Spiritual and Cultural Issues

Question 1 of 20

Which of these is true about spirituality in a care facility?

It is important for nursing assistants who have religious beliefs to share their ideas with the residents under their care so those who are dying have reassurance.
Employees are morally and ethically obligated to share religious beliefs if they have them so a resident is not without hope.
It is a residents right to practice his or her own religious beliefs, even if those beliefs are different from any other resident or staff member in the building.
Family members need to take charge of the residents spiritual needs and are responsible for bringing in members of a church so the resident doesn’t have to worry about it.

Question 2 of 20

Which of these is true about cultural awareness in a care facility?

Cultural awareness is ideal but not always practical because there may not be enough staff to meet these needs.
Cultural awareness is ideal but is sometimes sacrificed when it costs too much to implement.
If a facility is interested in treating the “whole” person, cultural awareness has to be a part of the staffs training.
Cultural awareness is not practical in a large facility handling too many residents.

Question 3 of 20

A residents family is visiting and it is time to perform a procedure. The family asks for time to pray with the resident. Which of these is not an acceptable response?

Ask the family to leave so the procedure can start as scheduled, but offer to let the resident pray to themselves during the process.
Ask the family and resident if they have any questions about the procedure that might ease their worry before you give them privacy to pray.
Give the family and resident privacy.
Tell the family you will return shortly.

Question 4 of 20

As a nursing assistant there are ways you can help a resident meet his or her spiritual needs. Which of these would discourage, rather than encourage them?

You tell the resident you are not allowed to engage with residents about their beliefs.
You sit and listen when a resident wants to tell you about a religious experience.
You respond positively when a residents visitor asks for privacy to pray with the resident.
You assist when a resident asks you to see if the visiting pastor has time to stop and see him or her.

Question 5 of 20

All of these could be described as positive benefits of the role religion can play, except ____.

Helping to facilitate a sense of meaning and comfort.
As a means for increasing tolerance to cope with difficulties.
Serving as a way for the resident to gain independence and separate from his or her family.
Helping to facilitate a more positive and hopeful attitude about the residents care that in turn can improve health outcomes.

Question 6 of 20

Talking to residents about spiritual beliefs can have an effect on ____.

A residents mental health.
A residents physical health.
All of these.
A residents feeling of “connectedness” with their caregiver.

Question 7 of 20

Participation in religious activities can provide all of these important patient benefits, except ____.

Allowing more time for the CNA to get a break from their duties.
Reducing a residents isolation.
Increasing a residents sense of belonging.
Promoting social contact with others.

Question 8 of 20

When encountering residents with culturally or linguistically diverse backgrounds, one of the actions that can help caregivers provide effective care is to ____.

Avoid interactions with diverse residents until you feel totally comfortable.
Recognize when stereotyping occurs and work to correct it.
Ask a coworker to take over care for diverse residents who make you feel uncomfortable.
Talk slowly and loudly so that you are understood.

Question 9 of 20

Which of these is a positive way of dealing with cultural differences?

Choose a coworker who is the most similar in cultural beliefs to work with the resident.
Ask family members to take over the difficult, culturally-specific parts of care.
Realize that cultural differences can be related to intellectual deficiencies.
Learn and use key words in the persons own language, visual aids, gestures, and prompts.

Question 10 of 20

How is family an important part of cultural awareness?

Different cultures may interpret the role of caregivers quite differently than the way the care plan is written.
Different cultures may have different expectations of gender roles.
All of these are correct.
Different spiritual beliefs may affect how much care the family allows.

Question 11 of 20

A patient has been diagnosed with a terminal illness. On a spiritual front, the most appropriate action for the nursing assistant to take is to ____.

Share your religious beliefs and understanding of the afterlife with the patient to give them hope.
Pray for the patient aloud so they can see how much you care.
Offer to contact a pastor or spiritual leader if the patient desires it.
Avoid discussing the diagnosis unless the patient brings it up.

Question 12 of 20

What is the implied meaning of this statement by Killian and Waite from the article, “Cultural Diversity Best Practices” as it applies to caregivers?

“Another reason for increasing cultural proficiency is the growing number of healthcare providers and workers from other countries who have become colleagues within the healthcare delivery system.”

Diversity in the workforce will require the healthcare team to be able to work cohesively among team members with different belief systems.
Diversity in the workforce will have little effect upon healthcare workers.
Diversity in the workforce will make it much easier for colleagues to work together.
Diversity in the workforce will change job roles for members of the healthcare team.

Question 13 of 20

When working with residents who may have cultural differences, it is important to respect personal space. Which of these is the best way for a CNA to honor personal space?

The CNA avoids the use of touch as much as is possible.
The CNA explains care and procedures in terms that the patient understands.
The CNA only talks to the patient when no one else is present.
The CNA has the patients family provide as much personal care as possible.

Question 14 of 20

Which of these is the most important factor when providing care to people from specific ethnic groups?

Learning everything about the patients culture.
Physical distance away from the patient.
Communication.
Talking with a higher volume so the patient clearly hears what is being said.

Question 15 of 20

One of the most basic ways a caregiver can provide spiritual and emotional care to a patient is by?

Asking if he or she needs more family visits.
Asking if he or she is getting adequate food.
Asking if he or she needs a counselor.
Asking if he or she has any questions.

Question 16 of 20

You are caring for a Japanese man who just had bilateral knee surgery. When you try and put his anti-embolism stockings on, he winces and then looks away and stares off into the corner. Your best response is to ____.

Tell the patient that he was very brave while you were putting on the stockings and that you are proud of him for his cooperation.
Assume that the patient is no longer in pain as he is no longer wincing.
Acknowledge that putting on the stockings can be painful and ask if he is in any pain currently.
Tell the nurse that the patient is in pain and needs pain meds.

Question 17 of 20

Caring for a residents psychosocial needs as a CNA is just as important as caring for his or her physiological needs. The term psychosocial needs generally refers to ____.

Emotional and recreational well-being.
Intellectual and spiritual well-being.
Physical and intellectual well-being.
Emotional and mental well-being.

Question 18 of 20

Which of these is the most significant reason that adjusting to aging might be difficult for a resident?

He or she may resist physical help with activities of daily living such as dressing and bathing.
He or she has too much free time and choice in recreational activities.
He or she must depend on daily medications to maintain health.
He or she may have lost a spouse or significant other.

Question 19 of 20

Which of these descriptions represents a Western cultural view of health and wellness?

Illness is due to supernatural, religious, or magical causes.
Responsibility for ones own health and wellness lays with ones cultural group and relies on care provided by others.
Treatment of illness relies on herbal remedies dispensed by practitioners trained through apprenticeships.
Illness is caused by biological and medical sources (i.e., bacteria, viruses, germs, and cancer).

Question 20 of 20

The term spiritual distress means ____.

The feeling that there is no God.
The feeling that you regret the choices you've made in life.
The feeling of loss of hope for the future.
The feeling of not being sure which religious group to belong to.

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