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Spector Cultural Diversity in Health and Illness, 8/E

Chapter 5
Question 1
Type: MCSA

Which action do most people take when experiencing a mild illness?

1. Rely on self-treatment or do nothing.

2. Ingest herbs specific to how they are feeling.

3. Consult a local faith healer.

4. Immediately seek medical attention.

Correct Answer: 1

Rationale 1: Most people, upon feeling ill, will rely on self-treatment or do nothing to see how the symptoms
develop or disappear.

Rationale 2: Ingesting herbs specific to the symptoms is not a general practice among all people. Cultures that
rely heavily on herbal agents for health use them after consultation regarding symptoms.

Rationale 3: Faith healers are not part of mainstream health culture, and for those cultures that have faith healers,
they are not consulted immediately when someone feels ill.

Rationale 4: Medical attention is generally not immediately sought when a person feels ill.

Global Rationale:

Cognitive Level: Understanding


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO01 - Describe traditional aspects of HEALTH care.

Question 2
Type: MCSA

When researching different healing traditions, the nurse learns that many of these traditions are based on which
premise?

1. The person recovers from what is afflicting them.

2. The person becomes more ill and then recovers.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
3. An outside person must help the person recover.

4. Other interventions aid the healing tradition.

Correct Answer: 1

Rationale 1: The phenomenon of recovery is the basis for all healing traditions. The person recovers or expects to
recover.

Rationale 2: Healing traditions are used for recovery and not with the expectation that the person becomes more
ill before becoming better.

Rationale 3: Use of an outside person to help recovery is not a basis of healing traditions. Those who are healers
become so through knowledge and uses of plants, herbs and other methods that aid recovery.

Rationale 4: Other interventions as adjuncts to healing traditions are not bases for using a specific healing
tradition.

Global Rationale:

Cognitive Level: Understanding


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO01 - Describe traditional aspects of HEALTH care.

Question 3
Type: MCSA

Which statement would the nurse utilize to define HEALTH?

1. The balance of a person within the outside world

2. A continuous struggle between balance and imbalance

3. Recovering from an illness

4. Physical wholeness for activity

Correct Answer: 1

Rationale 1: HEALTH is the balance of a person and the outside world. HEALTH is a complex, interrelated
phenomenon.

Rationale 2: HEALTH is not a continuous struggle.

Rationale 3: HEALTH is not recovering from an illness.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Rationale 4: The physical component is part of HEALTH, but not the whole aspect of HEALTH.

Global Rationale:

Cognitive Level: Applying


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO01 - Describe traditional aspects of HEALTH care.

Question 4
Type: MCMA

What would the nurse identify as contributors to illness?

Standard Text: Select all that apply.

1. Imbalance of body, mind, or spirit

2. Imbalance with the family

3. Imbalance with the community

4. Imbalance with the forces of the natural world

5. Imbalance with socioeconomic status

Correct Answer: 1,2,3,4

Rationale 1: Illness is the imbalance of one or all parts of the person including body, mind, and spirit.

Rationale 2: Illness includes an imbalance with the family.

Rationale 3: Illness includes an imbalance with the community.

Rationale 4: Illness includes an imbalance with the forces of the natural world.

Rationale 5: Illness does not include an imbalance with socioeconomic status.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO01 - Describe traditional aspects of HEALTH care.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Question 5
Type: MCSA

A patient practices traditional methods of HEALTH maintenance. What is this patient referring to?

1. Ethnocultural heritage practices that safeguard health

2. How a population safeguards its health

3. What someone traditionally does to maintain his or her health

4. Usual and accepted practices of health maintenance

Correct Answer: 1

Rationale 1: Cultural heritage influences methods that form traditional health maintenance practices.

Rationale 2: How a population safeguards its health comprises many varied methods and practices that may or
may not be considered traditional.

Rationale 3: What a person traditionally does to maintain his or her health is not sufficient unless the underlying
cultural heritage for a practice is known.

Rationale 4: Usual and accepted practices of health maintenance that do not address a specific tradition are
vague.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 6
Type: MCSA

How would the nurse explain alternative medical traditions to a patient?

1. Outside of the realm of a person's cultural heritage medical tradition

2. For use in concert with other aspects of health care

3. An essential component of a cultural heritage medical tradition

4. Traditional methods of health care

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Correct Answer: 1

Rationale 1: Alternative medicine is not an integral part of one's cultural heritage medical tradition.

Rationale 2: Alternative medicine may be used instead of traditional medical practices and traditions.

Rationale 3: Alternative medicine exists as an outside component of one's medical tradition and not part of it.

Rationale 4: Alternative medicine is not considered traditional medicine.

Global Rationale:

Cognitive Level: Applying


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 7
Type: MCMA

After completing a health history, the nurse identifies which patient actions as being those used for traditional
health maintenance?

Standard Text: Select all that apply.

1. Washing hands after using the bathroom

2. Wearing boots when it is cold

3. Wear glasses.

4. Boil food.

5. Bathe once a week.

Correct Answer: 1,2,3

Rationale 1: Washing hands after using the bathroom is an activity that a person would do to stay well or healthy.

Rationale 2: Wearing boots when it is cold is an activity that a person would do to stay well or healthy.

Rationale 3: Wearing glasses to improve vision is an activity that a person would do to stay well or healthy.

Rationale 4: Boiling food is not an activity that a person would do to stay well or healthy. This would depend
upon the person’s cultural heritage.

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Copyright 2013 by Pearson Education, Inc.
Rationale 5: Bathing once a week is not an activity that a person would do to stay well or healthy. The frequency
of bathing will depend upon the health of the patient’s skin, other health problems, and cultural heritage.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 8
Type: MCSA

Which actions would the nurse categorize as traditional mental HEALTH maintenance?

1. Activities to concentrate and stimulate the mind

2. Avoiding physically demanding hobbies

3. Using medications to preserve chemical balance in the brain

4. Wearing head covering in the cold to preserve head warmth

Correct Answer: 1

Rationale 1: Activities that stimulate and concentrate the mind help maintain mental acuity and health.

Rationale 2: Even physically engaging hobbies will help to stimulate mental acuity.

Rationale 3: Medications may be necessary for mental function but are not within a traditional mental health
maintenance model.

Rationale 4: Wearing head covering when cold helps preserve bodily heat but is not a mental HEALTH tradition.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 9
Type: MCSA

Which action does the nurse recognize as essential for maintaining health?
Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
1. Having a strong familial and social support system

2. Practicing moderation in all activities

3. Ensuring proper balance in all aspects of life

4. Taking a daily multivitamin

Correct Answer: 1

Rationale 1: Having a familial and social support system is a key element for traditional HEALTH maintenance,
as that identity contributes to HEALTH and well-being.

Rationale 2: Moderation in activities is a worthy element of HEALTH, but is not its key element.

Rationale 3: Balance in all aspects of life is a component to HEALTH, but is not its key element.

Rationale 4: Taking a daily multivitamin will help physical health, but family and social support is key to
maintaining HEALTH.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 10
Type: MCMA

A patient tells the nurse that an illness was caused by the evil eye. What are common beliefs about this cause of
illness?

Standard Text: Select all that apply.

1. Power comes from the eye and strikes a victim.

2. The onset of illness is sudden.

3. The person who cast the evil eye may not be aware of the power.

4. The illness may be cured with rituals.

5. The illness will become chronic.

Correct Answer: 1,2,3,4

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Rationale 1: One common belief about the evil eye is that power comes from a person’s eye and strikes a victim.

Rationale 2: One common belief about the evil eye is that the onset of illness is sudden.

Rationale 3: One common belief about the evil eye is that the person who cast the evil eye may not be aware of
his or her power.

Rationale 4: One common belief about the evil eye is that the illness may be cured with rituals.

Rationale 5: Illnesses believed to be caused by the evil eye are not believed to become chronic.

Global Rationale:

Cognitive Level: Understanding


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTHTraditions Model.

Question 11
Type: MCMA

While working with community members of different cultures, the nurse learns a variety of beliefs about the evil
eye. What are the consistent variables of this cause of illness?

Standard Text: Select all that apply.

1. How it is cast

2. Who can cast it

3. Who receives it

4. Degree of power it has

5. What body part is afflicted

Correct Answer: 1,2,3,4

Rationale 1: One variable of the evil eye is how it is cast.

Rationale 2: One variable of the evil eye is who can cast it.

Rationale 3: One variable of the evil eye is who receives it.

Rationale 4: One variable of the evil eye is the degree of power it has.

Rationale 5: The body part that is afflicted is not a variable of the evil eye.
Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
Global Rationale:

Cognitive Level: Understanding


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 12
Type: MCSA

In some cultures, spitting is a health protection activity done after giving someone else a compliment. What is the
purpose of this action?

1. Prevents the recipient of the compliment from receiving an evil spell

2. Avoids direct speech afterwards with the person who receives the compliment

3. Prevents the recipient of the compliment from being too flattered

4. Makes the air better to take in the compliment

Correct Answer: 1

Rationale 1: Spitting after giving a compliment is thought to prevent the recipient from having an evil spell cast
on his or her health.

Rationale 2: Avoiding direct speech after giving a compliment is not done through spitting.

Rationale 3: Spitting is not done to prevent the compliment's recipient from being too flattered.

Rationale 4: Spitting after giving a compliment has nothing to do with making the air better to receive it.

Global Rationale:

Cognitive Level: Understanding


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 13
Type: MCSA

While assessing a patient from the Jewish culture, the nurse learns that the patient believes that an illness is being
caused by another soul. What is this health belief considered?

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
1. Dybbuk

2. Kayn aynhoreh

3. Szatan

4. Aberglobin

Correct Answer: 1

Rationale 1: Dybbuk is the controlling spirit in Jewish culture that occurs when a person is temporarily controlled
by a spirit which is not his or her own.

Rationale 2: Kayn aynhoreh is the evil eye in Yiddish.

Rationale 3: Szatan, Satan, is the evil eye in Polish.

Rationale 4: Aberglobin is the evil eye in German.

Global Rationale:

Cognitive Level: Understanding


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 14
Type: MCMA

While performing a home assessment, the home care nurse identifies traditional practices that the patient uses to
protect health. Which are practices used to protect health?

Standard Text: Select all that apply.

1. Picture of a saint hanging on the wall in the bedroom

2. String of garlic hanging in the kitchen

3. Burning a candle on the kitchen table

4. Wearing a purple scarf

5. Chanting prayers

Correct Answer: 1,2,3

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Rationale 1: A traditional practice used to protect health includes the use of protective objects that are hung in the
home.

Rationale 2: A traditional practice used to protect health includes the use of substances worn or hung in the home.

Rationale 3: A traditional practice used to protect health includes the practice of religion such as burning a
candle.

Rationale 4: Wearing a particular type of clothing is not a traditional practice used to protect health.

Rationale 5: Chanting prayers is not a traditional practice used to protect health.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 15
Type: MCSA

While caring for an infant of Puerto Rican descent, the nurse sees a black amulet on a chain on the wrist of the
baby’s right hand. What should the nurse do with the amulet?

1. Leave it on the baby’s wrist.

2. Remove the amulet.

3. Ask that the amulet be removed until the baby is older.

4. Move it to the baby’s ankle.

Correct Answer: 1

Rationale 1: A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby
from the evil eye.

Rationale 2: A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby
from the evil eye. This should not be removed by the nurse.

Rationale 3: A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby
from the evil eye. The amulet is worn throughout the early years of the person’s life

Rationale 4: A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby
from the evil eye. The amulet is placed on the wrist on a chain or pinned to the diaper or the shirt. The amulet is
not worn on the ankle.
Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
Global Rationale:

Cognitive Level: Applying


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 16
Type: MCSA

During an assessment, a patient tells the nurse, “An onion a day keeps everyone away." How does this philosophy
protect health?

1. Protects the person from coming in contact with those who might be ill

2. Affirms the belief in the power of onions to prevent disease

3. Recognizes the special antibiotic properties contained within onions

4. Advertises that onions have special healing abilities

Correct Answer: 1

Rationale 1: The rationale behind the saying is that the odor from onions is strong enough to keep people away
from that person so that they can avoid potentially coming into contact with someone who might be ill.

Rationale 2: Onions do not prevent disease but can help maintain HEALTH.

Rationale 3: While onions are thought to have some special properties, it is not universally held that they have
unique antibiotic properties.

Rationale 4: Onions are used in many cultures but are not recognized as having special healing properties.

Global Rationale:

Cognitive Level: Understanding


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 17
Type: MCSA

While caring for a patient from the Chinese culture, the nurse learns that the patient has a specific practice that
follows yin and yang. What impact will this have on the patient’s dietary intake?
Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
1. The patient will eat only specified proportions of food.

2. Some foods are only eaten at different times of the year.

3. There are specific foods for specific purposes.

4. Identifies if foods should be eaten hot or cold

Correct Answer: 1

Rationale 1: Yin and yang addresses balance in Chinese life. Regarding food, it means that foods are eaten in
specified proportions.

Rationale 2: Foods eaten at different times of the year are not within the yin and yang.

Rationale 3: Specific foods eaten for specific purposes are not necessarily within the yin and yang of Chinese
tradition.

Rationale 4: Hot or cold foods are within the Chinese culture but are a part of Hispanic traditions.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 18
Type: MCSA

Which patient statement reflects a spiritual belief that defines illness?

1. ”I am being punished for breaking a religious code.”

2. “It is a necessary part of my religious culture.”

3. “I failed to wear special amulets to ward it off.”

4. “I am sick because I violated dietary practices.”

Correct Answer: 1

Rationale 1: ILLNESS can sometimes be considered a result of breaking a religious code.

Rationale 2: ILLNESS is not a necessary part of religious culture.

Rationale 3: ILLNESS is not caused by the failure to wear religious amulets as protection.
Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
Rationale 4: Violating dietary practices is serious but not the cause of ILLNESS.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Question 19
Type: MCMA

Which activities does the nurse recognize as being used by a patient to restore health?

Standard Text: Select all that apply.

1. Drinking herbal tea

2. Using massage

3. Prayer

4. Meditation

5. Purging

Correct Answer: 1,2,3,4

Rationale 1: Health restoration can be accomplished by the use of herbal tea.

Rationale 2: Health restoration can be accomplished by the use of massage.

Rationale 3: Health restoration can be accomplished by the use of prayer.

Rationale 4: Health restoration can be accomplished by the use of meditation.

Rationale 5: Purging is not identified as a method of health restoration.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the interrelated components of the HEALTH Traditions Model.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Question 20
Type: MCSA

During a health history, a patient tells the nurse about following traditional epidemiological practices. What is the
purpose of these practices?

1. Used to preserve a heritage

2. Used as a part of the patient’s religion.

3. Used to cure an illness

4. Uses folk medicine herbal remedies

Correct Answer: 1

Rationale 1: Traditional epidemiologies are those traditional HEALTH care beliefs and practices observed by
people who have maintained a heritage within their ethnocultural background.

Rationale 2: Macro-religious medical practices may be a part of traditional epidemiology, but they do not
comprise its whole.

Rationale 3: Not every method of treatment to cure an illness is traditional epidemiology.

Rationale 4: Folk medicine herbal remedies may be part of a traditional epidemiology, but they are not the whole
epidemiological tradition.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO03 - Describe the factors that constitute traditional epidemiology.

Question 21
Type: MCMA

During a medication history, a patient tells the nurse that black cohosh is often used to treat illnesses. For what
purposes will the nurse ask the patient if this herb is being used?

Standard Text: Select all that apply.

1. Hot flashes

2. Arthritis

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
3. Muscle pain

4. Menstrual irregularities

5. Diuretic

Correct Answer: 1,2,3,4

Rationale 1: Black cohosh has been used as complementary alternative medicine (CAM) for hot flashes.

Rationale 2: Black cohosh has been used as complementary alternative medicine (CAM) for arthritis.

Rationale 3: Black cohosh has been used as complementary alternative medicine (CAM) for muscle pain.

Rationale 4: Black cohosh has been used as complementary alternative medicine (CAM) for menstrual
irregularities.

Rationale 5: Black cohosh has not been used as a diuretic in complementary alternative medicine (CAM).

Global Rationale:

Cognitive Level: Understanding


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO03 - Describe the factors that constitute traditional epidemiology.

Question 22
Type: MCSA

A patient uses folk medicine to treat and prevent illnesses. On what will the nurse focus when assessing this
patient’s use of folk medicine?

1. Knowing what herbs to use, when to pick them, and their preparation

2. Use of amulets to ward off disease

3. Avoiding eating certain animal parts in the diet

4. Having special ceremonies for preventing certain illnesses

Correct Answer: 1

Rationale 1: Herbal uses for medicine include knowing what herbs are used for what means, when the herbs are
to be picked, and how they are to be prepared for usage.

Rationale 2: Amulets may be part of folk medicine but are not herbal in nature.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Rationale 3: Avoidance of certain animal parts for consumption does not have herbs as its base.

Rationale 4: Special ceremonies could have significance in folk medicine, but they do not have herbs as their
base.

Global Rationale:

Cognitive Level: Applying


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO04 – Give examples of the choices that people have in health care.

Question 23
Type: MCSA

The nurse learns that a patient used to follow homeopathic medicine but now only uses allopathic medicine
approaches. What is the significance of allopathic medicine?

1. Espouses empiric methods for treating disease

2. Accepts other forms of therapy as valid for treating disease

3. Is practiced only where it is accepted

4. Encompasses different treatment modalities within its framework

Correct Answer: 1

Rationale 1: Allopathic medicine is the major form of medical care today, as it relies on empirical evidence to
successfully treat disease.

Rationale 2: Allopathic medicine does not accept other forms of therapy as valid for treating disease.

Rationale 3: Allopathic medicine is practiced worldwide.

Rationale 4: Allopathic medicine is not holistic in nature and does not accept other treatment modalities as valid
within its overall framework.

Global Rationale:

Cognitive Level: Understanding


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO05 – Give examples of the traditional HEALTH care philosophies and systems.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Question 24
Type: MCMA

The nurse is trying to determine if a treatment that a patient has been taking for an illness is considered a
homeopathic remedy. Which are criteria of homeopathy?

Standard Text: Select all that apply.

1. The person, and not the disease, is being treated.

2. Does not conform to scientific standards

3. A substance used would cause symptoms in a healthy person.

4. Spinal manipulation realigns mental impulses.

5. Application of magnets to cure an illness

Correct Answer: 1,2,3

Rationale 1: In homeopathy, the person, and not the disease, is treated.

Rationale 2: Homeopathy includes medical practices that do not conform to the scientific standards set by the
allopathic medical community.

Rationale 3: In homeopathic medicine, a substance that is used to treat a specific set of symptoms is the same
substance that if given to a healthy person would cause the symptoms.

Rationale 4: Spinal manipulation is a part of chiropractic medicine and not homeopathy.

Rationale 5: The application of magnets is a part of mesmerism and not homeopathy.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO05 – Give examples of the traditional HEALTH care philosophies and systems.

Question 25
Type: MCMA

A patient wants to use a complementary medicine approach for a chronic health problem. Which approaches
would the nurse suggest the patient use?

Standard Text: Select all that apply.


Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
1. Hypnotherapy

2. Qi gong

3. Biofeedback

4. Reiki

5. Reflexology

Correct Answer: 1,2

Rationale 1: Hypnotherapy is considered an alternative approach for a chronic health problem.

Rationale 2: Qi gong is considered a traditional approach for a chronic health problem.

Rationale 3: Biofeedback is considered an alternative approach for an acute health problem

Rationale 4: Reiki is considered a traditional approach for a health problem needing rehabilitation.

Rationale 5: Reflexology is considered an alternative approach for a community or public health problem.

Global Rationale:

Cognitive Level: Applying


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO05 – Give examples of the traditional HEALTH care philosophies and systems.

Question 26
Type: MCSA

The nurse notes that a patient’s religion is identified as being Christian Science. How will this religious belief
impact the health care that the patient will want?

1. The patient will choose the method of health care that is the most effective.

2. The patient will use water treatments for healing disease and injury.

3. The patient uses magnets and touch for healing.

4. The patient will ask for spinal manipulation.

Correct Answer: 1

Rationale 1: Christian Scientists are free to choose the method of health care they feel is the most effective.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Rationale 2: Water treatment for healing is hydrotherapy.

Rationale 3: Using magnets and touch for healing is mesmerism.

Rationale 4: Spinal manipulation for healing is part of chiropractic medicine.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO05 – Give examples of the traditional HEALTH care philosophies and systems.

Question 27
Type: MCSA

What is an advantage of using complementary medicine for treatment of an illness?

1. Complementary medicine can be used with allopathic medicine.

2. Complementary medicine replaces allopathic medicine as a primary form of treatment.

3. Complementary medicine lessens a patient's discomfort with allopathic treatments.

4. Complementary medicine is never used with allopathic medicine.

Correct Answer: 1

Rationale 1: Complementary medicine can be used together with allopathic medicine to complement its
treatment.

Rationale 2: Complementary medicine does not replace allopathic medicine as a primary form of treatment. It is
meant to be used in concert with allopathic medicine or other treatment modalities.

Rationale 3: While complementary medicine may lessen discomfort from allopathic treatment, it is not
guaranteed that it will.

Rationale 4: Complementary medicine can be used with allopathic medicine or on its own.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
Learning Outcome: LO06 - Discover information available from the National Center for Complementary and
Alternative Medicine.

Question 28
Type: MCSA

Which complementary treatment would the nurse suggest for a patient receiving treatment for cancer?

1. Use ginger.

2. Ingest black cohosh.

3. Take gingko.

4. Wear a copper bracelet.

Correct Answer: 1

Rationale 1: Ginger is used to treat nausea and vomiting that can arise from chemotherapy.

Rationale 2: Black cohosh taken for night sweats is a complementary therapy for menopause.

Rationale 3: Gingko is a complementary treatment used to treat tinnitus.

Rationale 4: Copper bracelets are a complementary therapy for arthritis treatment.

Global Rationale:

Cognitive Level: Applying


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO06 - Discover information available from the National Center for Complementary and
Alternative Medicine.

Question 29
Type: MCSA

A patient asks the nurse to help identify alternative care approaches for a newly diagnosed illness. Why would the
patient want to use an alternative care approach?

1. Allopathic treatments may cause adverse effects that a person can't tolerate.

2. It has a better empirical basis than do allopathic treatments.

3. Insurance reimburses alternative care treatments at the same rate or better than allopathic treatments.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.
4. Training for alternative care practitioners is closely regulated and licensed.

Correct Answer: 1

Rationale 1: People may seek alternative care treatments as they may produce fewer adverse effects than
allopathic treatments.

Rationale 2: Alternative care treatments have not received the same degree of empirical research as allopathic
treatments.

Rationale 3: Insurance can reimburse for some alternative treatments, but allopathic treatments have a better
reimbursement history from insurance.

Rationale 4: Training for alternative care practitioners is not as closely regulated as that for practitioners of
allopathic medicine.

Global Rationale:

Cognitive Level: Analyzing


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO06 - Discover information available from the National Center for Complementary and
Alternative Medicine.

Question 30
Type: MCSA

For which patient would the nurse be sure to include an assessment about the use of complementary alternative
medical (CAM) treatments?

1. Thirty-five-year-old patient who lives in Los Angeles

2. Male patient

3. Patient whose family believes CAM is a hoax

4. Patient with an eighth grade education

Correct Answer: 1

Rationale 1: The most frequent users of CAM are people who are in the 25-49 age group and live on the West
Coast.

Rationale 2: There is no distinction between the genders regarding the use of CAM.

Rationale 3: From the viewpoint of the medical establishment, the use of CAM is a hoax if it is scientifically
ineffective. There is no information to support the influence of family on the use of CAM.
Spector, Cultural Diversity in Health and Illness, 8/E Test Bank
Copyright 2013 by Pearson Education, Inc.
Rationale 4: People with higher levels of education, not rudimentary education, are more likely to use CAM.

Global Rationale:

Cognitive Level: Applying


Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO06 - Discover information available from the National Center for Complementary and
Alternative Medicine.

Spector, Cultural Diversity in Health and Illness, 8/E Test Bank


Copyright 2013 by Pearson Education, Inc.