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HESI A2 - Critical Thinking- Rationale
When planning a cultural assessment, the nurse should include which
component?
A) Family history
B) Chief complaint
C) Medical history
D) Health-related beliefs
D) Health-related beliefs
Rationale
Health-related beliefs and practices are one component of a cultural
assessment. The other items reflect other aspects of the patient's
history.
The nurse is conducting an interview in an outpatient clinic and is
using a computer to record data. Which is the best use of the
computer in this situation? Select all that apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
NURS MISC HESI A2 - CRITICAL THINKING- RATIONALE
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E) Allow the patient to see the monitor during typing.
A) Collect the patient's data in a direct, face-to-face manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Rationale
The use of a computer can become a barrier. The nurse should begin
the interview as usual by greeting the patient, establishing rapport,
and collecting the patient's narrative story in a direct face-to-face
manner. Only after the narrative is fully explored should the nurse type
data into the computer. When typing, the nurse should position the
monitor so that the patient can see it.
When providing culturally competent care, nurses must incorporate
cultural assessments into their health assessments. Which
statement is most appropriate to use when initiating an
assessment of cultural beliefs with an elderly American Indian
patient?
A) "Are you of the Christian faith?"
B) "Do you want to see a medicine man?"
C) "How often do you seek help from medical providers?"
D) "What cultural or spiritual beliefs are important to you?"
NURS MISC HESI A2 - CRITICAL THINKING- RATIONALE
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D) "What cultural or spiritual beliefs are important to you?"
Rationale
The nurse needs to assess the cultural beliefs and practices of the
patient. American Indians may seek assistance from a medicine man or
shaman, but the nurse should not assume this. An open-ended question
regarding cultural and spiritual beliefs is best used initially when
performing a cultural assessment.
During an assessment, the nurse notices that a patient is handling a
small charm that is tied to a leather strip around his neck. Which action
by the nurse is appropriate?
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital's
safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary.
A) Ask the patient about the item and its significance.
Page: 21 Rationale
amulet's meaning. Amulets, such as charms, are often seen as an
important means of protection from "evil spirits" by some cultures.
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The nurse recognizes that working with children with a different cultural
perspective may be especially difficult because:
A) children have spiritual needs that are influenced by their stages of
development.
B) children have spiritual needs that are direct reflections of what is
occurring in their homes.
C) religious beliefs rarely affect the parents' perceptions of the illness.
D) parents are often the decision makers, and they have no knowledge of
their children's spiritual needs.
A) children have spiritual needs that are influenced by their stages of
development.
Rationale
Illness during childhood may be an especially difficult clinical situation.
Children, as well as adults, have spiritual needs that vary according to
the child's developmental level and the religious climate that exists in
the family. The other statements are not correct.
An elderly Mexican-American woman with traditional beliefs has been
admitted to an inpatient care unit. A culturally-sensitive nurse would:
A) contact the hospital administrator about the best course of action.
NURS MISC HESI A2 - CRITICAL THINKING- RATIONALE
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