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RNSG 1413 - Exam 3 (9, 14, 15, 16, 17, 18, 19, 20, 22, 23, 35) (1)
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RNSG 1413 - Exam 3 (9, 14, 15, 16, 17, 18, 19, 20, 22, 23, 35) (1)
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RNSG 1413 - Exam 3 (9, 14, 15, 16, 17, 18, 19, 20,22, 23, 35)
A nurse is working at a health fair screening people for liver cancer. Which population group
should the nurse monitor MOST closely for liver cancer? - ANS-Asian American
A nurse is caring for an immigrant with low income. Which information should the nurse consider
when planning care for this patient? - ANS-There is an increased incidence of disease.
A nurse is assessing the health care disparities among population groups. Which areas is the
nurse monitoring? - ANS-Accessibility of health care services.
A nurse is providing care to a patient from a different culture. Which action by the nurse
indicates cultural competence? - ANS-Functions effectively in a multicultural context
The nurse learns about cultural issues involved in the patient's health care belief system and
enables patients and families to achieve meaningful and supportive care. Which concept is the
nurse demonstrating? - ANS-Culturally congruent care
A nurse is beginning to use patient-centered care and cultural competence to improve nursing
care. Which step should the nurse take first? - ANS-Assessing own biases and attitude
A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication.
Which area will the nurse assess for the "H"? - ANS-Healers
The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is
working with an interpreter. Which action should the nurse take? - ANS-Look at the patient when
talking.
Which action indicates the nurse is meeting a primary goal of cultural competent care for
patients? - ANS-Provides care to transgender patients
The nurse is caring for a Chinese patient using the Teach-Back technique. Which action by the
nurse indicates successful implementation of this technique? - ANS-Asks, "What will you tell
your spouse about changing the dressing?"
A nurse is using core measures to reduce health disparities. Which group should the nurse
focus on to cause the most improvement in core measures? - ANS-Poor people
A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients. Which
design should the nurse use? - ANS-Use partnered rather than married.
,A nurse is assessing population groups for the risk of suicide requiring medical attention. Which
group should the nurse monitor most closely - ANS-Young bisexuals
A nurse is assessing a patient's ethnohistory. Which question should the nurse ask? - ANS-How
different is your life here from back home?
A nurse is teaching patients about health care information. Which patient will the nurse assess
closely for health literacy? - ANS-A patient 68 years old
A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the
hospital using? - ANS-Reduce disparities.
A nurse is providing care to a culturally diverse population. Which action indicates the nurse is
successful in the role of providing culturally congruent care? - ANS-Provides care that fits the
patient's valued life patterns and set of meanings
A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse is
priority? - ANS-On the way a patient reacts to disease
A nurse is using Campinha-Bacote's model of cultural competency. Which areas will the nurse
focus on to become competent? (Select all that apply.) - ANS-Cultural skills,
Cultural desire,
Cultural knowledge,
Cultural encounters
A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT. Which
actions should the nurse take? (Select all that apply.) - ANS-Connect on a social level,
Consciously attempt to suspend judgment.
A nurse is using the explanatory model to determine the etiology of an illness. Which questions
should the nurse ask? (Select all that apply.) - ANS-What do you call your problem?,
How does this illness work inside your body?,
What name does it have?
A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care.
Which actions describe the components the nurse is using? - ANS-Cultural Skills -
Cultural Desires
Cultural awareness
Cultural knowledge
Cultural encounters
Cultural skills - ANS-Ability to assess factors that influence treatment and care
, Cultural desires - ANS-Motivation and commitment to continue learning about cultures
Cultural awareness - ANS-In-depth self-examination of one's own background
Cultural knowledge - ANS-Sufficient comparative understanding of diverse groups
Cultural encounters - ANS-Cross-cultural interaction that develops communication skills
Which action should the nurse take when using critical thinking to make clinical decisions? -
ANS-Consider what is important in a given situation.
Which patient scenario of a surgical patient in pain is most indicative of critical thinking? -
ANS-Asking the patient what pain-relief methods, pharmacological and nonpharmacological,
have worked in the past
Which action indicates a registered nurse is being responsible for making clinical decisions? -
ANS-Takes immediate action when a patient's condition worsens
A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates
the charge nurse needs to intervene? - ANS-Making a clinical decision based on previous shift
assessments
Which action demonstrates a nurse utilizing reflection to improve clinical decision making? -
ANS-Improves a plan of care while thinking back on interventions effectiveness
A nursing instructor needs to evaluate students' abilities to synthesize data and identify
relationships between nursing diagnoses. Which learning assignment is best suited for this
instructor's needs? - ANS-Concept mapping
A nurse is using a critical thinking model to provide care. Which component is first that helps a
nurse make clinical decisions? - ANS-Specific knowledge base
Which action by a nurse indicates application of the critical thinking model to make the best
clinical decisions? - ANS-Using the nursing process
A nurse is using the critical thinking skill of evaluation. Which action will the nurse take? -
ANS-Review the effectiveness of nursing actions.
The patient appears to be in no apparent distress, but vital signs taken by assistive personnel
reveal an extremely low pulse. The nurse then auscultates an apical pulse and asks the patient
whether there is any history of heart problems. The nurse is utilizing which critical thinking skill?
- ANS-Interpretation
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