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Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact?
- A. Communication
- B. Social organization
- C. Environmental control
- D. Biologic variations
Correct Answer: A
Rationale: Communication includes verbal and nonverbal elements like touch and eye contact.
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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.
Which of the following factors would be the most influential in determining a client's response to a particular stressor?
- A. The client's experience with stress
- B. The client's perception of the stressor
- C. Duration of the stressor
- D. Severity of the stressor
Correct Answer: B
Rationale: The client's perception of the stressor is the most influential factor in determining their response.
A nurse and a client of Chinese heritage are collaborating on treatment goals. The nurse would document which of the following as the client's priority goal?
- A. The client will be free of pain and excess stress.
- B. The client will express a feeling of balance and harmony.
- C. The client will be free of physical symptoms of illness.
- D. The client will express gratefulness to God for recovery.
Correct Answer: B
Rationale: Chinese culture prioritizes health as a balance of body, mind, and spirit.
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.