NACE Cultural and Spiritual Considerations in Nursing 2

Question 1

A Jehovah's Witness patient with a hemoglobin of 7.2 g/dL refuses a blood transfusion. Which therapy would the nurse expect to be most acceptable to this patient?

Accepted Answer

Nonblood volume expanders such as normal saline

Answer

Jehovah's Witnesses generally refuse whole blood and its primary components but usually accept nonblood volume expanders and other alternatives.

Question 2

An Orthodox Jewish patient who keeps kosher receives a tray with a beef entrée. Which item on the tray should the nurse replace?

Accepted Answer

A glass of milk

Answer

Kosher dietary law prohibits eating meat and dairy at the same meal.

Question 3

A Muslim patient with type 2 diabetes wants to fast during Ramadan. What is the nurse's best action?

Accepted Answer

Collaborate with the provider to adjust medication timing around pre-dawn and post-sunset meals

Answer

Respecting the choice to fast while adjusting medication timing with the provider supports safety and cultural values, though ill people may be exempt and should be informed.

Question 4

A Seventh-day Adventist patient asks for a beverage. Which choice is most consistent with common Adventist health practices?

Accepted Answer

Herbal tea

Answer

Many Seventh-day Adventists avoid caffeine and alcohol, so caffeine-free herbal tea is appropriate.

Question 5

A Hindu patient is admitted for pneumonia. Which dietary consideration should the nurse anticipate?

Accepted Answer

The patient will likely avoid beef and may follow a vegetarian diet

Answer

Cows are considered sacred in Hinduism, and many Hindus are vegetarian.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Cultural and Spiritual Considerations in Nursing 2