NMNC 4320 Professional Nursing Concepts

Which statement made by the client would the nurse consider to be an external variable influencing the client's beliefs?

"Please do not include chicken in my diet plan because my religion forbids me to consume meat."

Which statements by the student nurse indicate an understanding of caring for clients of various cultures? Select all that apply. One, some, or all responses may be correct.

"The focus is on understanding the traditions, beliefs, and values of the client's culture." "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures."

Which is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?

Act in ways to prevent harm to clients.

Read the details about the four clients from the nurse's logbook. Which client has the highest chance of receiving inadequate health access leading to health disparity?

Client C Chinese immigrant, 4 years residence in the US, No medicaid or medicare, no supplemental security income

Which describes the purpose of the Nurse Practice Acts?

Describe and define the legal boundaries of nursing practice within each state

Which are common negligent acts of nurses found in the hospital setting? Select all that apply. One, some, or all responses may be correct.

Failure to notify the health care provider of problems. Failure to follow the six rights of medication administration. Failure to ensure the safety of a client with disequilibrium problems.

Which would the nurse do to comply with the ethic of nonmaleficence in the health care setting?

Focus on doing no harm.

Which nursing action during a psychosocial assessment of a transgender client may contribute to health disparities?

Insisting on using the name listed on the client's driver's license

The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve this ethical dilemma?

Obtain information from the child, the parents, health care workers, and other sources.

When a client is a member of a different ethnic community, which action would the nurse take?

Offer a therapeutic regimen compatible with the lifestyle of the family.

Which explanation regarding the term "just culture" is accurate?

Promoting open discussion whenever error occurs without fear of recrimination.

Which client would have a health promotion nursing diagnosis?

The client who is willing to take a 30-minute walk daily.

A client who does not understand English requires an interpreter. Which action by the student nurse may exacerbate health disparities?

The student talks only to the interpreter about the client.

Which concept would the nurse consider when caring for school-aged children who are obese?

There are familial influences on childhood eating habits.

Which is the goal of Healthy People 2020?

To eliminate health disparities related to race, ethnicity, and socioeconomic status.

Which statement made by the client is a socioeconomic influence on the client's health beliefs?

"I cannot afford expensive medications because I have to take care of my family."

Which information would the nurse provide a nursing student regarding the utilitarian system of ethics? Select all that apply. One, some, or all responses may be correct.

"The value of something is decided by its usefulness." "The main emphasis is on the outcome or consequence of the action." "The greatest good for the greatest number of people determines the right action."

The nurse leader states, "The people in rural America dress and act differently from those in urban centers." Which concept describes this statement?

Cultural marginality

The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?

Advocacy

Which problems would the nurse plan to address when dealing with ethical issues related to end-of-life care? Select all that apply. One, some, or all responses may be correct.

Clients may be unable to communicate effectively. All interventions for helping the clients seem futile. Predictions regarding health outcomes are not always accurate.

Which statement regarding an interpreter is correct?

Interpreting not only the language but also the culture is important.

Which statement made by the student nurse needs correction regarding the primary characteristics establishing nursing as a profession?

"Nurses are simply required to perform specific tasks."

Which clients are ideal candidates for interpreter service to prevent contributing health disparities? Select all that apply. One, some, or all responses may be correct.

A non-English-speaking client in the emergency department. A Spanish-speaking client ready to be discharged from the facility. An Indian American who does not speak the language used at the facility.

Which action of a nursing student regarding The Joint Commission recommendations for creating a safe and welcoming environment for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients needs revision?

Arranging exclusive waiting rooms for LGBTQ clients and their families

When caring for a transgender client, which would the nurse use to decide how to address the client?

Client's preference

A young woman tells the nurse, "My partner prevents me from taking my medications." Which should the nurse do to deal with the situation?

Conduct an interview with the client alone, when the partner is not around.

Which vaccine would the nurse administer to provide protection from precancerous lesions and cancers of the vulva, cervix, and vagina in young girls and women?

HPV vaccine

Which features distinguish nursing diagnoses from medical diagnoses? Select all that apply. One, some, or all responses may be correct.

Nursing diagnoses involve the client when possible. Nursing diagnoses involve the sorting of health problems within the nursing domain. Nursing diagnoses involve clinical judgment about the client's response to health problems.

In providing effective nursing care to clients from different cultural backgrounds, which strategy would the nurse follow?

Provide care that fits the clients' cultural beliefs.

An elderly client states, "Disease occurs when supernatural elements enter the body." Which variable influences the client's health beliefs in this scenario?

Spiritual factors

Which statement made by the client would the nurse consider as an influence of the client's intellectual background on his or her health beliefs?

"Don't include eggs in my diet because eggs contribute to excess body heat."

Which statements by the student nurse indicate effective learning regarding consensus building in the resolution of bioethical dilemmas? Select all that apply. One, some, or all responses may be correct.

"It is an act of discovery." "It promotes respect and agreement. "It inspires respect for unusual points of view."

Which statements made by the client would the nurse consider as an influence of spirituality on health beliefs? Select all that apply. One, some, or all responses may be correct.

"My faith prohibits the use of a donor's sperm." "Don't administer nasal drops now because it will break my fast." "I do not believe in surrogacy because this is not permitted in our community."

The nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage these people from bringing all that alternative medicine stuff to their family members. Which response by the nurse is correct?

"Nontraditional approaches to health care can be beneficial."

Which nurse statement reflects positive cultural sensitivity to help reduce potential health disparities?

"Which type of food do you usually eat at home?"

Arrange the actions in the order the nurse should take to resolve an ethical dilemma.

1. Collect relevant case-related information. 2. Clarify values. 3. Verbalize the problem. 4. Determine possible courses of action. 5.Negotiate a plan. 6. Evaluate the plan over time.

Which would the nurse consider before confronting the problem of obesity with individual children?

Familial and cultural influences are deciding factors in eating habits.

Which statements accurately explain the deontology system of ethics? Select all that apply. One, some, or all responses may be correct.

It examines a situation for the presence of essential right or wrong. It emphasizes the commitment to respect the "rightness" of autonomy. It determines that actions are right or wrong based on their "right-making characteristics."

Which guideline is useful for reducing disparity when caring for transgender clients?

Learning about the treatment options for transgender clients and requirements of follow-up care

Which scenarios mentioned by the student nurse relate to the health care ethic of fidelity? Select all that apply. One, some, or all responses may be correct.

Monitoring a client after providing nonpharmacological measures to relieve anxiety due to hospitalization. Noting that the pain relief measures provided to that client have been ineffective, the nurse formulates a different plan of care. Caring for a client who refuses to be touched by people of certain skin color, the nurse continues to provide care because other colleagues refuse to attend to the client.

Which factor can interfere with the nurse's ability to actively listen to a 15-year-old client who has a history of drug abuse, stealing, truancy, and a general disregard for others?

Nurse's personal cultural beliefs

A client says, "Do not cut the thread on my wrist before sending me for surgery because the thread is a blessing from God." Which internal variable influences the client's health belief in this scenario?

Spiritual factors

The nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. Which action would the nurse manager take to address this problem?

Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work.

For families raised in a culture of poverty, which behavior is most likely?

Powerlessness relative to changing their situation

Which interventions promote adherence to medication therapy in pediatric clients? Select all that apply. One, some, or all responses may be correct.

Suggesting that the parent mix oral drugs with juice. Taking extra time with parents to ensure skilled participation. Providing the parents with a calibrated spoon to measure liquid formulations. Selecting the most convenient dosage form and dosing schedule

Which does beneficence in health ethics refer to?

Taking positive actions to help others

Which point regarding ethics and values requires further education?

The American Nurses Association (ANA) code of ethics ensures that the code remains constant.

Which belief of the nurse may have a negative effect on health services for minority clients?

The mind, body, and spirit are distinct entities.

Which information is accurate regarding the role of value clarification in the resolution of ethical dilemmas?

Tolerating differences of opinion