The nurse makes certain that a client who is Catholic is able to ...

[james]

The nurse makes certain that a client who is Catholic is able to attend Mass on Sunday. The nurse has determined the client's religious practices from the assessment. This is an example of:
 
  1. Ethnocentrism.
  2. Cultural blindness.
  3. Culturally competent care.
  4. Differential treatment based on spiritual beliefs.

Question 2

The client states, I was reared in a chaotic, alcoholic family situation. The nurse knows that the most useful theory for explaining the client's somatoform disorder would come from:
 
  1. Humanistic theory.
  2. Psychosocial theory.
  3. Biologic theory.
  4. Genetic theory.

[kkenney]

Answer to Question 1

3
Rationale: The nurse has increased competence through the skilled use of the nursing assessment to deliver care that is culturally appropriate. The care provided has been individualized based on the client's assessment. Clients would receive care based on their own spiritual needs. Ethnocentrism is the belief that one's own cultural values are superior and preferable to any other cultural group. Cultural blindness would occur if the nurse did not consider the client's individual differences in the plan of care.

Answer to Question 2

2
Rationale: Psychosocial theorists believe that the client did not receive adequate nurturing. Biologic theorists believe that decreased serotonin and endorphins may lead to altered pain perception. Genetic theorists believe that both genetic and environmental factors contribute to somatization disorders. Humanistic theorists believe that one must look at clients with somatoform disorders in the context of what is happening in the clients' lives.