community health module 3 exam prep

What is the purpose of early discharge planning as explained to a client?

"To ensure you have the resources you need when you leave"

The nurse is providing care to a client who implements some of the principles and practices of Complementary and Integrative Health. What should the nurse include when planning this client's care? Select all that apply.

Accommodating special dietary considerations Providing a safe and quiet place for performing yoga Explanation: The practitioner prescribes modalities such as yoga, herbal medicine, fasting and eating cleansing foods, meditation, and massage

The future of transcultural nursing care lies in finding ways to promote cultural competence in nursing students. How can this goal be best accomplished?

By offering multicultural health studies in nursing curricula

Acculturation is the process by which members of a cultural group

Adapt to or learn how to take on the behaviors of another group

A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?

Administration of pneumococcal vaccine to vulnerable individuals

Which factor does the nurse identify as creating conflict for the nurse and impairing the nurse-client relationship?

Lack of decision-making authority

A team of community health nurses has partnered with the staff at a youth drop-in center to address some of the nutritional needs of teenagers. Which of the following most often occurs during the teen years?

Lifelong eating habits are acquired.

Which culturally related perspective on illness/disease involves a belief in supernatural forces or a higher power?

Magico-religious

he yin/yang theory of harmony and illness is rooted in the holistic or naturalistic paradigm of health. The nurse is preparing a snack for an Asian patient who has a fever. Which of the following beverages would be appropriate according to the yin/yang theory of harmony?

Orange juice

Which of the following concepts characterizes transcultural nursing?

Planning care compatible with the client's health belief system

The certified nurse practitioner planning discharge for a patient with congestive heart failure (CHF) wants to prevent readmission to the hospital within 30 days. Which method involves recent advances in health care monitoring capabilities?

Planning to monitor the patient at home using the Internet, Web cam, and cellular phone

A home care nurse is planning to visit a client newly diagnosed with diabetes. Further review of the chart reveals the client is of Japanese heritage. Upon arriving at the home, the home care nurse observes several pairs of shoes on a mat next to the door. Which of the following actions by the nurse demonstrates cultural competence?

The nurse removes her shoes and announces her arrival.

A female client has been prescribed a course of antibiotics for the treatment of a UTI. When providing health education for the client, the nurse should address what topic?

The risk of developing a vaginal yeast infection as a consequence of antibiotic therapy

During an orientation class, the medical unit's nursing educator is presenting education on transcultural nursing to a group of new nursing graduates. What should the staff educator identify as the underlying focus of transcultural nursing?

The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care.

A nursing student asks an instructor to explain what roles are involved in community health nursing. Which of the following would the instructor include? Select all that apply.

Epidimiologist Case manager Visiting nurse

When caring for a client who predominantly identifies with another culture, how can the nurse best demonstrate an awareness of culturally congruent care?

Establish effective communication.

What is the first step in becoming culturally competent?

Exploring one's own cultural beliefs

The nurse is performing a cultural nursing assessment of a newly admitted client. What should the nurse include in the assessment? Select all that apply.

Family structure Cultural beliefs Health practices Values

The nurse observes that the client does not make eye contact, even when the nurse is providing education. The nurse responds appropriately to this behavior by doing which of the following?

Being aware that eye contact may be culturally determined

A 54-year-old client of African descent has presented for a follow-up appointment shortly after being diagnosed with hypertension and being placed on an angiotensin-converting enzyme (ACE) inhibitor. The nurse takes the patient's vital signs at the beginning of the appointment and obtains a blood pressure of 177/96 mm Hg. What factor should the nurse consider in light of the client's sustained high blood pressure?

Biologic variations may be influencing the effectiveness of the medication. Explanation: Biologic variations can be highly significant, particularly in the use of antihypertensives in African American clients

Which of the following alternative therapies would include a strict low carbohydrate diet?

Biologically based therapies (which include herbal therapies and special diet therapies)

Several residents of a long-term care facility have developed signs and symptoms of viral conjunctivitis. What is the most appropriate action of the nurse who oversees care in the facility?

Isolate affected residents from residents who have not developed conjunctivitis.

transcultural nursing knows that all ethnic cultures share four basic characteristics. Choose the correct four from the following list.

It is learned from birth through language and socialization. It is shared by all members of the same cultural group. It is influenced by specific environmental and technical factors. It is dynamic and ever-changing.

Food choices and how frequently a person eats are often determined by:

cultural and/or religious beliefs and practices.

A parent informs the nurse that immunizations are contrary to her religious beliefs, and she does not want her child to receive them. The nurse proceeds to inform the parent that the child will be in grave danger of illness all her life and will not be allowed to start school unless she is immunized. The nurse also informs the parent that she had all of her own children vaccinated with no adverse effects. The nurse's behavior is an example of what?

cultural imposition

The nurse is caring for a client scheduled for an emergency cardiac catheterization. The transport team arrives to take the client to the catheterization laboratory at the same time a group of men arrive to see the client. The client explains to the nurse that these men are the elders from church who have come to perform a "laying on of hands" to help the client have a cardiac catheterization safely. The best response by the nurse is which of the following?

"I will wait outside of your room with the transport team; let us know when you are finished."

The nurse caring for clients in a diverse community assists clients to make knowledgeable choices about their health care by performing which action?

Educating clients on treatment options

The nurse is planning care for a client with a chronic leg ulcer. By including therapeutic touch as an intervention, the nurse is including which alternative therapies?

Energy therapy

The nurse is caring for a client who lives with chronic pain. During the initial health interview, the client tells the nurse that she has begun a regimen of herbal remedies in order to control her pain. What is the nurse's priority action?

Ensure that the client has informed the primary provider about these supplements.

what factors should the nurse understand as being influenced by a client's culture?

nutritional practices family structure health care interactions views related to illnedd

A nurse who provides care on a busy medical unit is aware that his own beliefs do not always coincide with the beliefs of clients from some cultural backgrounds. What aspects of client care are most likely to be influenced by diverse cultural perspectives?

obtaining informed consent

What are the responsibilities of the nurse as a case manager?

plan and coordinate the client's progress through the various phases of care and maximize fiscal outcomes

Yang energy represens

represents the male forces that emit warmth and fullness.

A client has been on the unit for 3 weeks receiving treatment for bacterial meningitis. The client is being discharged, and the nurse is discussing the disease process and future prevention. As part of teaching, the nurse must:

respect the client's beliefs about the cause of illness.

A nurse is taking a history. The client has limited English proficiency. When communicating with this client the nurse should:

speak slowly (not loudly), use simple words and short sentences, and avoid jargon.

The belief that clients with the same skin color belong to a similar social group is an example of which of the following?

sterotyping

Which of the following refers to a group that shares characteristics identifying the group as a distinct entity?

subculture

Cultural imposition is the tendency to impose?

tendency to impose one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture

The nurse is caring for an elderly client who has a large unhealed sacral wound. The client is thin and malnourished. The client informs the nurse that today, (the client) must fast due to religious reasons. The nurse is aware that the client requires good nutrition and extra protein to heal. Which of the following would be the best way for the nurse to respond to the client?

"In order for your wound to heal, you need to eat, but I will respect your decision."

A child with a bleeding head injury was admitted to the emergency room. The nurse demonstrates cultural awareness to the parents if the nurse states which of the following?

"May I touch your son's head to look for cuts and bumps?"

The nurse is caring for a client who is Native American who arrives at the clinic for treatment related to type 2 diabetes. Which question would best provide information about the role of food in the client's cultural practices and identify how the client's food preferences could be related to his problem?

"Tell me about foods that are important in your culture and how you feel they influence your diabetes." (tell me about facilitates an open ended discussion***)

The nurse caring for a Hispanic client is performing a cultural assessment. Which of the following statements or questions avoids stereotyping?

"Tell me about your cultural preferences."

The nurse is caring for a client who is in contact isolation for an infection. The client informs the nurse that a shaman will be coming to visit and asks for privacy during that time. The most appropriate response from the nurse will be which of the following?

"When the shaman arrives I will help him with the personal protective equipment he will need."

For some individuals, Time is a relative concept which means that?

A person's values may influence their sense of priority related to time

A nurse is caring for clients from various cultural backgrounds. The care involved occasionally requires close physical contact. Which of the following are concepts for the nurse to consider interacting with diverse cultural clients? Choose all that apply.

A wheelchair is considered part of the person in it. Sitting too close may be threatening to a client. Sitting too far away may signal disinterest to a client.

The nurse has just taken report on a newly admitted client who is a 15-year-old girl who is a recent immigrant. When planning interventions for this client, the nurse knows the interventions must be which of the following? Select all that apply.

Appropriate to the client's age Ethical Appropriate to the client's culture

A nurse practitioner working in a dermatology clinic finds an open lesion on a client who is being assessed. What should the nurse do next?

Assess the characteristics of the lesion.

When would be the best time to begin discharge planning for a patient who will require assistance in the home after leaving the acute care facility?

At the time of the patient's admission to the hospital

The yin and yang theory of illness proposes that the seat of energy in the body is within a specific area. Which of the following is the correct area of the body?

Autonomic nervous system

A nurse is helping to plan the long-range goals of a public health organization. When planning to accommodate changes in demographics, what phenomenon should the nurse address?

Average life expectancy is higher than it has ever been

The nurse listens to a client explain that she is receiving manipulations from a health care provider. The nurse documents in the client's chart that the client is using which therapy?

Chiropractic

Hot foods are eaten when a person has a?

Cold illness (such as cancer)

The nurse case manager is planning care for a 5-year-old client recently diagnosed with asthma. What information is appropriate for the case manager to share with the client's mother related to community resources and referrals? Select all that apply.

Community support groups for parents of children with asthma Asthma camp enrollment age requirements The Web address to the Allergy & Asthma Network Mothers of Asthmatics A list of pharmaceutical company assistance programs that may help pay for EpiPens

It is important for the nurse to acknowledge cultural differences that may influence the delivery of health care. In order to do this, the nurse must do which of the following?

Confront the nurse's own bias and influence of his or her culture.

A home care nurse is planning a first client visit. While reviewing the referral information, the orders are not clear. What priority action will the nurse take?

Contact the referring agency

Computed tomography of a 72-year-old woman reveals lung cancer with metastasis to the liver. The client's son has been adamant that any "bad news" be withheld from his mother in order to protect her from stress, stating that this is a priority in his culture. How should the nurse and the other members of the care team best respond?

Correct response: Speak with the son to explore his rationale and attempt to reach a consensus. Explanation: Nurses must promote open dialogue and work with clients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual client. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.

Nursing students are discussing transcultural nursing. One student asks about terms similar to this one. Which of the following terms could be used interchangeably with the term "transcultural nursing?" Choose all that apply.

Cross-cultural nursing Intercultural nursing Multicultural nursing

The nurse observes that a coworker is unable to understand that an intelligent person would engage the services of a medicine man. The nurse's coworker has strong ethnocentric tendencies and an inability to recognize others' values, beliefs, and practices. The nurse understands that the coworker's behavior is an example of which attitude?

Cultural blindness

The nurse working in a predominantly Amish community realizes that one reason the Amish do not obtain mammograms is because of transportation issues. The nurse obtains a grant to fund a dedicated van to provide transportation for members of the community to obtain mammograms. According to Leininger, this nurse is providing culturally congruent nursing care through which of the following?

Cultural care accommodation

Which element refers to professional action and decisions that nurses make when providing care to help people of a culture achieve a satisfying health outcome?

Cultural care accommodation a

Ethnocentrism is closely related to

Cultural imposition

The nurse observes unlicensed staff insisting that he will bathe a female client, including her perineum, even though the client's caregivers request that a female aide perform this task. The nurse realizes that the unlicensed caregiver is exhibiting which characteristic?

Cultural imposition

Effective, individualized care that shows respect for the dignity, personal rights, preferences, beliefs, and practices of people receiving care while acknowledging the bias of the caregiver and preventing that bias from interfering with care. This is a definition of?

Culturally competent nursing care

Which term refers to Leininger's description of the learned and transmitted knowledge about values, beliefs, rules of behavior, and lifestyle practices that guide a designated group in thinking and acting in patterned ways?

Culture

The two underlying goals of transcultural nursing are to provide which of the following types of care? Choose the two that apply.

Culture-specific care Culture-universal care

What is the priority responsibility for the nurse providing patient teaching? (Select all that apply.)

Determining individual needs for teaching Motivating each person to learn Presenting information at the level of the learner

The nurse is caring for a client admitted with "fever of unknown origin." The client, who is aware that he has a fever, requests "yin" foods to combat the fever. The nurse is aware that the client is speaking of the yin/yang theory, which has to do with balance, harmony, energy, hot, and cold. Because the physician has ordered "diet as desired," the nurse encourages which of the following menu items?

Gelatin dessert (yin foods are cold foods)

Cold foods are eaten when a person has a?

Hot illness

A community health nurse is focusing current health promotion efforts on diseases that are disproportionately represented among ethnic and racial minorities. Which of the following diseases should the nurse likely address? Select all that apply.

Human immunodeficiency virus (HIV) Cancer Heart disease

There are many goals for health teaching. Which of the following is the primary goal of family and patient education?

Improving patient outcomes

The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?

Interdisciplinary teamwork

The nurse is planning an educational inservice for nursing colleagues with the goal of fostering culturally competent care. What outcome should the nurse prioritize when planning this education?

Participants will acknowledge and adapt to diversity among their colleagues

The central figure in health care services is the:

Patient

While providing personal care for a client, the nurse observes that the client is not comfortable with the close physical proximity. How will the nurse alleviate the discomfort of the client during personal care?

Provide simple explanations of the need for physical proximity.

A client comes to an outpatient clinic appointment 40 minutes late. When the nurse asks the client the reason for being late, the client states that she was visiting with her grandfather. Which would be an appropriate action by the nurse?

Realize that time may be relative for the client

The nurse is completing a cultural heritage assessment. Which items will be included in this portion of the health assessment? Select all that apply

Religion Participation in religious traditions Celebration of holidays Use of alternative therapies

A home care nurse has just received a referral for home care services. Which of the following should the nurse do first?

Review the referral form for the pertinent information.

three elements are frequently used to identify diversity which include

Skin color Religion Geographic area

Most Mexicans are living in the United States illegally— would the nurse recognize as being an example of?

Stereotyping

The nurse is admitting an Asian-American patient to the medical-surgical floor. When calling the dietary department, the nurse tells the dietitian that all Asians eat rice. What attitude is the nurse displaying?

Stereotyping

What could be the consequence of a nurse assigning a client to a staff member who is of the same culture as the client?

Stereotyping

The client will require frequent assessments and periodic review of the client's progress. What role will the registered nurse have in the care of this client?

The RN will coordinate the client's care.

A client of Japanese descent describes a family trait of having less relief from analgesics than friends of White/Caucasian descent. The nurse recognizes that, because of this trait, which statement applies?

The client may need higher doses of this drug.

How can a nurse improve his or her transcultural sensitivity and demonstrate culturally competent nursing care?

The nurse can learn to speak a second language. The nurse can become familiar with physical differences among ethnic groups. The nurse can perform a cultural and health beliefs assessment and plan care accordingly

When choosing an interpreter, what should be considered?

The interpreter's voice quality, pronunciation, use of silence, fluency in varied dialects, use of touch, and use of nonverbal communication should all be considered

A nurse and client have a complete language barrier. An interpreter is necessary. Which of the following are important considerations for the nurse when choosing an interpreter? Choose all that apply.

Voice quality Nonverbal communication skills Use of silence

Yin energy represents

Yin energy represents the female and negative forces, such as darkness and cold.

Foods are classified as- Yin= Or Yang=

Yin= cold Yang= hot

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by Caucasian people. How would the nurse characterize the Hispanic people in this community?

as a minority

Which perspective of illness believes that narrowing of the carotid arteries can cause a stroke?

biomedical

Which tools do case managers commonly rely on to plan and coordinate client care?

clinical pathways, practice guidelines, and standards of care

The nurse is caring for a client who is a recent immigrant. Which of the following variables should the nurse prioritize when performing an assessment of the client's cultural beliefs?

client's communication style

A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate educational interventions and considering variables that will affect his learning, the nurse should prioritize what factor?

client's culture

Which of the following is the belief that one's values and beliefs are superior to others?

ethnocentrism

when beginning the cultural assessment of a client. what action should the nurse take first? next, the nurse should?

gather data about the client's cultural beliefs, ethnic background, religious preference, family structure, food patterns, and health practices ask the client questions that address his or her perceptions of their health needs

Cultural blindness is the inability of people to?

inability of people to recognize their own values, beliefs, and practices and those of others because of strong ethnocentric tendencies.

A nurse has engaged a translator to help in communicating with a client. When asking questions of the client and obtaining answers, the nurse should:

look at the client while asking questions and carefully listen to the client's response.