TEST 3 - UNIT E.2 - CH 35 - CULTURAL SPIRITUAL NC Flashcards
LEARN L
Listen
LEARN E
Explain:
LEARN A
Acknowledge
LEARN R
Recommend
LEARN N
Negotiate
A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and family members? (Select all that apply.)
A. Talk to the interpreter about the family while the family is in the room.
B. Determine client understanding several times during the conversation.
C. Look at the interpreter when asking the family questions.
D. Use lay terms if possible.
E. Do not interrupt the interpreter and the family as they talk.
A. Talking to the interpreter about the family while the family is in the room would hinder communication between the family and the nurse/interpreter.
B. CORRECT: Determining client understanding throughout the conversation ensures the client comprehends the information and the nurse will know how to direct the conversation.
C. Looking at the interpreter instead of the family while the family is in the room would hinder communication between the family and the nurse/interpreter.
D. CORRECT: Using lay terms will promote effective communication between the family and the nurse/interpreter.
E. CORRECT: Not interrupting will promote effective communication between the family and the nurse/interpreter.
- A nurse is caring for two clients who report following the same religion. Which of the following information should the nurse consider when planning care for these clients?
A. Members of the same religion share similar feelings about their religion.
B. A shared religious background generates mutual regard for one another.
C. The same religious beliefs can influence individuals differently.
D. The nurse and client should discuss the differences and commonalities in their beliefs.
- A. It would be stereotyping to assume that all members of a specific religion had the same beliefs. Feelings and ideas about religion and spiritual matters can be quite diverse, even within a specific culture.
B. Mutual regard does not necessarily follow a shared religious background.
C. CORRECT: Members of any particular religion should be assessed for individual feelings and ideas.
D. Due to boundary issues, the nurse’s beliefs are not part of a therapeutic client relationship. It is
the client’s beliefs that are important.
- A nurse enters the room of a client who is crying while reading from a religious book and asks to be left alone. Which of the following actions should the nurse take?
A. Contact the hospital’s spiritual services.
B. Ask what is making the client cry.
C. Ensure no visitors or staff enter the room for a short time period.
D. Turn on the television for a distraction.
- A. Contacting the hospital’s spiritual services presumes there is a problem and should not be done
without asking the client’s permission.
B. Asking the client about the crying could be interpreted as discounting or being disrespectful of the client’s beliefs.
C. CORRECT: Providing privacy and time for the reading of religious materials supports the client’s spiritual health.
D. Providing a distraction could be interpreted as discounting or being disrespectful of the client’s beliefs.
4.
A nurse is discussing the plan of care for a client who reports following Islamic practices. Which of
the following statements by the nurse indicates culturally responsive care to the client?
A. “I will make sure the menu includes kosher options.”
B. “I will ask the client if they want to schedule some times to pray during the day.”
C. “I will avoid discussing care when the client’s family is around.”
D. “I will make sure daily communion is available for this client.”
- A. Jewish culture, not Islam, requires food to be kosher.
B. CORRECT: Islamic practices include praying five times per day. Work with the client to establish a schedule for the day, noting which times the client prefers to pray, and scheduling treatments around those times when possible.
C. American culture appreciates direct eye contact. In Middle Eastern cultures, direct eye contact can be perceived as rude, hostile, or sexually aggressive.
D. Daily communion is a ritual to consider for a Catholic client, not for a Muslim client.
- A nurse is caring for a client who tells the nurse that based on religious values and mandates, a blood transfusion is not an acceptable treatment option. Which of the following responses should the nurse make?
A. “I believe in this case you should really make an exception and accept the blood transfusion.”
B. “I know your family would approve of your decision to have a blood transfusion.”
C. “Why does your religion mandate that you cannot receive any blood transfusions?”
D. “Let’s discuss the necessity for a blood transfusion with your religious and spiritual
leaders and come to a reasonable solution.”
- A. Do not impose an opinion onto the client and ask them to go against their religious beliefs.
B. Do not make an assumption on behalf of the client’s family.
C. Asking a “why” question can appear judgmental or accusatory.
D. CORRECT: Involving the client’s religious and spiritual leaders is a culturally responsive action at this point. Alternative forms of blood products can be discussed, and a plan reasonable to all can be reached.
List the components of the LEARN assessment tool.
● Listen actively to the client describing the problem, trying to understand the client’s perception.
● Explain the health care professional’s perception of the problem.
● Acknowledge differences and similarities between the perceptions.
● Recommend treatments, including the client’s choices.
● Negotiate the treatment plan with the client.
Listen
• ”Tell me what you think is going on in your body.”
• ”What do you think caused you to feel the way you are feeling?”
Explain:
• ”We use scientific tests to measure the sugar level in your body. The tests show that the levels are too high, which makes you lose extra fluid and feel tired.”
Acknowledge
• ”Our way of understanding the cause of your illness is different.”
• ”Even though we think about your illness in different ways, we both want you to feel better.”
Recommend
• “The provider would like for someone to check your blood sugar level four times a day. Would you prefer to learn to do this, or someone in your family?”
• “This condition means you might have to change what you eat. Please tell me about what and how often you eat.”
