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A patient is prescribed a low-sodium, low-fat diet. How can the nurse best ensure that the patient follows the prescribed diet during hospitalization?1) Make sure dietary services sends a low-sodium, low-fat meal tray.2) Arrange for meals that accommodate his cultural dietary practices and specified diet.3) Ask the patient's family to bring in foods from home he typically eats.4) Sit with the patient while he eats to make sure he consumes the prescribed diet.
2) Arrange for meals that accommodate his cultural dietary practices and specified diet.
Rationale:The nurse can help ensure that the patient consumes the prescribed diet by requesting a culturally appropriate meal tray for the patient.
The nurse is caring for a patient whose primary language is Vietnamese. When working with the interpreter, the nurse should do which of the following? Select all that apply.
1) Make eye contact with the interpreter.2) Speak a little more loudly than usual.3) Use an interpreter who is socially compatible with the patient.4) Try to find a family member to help interpret.
Rationale:When choosing an interpreter, the nurse should use one who is socially compatible with the patient. The nurse should maintain eye contact with both the patient and interpreter. She should not speak loudly. It is best to not ask family members to interpret because of privacy issues.
- 1) Make eye contact with the interpreter.
- 3) Use an interpreter who is socially compatible with the patient.
Which intervention by the nurse best indicates that she values a Native American patient's beliefs and indigenous healthcare system?
1) Incorporating Native American practices into care based on consultation with a cultural resource book2) Explaining the values and beliefs of the traditional healthcare system to the patient so that the patient understands what is occurring3) Contacting a Native American resource group for information about the culture4) Planning how to incorporate traditional practices and beliefs through discussion with the patient
- 4) Planning how to incorporate traditional practices and beliefs through discussion with the patient
- Rationale:"Incorporating traditional practices and beliefs . . ." is the only answer that indicates that the nurse has assessed to determine what the patient's beliefs actually are. When consulting a cultural resource book or a Native American resource group for information, the nurse would be assuming that the patient's wishes will conform to her cultural group. By explaining the traditional healthcare system, the nurse would not even be attempting to deal with the patient's beliefs but would be trying to convince the patient that the mainstream way is preferred.
A long-term care facility has started a program to increase the cultural competence of its employees. When notified of this, a nurse thinks to himself, "I don't have time for this nonsense. I already know all I need to about culture, and I don't really like taking care of so many different kinds of people anyway." This most clearly illustrates the nurse's lack of cultural:
1) Awareness2) Desire3) Exposure4) Knowledge
Rationale:Cultural desire is the wish to be culturally competent. This nurse clearly does not want to improve in that area.
While admitting a patient with a particular religious heritage, the nurse comments to another nurse, "This is going to be a pain. This kind of patient always has a million family members in and out, and they're always so noisy and demanding."
This illustrates:1) Discrimination2) Sexism3) Ethnocentrism4) Prejudice
Rationale:Prejudice refers to negative attitudes toward other people, which are based on faulty and rigid stereotypes about race, gender, sexual orientation, and so on.
When taking a cultural history, all of the following are important. Which one is most important in order to later plan for patient safety?
1) Obtain data directly from the patient. 2) Show empathy and respect; build rapport.3) Ask about use of alternative medicine and folk remedies.4) Ask open-ended questions when beginning the assessment.
- 3) Ask about use of alternative medicine and folk remedies.
- Rationale:Always ask patients about their use of alternative medicine and folk remedies so that their effects on traditional biomedical medications and treatments can be evaluated. Some remedies may interfere with traditional treatments; others can be dangerous.
Which nursing intervention is specific for promoting positive body image?
1) Encourage the client to be active and focus on healthy eating.2) Discuss boundaries, expectations, and management defined by lifestyle and family networks.3) Monitor for and discourage self-doubt and self-criticism.4) Use positive and reaffirming language when speaking with the patient.
- Answer:1) Encourage the client to be active and focus on healthy eating.
- Rationale:Encouraging the client to be active and focus on healthy eating is a nursing intervention that promotes positive body image.
__________________ is defined as a loss of interest or pleasure in previously enjoyed activities.
- Answer:1 Anhedonia
- Rationale:Anhedonia is defined as a loss of interest or pleasure in previously enjoyed activities. It is one of the symptoms of depression. Anxiety is defined as a nonspecific mental feeling of uneasiness or apprehension caused by perception of threat to self.
Each patient develops unique patterns of coping with anxiety, called _____________________, which the patient uses both consciously and unconsciously to relieve anxiety.
Rationale:Each person develops unique patterns of coping with anxiety, called defense mechanisms, which are used consciously or unconsciously to relieve the anxiety.
Over which factor affecting self-concept does a school-age child have the most control?
1) Peer relationships2) Family relationships3) Socioeconomic status4) Developmental level
- Answer:1) Peer relationships
- Rationale:Factors that affect self-concept but are out of the school-age child's control include family relationships, socioeconomic status, and developmental level. Peer relationships influence self-concept and are within the child's control because she can choose whether to remain in a relationship.
Negative body image has been linked to an increased risk for which of the following?
Select all that apply.
1) Sexually transmitted infections2) Hypertension3) Depression4) Colon cancer
- 1) Sexually transmitted infections
- 3) Depression
- Rationale:A negative body image has been linked to (and therefore places a patient at risk for) depression, smoking among adolescents, unintended pregnancy, sexually transmitted infections, and HIV infection.
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