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Patient-Focused Assessment: The Art and Science of Clinical Data Gathering (Mansen)
Chapter 2 The Individual in Context
1) When asked about culture in an initial assessment the patient states, "I don't have a culture."
The nurse attributes this statement to which situations?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Learning culture occurs unconsciously.
2. The patient's culture is similar to all of those he encounters.
3. The patient is trying to hide his culture.
4. Culture is inborn and doesn't change.
5. One's own culture is often invisible to oneself.
Answer: 1, 2, 5
Explanation:
1. The patient may not be aware of his own culture because it has always been present in his life
and learning about culture occurs unconsciously.
2. Awareness of culture becomes apparent when one is confronted with other cultures.
3. There is no evidence to support the conclusion that the patient is trying to hide anything about
his culture. It is more likely that this is an honest answer, but misguided.
4. Ethnicity is inborn, but culture comes from multiple sources and can change.
5. Because culture is such a part of the daily life of each individual, it often becomes invisible to
the person. It may be easier to identify another's culture than one's own culture.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Nursing/Int Conc: Nursing Process: Assessment
Learning Outcome: 2.1 Describe the purpose and functions of an individual's culture.
1
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3) A group of nurse managers is working to increase cultural competency within the hospital's
nursing staff. One manager suggests posting information about "what specific ethnic groups do."
What is a major concern regarding this plan?
1. This information is difficult to obtain.
2. This information changes frequently and would soon be outdated.
3. This type of information leads to stereotyping.
4. Nurses do not have time to review this information.
Answer: 3
Explanation:
1. There are numerous sources for this information.
2. Cultural practices are rooted in tradition and do not change frequently.
3. Not everyone in a specific ethnic group has the same cultural beliefs. Providing only
information without further explanation may encourage the staff to think everyone in a particular
group believes and acts the same way.
4. While it may be true that nurses are pressed for time, this is not the major concern regarding
this suggestion.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Nursing/Int Conc: Nursing Process: Assessment
Learning Outcome: 2.3 Describe the process of becoming culturally competent.
2
Copyright © 2015 Pearson Education, Inc.
4) During assessment a patient describes herself as "more spiritual than religious." How does the
nurse interpret this statement?
1. The patient is agnostic.
2. The patient's belief system focuses on a connection between body, mind, and spirit.
3. The patient is an atheist.
4. The patient has no formal religious affiliation.
Answer: 2
Explanation:
1. People who are agnostic do not deny the existence of God or a supreme being, but believe
there is no relationship or way to establish a relationship between God and humans. Being
spiritual does not necessarily equate to being agnostic.
2. Spirituality is concerned with the connection between body, mind, and spirit. It is also
concerned with relationships that exist between God or a supreme being, self, and others.
3. An atheist denies the existence of God or any higher power. Being spiritual does not
necessarily equate to being an atheist.
4. Spirituality is a part of most formal religions. Preferring to describe oneself as spiritual does
not preclude a formal religious affiliation.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Nursing/Int Conc: Nursing Process: Assessment
Learning Outcome: 2.4 Compare and contrast religion and spirituality.
5) During spiritual assessment using the FICA tool the nurse asks, "In what ways have your
spiritual beliefs affected the way you have been caring for yourself since you have been sick?"
The nurse is inquiring about which part of the FICA assessment?
1. Faith
2. Important
3. Community
4. Address
Answer: 2
Explanation:
1. The "F" or Faith section of FICA focuses on identifying the patient's faith or belief system.
2. Questions about the influence of spirituality on a patient's activities, care practices, and health
restoration are asked during the "I" or Important portion of the FICA tool.
3. Assessment of the "C" or Community section of the FICA tool involves asking about the
influence of the community group and its support.
4. During assessment of the "A" or Address portion of the FICA tool, the nurse asks how the
patient wishes to have spiritual issues addressed during care.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nursing/Int Conc: Nursing Process: Assessment
Learning Outcome: 2.5 Explicate the basic components of a spiritual assessment.
3
Copyright © 2015 Pearson Education, Inc.
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