Nokea
A family whose religion limits the use of some forms of technology is admitting their grandfather to your unit. They express skepticism about the fact that you are recording the admission data on a laptop computer. What would be your best response to their concerns?
- A. Its been found that using computers improves our patients care and reduces their health care costs.
- B. We have found that it is easier to keep track of our patients information this way rather than with pen and paper.
- C. Youll find that all the hospitals are doing this now, and that writing information with a pen is rare.
- D. The government is telling us we have to do this, even though most people, like yourselves, are opposed to it.
Correct Answer: A
Rationale: Electronic health records are thought to improve the quality of care, reduce medical errors, and help reduce health care costs; therefore, their implementation is moving forward on a global scale. Electronic documentation is not always easier and most people are not opposed to it. Stating that all hospitals do this does not directly address their reluctance or state the benefits. The use of technology in health care settings is not specifically mandated by legislation.
You may also like to solve these questions
A school nurse at a middle school is planning a health promotion initiative for girls. The nurse has identified a need for nutritional teaching. What problem is most likely to relate to nutritional problems in girls of this age?
- A. Protein intake in this age group often falls below recommended levels.
- B. Total calorie intake is typically often insufficient at this age.
- C. Calcium intake is above the recommended levels.
- D. Folate intake is below the recommended levels in this age group.
Correct Answer: D
Rationale: Adolescent girls are at particular nutritional risk because iron, folate, folate and calcium intakes are below recommended levels, and they are a less physically active group compared to adolescent males. Protein and calorie intake is most often sufficient.
You are performing a dietary assessment with a patient who has been admitted to the medical unit with community-acquired pneumonia. Your patient wants to know why the hospital needs all this information about the way he eats, asking you, Are you asking me all these questions because I am Middle Eastern? What is your best response to this patient?
- A. We always try to abide by foreign-born patients dietary preferences in order to make them comfortable.
- B. We know that some cultural and religious practices include dietary guidelines, and we do not want to violate these.
- C. We would not want to feed you anything you only eat on certain holidays.
- D. We know that patients who grew up in other countries often have unusual diets, and we want to accommodate this.
Correct Answer: B
Rationale: Culture and religious practices together often determine whether certain foods are prohibited and whether certain foods and spices are eaten on certain holidays or at specific family gatherings. A specific focus on foods eaten only on holidays is too narrow and does not convey the overall intent of the dietary interview. Dietary planning addresses all patients' needs, not only those who are foreign-born. It is inappropriate to characterize a patient's diet as unusual.
You are the nurse caring for a patient who is Native American who arrives at the clinic for treatment related to type 2 diabetes. Which question would best provide you with information about the role of food in the patients cultural practices and identify how the patients food preferences could be related to his problem?
- A. Do you feel any of your cultural practices have a negative impact on your disease process?
- B. What types of foods are served as a part of your cultural practices, and how are they prepared?
- C. As a nonnative, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care?
- D. Tell me about foods that are important in your culture and how you feel they influence your diabetes.
Correct Answer: D
Rationale: The beliefs and practices that have been shared from generation to generation are known as cultural or ethnic patterns. Food plays a significant role in both cultural practices and type 2 diabetes. By asking the question, Tell me about the foods that are important in your culture and how you feel they influence your diabetes, the nurse demonstrates a cultural awareness to the client and allows an open-ended discussion of the disease process and its relationship to cultural practice. An overemphasis on negatives can inhibit assessment and communication. Assessing the types and preparation of foods specific to cultural practices without relating it to diabetes is inadequate. The question, As a nonnative, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care? focuses on care and fails to address the significance of food in cultural practice or diabetes.
A registered nurse is performing the admission assessment of a 37-year-old man who will be treated for pancreatitis on the medical unit. During the nursing assessment, the nurse asks the patient questions related to his spirituality. What is the primary rationale for this aspect of the nurses assessment?
- A. The patients spiritual environment can affect his physical activity.
- B. The patients spiritual environment can affect his ability to communicate.
- C. The patients spiritual environment can affect his quality of sexual relationships.
- D. The patients spiritual environment can affect his response to illness.
Correct Answer: D
Rationale: Illness may cause a spiritual crisis and can place considerable stresses on a persons internal resources. The term spiritual environment refers to the degree to which a person has contemplated his or her own existence. The other listed options may be right, but they are not the most important reasons for a nurse to assess a patients spiritual environment.
You are the nurse assessing a 28-year-old woman who has presented to the emergency department with vague complaints of malaise. You note bruising to the patients upper arm that correspond to the outline of fingers as well as yellow bruising around her left eye. The patient makes minimal eye contact during the assessment. How might you best inquire about the bruising?
- A. Is anyone physically hurting you?
- B. Tell me about your relationships.
- C. Do you want to see a social worker?
- D. Is there something you want to tell me?
Correct Answer: A
Rationale: Few patients will discuss the topic of abuse unless they are directly asked. Therefore, it is important to ask direct questions, such as, Is anyone physically hurting you? The other options are incorrect because they are not the best way to illicit information about possible abuse in a direct and appropriate manner.