NUR2242c Yoost exam 2 Questions With Complete
Solutions
A 58-year-old male is admitted for a small-bowel obstruction
late Saturday night. The nurse obtains admitting orders, which
include the need to place a nasogastric (NG) tube to low
intermittent suction. During the assessment, the nurse
determines that the patient does not speak English. What should
the nurse do before placing the NG tube?
a. Assess the presence of any family members who may speak
English and the patient's native language.
b. Take two additional staff members into the room when
placing the tube so the patient can be restrained if needed.
c. Request an interpreter by leaving a voicemail on his or her
office extension.
d. Do not place the NG tube because the physician would not
want to frighten the patient. Correct Answer Answer: a
Although an interpreter employed by the hospital would be the
best choice, eliciting the help of family members that speak both
the patient's primary language as well as English may be the best
option because the procedure is needed now. This will provide
comfort and familiarity for the patient. Taking additional staff
into the room may increase the patient's anxiety, thereby
decreasing his ability to comprehend the instructions. Leaving a
message on a voicemail for an interpreter is also incorrect
because the intervention has a level of urgency that may have a
detrimental effect if the message is not retrieved in a relatively
short amount of time because it is late on Saturday. Although the
physician would not want to frighten the patient, he or she
ordered the NG tube for the benefit of the patient; therefore, it
needs to be carried out.
,A 61-year-old male is undergoing an emergency cardiac
catheterization when the nurse gives his wife a packet of
registration paperwork and asks her to complete the forms.
Which observed actions may indicate a health literacy issue?
(Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her
"because I need to get new glasses—these just don't work"
c. Waiting until her daughter arrives to begin the paperwork so
that her daughter can complete the forms
d. Setting the clipboard aside and staring tearfully out the
window
e. Returning the forms only partially filled out, with missing or
inaccurate information Correct Answer Answers: b, c, e
Asking someone else to read the form, waiting for help with the
forms, and partially or inaccurately filled-out forms are
behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy. A tearful
spouse requires additional assessment to see whether health
literacy is a problem. The wife may be overwhelmed and feel
unable to complete the forms, or she may need to collect her
thoughts in the midst of a stressful time.
A weight-loss program that combines nutrition instruction with
exercise is an example of teaching based on which domain of
learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive Correct Answer Answer: a
, Weight management that combines instruction and exercise is an
example of psychomotor domain learning. Affective domain
learning integrates new knowledge by recognizing an emotional
component. Psychosocial is not one of the domains of learning.
Cognitive domain learning is based on knowledge and material
that is remembered, memorized, and re
Culturally competent care would encourage which action by a
patient's family?
a. Asking the family's spiritual advisor to visit the patient
b. Speaking English to everyone involved in patient care
c. Adhering to highly publicized restrictive unit visiting hours
d. Limiting food consumption to items provided by the cafeteria
Correct Answer Answer: a
Culturally competent care allows for flexibility within safety
guidelines and patient care limitations. Allowing a patient to
meet with a spiritual advisor recognizes the importance of a
patient's spiritual needs. Limiting language use, food
consumption, and visiting hours in a strict manner without
sensitivity to a patient's preference do not reflect culturally
competent nursing care.
How best can a nurse evaluate goal attainment for a patient with
a culturally diverse background?
a. Assume that gender roles will be a challenge to overcome
regardless of the patient's ethnicity.
b. Base decisions on feedback from the patient and the nurse's
professional judgment.
c. Collaborate with future community care providers to
determine patient strengths.
Solutions
A 58-year-old male is admitted for a small-bowel obstruction
late Saturday night. The nurse obtains admitting orders, which
include the need to place a nasogastric (NG) tube to low
intermittent suction. During the assessment, the nurse
determines that the patient does not speak English. What should
the nurse do before placing the NG tube?
a. Assess the presence of any family members who may speak
English and the patient's native language.
b. Take two additional staff members into the room when
placing the tube so the patient can be restrained if needed.
c. Request an interpreter by leaving a voicemail on his or her
office extension.
d. Do not place the NG tube because the physician would not
want to frighten the patient. Correct Answer Answer: a
Although an interpreter employed by the hospital would be the
best choice, eliciting the help of family members that speak both
the patient's primary language as well as English may be the best
option because the procedure is needed now. This will provide
comfort and familiarity for the patient. Taking additional staff
into the room may increase the patient's anxiety, thereby
decreasing his ability to comprehend the instructions. Leaving a
message on a voicemail for an interpreter is also incorrect
because the intervention has a level of urgency that may have a
detrimental effect if the message is not retrieved in a relatively
short amount of time because it is late on Saturday. Although the
physician would not want to frighten the patient, he or she
ordered the NG tube for the benefit of the patient; therefore, it
needs to be carried out.
,A 61-year-old male is undergoing an emergency cardiac
catheterization when the nurse gives his wife a packet of
registration paperwork and asks her to complete the forms.
Which observed actions may indicate a health literacy issue?
(Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her
"because I need to get new glasses—these just don't work"
c. Waiting until her daughter arrives to begin the paperwork so
that her daughter can complete the forms
d. Setting the clipboard aside and staring tearfully out the
window
e. Returning the forms only partially filled out, with missing or
inaccurate information Correct Answer Answers: b, c, e
Asking someone else to read the form, waiting for help with the
forms, and partially or inaccurately filled-out forms are
behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy. A tearful
spouse requires additional assessment to see whether health
literacy is a problem. The wife may be overwhelmed and feel
unable to complete the forms, or she may need to collect her
thoughts in the midst of a stressful time.
A weight-loss program that combines nutrition instruction with
exercise is an example of teaching based on which domain of
learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive Correct Answer Answer: a
, Weight management that combines instruction and exercise is an
example of psychomotor domain learning. Affective domain
learning integrates new knowledge by recognizing an emotional
component. Psychosocial is not one of the domains of learning.
Cognitive domain learning is based on knowledge and material
that is remembered, memorized, and re
Culturally competent care would encourage which action by a
patient's family?
a. Asking the family's spiritual advisor to visit the patient
b. Speaking English to everyone involved in patient care
c. Adhering to highly publicized restrictive unit visiting hours
d. Limiting food consumption to items provided by the cafeteria
Correct Answer Answer: a
Culturally competent care allows for flexibility within safety
guidelines and patient care limitations. Allowing a patient to
meet with a spiritual advisor recognizes the importance of a
patient's spiritual needs. Limiting language use, food
consumption, and visiting hours in a strict manner without
sensitivity to a patient's preference do not reflect culturally
competent nursing care.
How best can a nurse evaluate goal attainment for a patient with
a culturally diverse background?
a. Assume that gender roles will be a challenge to overcome
regardless of the patient's ethnicity.
b. Base decisions on feedback from the patient and the nurse's
professional judgment.
c. Collaborate with future community care providers to
determine patient strengths.
