Nokea
The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are
- A. objective data about the culture.
- B. subjective data from the client.
- C. subjective data from the family.
- D. subjective data from society.
Correct Answer: B
Rationale: The client's own perception and description of their cultural beliefs are the most important for accurate assessment.
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Spirituality is especially important in helping people cope primarily for which of the following reasons?
- A. Spirituality involves the essence of a person's being and beliefs.
- B. Spirituality gives people set personal goals.
- C. Spirituality provides a reliable support network.
- D. Spirituality guides beliefs about the meaning of life events.
Correct Answer: D
Rationale: Spirituality primarily guides beliefs about the meaning of life events, serving as a primary coping mechanism.
A client is actively involved in community service activities. The benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes?
- A. Self-efficacy
- B. Resilience
- C. Resourcefulness
- D. Hardiness
Correct Answer: D
Rationale: Hardiness, characterized by commitment to meaningful activities, helps individuals resist illness under stress.
Which of the following situations would most likely provide social support to a client?
- A. A friend who will share his or her perspective on an issue
- B. The transportation service that provides access to daily rehabilitation services
- C. Fellow teammates participating in a community softball league
- D. The teacher assisting a client to obtain a GED
Correct Answer: A
Rationale: Social support comes from relationships that provide emotional sustenance, such as a friend sharing perspectives.
Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to
- A. economic class.
- B. psychological influences.
- C. physiologic causes.
- D. sociocultural factors.
Correct Answer: C
Rationale: Americans typically attribute pain and illness to physical causes.
A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be.
- A. You have to keep trying to feel better
- B. What do you think could have caused your depression?
- C. Clinical depression is not something you have brought on yourself
- D. It will take several weeks for your medicine to start to help you feel better
Correct Answer: C
Rationale: Educating the client that depression is not self-induced addresses cultural beliefs about control over mental illness.