Professional Nursing Concepts I EAQ (Advocacy)

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

1. Acculturation 2. Ethnocentrism 3. Cultural imposition 4. Cultural marginality (Correct)

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

1. Asking specific questions about gender and sexual practices used 2. Reporting any physical or mental abuse of the client to the appropriate authority 3. Assuring the client that the confidentiality of the information gathered during the assessment will be maintained. 4. Insisting on using the name listed on the client's driver's license (Correct)

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

1. Nursing diagnoses involve the client when possible (Correct). 2. Nursing diagnoses are based on results of diagnostic tests and procedures. 3. Nursing diagnoses are the identification of a disease condition in the client. 4. Nursing diagnoses involve the sorting of health problems within the nursing domain (Correct). 5. Nursing diagnoses involve clinical judgment about the client's response to health problems (Correct).

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?

1. "Hospital policies should put a stop to this." 2. "Everyone should conform to the prevailing culture." 3. "Nontraditional approaches to health care can be beneficial." (Correct) 4. "You are right because they may have a negative effect on people's health."

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

1. "I am a vegetarian; I cannot eat meat because it is against my tradition." 2. "I cannot afford expensive medications because I have to take care of my family." (Correct). 3. "My family members always pray before a meal because it is important to thank God." 4. "I believe that giving vaccinations to infants is sinful."

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

1. "Which type of food do you usually eat at home?" (Correct) 2. "You need to ask your family to bring food of your choice." 3. "The hospital staff will not be able cook food with your requirements." 4. "You need to eat the food that the hospital provides."

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

1. Advise clients that some cultural practices may be harmful to health. 2. Provide care that fits the clients' cultural beliefs. (Correct) 3. Strictly adhere to organization policies regarding nursing care. 1. Ignore the cultural aspect and focus on the medical aspect of care.

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.

1. An English-speaking client with a speech disorder 2. An African American client with a hearing impairment 3. A non-English-speaking client in the emergency department (Correct) 4. A Spanish-speaking client ready to be discharged from the facility (Correct). 5. An Indian American who does not speak the language used at the facility (Correct).

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

1. Willingness to delay gratification. 2. Optimism about improving their lifestyle. 3. Shame because of their inadequacy as parents. 4. Powerlessness relative to changing their situation. (Correct)

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?

1. Assign articles about various cultures so that the nurses can become more knowledgeable. 2. Relocate the nurses to units where they will not have to care for clients from a variety of cultures. 3. Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures. 4. Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work. (Correct)

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?

1. Client A 2. Client B 3. Client C (Correct) 4. Client D

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?

1. Client's age and disease process. 2. Nurse's personal cultural beliefs (Correct). 3. Limited time to complete care. 4. Professional need to secure information.

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

1. Client's preference (Correct) 2. Client's appearance 3. Client's clothing 4. Client's identity document (e.g., birth certificate)

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

1. Enjoyment of specific foods is inherited. 2. Childhood obesity is not usually a predictor of adult obesity. 3. Children with obese parents and siblings are destined for obesity. 4. Familial and cultural influences are deciding factors in eating habits (Correct).

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

1. Enjoyment of specific foods is inherited. 2. There are familial influences on childhood eating habits. (Correct) 3. Childhood obesity is usually not a predictor of adult obesity. 4. Children with obese parents are destined to become obese themselves.

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

1. Ensure that the nurse's biases are understood by the family. 2. Make plans to counteract the client's misconceptions about therapies. 3. Offer a therapeutic regimen compatible with the lifestyle of the family. (Correct) 4. Recognize that generally all clients just want good nursing care.

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

1. Learning about health care needs of homosexual clients 2. Always referring to transgender clients using pronouns of the sex to which they transition 1. Always referring to transgender clients using pronouns of the sex with which they were born. 1. Learning about the treatment options for transgender clients and requirements of follow-up care (Correct)

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

1. Multiple dosing 2. Suggesting that the parent mix oral drugs with juice (Correct). 3. Taking extra time with parents to ensure skilled participation (Correct). 4. Providing the parents with a calibrated spoon to measure liquid formulations (Correct). 5. Selecting the most convenient dosage form and dosing schedule (Correct).

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) client's needs revision?

1. Posting a client's bill of rights and nondiscrimination policies visibly 2. Arranging exclusive waiting rooms for LGBTQ clients and their families (Correct) 3. Providing information on special health care concerns for LGBTQ clients 4. Avoiding assumptions about any client's sexual orientation and gender identity

Which statement regarding an interpreter is correct?

1. Relatives or friends of the client can serve as interpreters. 2. The interpreter would be able to make literal, word-for-word translations. 3. Interpreting not only the language but also the culture is important. (Correct) 4. As long as the health care provider is caring for the client, the interpreter should be available.

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?

1. Rotavirus vaccine 2. Varicella virus vaccine 3. HPV vaccine (Correct) 4. Meningococcal conjugate vaccine

Which client would have a health promotion nursing diagnosis?

1. The client with acute pain due to appendicitis 2. The client who is willing to take a 30-minute walk daily (Correct) 3. The older adult client with dementia admitted to the health care facility. 4. The client with reduced cognitive ability while recovering from surgery.

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

1. The mind, body, and spirit are distinct entities. (Correct) 2. The focus of an assessment should be on culture rather than race for children of multiracial, multicultural, and multiheritage marriages. 3. Chinese clients may believe that disease is caused by fluctuations in opposing forces, the yin-yang energies. 4. When taking a client history, the nurse would record the client's race according to how she or he self-identifies.

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

1. The student expects the interpreter to act as the client's advocate. 2. The student expects the interpreter to have a health care background. 3. The student maintains steady eye contact with the client. 4. The student talks only to the interpreter about the client (Correct).

Which is the goal of Healthy People 2020?

1. To ensure the well-being of clients cared for in a hospital setting. 2. To encourage the nurse to do good for the client. 3. To have the nurse act as an advocate for clients who are not capable of self-determination. 4. To eliminate health disparities related to race, ethnicity, and socioeconomic status (Correct)