NCLEX Exam with accurate detailed answers || || || || ||
The best explanation of what Title VI of the Civil Rights Act mandates is the freedom to:
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A. Pick any physician and insurance company despite one's income
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B. Receive free medical benefits as needed within the county of residence
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C. Have equal access to all health care regardless of race and religion
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D. Have basic care with a sliding scale payment plan from all health care facilities - ✔✔Answer:
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C. Have equal access to all health care regardless of race and religion
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Which statement would best explain the role of the nurse when planning care for a culturally
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diverse population? The nurse will plan care to:
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A. Include care that is culturally congruent with the staff from predetermined criteria
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B. Focus only on the needs of the client, ignoring the nurse's beliefs and practices
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C. Blend the values of the nurse that are for the good of the client and minimize the client's
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individual values and beliefs during care || || || || ||
D. Provide care while aware of one's own bias, focusing on the client's individual needs rather
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than the staff's practices - ✔✔Answer: D. Provide care while aware of one's own bias, focusing
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on the client's individual needs rather than the staff's practices
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Without understanding one's own beliefs and values, a bias or preconceived belief by the nurse
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could create an unexpected conflict or an area of neglect in the plan of care for a client (who
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might be expecting something totally different from the care). During assessment values, beliefs,
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practices should be identified by the nurse and used as a guide to identify the choices by the nurse
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to meet specific needs/outcomes of that client. Therefore identification of values, beliefs, and
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practices allows for planning meaningful and beneficial care specific for this client.
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,Which factor is least significant during assessment when gathering information about cultural
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practices?
A. Language, timing
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B. Touch, eye contact
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C. Biocultural needs
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D. Pain perception, management expectations - ✔✔Answer: C. Biocultural needs
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Cultural practices do not influence biocultural needs because they are inborn risks that are related
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to a biological need and not a learned cultural belief or practice.
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Transcultural nursing implies: || ||
A. Using a comparative study of cultures to understand similarities and differences across human
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groups to provide specific individualized care that is culturally appropriate
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B. Working in another culture to practice nursing within their limitations
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C. Combining all cultural beliefs into a practice that is a non-threatening approach to minimize
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cultural barriers for all clients' equality of care
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D. Ignoring all cultural differences to provide the best generalized care to all clients - ✔✔Answer:
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A. Using a comparative study of cultures to understand similarities and differences across human
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groups to provide specific individualized care that is culturally appropriate
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Transcultural care means that by understanding and learning about specific cultural practices the || || || || || || || || || || || || ||
nurse can integrate these practices into the plan of care for a specific individual client who has the
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same beliefs or practices to meet the client's needs in a holistic manner of care.
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What should the nurse do when planning nursing care for a client with a different cultural
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background? The nurse should: || || ||
A. Allow the family to provide care during the hospital stay so no rituals or customs are broken
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, B. Identify how these cultural variables affect the health problem
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C. Speak slowly and show pictures to make sure the client always understands
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D. Explain how the client must adapt to hospital routines to be effectively cared for while in the
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hospital - ✔✔Answer: B. Identify how these cultural variables affect the health problem
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Without assessment and identification of the cultural needs, the nurse cannot begin to understand
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how these might influence the health problem or health care management.
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Which activity would not be expected by the nurse to meet the cultural needs of the client?
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A. Promote and support attitudes, behaviors, knowledge, and skills to respectfully meet client's
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cultural needs despite the nurse's own beliefs and practices
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B. Ensure that the interpreter understands not only the language of the client but feelings and
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attitudes behind cultural practices to make sure an ethical balance can be achieved
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C. Develop structure and process for meeting cultural needs on a regular basis and means to avoid
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overlooking these needs with clients
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D. Expect the family to keep an interpreter present at all times to assist in meeting the
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communication needs all day and night while hospitalized - ✔✔Answer: D. Expect the family to || || || || || || || || || || || || || || ||
keep an interpreter present at all times to assist in meeting the communication needs all day and
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night while hospitalized || ||
It is not the family's responsibility to assist in the communication process. Many families will
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leave someone to help at times, but it is the hospital's legal obligation to find an interpreter for
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continued understanding by the client to make sure the client is fully informed and comprehends
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in his or her primary language.
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Ethical principles for professional nursing practice in a clinical setting are guided by the
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principles of conduct that are written as the: || || || || || || ||
A. American Nurses Association's (ANA's) Code of Ethics
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B. Nurse Practice Act (NPA) written by state legislation
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