PHN Public Health Nursing Exam 2- practice
questions |ANSWERS 100% RATED CORRECT-
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Bruising and swelling on a client's face and torso are noticed by a nurse during a
prenatal examination. The client's exchange-student husband, who speaks for the client,
tells the nurse his wife deserved the bruises. The client looks at the floor and shakes her
head in agreement. The nursing student leaves the examination room angry and
confused, experiencing what can best be described as:
a. culture shock.
b. prejudice.
c. ignorance.
d. racism. - ✔✔A
A PHN in a maternal-child health clinic encounters a client from Ethiopia. The clinic
typically sees Hispanic clients. The nurse should first conduct:
a. general cultural assessment.
b. head-to-toe assessment.
c. in-depth cultural assessment.
d. nonverbal communication assessment. - ✔✔A
A Public Health Service nurse employed by the Indian Health Service is working with a
client diagnosed with cancer. The client uses sweat lodges to "cure the disease." The
nurse understands the need for the client to use traditional healing practices. The nurse
is integrating her knowledge of the cultural organizing factor of:
a. biological variations.
b. communication.
,c. environmental control.
d. space. - ✔✔C
A community-based hospice nurse has an Asian male client with terminal-stage cancer.
The client complains that he is in continuous pain and receives no relief from the
codeine prescribed by his primary care physician (PCP). Because this nurse is culturally
competent with Asian clients, the nurse contacts the client's PCP to discuss replacing
this medication with another pain-reducing drug. The nurse's action can best be
described as an example of:
a. cultural accommodation.
b. cultural assessment.
c. cultural brokering.
d. cultural repatterning. - ✔✔C
The nurse is educating her Nigerian client regarding the prenatal services available
through the maternal-child health clinic. The client is interested in confirming her
pregnancy at this visit but does not see the need for ongoing visits because childbirth is
viewed as a natural process in her culture. The nurse negotiates with the client to
structure a strategy to achieve a healthy pregnancy outcome that uses the clinic's
resources in a manner that is satisfactory to the client. This is an example of:
a. cultural accommodation.
b. cultural brokering.
c. cultural preservation.
d. cultural repatterning. - ✔✔C
1. A nurse overhears the doctor saying, "Let's not give the client codeine, he's Asian."
The nurse reflects on the comment and determines that the doctor is which of the
following? (Select all that apply.)
a. Culturally competent
, b. Prejudiced
c. Ethnocentric
d. Unable to assess pain based on culture
e. Planning care based on racial enzymatic differences - ✔✔A,E
A nurse diabetic educator who recently returned from a professional conference
decides to present current best practices and research findings at a gathering of newly
diagnosed diabetic clients. In adopting this approach, the nurse may fail to provide
health education effectively. This failure would relate to which domain of learning?
a. Affective
b. Cognitive
c. Psychomotor
d. Practice - ✔✔B
A nurse is teaching a postpartum mother how to breastfeed her infant. The nurse notes
that the mother is alert and agrees that breastfeeding is important to her and beneficial
to her baby. The nurse outlines the expectations of breastfeeding for the mother and
the baby and presents the material. In terms of the sequencing of instruction, what
should the nurse do next?
a. Ask the mother about her previous experience with breastfeeding
b. Demonstrate how to position the baby for breastfeeding
c. Have the mother demonstrate breastfeeding
d. Show the mother a video about breastfeeding - ✔✔A
Which objective includes all of the critical elements of an educational objective?
a. After attending the diabetic education class, the client will prepare a meal plan.
b. At the end of self-management training, the client will prepare a daily food plan that
meets the 1800-calorie per day American Diabetes Association (ADA) diet guidelines.
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