PREP-U questions: Chapter 13

A student nurse is not looking forward to clinical rotation on a geriatric unit, stating "How can I get them to move faster? They always seem so slow!" How should the instructor respond? A). "Be careful of the negative attitude in your approach. How fast an individual moves will depend on physical ability not necessarily age." B) "You will get to learn how to best plan your care utilizing the slower response from older clients." C) "Perhaps you should review the information in our textbook for some techniques you can use." D) "I will show you several different techniques which you can use while providing care to these older clients."

A) "Be careful of the negative attitude in your approach. How fast an individual moves will depend on physical ability not necessarily age."

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? A) Ask the client if a spiritual leader is desired. B) Do nothing unless the client requests spiritual assistance. C) Inquire if the client desires the Sacrament of the Sick. D) Call a Roman Catholic priest to visit the client.

A) Ask the client if a spiritual leader is desired.

A client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client denies having pain. Which nursing action is most appropriate? A) Assessing for nonverbal expressions of pain B) Believing that the client has no pain C) Inspecting the incision site for any abnormality D) Asking the client if the client is feeling hungry

A) Assessing for nonverbal expressions of pain

The nurse is educating a client of Chinese descent regarding the reduction and elimination of lactose in the diet. Which statement(s) made by the client indicates that the education was effective? Select all that apply. A) "I can use foods that use milk solids since those are not milk products." B) "When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream." C) "I should replace 2% milk with lactose-free milk." D) "I can use kosher parve foods because they are prepared without milk." E) "If I drink milk, I should drink one large glass a day and none at any other time."

B) "When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream." C) "I should replace 2% milk with lactose-free milk." D) "I can use kosher parve foods because they are prepared without milk."

The nurse is caring for a client who practices Catholicism and was newly diagnosed with cancer. The client states, "God is punishing me for my past sins." How should the nurse respond? A) "You didn't get cancer as punishment." B) "You sound upset. Would like you to talk about it?" C) "Would you like me to get someone from your church to visit you?" D) "Why do you think God is punishing you?"

B) "You sound upset. Would like you to talk about it?"

Despite the presence of a large number of 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 imposition. B) cultural blindness. C) cultural assimilation. D) stereotyping.

B) Cultural blindness

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? A) Explain to the client that the client is required to make all decisions related to the client's own health care. B) Document the client's request in the nursing care plan. C) Bring the client's spouse into the hallway to discuss surgical options for the client. D) Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.

B) Document the client's request in the nursing care plan.

The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as: A) stereotyping. B) ritual. C) subculture. D) ethnocentrism.

B) Ritual

A new client, whose ability with the dominant language is limited, is being admitted to the hospital . The hospital has multiple interpreters. Which factor should the nurse prioritize when requesting a certified interpreter? A) has recommendation of local ethnic organization B) should be same gender and approximate age, if possible C) has at least 3 years of experience D) has a proven history of accuracy in interpreting information

B) should be same gender and approximate age, if possible

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock? A) "The way we do things on the surgical unit are so much better than the procedures of this unit." B) "Can someone please give me an orientation to this unit?" C) "I am very stressed now because I do not understand how things work on this unit." D) "I was expecting all the clients on the oncology unit to be depressed."

C) "I am very stressed now because I do not understand how things work on this unit."

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept? A) "Anybody on welfare is just lazy." B) "Asians are always the smartest in the class." C) "My Russian heritage is superior to all others." D) "Irish people are all heavy drinkers."

C) "My Russian heritage is superior to all others."

A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan? A) Assess the couple's rationale for making the request B) Document the request and make all reasonable efforts to honor it C) Document the request as a knowledge deficit and address the couple's educational needs D) Determine whether the request is based on a valid reason or cultural preference

C) Document the request and make all reasonable efforts to honor it

When providing care to a client, the nurse refers to the client's ethnic group. Which aspects would the nurse include as pertaining to this concept? Select all that apply. A) Religious beliefs B) Eye shape C) Language D) Shared beliefs of origin E) Skin color

C) Language A) Religious beliefs D) Shared beliefs of origin

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response? A) Agree and state, "Yes, I've noticed the same thing." B) Report the colleague to the nurse manager. C) Respond by saying, "Stereotypes keep us from accepting others as unique individuals." D) Say nothing and ignore the comment.

C) Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value? A) Dress B) Size C) Skin color D) Language

C) Skin Color

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a tribal traditional healerperforming a healing ritual for the client. What action would be the most appropriate by the nurse? A) Administer the medication while the healer continues the ritual. B) Wait in the room until the healer is done. C) Unless asked to stay, leave the room and return when the healer is finished. D) Ask the healer to leave the room.

C) Unless asked to stay, leave the room and return when the healer is finished.