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rationale(Q1-Q40 12 different docx)V2
N u r sin g C are of C hild ren : Prin ciple s and P ractice .
Q u e stion 1
N o m inal g roup te chnique fo r d ecision m aking is de scribed b y w hich of th e following?
A) A te ch n ique th at allows e ach g roup member th e o pportunity fo r in put into th e d ecision-making p rocess
B) A te ch n ique to c ontrol dominant g roup members
C) A te ch n ique w hich h onors in dividual differences and a llows m embers to p ass
D) A te ch n ique w hich is tim e-consuming and th us n ot cost-effective
Answer:
A) A te c h nique th at allows e ach g roup member th e o pportunity fo r in put in to th e d ecision-making p rocess.
W ith n ominal g roup technique, in divid uals can g ive in put in com fortable w ays a nd with e qual p articipation.
A lth o ugh it c a n b e time con suming, the q uality o f decisions m ade may be h igher than with q uicker
m e th ods.
Q u e stion 2
A clie n t w ith con siderable p ainasks the n urse's o pinion re garding a cupuncture as a d rug-free m ethod fo r
alle v iating p ain. The n urse re sponds, "I'd forget about it as th o se w eird non-Western tre atments can b e s cary."
T h e n urse's re sponse is an e xample
,A) P re judice
B) D iscrim ination
C) E th n ocentrism
D) C u ltu ral in sensitivity
Answer:
C ) E th n ocentrism.
E th n ocentrism, th e u niv ersal te ndency of h uman b eings to th ink th at their w ays o f thinking, a cting, a nd
b e lie ving a re th e o nly right, p roper, and n atural ways, ca n b e a major b arrier to providing cu lturally
c on sc ious care. E thnocentrism p erpetuates a n attitu de that b eliefs th at differ g reatly from o ne''s o wn are
s tra n ge, b izarre, o r u nenlightened, and th erefore w rong. E thnocentrism re fers to th e unconscious tendency
to lo o k at o th ers th rough th e le ns o f one''s o wn cu ltural n orms a nd customs a nd to ta ke fo r granted th at
o n e ''s own v alues are the o nly objective reality. At a m ore com plex level, th e ethnocentrist re gards o thers
a s in fe rior or im moral and b elieves h is o r h er o wn ideas are in trinsically g ood, right, n ecessary, a nd
d e sira ble, while re maining u naware o f his o r h er o wn value judgments.
Q u e stion 3
W h ich o f the fo llowing entries o n a c lient's p rogress notes is th e M OST c omplete?
A) D e m erol 75mg a dministered for se vere abdominal p ain
B) C lie n t seems a nxious about lo w salt diet
C) 1 0 0 cc of d ark g reen d rainage fro m N asogastric tu be
,D) C lient's u rinary o utput a dequate
Answer:
C ) 1 0 0 cc o f d ark g reen drainage fro m N asogastric tube.
E n trie s in c lient re cords n eed to b e complete, a ccurate a nd fa ctual. Records can o nly b e u sed b y third
p arty p ayers if th e y are a ccurate, re liable a nd v alid.
Q u e stion 4
A 6 5 -year-old Catholic Hispanic-Latino client w ith p rostate c ancer a damantly re fuses p ain medication
b e c ause he b elieves th at su ffering is p art o f life a nd th at h is life is in G od's h ands. T he BEST action fo r th e
nurse to take is to
A) Re p ort the situ ation to th e p hysician
B) D iscu ss the situ ation with th e clie nt's family
C) A sk th e clie nt if h e 'd like to talk w ith a priest
D) D o cu ment th e situ ation
Answer:
E) A sk th e clie nt if h e 'd like to talk w ith a priest
, B e lie fs re garding p ain are o ne o f the o ldest culturally re lated research areas in h ealth c are. Astute
o b se rvations a nd careful assessments must b e com pleted to d etermine the le vel o f pain a p erson can
to le rate. H ealth-care practitioners m ust in vestigate the m eaning of pain to e ach p erson within a cultural
e x p lanatory fra mework.
Q u e stion 5
T h e n urse is p lanning care for a tw o year-old h ospitalized ch ild. Which o f th e fo llowing is th e MAJOR
s tre ss or of h ospitalization for th is a ge?
A) S e p aration a nxiety
B) Fear of pain
C) Lo ss o f con tro l
D) B o d ily injury
Answer:
A ) S e p aration a nxiety.
W h ile a toddler w ill experience a ll o f th e stresses, s eparation from p arents is th e m ajor stre ssor.