Outcome of achieving national culture health goals is

All U.S. residents have access to the same quality of care

How would you assess the 5th vital sign?

" Are you experiencing any discomfort right now?"

What is the best way to teach a client about a new diet?

Ask client to make list of favorite foods & use in new diet

Post-op client refuses pain meds; says he is fine as long as he doesn't move. Priority dx is

Deficient knowledge (pain ctrl measures)

Which statement shows client has reached goal "select foods that are low in fat."

See how I revised my favorite recipe to be lower in fat

Which is the initial step in culturally responsive nursing practice

Discuss the meaning of the medical regimen with the client

74 yo says "I have no idea what this med is for." The best nrsg dx is

Deficient knowledge (medication information)

Which client is most ready to learn?

3 yo whose parents are reading him book about going to hosp.

In caring for a client from a different culture, what would be an appropriate statement?

"Let me know if I do anything that is not appropriate."

rx = 4 morphine 2.5-5 mg IV q4hrs. Pt received 2.5mg 4 hrs ago; She's watching TV ; pain=5/10

Give 5 mg & reassess in 30 minutes

Which observations in a client on continuous analgesic should RN monitor closely if client

Is drowsy; falls asleep before finishing a sentence

Which behavior is most representative of a culturally competent nurse

Validates beliefs of client w/African American heritage

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155 Units 9-10

22 termsStudBud Administration95 plays

Culture, Teaching, Pain

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Questions 22

Answers

1
Client was admitted w/elevated BP d/t not taking meds. Which assessment would RN give priority?
support system
Ability to purchase meds
Perception of effects of high BP
Age
2
Dull burning pain in legs related to diabetes is
neuropathic pain
visceral pain
somatic pain
physiological pain
3
Outcome of achieving national culture health goals is
All people have the same life expectancy
All cultures are fully assimilated into the dominant culture
All U.S. residents have access to the same quality of care
All cultures receive the same health care
4
How would you assess the 5th vital sign?
" Do you have any complaints?"
" Are you experiencing any discomfort right now?"
"Do you have any pain complaints?"
" Is there anything I can do for you now?"
5
How would you assess client's learning style?
Ask how they learn best
Ask family
Use a variety of strategies
Observe interactions with others
6
What is the best way to teach a client about a new diet?
Consult a nutritionist
Ask client to make list of favorite foods & use in new diet
Provide DVD
Join a support group
7
Which learning activity reflects Bloom's affective domain?
administering an injection
accepting loss of a limb
inserting a catheter
learning how to read
8
Major reason for increased emphasis on cultural sensitivity in nursing is
Increased access to health care
Demographic changes
Increased birth rate
A decreasing rate of immigration
9
During transduction phase of nociception, which method of pain ctrl is most effective
tricyclic antidepressants
opioids
distraction
motrin
10
Post-op client refuses pain meds; says he is fine as long as he doesn't move. Priority dx is
Risk for ineffective airway clearance
Ineffective health maintenance
Impaired physical mobility
Deficient knowledge (pain ctrl measures)
11
Client speaks little English & no staff speaks her language. How would you give instructions?
document that teaching is not possible
Use a professional interpreter
Provide in writing
Ask family to translate
12
A client has just arrived from surgery. What is your priority pain assessment?
intensity
history
location
tolerance
13
Which statement shows client has reached goal "select foods that are low in fat."
I feel better about myself now
See how I revised my favorite recipe to be lower in fat
I understand the importance of maintaining a low fat diet
Since changing my diet, my spouse is loosing weight
14
Which is the initial step in culturally responsive nursing practice
Client maybe classified as AMA if she doesn't comply
Help client adapt to the current current culture
Ask a culturally expert if an intervention is relevant
Discuss the meaning of the medical regimen with the client
15
What is the best way to assess heritage?
physical exam
medical history
blood tests
ask client about their beliefs
16
74 yo says "I have no idea what this med is for." The best nrsg dx is
Deficient knowledge (medication information)
Noncompliance
Health seeking behavior
Deficient knowledge
17
Which client is most ready to learn?
45 yo just told he has cancer
60 yo female who just received pain meds 5 minutes ago
3 yo whose parents are reading him book about going to hosp.
70 yo male s/p cva who just returned from therapy
18
7 on a pain scale of 0-10 is classified as
mild pain
no pain
moderate pain
severe pain
19
In caring for a client from a different culture, what would be an appropriate statement?
"Let me know if I do anything that is not appropriate."
"You will need to adapt to our culture."
" You don't eat meat, you will be on a vegetarian diet"
"Do have any books I could read about your culture?"
20
rx = 4 morphine 2.5-5 mg IV q4hrs. Pt received 2.5mg 4 hrs ago; She's watching TV ; pain=5/10
Give nothing because she's not in pain
Give 2.5 mg to avoid addiction
Give 3.5 mg & tell her to keep watching tv
Give 5 mg & reassess in 30 minutes
21
Which observations in a client on continuous analgesic should RN monitor closely if client
Has respirations=18/min
Is drowsy; falls asleep before finishing a sentence
Has pain rating 1-2/10
Is drowsy; easily arousable
22
Which behavior is most representative of a culturally competent nurse
Tell Latinos their kids should only speak English
Helps Native Americans relate more to the nurse's culture
Have the Asian nurse do all dosage calculations
Validates beliefs of client w/African American heritage

155 Units 9-10 Flashcards | StudBud