NUR 418 EXAM 1 PRACTICE QUESTIONS
WITH VERIFIED SOLUTIONS NEW
MODIFIED GRADED A+
A nurse manager expects all employees to be patient advocates. Which nursing
action best demonstrates this nursing role?
1. Arranging a family-physician conference to clarify treatment plans
2. Encouraging treatment options based on personal beliefs and values
3. Giving contact information for governmental assistance agencies
4. Working on a political campaign to reduce poverty in the state --ANSWER--
1. Arranging a family-physician conference to clarify treatment plans
A patient and family have the nursing diagnosis of impaired verbal
communication secondary to a language barrier. What action by the
patient/family would best indicate that short-term goals for this diagnosis have
been met?
1. Able to communicate long-term desires for health of the patient
2. Demonstrates comprehension by head nodding and saying "yes"
3. States understanding of condition and treatment via an interpreter
1
,4. Understands how nonverbal communication varies between cultures --
ANSWER--3. States understanding of condition and treatment via an interpreter
A nurse is working with family members who have been striving to improve
their functioning as a family unit. What behavior would suggest to the nurse that
the family is meeting its goals?
1. The children are in multiple activities to develop talents.
2. The desire to be understood guides most communication.
3. Family members gave up some activities to eat dinner together on most
nights.
4. The parents have a strong desire for the children to succeed. --ANSWER--3.
Family members gave up some activities to eat dinner together on most nights.
A nurse works a great deal with refugees and is frustrated because, as a group,
they don't seem to want to implement desired health behaviors. What action by
the nurse would be most helpful?
1. Conduct a health screening and educational event each month.
2. Provide written information in the group's native language.
3. Teach selected group representatives to be lay health educators.
4. Try to establish relationships within the refugee community. --ANSWER--3.
Teach selected group representatives to be lay health educators.
2
,According to family systems theory, each family system contains boundaries
that affect how the outside world interacts with the family. Families that have
recently immigrated to the United States might have closed boundaries and may
only be receptive to health information provided by extended family members
or members of their community. Establishing a lay health educator program in
which community members can be taught health information with the intent of
delivering it to their communities would be a good way to work with these
families while respecting their boundaries.
A patient is dismissed from the hospital and is receiving nursing care at home to
help in the recovery from a serious illness and operation. The visiting nurse
notes that the family is in a state of disarray and members are disorganized and
not communicating. The patient is trying to direct everyone's actions. The nurse
calls a family meeting. What action by the nurse is best?
1. Encourage family members to make "to do" lists and assign chores.
2. Explain that changes in one person require changes in the others.
3. Make a referral to a counselor or mental health nurse practitioner.
4. Tell the family members that, for the patient to recover, they must assume the
patient's role. --ANSWER--2. Explain that changes in one person require
changes in the others.
A nurse wishes to improve their cultural sensitivity while working with patients.
Which action by the nurse would best indicate progress toward this goal?
3
, 1. Demonstrate good knowledge of different cultural health beliefs
2. Effectively respond to the needs of people of different cultures
3. Interact respectfully with patients who have differing health beliefs
4. Recognize that they will never be the expert in other cultures --ANSWER--3.
Interact respectfully with patients who have differing health beliefs
A nurse manager is evaluating staff members on their cultural competence.
Which action best demonstrates this characteristic?
1. Attends workshops on cultural diversity and health practices
2. Participates in community health events with minority populations
3. Plans care with the family members within their cultural beliefs
4. Uses family members as interpreters to make them feel important --
ANSWER--3. Plans care with the family members within their cultural beliefs
The culturally sensitive nurse can understand and respond to the needs of
individuals and families from different cultures. This nurse plans interventions
with a solid knowledge of the values and practices of the members of the
culture. Being open, listening to the family, and involving them in care
demonstrates respect, unifies the nurse-patient relationship, and will motivate
the patient (and family) to make positive health changes.
A patient wishes to use complementary therapy when managing a chronic
health condition. Which action by the nurse is most appropriate?
1. Advise the patient that stopping medical treatment may cause it to worsen.
4
WITH VERIFIED SOLUTIONS NEW
MODIFIED GRADED A+
A nurse manager expects all employees to be patient advocates. Which nursing
action best demonstrates this nursing role?
1. Arranging a family-physician conference to clarify treatment plans
2. Encouraging treatment options based on personal beliefs and values
3. Giving contact information for governmental assistance agencies
4. Working on a political campaign to reduce poverty in the state --ANSWER--
1. Arranging a family-physician conference to clarify treatment plans
A patient and family have the nursing diagnosis of impaired verbal
communication secondary to a language barrier. What action by the
patient/family would best indicate that short-term goals for this diagnosis have
been met?
1. Able to communicate long-term desires for health of the patient
2. Demonstrates comprehension by head nodding and saying "yes"
3. States understanding of condition and treatment via an interpreter
1
,4. Understands how nonverbal communication varies between cultures --
ANSWER--3. States understanding of condition and treatment via an interpreter
A nurse is working with family members who have been striving to improve
their functioning as a family unit. What behavior would suggest to the nurse that
the family is meeting its goals?
1. The children are in multiple activities to develop talents.
2. The desire to be understood guides most communication.
3. Family members gave up some activities to eat dinner together on most
nights.
4. The parents have a strong desire for the children to succeed. --ANSWER--3.
Family members gave up some activities to eat dinner together on most nights.
A nurse works a great deal with refugees and is frustrated because, as a group,
they don't seem to want to implement desired health behaviors. What action by
the nurse would be most helpful?
1. Conduct a health screening and educational event each month.
2. Provide written information in the group's native language.
3. Teach selected group representatives to be lay health educators.
4. Try to establish relationships within the refugee community. --ANSWER--3.
Teach selected group representatives to be lay health educators.
2
,According to family systems theory, each family system contains boundaries
that affect how the outside world interacts with the family. Families that have
recently immigrated to the United States might have closed boundaries and may
only be receptive to health information provided by extended family members
or members of their community. Establishing a lay health educator program in
which community members can be taught health information with the intent of
delivering it to their communities would be a good way to work with these
families while respecting their boundaries.
A patient is dismissed from the hospital and is receiving nursing care at home to
help in the recovery from a serious illness and operation. The visiting nurse
notes that the family is in a state of disarray and members are disorganized and
not communicating. The patient is trying to direct everyone's actions. The nurse
calls a family meeting. What action by the nurse is best?
1. Encourage family members to make "to do" lists and assign chores.
2. Explain that changes in one person require changes in the others.
3. Make a referral to a counselor or mental health nurse practitioner.
4. Tell the family members that, for the patient to recover, they must assume the
patient's role. --ANSWER--2. Explain that changes in one person require
changes in the others.
A nurse wishes to improve their cultural sensitivity while working with patients.
Which action by the nurse would best indicate progress toward this goal?
3
, 1. Demonstrate good knowledge of different cultural health beliefs
2. Effectively respond to the needs of people of different cultures
3. Interact respectfully with patients who have differing health beliefs
4. Recognize that they will never be the expert in other cultures --ANSWER--3.
Interact respectfully with patients who have differing health beliefs
A nurse manager is evaluating staff members on their cultural competence.
Which action best demonstrates this characteristic?
1. Attends workshops on cultural diversity and health practices
2. Participates in community health events with minority populations
3. Plans care with the family members within their cultural beliefs
4. Uses family members as interpreters to make them feel important --
ANSWER--3. Plans care with the family members within their cultural beliefs
The culturally sensitive nurse can understand and respond to the needs of
individuals and families from different cultures. This nurse plans interventions
with a solid knowledge of the values and practices of the members of the
culture. Being open, listening to the family, and involving them in care
demonstrates respect, unifies the nurse-patient relationship, and will motivate
the patient (and family) to make positive health changes.
A patient wishes to use complementary therapy when managing a chronic
health condition. Which action by the nurse is most appropriate?
1. Advise the patient that stopping medical treatment may cause it to worsen.
4
