Culture adaptive quiz, Adaptive quiz: professional identity, 38 Case Study, section 2 1st semester
What does the nurse understand is the collaborative definition of delegation according to the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN)?
"Delegation is the process for the nurse to direct another person to perform nursing tasks."
A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse?
"Teach the client how to use a meter dose inhaler." According to Gardner's tasks of leading/managing, a behavior of the executive position is to assist corporate leaders with planning and priority setting. Leading inspires client/families to achieve their vision. A behavior of the management position is to inspire the staff to achieve the mission of the organization. A behavior of the clinical position is to ensure that the organizational systems work on the client's behalf.
A resident in a nursing home recently immigrated to the United States from Italy. How does the nurse plan to provide emotional support? 1 By offering choices consistent with the client's heritage 2 By ensuring that the client understands American beliefs 3 By assisting the client in adjusting to the American culture 4 By correcting the client's misconceptions about appropriate health practices
1 Adherence to a plan of care is enhanced by the nurse's providing choices consistent with the client's cultural beliefs and practices. The nurse's cultural or personal beliefs and biases should not influence or interfere with the implementation of appropriate care. Helping the client adjust to the American culture is not the priority at this time; care should be adapted to the client's needs and culture. The person's cultural practices should not be addressed unless they are detrimental to the person's health.
A nurse understands that value clarification is a technique useful in therapeutic communication because initially it helps client: 1 Become aware of their personal values. 2 Gain information related to their needs. 3 Make correct decisions related to their health. 4 Alter their value systems to make them more socially acceptable
1 Value clarification is a technique that reveals individuals' values so the individuals become more aware of them and their effect on others. Gaining information, making correct health decisions, and altering value systems to make them more socially acceptable are not outcomes of value clarification.
8 questions associated with the RESPECT Model when working with patients
1.What do you call the problem? 2.What do you think has caused the problem? 3.Why do you think it started when it did? 4.What do you think the sickness does? How does it work? 5.How severe is the sickness? Will it have a long or short course? 6.What kind of treatment do you think the patient should receive? 7.What are the chief problems the sickness has caused? 8.What do you fear most about the sickness?
Which topic should the nurse determine is most appropriate when presenting health-related instruction to clients from an African-American community? 1 Osteoporosis 2 Hypertension 3 Uterine cancer 4 Thyroid disorders
2 Hypertension is 78% more prevalent in African Americans than among Caucasian Americans; 30% of African Americans have hypertension. African Americans have approximately 50% less risk for osteoporosis than Caucasian Americans. Caucasian-American women are 30% more likely to be diagnosed with uterine cancer than African-American women. Statistics indicate that African Americans are less likely to develop thyroid disorders than Caucasian Americans.
After determining that the nurses on the psychiatric unit are uncomfortable caring for clients who are from different cultures than their own, the nurse manager establishes a unit goal that by the next annual review there will be: 1 Increased cultural sensitivity 2 Decreased cultural imposition 3 Decreased cultural dissonance 4 Increased cultural competence
4 Cultural competence encompasses sensitivity as well as knowledge, desire, and skill in caring for those who are different from one's self. The nurses are already somewhat sensitive to those from different cultures and now must move forward in their ability to care for these clients. The nurses are not imposing their culture on the clients; they are avoiding them. There is no clashing of cultures in this situation.
A nurse is with the parents of a 3-year-old child who has just died. The most therapeutic question for the nurse to ask the parents is: 1 "Do you feel ready to consent to an autopsy?" 2 "Have you made a decision made about organ donation?" 3 "Would you like to talk about how you'll tell your other children?" 4 "Can I be of any help with traditional practices that are important to you?"
4 The nurse should be sensitive to any cultural or religious beliefs that may help the parents cope with their grief. Immediately discussing the topic of autopsy or organ donation is insensitive to the parents' grief at this time. The parents are too involved with their own grief at this time to consider their other children's grief.
Which skills would be essential for an effective nurse manager to develop and improve collaboration with others? Select all that apply.
Ability to share information and ideas Flexibility Ability to listen to others
Multiculturalism
A perspective recognizing the cultural diversity of the United States and promoting equal standing for all cultural traditions
The professional obligation of a nurse to assume responsibility for actions is referred to as what?
Accountability
A nurse providing care in a hospital witnesses a client's spouse shaking the client vigorously because the client has had an episode of incontinence. Because of the suspicion of physical abuse, legally the nurse should discuss the concerns with which party?
Adult protective services
3. Mr. Burke's respiratory rate as determined by Cyrus is 42 breaths/min. This means that he is experiencing apnea. A. True B. False
Answer: B Rationale: Apnea is the absence of breath sounds. Tachypnea is more than 20 breaths/min.
1. Cyrus finds Mr. Burke restless, agitated, and confused. His pulse is 102 beats/min, and respirations are 42 breaths/min and shallow. He is sitting up in bed grasping the side rails and trying to catch his breath. He is most likely experiencing which of the following conditions? A. Hyperventilation B. Hypoventilation C. Hypoxia D. Dysrhythmia
Answer: C Rationale: Hypoxia is the decreased diffusion of oxygen from the alveoli to the blood, as in pneumonia. Signs and symptoms of hypoxia include apprehension, restlessness, inability to concentrate, decreased level of consciousness, dizziness, and behavioral changes. Vital sign changes include increased pulse rate and rate and depth of respiration.
2. Mr. Burke's condition is causing the clinical sign of shortness of breath. Shortness of breath is referred to as _______________.
Answer: Dyspnea Rationale: Dyspnea is shortness of breath often found in hypoxia.
4. Mr. Burke coughs up bloody sputum that Cyrus sends to the laboratory. Bloody sputum is referred to as ____________.
Answer: Hemoptysis Rationale: Hemoptysis is bloody sputum that often accompanies respiratory illnesses such as pneumonia.
Who functions as a liaison between team leaders and other healthcare providers?
Charge nurse
Before effectively responding to a sexually abused victim on the phone, it is essential that the nurse in the rape crisis center do what?
Be aware of any personal bias about sexual assault
Ethnocentrism
Belief in the superiority of one's nation or ethnic group.
Culture
Is a pattern of shared attitudes beliefs, self-definition, norms, roles, and values that can occur among those who speak a particular language or live in the defined geographic region
Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems?
Counselor
A female nurse has been caring for a depressed 75-year-old woman who reminds her of her grandmother. The nurse spends extra time with her every day and brings her home-baked cookies. What does the nurse's behavior reflect?
Countertransference
According to Gardner's tasks of leading/managing, a behavior of the executive position is to assist corporate leaders with planning and priority setting. Leading inspires client/families to achieve their vision. A behavior of the management position is to inspire the staff to achieve the mission of the organization. A behavior of the clinical position is to ensure that the organizational systems work on the client's behalf.
Critical analysis Critical analysis by the registered nurse serves as a guide for delegation in the nursing process. It is applied in assessment, planning, implementation, and evaluation for safe and effective client care. Leadership is a role in which a nurse has charge of the personnel as they perform their tasks. Psychomotor tasks are the common characteristics and essential components that a nurse should possess to provide client care. Time management is essential in performing tasks within specified deadlines during delegacy.
The nurse leader is teaching the staff that the health care provider continuously strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?
Cultural competence
Bicuturalism
Duel pattern of identification
What does the professional nurse consider to be the center of decision-making when providing client care?
Ethics of care
What qualities does the professional nurse require to lead, manage, and follow in a team? Select all that apply.
Exercising self-awareness Managing emotions in self and others Motivating self and others
Which activity indicates improper follow-through on the part of the delegatee?
Failure to report results
The registered nurse (RN) is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). In order to evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses given by the UNP indicate effective understanding of the tasks? Select all that apply
I must assist the client with oral care. "I must give a sponge bath to the client every morning." "I must monitor the blood pressure of the client at regular intervals.
A nurse is caring for a client with a diagnosis of polycythemia vera. The client asks, "Why do I have an increased tendency to develop blood clots?" Which effect of the polycythemia vera should the nurse include in the teaching session?
Increased blood viscosity
A nurse is evaluating the practice of a home health aide who is caring for a client who has paraplegia. Which behavior indicates understanding about the nursing team's responsibility in relation to pressure ulcers?
Inspecting the skin daily
The nurse leader mentors the staff on types of conflict. Which statement of the leader describes intrapersonal conflict?
It arises due to imbalances between the nurse's personal and professional priorities.
The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for delegating the task of administering vaccinations?
Licensed practical nurse
While auditing unit documents, a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals?
Management
According to Gardner's tasks of leading/managing, a behavior of the executive position is to assist corporate leaders with planning and priority setting. Leading inspires client/families to achieve their vision. A behavior of the management position is to inspire the staff to achieve the mission of the organization. A behavior of the clinical position is to ensure that the organizational systems work on the client's behalf.
Occasionally offering derogatory comments This registered nurse who has limited clinical experience should make an attempt to adapt delegation decisions to organization policies. The nurse should not offer derogatory or offensive comments, which can detract from a collaborative and productive work environment. Asking open-ended questions allows the registered nurse to gain pertinent information from the nursing assistant delegated to perform client care. The registered nurse should provide feedback about behavior that will best shape performance. Maintaining an open line of communication with the nursing assistant yields a collaborative and productive work environment.
Assimilation
Process by which a person gives up his or her original Identity by becoming absorbed into the dominant culture group
A nursing assistant is frequently late for work and often tells the nurse manager that although he leaves his apartment early, he is delayed by heavy traffic. What defense mechanism is being used by the nursing assistant?
Rationalization
The emergency department nurses are caring for a group of clients injured in a community disaster. Which action of the nurse needs correction?
Removing people from danger
What factors are most important for the nurse to consider when delegating responsibilities?
Staff member's level of education and expertise
As a part of informed consent, a surgeon explains to the client who is scheduled for surgery the details of the surgery and the related care. The nurse as a leader witnesses the complete procedure. What information does the nurse leader ensure was provided to the client? Select all that apply.
Surgery procedures Name of surgeon Description of the risk
Cultural imposition
tendency of some to impose their beliefs, practices, and values on another culture because they believe that their ideas are superior to those of another person or group
Acculturation
the adoption of the behavior patterns of the surrounding culture
Enculturation
the process by which culture is learned and transmitted across the generations
3 Requirements from nurses over competency
•Expected component of nursing education and professional nursing practice •Requires underlying acceptance of patient's health beliefs •Requires adapting care to meet unique needs and perspectives of individual
Which behavior would the nurse consider suitable for an executive position according to Gardner's tasks of leading/managing?
To assist corporate leaders with planning and priority setting According to Gardner's tasks of leading/managing, a behavior of the executive position is to assist corporate leaders with planning and priority setting. Leading inspires client/families to achieve their vision. A behavior of the management position is to inspire the staff to achieve the mission of the organization. A behavior of the clinical position is to ensure that the organizational systems work on the client's behalf.
What is the function of the Professional Standards Review Organizations (PSROs) set up by the federal government?
To review the quality, quantity, and cost of hospital care