
- B. Tribal law
- C. Spirituality
- D. Ecological values
Correct Answer: C
Rationale: The patient?s statement reflects a spiritual connection to nature, emphasizing a broader sense of meaning and interconnectedness, which is characteristic of spirituality rather than religiousness, tribal law, or ecological values alone.
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A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
- A. Research information about the cultures of the population being served after assessing the patients.
- B. Recognize that one?s own culture is the predominant way of addressing a patient?s health care needs.
- C. Assume that any individual of a racial or ethnic group is the same as another individual in that group.
- D. Demonstrate an appreciation of and a genuine interest in the individual and his or her cultural beliefs.
Correct Answer: D
Rationale: Cultural competence involves showing genuine interest and appreciation for an individual?s cultural beliefs, avoiding assumptions, and tailoring care to their unique cultural context, rather than prioritizing one?s own culture or stereotyping.
A nursing instructor is preparing a class about rural cultures and the influence on mental health problems. Which of the following would the instructor include as impacting the use of mental health services for this group?
- A. Limited access to care
- B. Lack of available resources
- C. Geographical similarities
- D. Diverse cultural groups
- E. Consistency in treatment approaches
Correct Answer: A,B
Rationale: Rural populations face barriers to mental health services, including limited access to care and lack of available resources, due to geographic isolation and fewer healthcare facilities.
A group of nursing students are reviewing information about spirituality and religiousness. The group demonstrates understanding of these concepts when they identify religiousness as which of the following?
- A. Feeling of connectedness
- B. Way of interpreting life events
- C. Relationship with a unifying force
- D. Community participation in common worship
Correct Answer: D
Rationale: Religiousness is characterized by participation in organized religious practices, such as community worship, whereas spirituality is broader, encompassing feelings of connectedness or relationships with a unifying force.
A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?
- A. I?ll take you to visit my church if you can get a pass.
- B. You have to belong to the same church I do if you?re going to go to heaven.
- C. Would you like me to bring you a guided imagery audiotape?
- D. We can pray together if you?d like.
Correct Answer: D
Rationale: Offering to pray together respects the patient?s strong faith and provides a supportive spiritual intervention tailored to his beliefs, unlike imposing the nurse?s beliefs or offering non-spiritual interventions like guided imagery.
During an interview, a patient states, God does not exist for me. The nurse interprets this statement as reflecting which of the following?
- A. Animism
- B. Agnosticism
- C. Atheism
- D. Polytheism
Correct Answer: C
Rationale: The patient?s statement denying the existence of God reflects atheism, the belief that no deities exist, as opposed to agnosticism (uncertainty about God?s existence), animism (spirits in nature), or polytheism (multiple gods).