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Davis Advantage for Maternal-Child Nursing Care 3rd Edition Test Bank by Meredith J Scannell, Kristine Ruggiero
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Test Bank Davis Advantage for Maternal Child Nursing Care 3rd Ed Scannell ; Ruggiero All Chapters Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum MULTIPLE CHOICE 1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the nurse would best indicate progress toward this goal? A. Demonstrate good knowledge of different cultural health beliefs B. Effectively respond to the needs of people of different cultures C. Interact respectfully with patients who have differing health beliefs D. Recognize that they will never be the expert in other cultures ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum Objective: #. Page: 13 Heading: Cultural Practices Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive Level: Analysis [Analyzing] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. Cultural competence is the ability to interact effectively with people of different cultures and requires a certain level of knowledge about those cultures. B. Cultural competence is the ability to interact effectively with people of different cultures and requires a certain level of knowledge about those cultures. C. Cultural sensitivity is a way of approaching people who hold health beliefs different from one’s own. A nurse with this characteristic is respectful of and open to others. D. Cultural humility is the recognition that one will never master all information about another culture. 2. A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrates this characteristic? A. Attends workshops on cultural diversity and health practices B. Participates in community health events with minority populations C. Plans care with the family members within their cultural beliefs D. Uses family members as interpreters to make them feel important ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum Objective: #. Page: 16 Heading: Table 1.2 Strategies and Measures to Improve Maternal Health Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive Level: Evaluation [Evaluating] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. Attending workshops is a good way to learn about diverse cultures, but this action is too limited in scope to demonstrate cultural competence. B. Participating in community events with diverse populations can increase cultural knowledge, but this action is too limited in scope to demonstrate cultural competence. C. The culturally sensitive nurse can understand and respond to the needs of individuals and families from different cultures. This nurse plans interventions with a solid knowledge of the values and practices of the members of the culture. Being open, listeni ng to the family, and involving them in care demonstrates respect, unifies the nurse –patient relationship, and will motivate the patient (and family) to make positive health changes. D. Nurses should use professional interpreters when needed. 3. A patient wishes to use complementary therapy when managing a chronic health condition. Which action by the nurse is most appropriate? A. Advise the patient that stopping medical treatment may cause it to worsen. B. Inform the patient that there are no complementary therapies for this condition. C. Investigate herbs that can be substituted for prescription drugs. D. Suggest the patient add massage therapy to the medical regimen. ANS: D Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti n- uum Objective: #. Page: 18 Heading: Complementary and Alternative Therapies Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis [Analyzing] Concept: Promoting Health Difficulty: Moderate Feedback A. Because the patient is asking about complementary therapy, there is no need to warn them of the effects of stopping treatment. B. There are always complementary therapies that can be added to a medical regimen. C. Substituting herbs for prescription medication is an example of alternative therapy. D. Complementary therapy is nontraditional medical treatment used together with conventional medical treatment. Adding massage to the medical regimen is an ex- ample of using complementary therapy. 4. A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best ? A. Allow the family to continue these practices as desired. B. Assess how these practices reflect religious beliefs. C. Inform the family that most of these practices do not work. D. Provide evidence- based information about the therapies. ANS: D Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum Objective: #. Page: 18 Heading: Complementary and Alternative Therapies Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Family; Promoting Health Difficul ty: Moderate Feedback A. Although the nurse cannot stop the family from using CAM, they should not pass up the opportunity to provide and discuss information about CAM. B. A culturally competent nurse will assess how religious and spiritual beliefs affect health -care practices, but the nurse needs to advocate for the patient/family by providing solid information. C. Many CAM practices have demonstrated benefit, so telling the family they don’t work is false information. D. The nurse working with individuals or families who use CAM practices should respect the beliefs, values, and desires of the patient. The nurse should encourage families to make decisions regarding CAM practices based on evidence and research into their effects. The nurse can best assist in this by providing and discussing information.
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