Week 6
A newly licensed nurse is talking about their day with another nurse. Which statement by the newly licensed nurse demonstrates incivility? 1."I hate when I have to ask my preceptor for help with tasks I am unsure about." 2."The charge nurse called me stupid in front of the team." 3."My preceptor laughs when I tell a joke." 4."The charge nurse gave me a difficult assignment."
2."The charge nurse called me stupid in front of the team."
A nurse is teaching about change-of-shift report with a newly licensed nurse. Which of the following statements should the nurse make? 1."Change-of-shift report performed at the client's bedside results in increased overtime by nurses." 2."Using I-SBAR-R during change-of-shift report decreases the risk of missing information." 3."Change-of-shift report performed at the client's bedside decreases client satisfaction about their care." 4."Taking notes during change-of-shift report increases the risk for error."
2."Using I-SBAR-R during change-of-shift report decreases the risk of missing information.
A nurse is teaching a class about barriers to interprofessional collaboration between health care professionals. The nurse should include that which of the following is a barrier? 1.Trust in the ability of a team member 2.Unresolved conflicts between team members 3.Effective communication between team members 4.Cultural competency within team members
2.Unresolved conflicts between team members
A nurse and an assistive personnel (AP) disagree about how to move a client from the bed to a stretcher. Which of the following statements should the nurse make to promote conflict resolution? 1."I'm the nurse, you are the AP, so do what I say." 2."You always need to get your own way." 3."Let's discuss how we can work together." 4."If you do not help me, I will report you to the charge nurse."
3."Let's discuss how we can work together."
A charge nurse is providing teaching to a group of nurses about the collaborative teamwork skill of situation monitoring. Which of the following statements by a nurse indicates an understanding of the teaching? 1."Situation monitoring identifies who should be included on the team." 2."Situation monitoring identifies strategies to lead teams effectively." 3."Situation monitoring focuses on the awareness of the team's performance on client outcomes." 4."Situation monitoring supports the team by providing feedback to assist the team to function better."
3."Situation monitoring focuses on the awareness of the team's performance on client outcomes."
A nurse is teaching a client who has end-stage kidney disease and a new sacral pressure injury. The client's provider has requested a plastic surgery consultation. Which of the following statements by the client indicates an understanding of the consultation? 1."The plastic surgeon might adjust my renal diet." 2."The plastic surgeon will assist me with financial counseling." 3."The plastic surgeon might change my wound care treatment." 4."The plastic surgeon will coordinate my health care team."
3."The plastic surgeon might change my wound care treatment."
A nurse is caring for a client who asks, "Why do I have to talk to so many people before I can go home? Don't these people communicate?" Which of the following statements should the nurse make? 1."They are very busy and do not have time to communicate about your health." 2."Why are you concerned about talking to your health care team?" 3."Your health care team works together so you can safely go home." 4."The sooner you talk to them, the sooner you can leave."
3."Your health care team works together so you can safely go home."
A nurse is teaching a newly licensed nurse about what to include in a medication reconciliation form for a client who is being transferred to a new facility. Which of the following instructions should the nurse include? 1.Include a list of medications that the client no longer needs. 2.Do not include over-the-counter medications the client takes. 3.Include medications the client took at home. 4.Do not include nutritional supplements the client takes.
3.Include medications the client took at home.
A nurse is teaching an in-service about zero-tolerance for bullying and incivility in the health care facility. Which of the following information should the nurse include? 1.Bullying can result in an increase in productivity. 2.Incivility can result in improved communication in the workplace. 3.Incivility can result in a reduction of medical errors. 4.Bullying can result in an increase in nursing turnover.
4.Bullying can result in an increase in nursing turnover.
A nurse is preparing a discharge plan for a client following a bilateral below-the-knee amputation. Which of the following interventions is the priority? 1.Check the availability of transportation to follow-up appointments. 2.Request a referral for a home health nurse. 3.Provide the client with written material about their medications. 4.Determine whether the client's home is wheelchair accessible.
4.Determine whether the client's home is wheelchair accessible
A nurse is assigned to care for a client. The client's provider is known to become angry and yell at the nurse. Which of the following actions by the nurse demonstrates the use of cognitive rehearsal? 1.The nurse asks another nurse to be present as a witness when the provider arrives. 2.The nurse confronts the provider outside the client's room. 3.The nurse notifies the charge nurse about the provider's actions. 4.The nurse mentally practices in advance what to say to the provider.
4.The nurse mentally practices in advance what to say to the provider.
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical‑surgical unit. When she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (Select all that apply.) A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs
A B C E
The nurse is caring for a group of clients on a medical surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? a. a client who has terminal cancer requests hospice care in the home b. a client asks about community resources available for older adults. c. a client states i would lie to have my child baptized before surgery. d. a client requests an electric wheelchair for use after discharge. e. a client states i do not understand how to use a nebulizer.
A B D
A patient who is a transgender woman is preparing to take sex hormones. Which one of the following effects of the androgens can't be reversed by hormones? A) Breast tissue B) Jaw shape c.)Hand shape and size. D) Facial hair.
A) Breast tissue
which religion -no pork nor alcohol and sometimes no meat
adventists
which ethnicity- May remain silent about STIs, substance abuse, and mental illness; - After death, the family may want to prepare the body and autopsy is discouraged unless required by law; - Use same-sex family members as interpreters.
arab americans
which ethnicity- Believe in the yin/yang "hot-cold" theory of illness; - Sodium intake is generally high because of salted and dried foods; - Usually refuse organ donation; - May nod without necessarily understanding.
asian americans
A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client? SATA A.) talk to the interpreter about the family while the family is in the room b. Determine client understanding several times during the conversation c. look at the interpreter when asking the family questions. d. use lay terms if possible e. do not interrupt the interpreter and the family as they talk.
b d e
a nurse is discussing the plan of care for a client who reports following Islamic practices. Which of the following statements by the nurse indicates culturally responsive care to the client. a. i will make sure the menu includes kosher items b. i will ask the client if they want to schedule certain times to pray during the day. c. i will avoid discussing care when the clients family is around. d. i will make sure daily communion is available for this client
b. i will ask the client if they want to schedule certain times to pray during the day.
A nurse enters the room of a client that is crying while reading from a religious book and asks to be left alone. Which of the following actions should the nurse take? a. contact the hospitals spiritual services b. ask what is making the client cry c. ensure no visitors and staff enter the room for a short period of time.. d. turn on the television for a distraction.
c. ensure no visitors and staff enter the room for a short period of time..
A nurse is caring for two clients who report following the same religion. which of the below information should the nurse conder when planning care for these clients? a. members of the same religion share similar feelings about their religion. b. a shared religious background generates mutual regard for each other. c. the same religious beliefs can influence individuals differently d. the nurse and client should discuss the differences and commonalities of their beliefs.
c. the same religious beliefs can influence individuals differently
means that nurses understand and address the entire cultural context of each client within the realm of the care they deliver. Competence is developed over a lifetime as the nurse continues to attain knowledge and develop cultural skill through varied client encounters.
cultural competence
is similar to ethnocentrism and occurs when a nurse imposes the the rules of their culture onto another person. This is also sometimes referred to as cultural blindness
cultural imposition
means that nurses apply their knowledge of a clients culture to their care delivery
culture appropriateness
Means that the nurses knowledgeable about the cultures prevalent in their area of practice.
culture sensitivity
A goal for a client who has difficulty with self feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional team. a. social worker b. certified nursing assistant. c. registered dietician d. OT
d. OT
a nurse is caring for a client who tells the nurse that based on religious values and mandates, a blood transfusion is not acceptable treatment. Which of the following responses should the nurse make? a. i believe in this case you should really make an exception and accept the blood transfusion. b. i know your family would approve of your decision to have a blood transfusion. c. why does your religion mandate that you cannot receive any blood transfusions. d. lets discuss the necessity for blood transfusion with your religious and spiritual leaders and come to a reasonable solution.
d. lets discuss the necessity for blood transfusion with your religious and spiritual leaders and come to a reasonable solution.
which religion? no pork nor alcohol; people with chronic illnesses and women that are pregnant, breast-feeding or menstruating don't fast during Ramadan.
muslims
which ethnicity- Diet may be deficient in vitamin D and calcium because many suffer from lactose intolerance or don't drink milk; - Obesity and diabetes are major health concerns.
native americans
A transgender male patient is taking testosterone in order to produce some desired changes. Which statement by the patient suggests that the hormone is having the desired effect? A) "I have noticed that the skin on my face is more oily, and I have more hair growth on my chest." B) "A friend told me that my voice sounds higher pitched than usual." C) "My muscle mass seems to be decreasing, and I've noticed a bit of an increase in my body fat." D) "The size of my breasts is increasing ,and I noticed my menstrual period was heavier."
A) "I have noticed that the skin on my face is more oily, and I have more hair growth on my chest."
People who identify with the gender that matches the sex assigned to them at birth are referred to as: A) Bisexual B) Cisgender C) Intersex D) Transgender
B) Cisgender
The primary sex hormone in men is: A) Progesterone. B) Testosterone. C) Estrogen. D) Adrenalin
B) Testosterone.
A nurse is teaching a newly licensed nurse about receiving and transcribing verbal prescriptions. Which of the following instructions should the nurse include? 1.Read back the prescription to the provider after transcribing. 2.Use symbols when transcribing a verbal prescription. 3.Include abbreviations when transcribing a verbal prescription. 4.Place a zero after a decimal when transcribing a dosage.
.Read back the prescription to the provider after transcribing.
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the clients in understanding the medications effects? SATA 1. Provider 2. CNA 3. Pharmacist 4. RN 5. RT
1 3 4
A nurse is using the introduction, situation, background, assessment, recommendation, and readback (I-SBAR-R) communication tool when contacting a provider about a client who has Parkinson's disease. Which of the following statements by the nurse should be included in the situation component? 1."The client is coughing while eating." 2."Should I obtain a chest X-ray?" 3."I will request a referral with a speech therapist." 4."The client has a history of Parkinson's disease."
1."The client is coughing while eating."
A nurse is caring for a client who has diabetes mellitus and does not adhere to the prescribed diet. Which of the following interventions by the nurse demonstrates collaborative health care? 1.Requesting a referral to a dietitian to work with the client 2.Instructing the client's family not to bring in snacks for the client 3.Asking the client why they are not adhering to the prescribed diet 4.Informing the client that they will get used to eating the prescribed diet
1.Requesting a referral to a dietitian to work with the client
A nurse is using the introduction, situation, background, assessment, recommendation, and readback (I-SBAR-R) communication tool when contacting a provider about a client who has COPD. Which of the following statements by the nurse should be included in the assessment component? 1."The client has a history of COPD." 2."The client has a respiratory rate of 38/min." 3."I will obtain a sputum culture." 4."Should I increase the client's supplemental oxygen?"
2."The client has a respiratory rate of 38/min."
which ethnicity -Higher incidence of high blood pressure and obesity; - High incidence of lactose intolerance
African americans
Which word is used to describe howpeople experience and express themselves sexually? A) Gender identity. B) Human sexuality. C) Pansexual. D) Sexual orientation.
B. Human sexuality
The primary sex hormone in women is: A) Progesterone. B) Testosterone. C) Estrogen. D) Adrenalin.
C) Estrogen
The umbrella term to describe the romantic, emotional, or sexual attraction to people of the opposite gender, the same gender, or to more than one gender is: A) Bisexual B) Heterosexual C) Sexual orientation D) Homosexual
C) Sexual orientation
involves self awareness for the nurse, examining personal attitudes related to various aspects of culture, to identify possible bias
Cultural awareness
A client who had cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral to which person in the interprofessional team? a. social worker b. CNA c. OT d. ST
D
People who are romantically, emotionally, or sexually attracted to numerous genders are referred to as: A) Bisexual B) Queer C) Questioning D) Pansexual
D) Pansexual
Aregistered nurse is performing the admission assessment of a 37-year-old man who will be treated for pancreatitis on the medical unit. During the nursing assessment, the nurse asks the patient questions related to his spirituality. What is the primary rationale for this aspect of the nurses assessment? A) The patients spiritual environment can affect his physical activity. B) The patients spiritual environment can affect his ability to communicate. C) The patients spiritual environment can affect his quality of sexual relationships. D) The patients spiritual environment can affect his response to illness.
D) The patients spiritual environment can affect his response to illness.
which religion-no beef or items containing gelatin.
hindu
which religion- no blood products should be used. -
jehovahs witness
which religion? special dietary restrictions, use of kosher food
jewish
which ethnicity- Family members are typically involved in all aspects of decision making such as terminal illness; - May see no reason to submit to mammograms or vaccinations.
latino americans
