Test Bank - Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition - Miller - All 30 Chapters and Rationales Included

,Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum
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MULTIPLE CHOICE Ri




1. A nurse wishes to improve their cultural sensitivity while working with patients. Which actio
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n by the nurse would best indicate progress toward this goal?
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A. Demonstrate good knowledge of different cultural health beliefs Ri Ri Ri Ri Ri Ri Ri


B. Effectively respond to the needs of people of different cultures
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C. Interact respectfully with patients who have differing health beliefs
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D. Recognize that they will never be the expert in other cultures
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ANS: C Ri


Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin
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- uum
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Objective: #. Pag Ri Ri


e: 13Ri


Heading: Cultural Practices Integrat
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ed Processes: Caring
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Client Need: Psychosocial Integrity Cogniti
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ve Level: Analysis [Analyzing] Concept: Di
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versity; Critical Thinking Difficulty: Difficu
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lt

Feedback
A. Cultural competence is the ability to interact effectively with people of different cult
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ures and requires a certain level of knowledge about those cultures.
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B. Cultural competence is the ability to interact effectively with people of different cult
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ures and requires a certain level of knowledge about those cultures.
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C. Cultural sensitivity is a way of approaching people who hold health beliefs different
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from one‘s own. A nurse with this characteristic is respectful of and open to other
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s.
D. Cultural humility is the recognition that one will never master all information about
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another culture. Ri




2. A nurse manager is evaluating staff members on their cultural competence. Which action best
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demonstrates this characteristic? Ri Ri


A. Attends workshops on cultural diversity and health practices
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B. Participates in community health events with minority populations
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C. Plans care with the family members within their cultural beliefs
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D. Uses family members as interpreters to make them feel important
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, ANS: C Ri


Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin
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- uum
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Objective: #. Pag Ri Ri


e: 16 Ri


Heading: Table 1.2 Strategies and Measures to Improve Maternal Health In
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tegrated Processes: Caring
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Client Need: Psychosocial Integrity Cogniti
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ve Level: Evaluation [Evaluating] Concept:
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Diversity; Critical Thinking Difficulty: Diffi
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cult


Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action i
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s
too limited in scope to demonstrate cultural competence.
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B. Participating in community events with diverse populations can increase cultural kn
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owledge, but this action is too limited in scope to demonstrate cultural
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competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
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uals and families from different cultures. This nurse plans interventions with a soli
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d knowledge of the values and practices of the members of the culture. Being op
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en, listening to the family, and involving them in care demonstrates respect, unifi
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es the nurse– Ri Ri


patient relationship, and will motivate the patient (and family) to make positive h
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ealth changes. Ri


D. Nurses should use professional interpreters when needed.
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3. A patient wishes to use complementary therapy when managing a chronic health conditio
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n. Which action by the nurse is most appropriate?
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A. Advise the patient that stopping medical treatment may cause it to worsen.
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B. Inform the patient that there are no complementary therapies for this condition.
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C. Investigate herbs that can be substituted for prescription drugs.
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D. Suggest the patient add massage therapy to the medical regimen.
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ANS: D Ri


Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin
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- uum
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Objective: #. Pag Ri Ri


e: 18 Ri


Heading: Complementary and Alternative Therapies I
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ntegrated Processes: Teaching and Learning
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Client Need: Health Promotion and Maintenance Cog
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nitive Level: Analysis [Analyzing]
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, Concept: Promoting Health Difficult
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y: Moderate
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Feedback
A. Because the patient is asking about complementary therapy, there is no need to w
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arn them of the effects of stopping treatment.
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B. There are always complementary therapies that can be added to a medical regimen.
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C. Substituting herbs for prescription medication is an example of alternative therapy.
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D. Complementary therapy is nontraditional medical treatment used together with con Ri Ri Ri Ri Ri Ri Ri Ri Ri


ventional medical treatment. Adding massage to the medical regimen is an ex-
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ample of using complementary therapy.
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4. A nurse is working with a family that uses multiple complementary and alternative medici
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ne (CAM) modalities. What action by the nurse is best?
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A. Allow the family to continue these practices as desired.
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B. Assess how these practices reflect religious beliefs.
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C. Inform the family that most of these practices do not work.
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D. Provide evidence-based information about the therapies.
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ANS: D Ri


Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin
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- uumRi


Objective: #. Pag Ri Ri


e: 18 Ri


Heading: Complementary and Alternative Therapies I
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ntegrated Processes: Teaching and Learning
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Conc
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ept: Family; Promoting Health
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Difficulty: Moderate Ri




Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
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up the opportunity to provide and discuss information about CAM.
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B. A culturally competent nurse will assess how religious and spiritual beliefs affe
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ct health-Ri


care practices, but the nurse needs to advocate for the patient/family by
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providing solid information. Ri Ri


C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
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work is false information. Ri Ri Ri


D. The nurse working with individuals or families who use CAM practices should res
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pect the beliefs, values, and desires of the patient. The nurse should encourage
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families to make decisions regarding CAM practices based on evidence and resea
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rch into their effects. The nurse can best assist in this by providing and
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discussing information. Ri