chapter 5 & 19 review prep u

A client is experiencing culture shock. Which findings would the nurse likely assess? Select all that apply. Chapter 5

-Disorientation -Stress

Which disorders might a nurse screen for in a black client, based on race? Select all that apply. Chapter 5

-Keloid formations -Lactase deficiency -Sickle cell anemia

A nurse is attempting to gain insight into a client's cultural beliefs and attitudes. Which methods would the nurse likely use? Select all that apply. Chapter 5

-Open-ended interviewing -Ethnographic interviewing -Key informants -Use of the client's language

When documenting client care in the client's health record, which abbreviations would be appropriate for the nurse to use? Select all that apply. Chapter 19

-PO -mL

A nurse is documenting care for an older adult client who is recovering from a mild stroke. Which documentation entries follow the recommended guidelines for communicating and documenting client information? Select all that apply. Chapter 19

-The client rates pain as 2 compared to a 7 yesterday. -Vital signs returned to normal. -Radial pulse 72, strong and regular

A nurse is working with the case management model and using a collaborative pathway. The nurse notes that the client has not met an expected outcome and documents this using occurrence charting. When completing this documentation, what information would the nurse include? Select all that apply. Chapter 19

-Unexpected event -Cause of the event -Actions taken in response to the event

What are characteristics of nurses that make them a subculture? Select all that apply. Chapter 5

-Uniforms worn based on place of employment -Language or medical terminology used to communicate -Legal authorization to provide health care to others

A nurse interviews a client to determine the client's health beliefs and behaviors. The nurse uses this information for which aspects of care? Select all that apply. Chapter 5

-Conducting an assessment -Developing client outcomes -Providing client education

A nurse is working to develop cultural competence. Which activities would be appropriate for the nurse to engage in when exploring the nurse's own cultural awareness? Select all that apply. Chapter 5

-Critical reflection -Feedback from colleagues -Self-assessment

A nurse is providing care for clients of different cultures in a blended community clinic. Which characteristics of culture should the nurse consider when planning culturally competent care? Select all that apply. Chapter 5

-Culture guides behavior into acceptable ways for people in a specific group. -Culture influences the way people of a group view themselves. -There are differences both within cultures and among cultures. -Subcultures exist within most cultures.

A nurse caring for clients in a culturally diverse neighborhood knows that culture affects the nurse's interactions with the client. Which are characteristics of culture? Select all that apply. Chapter 5

-Culture guides what is acceptable behavior for people in a specific group. -Cultural practices and beliefs mainly remain constant as long as they satisfy a group's needs. -Culture influences the way people of a group view themselves, have expectations, and behave.

Which are high-risk errors in documentation? Select all that apply. Chapter 19

-Inadequate admission assessment -Failure to document completely -Charting in advance -Falsifying client records

The public health nurse is preparing a presentation about disparities in health care in the community. What key concepts will the nurse include? Select all that apply. Chapter 5

-Information regarding minorities within the community -Identifying groups that are disadvantaged within the community -Pointing out groups within the community that possess less power

Which aspects of nursing make it recognizable as a subculture? Select all that apply. Chapter 5

-Manner of dress -Language used -Rituals

A nurse is working with a local community group to address health disparities in the area. Which concepts would be important for the group to address when planning to correct health disparities? Select all that apply. Chapter 5

-Minority -Disadvantaged -Less powerful

A nurse is conducting a seminar for a group of nurses about the cultural competency in nursing. When describing culture, which terms would be appropriate for the nurse to use? Select all that apply. Chapter 5

-Pervasive -Holistic -Recognizable -Ritualistic

Which stereotypical ideas about older adult clients does the nurse associate with the concept of ageism? Select all that apply. Chapter 5

-Physically impaired -Burdensome to family -Uninterested in intimacy

Which are uses of documentation in client records? Select all that apply. Chapter 19

-Quality improvement -Research -Decision analysis -Financial reimbursement

Which information should the nurse include in a client's plan of care? Select all that apply. Chapter 19

-The client's problems, goals, and nursing orders -Routine care, such as the client's bath and mouth care -The client's level of activity and current medical orders

A nurse is documenting care for clients in a hospital setting. Which documenting errors may potentially increase the nurse's risk for legal problems? Select all that apply. Chapter 11

-The content is not in accordance with professional standards. -There are lines between the entries. -Dates and times of entries are omitted.

Which are purposes of documentation in health care records? Select all that apply. Chapter 19

-To facilitate quality -To serve as a financial record -To support decision analysis -To assist with clinical research

The nurse caring for several clients on a surgical unit notes that one of the clients is Muslim. The nurse decides to remove all pork from the client's meal tray prior to delivering it to the room. What best describes the nurse's action?

Stereotyping

The nurse caring for several clients on a surgical unit notes that one of the clients is Muslim. The nurse decides to remove all pork from the client's meal tray prior to delivering it to the room. What best describes the nurse's action? Chapter 5

Stereotyping

Which organization audits charts regularly?

The Joint Commission

What information should the nurse document in the medication record when administering a non-narcotic pain medication? Select all that apply. Chapter 19

-Effectiveness of medication -Reason given -Time -Dose

A nurse is providing care to a medically compromised client with limited ability to speak the dominant language. To obtain information about the client's culture, who would be appropriate for the nurse to use as a key informant? Select all that apply. Chapter 5

-Family -Friends -Interpreters -Client's religious contact

Which concepts are considered cultural norms of the health care system? Select all that apply. Chapter 5

-Frequent use of jargon and documentation -Professional deference to pecking order -Use of a problem-solving methodology

The nurse is orienting a new graduate nurse and reviewing documentation. Which documentation performance would include best practices for charting? Select all that apply. Chapter 19

-Use only approved abbreviations. -Use partial sentences and phrases.

The client record is utilized for many purposes. Which might be uses for the client record? Select all that apply. Chapter 19

-education of student nurses -reimbursement for services -research -education for medical students

A 45-year-old client who is hospitalized for the first time in the client's life is experiencing culture shock, not understanding what is going on with the client's body or in the hospital. Place the stages of culture shock listed below in the order in which the client will most likely experience them. Chapter 5

1. Honeymoon 2. Disenchantment 3. Beginning resolution 4. Effective function

When maintaining health care records for a client, the nurse knows that a health care record also serves as a legal document of evidence. What should the nurse do to ensure legally defensible charting?

Ensure that the client's name appears on all pages.

When describing the concept of ethnicity, which statement would be most appropriate to use? Chapter 5

Ethnicity allows people to define themselves and others to define them.

A client tells the nurse that the only thing that helps the client sleep is a glass of warm milk. The nurse caring for the client insists that this cultural practice is a myth and tries to convince the client that reading a book would be better. What is the nurse demonstrating? Chapter 5

Ethnocentrism

The nurse is caring for two clients with the same ethnic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences?

ethnicity

Which examples are considered acceptable cultural norms in health care? Select all that apply. Chapter 19

-Defining diabetes mellitus as a metabolic disorder characterized by elevated blood sugar -Encouraging adult women to conduct self-breast exams once a month -Documenting pain with every client assessment -Following a specific regimen for cardiac rehab

Which examples are considered acceptable cultural norms in health care? Select all that apply. Chapter 5

-Defining diabetes mellitus as a metabolic disorder characterized by elevated blood sugar -Encouraging adult women to conduct self-breast exams once a month -Documenting pain with every client assessment -Following a specific regimen for cardiac rehab

Which questions should the nurse include in a cultural assessment? Select all that apply. Chapter 5

-"What do you think is causing your illness?" -"What religion do you belong to?" -"What do you do to promote good health?" -"Do have a particular name for this illness?"

Which pieces of information should the nurse treat as confidential and not disclose? Select all that apply. Chapter 19

-A client's Social Security number -Information about a client's past health conditions -A client's address

The nurse is tasked to organize weekly care plan conferences with other health care team members. Which would be appropriate items to include in this meeting? Select all that apply. Chapter 19

-A report on a client's rehabilitation plan from the physical therapist, including whether changes need to be made -A review of a client's current progress in the plan of care -A discussion of the meal plan for a client with diabetes -A conversation addressing the need for durable medical equipment when the client goes home

HIPAA allows incidental disclosures of client health information as long as it cannot reasonably be prevented, is limited in nature, and occurs as a byproduct of an otherwise permitted use or disclosure of client health information. What are examples of this type of client health information disclosure? Select all that apply. Chapter 19

-A visitor hears a confidential conversation between two nurses in surroundings that are appropriate and with voices that are kept low. -The nurse uses x-ray light boards that can be seen by passersby; however, client x-rays are not left unattended on them. -The nurse calls out names in the waiting room, but does not disclose the reason for the client visit.

Which scenarios are examples of cultural competence? Select all that apply. Chapter 5

-Attending a cultural diversity lecture series in the community -Making arrangement for an acupuncturist to come to the hospital and provide pain relief for the client -Having a one-on-one conversation with a client regarding prayer needs and practices -Performing a self-assessment of one's own personal biases

Which client admitted to the emergency department might require the nurse to include interventions aimed at addressing culture shock in the plan of care? Chapter 5

A client who recently immigrated and fell from a ladder

A 12-year-old black client has experienced significant blood loss and may require a blood transfusion. The client's mother, father, and sisters are currently present at the bedside in the emergency department. How should the nurse direct questions and education about the client's condition and treatment? Chapter 5

Assess who is the dominant member of the family and then address that person

A new resident in a long-term care facility who was having difficulty adapting to the routine has begun participating in activities on a daily basis. Which stage of culture shock is this resident displaying? Chapter 5

Beginning resolution

How is culture learned by each new generation? Chapter 5

Formal and informal experiences

The nurse is assessing a client who is unresponsive. To obtain information about the client's culture, the nurse interviews a person who has native knowledge about the client's culture. Which technique is the nurse using? Chapter 5

Key informant

A nurse is assisting during a medical emergency on the medical unit. Which action by the nurse when documenting entries in a client's health care record would be the most accurate? Chapter 19

Making entries in chronological order

A Native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What is the priority nursing diagnosis? Chapter 5

Powerlessness related to the inability to make heathcare providers understand the client's symptoms

How can a nurse obtain additional information about a client? Chapter 19

Read the client's history and assessment.

A health care facility plans to evaluate and revise the plan of care for a client based on the client's health care records. The physician, dietitian, and nurse involved in the client's care are required to collate all of the information for easy access. Which style would the nurse conclude that the facility is following in order to record the client details? Chapter 19

SOAP charting

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value? Chapter 5

Skin color

Which statement regarding FOCUS charting is most accurate? Chapter 19

The charting focuses on client strengths, problems, or needs.

A nurse receives a report for a client who is going to surgery in the morning. The nurse is informed that the client is Jehovah's Witness. What education is needed for this particular client? Chapter 5

The client needs to have a discussion with the health care team about blood product preferences.

A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigned nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained? Chapter 5

The nurse should request the help of a family member if available, if not care should be administered that is in the best interest of the client.

Which population group should the nurse routinely screen for heart disease? Chapter 5

White