Fundamentals Finals

Which factor is the most important to consider when caring for clients with limited income? A. Basic human needs going unmet B. Limited access to reliable transportation C. Decreased access to healthcare services D. Risk for increased incidence of disease

A. Basic human needs going unmet

Despite the presence of many older adult residents from Asian cultures, a long-term care facility has not integrated the medical concept of hot and cold into meal planning. The nurses at the facility should recognize this as an example of: A. cultural blindness. B. stereotyping. C. cultural assimilation. D. cultural imposition.

A. cultural blindness.

Which consideration should a nurse prioritize relating to the use of herbs and supplements by a client? A. potential interactions with drugs B. the client's cultural background and beliefs C. the client's previous use of herbal supplements D. pharmacologic alternatives to herbs and supplements

A. potential interactions with drugs

Which activity generally occurs during the orientation phase of the helping relationship? A. An agreement or contract about the relationship is established B. The nurse provides any assistance needed to achieve patient goals C. The nurse provides patient counseling and teaching D. The patient and nurse examine the goals of the helping relationship for indications of attainment

Answer: A. An agreement or contract about the relationship is established Rationale: In the orientation phase, a contract is made defining the goals of the relationship, frequency, location, length of contacts, and duration of the relationship. In the working phase, the nurse provides the assistance needed to achieve patient goals, counseling, and teaching. In the termination phase, the patient and the nurse examine the goals of the helping relationship for indications of attainment.

Tell whether the following statement is true or false. Allopathic medical care has been totally effective in dealing with chronic illnesses. A. True B. False

Answer: B. False Rationale: Allopathic medical care has not been totally effective in dealing with chronic illnesses.

Which term describes what occurs when a nurse believes that one's own ideas, beliefs, and practices are the best or superior to those of colleagues and patients? A. Cultural diversity B. Culture shock C. Stereotyping D. Ethnocentrism

Answer: D. Ethnocentrism Rationale: Ethnocentrism is the belief that one's ideas, beliefs, and practices are superior or preferred to those of others. Cultural diversity refers to the existence of diverse groups in society with varying cultural characteristics. Culture shock describes the feelings a person experiences when placed in a different culture. Stereotyping is the practice of assuming that all members of a cultural group act alike.

A nurse is talking with a coworker about the diversity of cultures in the client population being admitted to their unit. During the conversation, the coworker becomes defensive about personal beliefs and values that are different. The coworker becomes condescending and begins to ridicule the values of the different client populations, stating, "Their beliefs and values are really out there. They make absolutely no sense. No way would I ever believe them." The nurse interprets the coworker's behavior and statements as reflective of which concept? A. culture blindness B. cultural imposition C. cultural conflict D. culture shock

C. cultural conflict

While conducting a health history, the client responds yes to the nurse's inquiry of the use of complementary health approaches (CHAs) to treat headaches. The nurse asks which specific therapies the client uses. Which response would require the nurse to ask further questions? A. "I practice meditation for relaxation to prevent getting headaches." B. "I use relaxation to help me go to sleep so I avoid getting stress headaches during the day." C. "Each week I have an acupuncture session to reduce the number of headaches I get." D. "I take herbs to treat my headaches when I have them and to help prevent them from occurring."

D. "I take herbs to treat my headaches when I have them and to help prevent them from occurring."

An older adult client is brought to the emergency department via ambulance due to a fall. The client does not speak the area's dominant language. Shortly after the client arrives, several family members and a neighbor who called the ambulance arrive, all of whom speak the area's dominant language. When attempting to gather information about what happened, which action by the nurse is appropriate? A. Enlist the aid of a family member to answer the nurse's questions. B. Have the neighbor who called the ambulance explain what happened. C. Ask the client to explain as best as possible what occurred. D. Arrange for an interpreter to be present to translate.

D. Arrange for an interpreter to be present to translate.

What is ethnocentrism?

belief that ones belief, ideas, and practice are the best or superior or are most preferred to those of others

What is integrative care?

combination of allopathic and complementary and alternative modalities

What is the orientation phase?

contract made defining goals of relationship, frequency, location, length of contacts, and duration of the relationship

What is culture conlfict?

different cultural values and beliefs clash

What is a subculture?

large group of people who are members of a larger cultural group

What is working phase?

nurse provides the assistance needed to achieve patient goals, counseling, and teaching

What is the termination phase?

the patient and nurse examine the goals of the helping relationship for indications of attainment

What is allopathic medicine?

treatment of symptoms and diseases using drugs, radiation, or surgery

What is cultural imposition?

values, beliefs, or practices that are forced upon a person or group of people. Typically occurs when one group of people representing a culture, impose their views and opinions on another culture

A nurse reassuring oneself of being prepared to speak in front of a peer group is using which of the following types of communication? A. Intrapersonal B. Interpersonal C. Group D. Organizational

Answer: A. Intrapersonal Rationale: Intrapersonal communication is self-talk that happens within the individual. Interpersonal communication occurs between two or more people to exchange messages. Group communication includes small-group and organizational group communication.

Tell whether the following statement is true or false. Healing touch can be used to stimulate wound healing. A. True B. False

Answer: A. True Rationale: Healing touch can be used to stimulate wound healing.

Tell whether the following statement is true or false. The health care system is a culture of its own, with nursing being its largest subculture. A. True B. False

Answer: A. True. Rationale: The health care system is a culture of its own, with nursing being its largest subculture.

Tell whether the following statement is true or false. Stereotyping occurs when people ignore differences in the cultures in which they live and proceed as if they do not exist. A. True B. False

Answer: B. False Rationale: Cultural blindness occurs when people ignore differences in the cultures in which they live and proceed as if they do not exist.

True or false Touch is a personal behavior that means the same thing to all persons. A. True B. False

Answer: B. False Rationale: Touch is a personal behavior that means different things to different people.

Which of the following occurs when members of a minority group, living with a dominant group, begins to blend in and lose the characteristics that made them distinct? A. Cultural imposition B. Cultural conflict C. Cultural assimilation D. Cultural shock

C. Cultural Assimilation

What is cultural blindness?

Ignores differences and proceeds as if they did not exist; think we have addressed cultural differences and understand them but don't

What are the four levels of communication?

Intrapersonal: self-talk Interpersonal: occurs 2+ people exchange messages Small-group: 2+ people to achieve goal Organizational: people within org communicate to achieve goal

What is cultural humility?

Recognition of diversity and power imbalances among individuals or communities, with the action of being open, self-aware, egoless, flexible

What is SBAR?

Situation Background Assessment Recommendation

What is holism?

Theory and philosophy focusing on connections and interactions between parts of the whole

Tell whether the following statement is true or false. Cultural practices and beliefs may evolve over time, but they mainly remain constant as long as they satisfy a group's needs. A. True B. False

True