diversity
The nurse gave a presentation about intimate partner violence (IPV) to a local community group. The nurse determines more teaching is needed when a member makes which statement?
"For the victim's safety, the victim has to learn to be careful to not set off the abuser." Explanation: The nurse would provide additional teaching when a member states the victim has to learn how to not set off the abuser. The victim should not be told he or she causes the situations of abuse. Living in a state of fear of retaliation for personal actions is not appropriate. Because IPV can occur to anyone, it is appropriate to observe others for signs and assist them to seek help if possible. Violence occurs in all socioeconomic classes and all genders. Although women are victims of violence more frequently than men, the prevalence of violence among men nonetheless represents a significant public health concern. One out of every four men has experienced rape, physical violence, and/or stalking by an intimate partner in their lifetime. Alcohol and drugs can make the situation worse.
A nurse is conducting an ethnographic interview with a client. Which step would the nurse do first?
Ask an open-ended, general question Explanation: An ethnographic interview begins with an open-ended, general question. Then, based on the client's response, the nurse selects some key terms and asks for clarification, repeating the exact words and phrases that the client used. The terms are clues to what is important to the client, so the nurse asks the client to talk more about them. Finally, the nurse documents the information on the client's view of self or of the issue discussed.
An adolescent client in labor is dilated 4 cm and asks for an epidural. For cultural reasons, the client's mother states that her daughter "has to bite the bullet, just like I did." What should the nurse do to make sure her client's request is honored?
Ask the client in a nonthreatening way if she wishes to have an epidural, and then speak with the physician. Explanation: A pregnant adolescent is considered to be emancipated and entitled to make her own decisions. It's the adolescent's right to decide whether she wants to have an epidural. The nurse should act as the adolescent's advocate and ask her whether she wants an epidural and then speak with the physician. The adolescent's mother and other family members can't override her decision. The nurse may not request that an anesthetist administer the epidural without the adolescent's consent.
Which scenario is an example of cultural competence in nursing?
Attending a conference for cultural diversity Explanation: Cultural competence can be shown by actively learning about culture through attending a conference. Assessing the rate at which an illness leads to death does not develop cultural competence. One's own church is a familiar culture, and attending it does not breed cultural expansion or competence. The provider should never assume that beliefs or values are shared.
Which of the following teaching strategies may be used with a patient diagnosed with a developmental disability? Select all that apply.
Encourage active participation. Use nonverbal cues as needed. Use simple explanations. Demonstrate information followed by return demonstration
A nursing instructor invites a nurse who specializes in healing touch to her classroom to discuss with students the effect healing touch has on pain management. This is an example of what?
Familiarizing students with CAM modalities Explanation: Complementary and alternative medicine (CAM) is a broad term that encompasses diverse healthcare modalities that emanate from a variety of healing cultures.
A nurse caring for older adults in a long-term care facility is teaching a novice nurse characteristic behaviors of older adults. Which statement is not considered ageism?
Personality is not changed by chronologic aging. Exaplantion: Ageism is a form of prejudice, like racism, in which older adults are stereotyped by characteristics found in only a few members of their group. Fundamental to ageism is the view that older people are different and will remain different; therefore, they do not experience the same desires, needs, and concerns as other adults. The statement not considered ageism would be that personality is not changed by chronologic aging. Most older adults are not ill and institutionalized. Intelligence does not decline with age. Old age does not begin at age 65.
The delivery of culturally competent nursing care requires the incorporation of which concept?
Planning and implementing care that is sensitive to the needs of clients from diverse cultures.
A hospital nurse is transitioning to a home health nurse position. The nurse has learned of a client's smoking practices in the home setting. What will the nurse need to do to work therapeutically with the client in the home setting?
Resolve to convey respect for the client's beliefs and choices. Explanation: To work successfully with clients in any setting, the nurse must be nonjudgmental and convey respect for clients' beliefs, even if they differ sharply from the nurse's. This can be difficult when a client's lifestyle involves activities that a nurse considers harmful or unacceptable, such as smoking, use of alcohol, drug abuse, or overeating. The nurse should not request another assignment because of a difference in beliefs, nor do nurses ask for the client to come to the agency to receive treatment. It is also inappropriate to convert the client's home to a hospital-like environment.
A nurse is reading an article that describes predictable differences in the effects of drugs in people of particular culture backgrounds due to their genetic makeup. The nurse is reading about:
pharmacogenomics. Explanation: Pharmacogenomics is a new area of study that explores unique differences in response to drugs that an individual possesses based on genetic makeup. Pharmacodynamics refers to how the drug affects the body; pharmacokinetics refers to how the body acts on drugs. Pharmacology refers to the study of the biologic effects of chemicals.
