NUR 418 Exam 1 | Complete Solutions (Verified) A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the nurse would best indicate progress toward this goal? 1. Demonstrate good knowledge of different cultural health beliefs 2. Effectively respond to t...
A nurse wishes to improve their cultural sensitivity while working with patients. Which
action by the nurse would best indicate progress toward this goal?
1. Demonstrate good knowledge of different cultural health beliefs
2. Effectively respond to the needs of people of different cultures
3. Interact respectfully with patients who have differing health beliefs
4. Recognize that they will never be the expert in other cultures
A nurse manager is evaluating staff members on their cultural competence. Which
action best demonstrates this characteristic?
1. Attends workshops on cultural diversity and health practices
2. Participates in community health events with minority populations
3. Plans care with the family members within their cultural beliefs
4. Uses family members as interpreters to make them feel important
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,
listening 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.
A patient wishes to use complementary therapy when managing a chronic health
condition. Which action by the nurse is most appropriate?
1. Advise the patient that stopping medical treatment may cause it to worsen.
2. Inform the patient that there are no complementary therapies for this condition.
3. Investigate herbs that can be substituted for prescription drugs.
4. Suggest the patient add massage therapy to the medical regimen.
A nurse is working with a family that uses multiple complementary and alternative
medicine (CAM) modalities. What action by the nurse is best?
1. Allow the family to continue these practices as desired.
2. Assess how these practices reflect religious beliefs.
3. Inform the family that most of these practices do not work.
4. Provide evidence-based information about the therapies.
,A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar.
What action by the nurse will best promote effective communication?
1. Call for a professional interpreter to translate information.
2. Pattern voice tone and eye contact after the patient's behaviors.
3. Talk slowly and deliberately using simple language and cues.
4. Use nonverbal communication as much as possible with the patient.
A nurse manager expects all employees to be patient advocates. Which nursing action
best demonstrates this nursing role?
1. Arranging a family-physician conference to clarify treatment plans
2. Encouraging treatment options based on personal beliefs and values
3. Giving contact information for governmental assistance agencies
4. Working on a political campaign to reduce poverty in the state
A patient and family have the nursing diagnosis of impaired verbal communication
secondary to a language barrier. What action by the patient/family would best indicate
that short-term goals for this diagnosis have been met?
1. Able to communicate long-term desires for health of the patient
2. Demonstrates comprehension by head nodding and saying "yes"
3. States understanding of condition and treatment via an interpreter
4. Understands how nonverbal communication varies between cultures
A nurse is working with family members who have been striving to improve their
functioning as a family unit. What behavior would suggest to the nurse that the family is
meeting its goals?
1. The children are in multiple activities to develop talents.
2. The desire to be understood guides most communication.
3. Family members gave up some activities to eat dinner together on most nights.
4. The parents have a strong desire for the children to succeed.
A nurse works a great deal with refugees and is frustrated because, as a group, they
don't seem to want to implement desired health behaviors. What action by the nurse
would be most helpful?
1. Conduct a health screening and educational event each month.
2. Provide written information in the group's native language.
3. Teach selected group representatives to be lay health educators.
4. Try to establish relationships within the refugee community.
According to family systems theory, each family system contains boundaries that affect
how the outside world interacts with the family. Families that have recently immigrated
to the United States might have closed boundaries and may only be receptive to health
,information provided by extended family members or members of their community.
Establishing a lay health educator program in which community members can be taught
health information with the intent of delivering it to their communities would be a good
way to work with these families while respecting their boundaries.
A patient is dismissed from the hospital and is receiving nursing care at home to help in
the recovery from a serious illness and operation. The visiting nurse notes that the
family is in a state of disarray and members are disorganized and not communicating.
The patient is trying to direct everyone's actions. The nurse calls a family meeting. What
action by the nurse is best?
1. Encourage family members to make "to do" lists and assign chores.
2. Explain that changes in one person require changes in the others.
3. Make a referral to a counselor or mental health nurse practitioner.
4. Tell the family members that, for the patient to recover, they must assume the
patient's role.
A nurse is working with a blended family of 1 year with five children aged 3, 7, 13
(twins), and 19. The parents seem overly stressed and anxious and do not seem to
work well as a unit. What can the nurse conclude about this family?
1. Communication problems are the core of the parents' stress.
2. Economic stressors are impacting the parental dyad.
3. The family is in too many developmental stages to master any of them.
4. There are too many children to give each one adequate attention.
A nurse is working with a patient who is newly married and pregnant and says she is
distressed because she and her husband seem to be so different, and they argue over
petty issues. What action by the nurse using group theory would be best?
1. Ask the patient if she can remember why she and her husband fell in love.
2. Caution her that this level of disagreement will cause stress to the unborn baby.
3. Offer the patient a referral to a community counseling center for couples' therapy.
4. Reassure her that this is normal and help her brainstorm ways to work cooperatively.
A clinic nurse is using group theory to assess a family whose youngest child recently
moved back home after graduating from college and is unable to find a job. Which
statement by a parent would indicate to the nurse that goals for norming have been
met?
1. "I'm glad my son stays in his room in the basement all day, so he doesn't bother us."
2. "It's hard to decide how much food to buy because we don't know where he's eating."
3. "My son is gone a lot of the time, so we really don't notice that he moved back in."
4. "We have agreed not to have a curfew as long as we know when he will be home."
, A student observes as an adult brother and sister lash out at the nurse caring for their
hospitalized parent. The parent lives at home but is dependent on the children for care
and is obviously neglected. The nurse has informed the children that social work will be
involved in their parent's case. How does the nurse explain this interaction?
1. "Don't worry; they will calm down eventually."
2. "Families often get emotional in these situations."
3. "They are focusing attention on me, not the problem."
4. "This family is obviously highly dysfunctional."
A nurse working with a married couple notes that both parties seem to try to be
dominant in their sessions. According to Bowen's family systems theory, which question
asked by the nurse would yield the most useful information?
1. "Are you each a first-born, middle child, or youngest sibling?"
2. "How demonstrative was each of your parents when you were growing up?"
3. "How many children were in each of your families?"
4. "What socioeconomic classes did you both grow up in?"
A nurse working with a pregnant patient who is a recent immigrant to the United States
notes that her husband rarely accompanies her to prenatal visits, and when he does, he
sits in the waiting room. What action by the nurse is best?
1. Ask the patient what role men in her culture play in pregnancy.
2. Ask the patient why her husband doesn't seem involved.
3. Encourage the man to participate to support his wife.
4. Research the couple's cultural background and health beliefs.
The family clinic nurse initiates conversation with a 16-year-old adolescent male who is
5 feet 10 inches and weighs 250 pounds (113.6 kg). Which of the following is the most
appropriate question for the nurse to ask the adolescent regarding his weight?
1. "Are you willing to talk about your weight gain this year?"
2. "Do you realize your weight puts you into an obese category?"
3. "Do you participate in any activities or exercise?"
4. "What do you think about your weight right now?"
A group of student nurses are reviewing the Nurse Practice Act. Which statements
indicate that teaching has been effective? Select all that apply.
1. "Nurse Practice Acts are the same across the United States."
2. "Roles and responsibilities are specified by type of license."
3. "Information for initial application."
4. "Criteria for renewal of professional license."
5. "Describes required elements for professional nursing programs."
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