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NURS 3209 Holistic Nursing Final Exam Questions And 100% Correct Answers
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NURS 3209 Holistic Nursing Final Exam Questions And100% Correct Answers
Nurses are responsible for delivering culturally competent care for all clients. Culturally
competent care does not account for:
individual values.
developmental level.
client's height.
available technology.
client's height.
In partnership with the person, family, and others; the nurse develops an individualized
plan considering the person's characteristics or situation including but not limited to:
values, beliefs, spiritual and health practices, preferences, choices, developmental
level, coping style, culture, environment, and available technology. A physical
characteristic such as one's height does not contribute to cultural competence.
A nurse is working with an older adult client, educating the client on how to ambulate
with the aid of a walker. The nurse notes that the client appears to lack the motivation to
learn how to use the device. The client states, "I'm just too old to learn." What would be
most appropriate for the nurse to do to motivate this client?
Tell the client how to move the walker as the client ambulates.
Explain how the walker supports the client's lower extremities.
Fully discuss the rationale for using the walker.
Describe how the walker can improve the client's quality of life.
,Describe how the walker can improve the client's quality of life.
Motivating the older adult client can be done by showing the client how the new
knowledge will improve the client's quality of life, regardless of how long that may be. It
will also demonstrate how the new knowledge could improve the client's level of
independence. Although demonstrating the use of the walker and explaining how the
walker assists with ambulation (and the rationale for its use) can be used to educate the
client, these actions would not promote motivation for the client to learn.
The nurse has just attended a seminar on concepts of cultural diversity. Which
statement made by the nurse would require further education?
"Culture helps to define identity within specific groups of people."
"Culture cannot be influenced, and you are born with your culture."
"Language is the primary way that people share their culture."
"Culture can be seen in attitudes and institutions of certain populations."
"Culture cannot be influenced, and you are born with your culture."
Culture is learned through life experiences from one generation to the next. Culture
helping to define identity, language being the primary way that people share their
culture, and culture being seen in attitudes of certain populations are correct options;
these are all components that define culture.
We have an expert-written solution to this problem!
The nurse is caring for a confused older adult client who requires surgery for a broken
hip. What steps does the nurse take to determine if the client has a durable power of
attorney for health care and how to contact that person?
Review the medical chart for a copy of a durable power of attorney for health care or
permission for disclosure contact.
Explain the client's need for hip surgery to visitors and ask them for information about a
durable power of attorney for health care.
Look on the chart for a living will if a durable power of attorney for health care cannot be
located.
,Allow the surgeon to handle the issue as part of his or her legal responsibility for
explaining the surgical procedure and obtaining the appropriate signature on the
consent form.
Review the medical chart for a copy of a durable power of attorney for health care or
permission for disclosure contact.
The client cannot give consent due to confusion. In most cases, the durable power of
attorney for health care document is discussed and obtained during the admission
process. The nurse should act as a client advocate by seeking someone with durable
power of attorney to sign the informed consent form. It is the surgeon's responsibility to
explain the surgical procedure and obtain the appropriate signature on the consent
form; however, the nurse still acts as the client advocate to locate the designated
person. A living will specifies the types of medical treatment the client wants should the
client become unable to speak in a terminal or permanently unconscious medical
condition, but it does not address matters related to client confusion. Telling visitors
about the need for surgery may violate client confidentiality. If the nurse identifies who
they have permission to disclose medical information to, they can ask that person about
a durable power of attorney for health care.
A client believes that the illness is caused by an imbalance of yin and yang. The nurse
states, "You can call it whatever you believe, but you have a metabolic disorder." What
is this nurse demonstrating?
Ethnocentrism
Cultural diversity
Stereotyping
Cultural blindness
Cultural blindness
The nurse is demonstrating cultural blindness, which occurs when one ignores
differences and proceeds as though they do not exist.
We have an expert-written solution to this problem!
What signs of complications and their probable causes may occur when administering
an IV solution to a client? Select all that apply.
, Swelling, pain, coolness, or pallor at the insertion site may indicate infiltration of the IV.
Redness, swelling, heat, and pain at the site may indicate phlebitis.
Local or systemic manifestations may indicate an infection is present at the site.
A pounding headache, fainting, rapid pulse rate, increased blood pressure, chills, back
pains, and dyspnea occur when an air embolus is present.
Bleeding at the site when the IV is discontinued indicates an infection is present.
Engorged neck veins, increased blood pressure, and dyspnea occur when a thrombus is
present.
Swelling, pain, coolness, or pallor at the insertion site may indicate infiltration of the IV.
Redness, swelling, heat, and pain at the site may indicate phlebitis.
Local or systemic manifestations may indicate an infection is present at the site.
If the IV catheter has become dislodged and IV fluid is flowing into the tissues, then
infiltration has occurred. Infiltration is indicated with swelling, pain, coolness, or pallor
at the insertion site. Redness, swelling, heat, and pain at the site may indicate phlebitis
of the vein. If the site has become infected, it may be contained as a localized infection,
or it can spread throughout the bloodstream as a systemic infection. A pounding
headache, fainting, rapid pulse rate, increased blood pressure, chills, back pains, and
dyspnea occur when fluids are administered too rapidly (speed shock). Bleeding at the
IV site indicates the need for additional pressure to be applied to the site. This can
occur if the client is taking anticoagulants or has a bleeding disorder. Engorged neck
veins, increased blood pressure, and dyspnea occur when fluid overload has occurred.
A nurse assesses a client with an ostomy appliance and notes that the stoma is
protruding into the bag. How should the nurse respond to this assessment finding?
Put on sterile gloves and gently reposition the stoma.
Promptly notify the client's primary care provider.
Irrigate the client's colostomy.
Have the client rest for half an hour and then reassess.
Have the client rest for half an hour and then reassess.
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