ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
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The patient had a colostomy placed 1 week ago. When approached by the
nurse, the patient and spouse refuse to talk about it and refuse to be
taught about how to care for it. How will the nurse evaluate this couple's
stage of adjustment?
a. Shock
b. Withdrawal
c. Acceptance
d. Rehabilitation
ANS:B
Which action indicates the nurse is meeting a primary goal of cultural
competent care for patients?
a. Provides care to transgender patients
b. Provides care to restore relationships
c. Provides care to patients that is individualized
d. Provides care to surgical patients
ANS:A
,A nurse is using Campinha-Bacote's model of cultural competency. Which
areas will the nurse focus on to become competent? (Select all that
apply.)
a. Cultural skills
b. Cultural desire
c. Cultural transition
d. Cultural knowledge
e. Cultural encounters
ANS:A.B.D.E
The nurse learns about cultural issues involved in the patient's health care
belief system and enables patients and families to achieve meaningful and
supportive care. Which concept is the nurse demonstrating?
a. Marginalized groups
b. Health care disparity
c. Transcultural nursing
d. Culturally congruent care
ANS:D
A nurse is beginning to use patient-centered care and cultural competence
to improve nursing care. Which step should the nurse take first?
a. Assessing own biases and attitude
b. Learning about the world view of others
c. Understanding organizational forces
d. Developing cultural skills
ANS:A
,A nurse is developing a plan of care for an older adult. Which information
will the nurse consider?
a. Should be standardized because most geriatric patients have the same
needs
b. Needs to be individualized to the patient's unique needs
c. Focuses on the disabilities that all aging persons face
d. Must be based on chronological age alone
ANS:B
A nurse is teaching a group of older-adult patients. Which teaching
strategy is best for the nurse to use?
a. Provide several topics of discussion at once to promote
independence and making choices.
b. Avoid uncomfortable silences after questions by helping patients
complete their statements.
c. Ask patients to recall past experiences that correspond with their interests.
d. Speak in a high pitch to help patients hear better.
ANS:C
, Which information from a co-worker on a gerontological unit will cause the
nurse to intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence.
ANS:A
A 70-year-old patient who suffers from worsening dementia is no longer able
to live alone. The nurse is discussing health care services and possible long-
term living
arrangements with the patient's only son. What will the nurse suggest?
a. An apartment setting with neighbors close by
b. Having the patient utilize weekly home health visits
c. A nursing center because home care is no longer safe
d. That placement is irrelevant because the patient is retreating to a
place of inactivity
ANS:C
A nurse is discussing sexuality with an older adult. Which action will the nurse
take?
a. Ask closed-ended questions about specific symptoms the patient may
experience.
b. Provide information about the prevention of sexually transmitted infections.
c. Discuss the issues of sexuality in a group in a private room.
d. Explain that sexuality is not necessary as one ages.
ANS:B