NUR112 Exam Questions and Answers Latest Update Graded A+

NUR112 Exam Questions and Answers Latest Update Graded A+ The nurse is providing discharge teaching for a client who is from a different culture. The nurse notes that the client will look away from the nurse and does not maintain eye contact. What would be the most appropriate action by the nurse, with regard to culturally competent care? - Answers Utilize a key informant and continue with the teaching, verifying the client's understanding through open-ended questions. Which statement best conveys the relationship between race and ethnicity? - Answers Race denotes physical characteristics, while ethnicity is rooted in a common heritage. A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: - Answers media. A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value? - Answers Skin color In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle? - Answers The client may have a very different understanding of health promotion. A family has immigrated and settled in a neighborhood that primarily speaks their native language. The nurse caring for this family recognizes that which family member will likely require the greatest amount of time to learn the dominant language? - Answers The 45-year-old mother in the family who does not work outside the home Explanation: Which is a cultural norm of the health care system? - Answers There is the use of a systematic approach and problem-solving methodology. A client is admitted to the health care facility with hypoglycemia. After the client is stable, the nurse discovers that the client has not taken the prescribed medicines. The client believes that eating saffron will keep blood sugar under control. What is the most appropriate response by the nurse? - Answers "What would you think about taking the medicines, too, and benefitting from both?" The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? - Answers "Culture cannot be influenced, and you are born with your culture." When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response? - Answers Ask the client about personal space preferences. Which scenario is an example of cultural competence in nursing? - Answers Attending a conference for cultural diversity A client has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset, and now the client wants to leave. What is the most culturally appropriate response by the charge nurse? - Answers "Would you feel more comfortable with your family with you?" A Native American/First Nations client comes to a new clinic. The client has been to multiple clinics. The client uses peyote as part of the client's religion. Past care providers have dismissed the client's health concerns as being imaginary. What is the priority nursing diagnosis? - Answers Powerlessness related to the inability to make health care providers understand the client's symptoms A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? - Answers "What type of food do you eat at home?" The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? - Answers Document the client's request in the nursing care plan. The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? - Answers Ask the client if a spiritual leader is desired. The nurse is taking a client history. With which client is direct eye contact appropriate? - Answers 32-year-old white woman The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse? - Answers Conduct the health history utilizing a telephonic interpreter (over-the-phone translation). The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse? - Answers Can you tell me what foods you prefer to eat and what your family is bringing you?" The nurse is caring for a client who perceives time differently. What action should the nurse take for this client? - Answers Maintain flexibility when the client requests interventions at specific times. The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? - Answers Soup, hot tea, and toast The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss? - Answers "What type of food do you like to eat at home?" The nurse is teaching a Black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group? - Answers "It is important to monitor my blood pressure. When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: - Answers ethnic identity. A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that the nurse had all of the nurse's own children vaccinated. The nurse's behavior an example of: - Answers cultural imposition. A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation? - Answers Stereotyping A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating? - Answers Cultural blindness The nurse is assessing a client for pain and suspects that the client's culture may be affecting the pain response. What nonverbal indicator of pain would the nurse expect to observe? - Answers The client is holding pressure on the abdomen when speaking. A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices? - Answers A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest. Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for: - Answers client's height. The community health nurse is developing a workshop for a group of Native American/First Nation clients. Which topic should the nurse teach? - Answers Alcohol use disorder The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse? - Answers "We can wait until your spiritual healer arrives and work together to answer these questions."