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A nurse is using Campinha-Bacote’s model of culturalcompetency. Which areas will the nurse focus on to become competent? (Select all that apply.)
- A. Cultural skills
- B. Cultural desire
- C. Cultural transition
- D. Cultural knowledge
Correct Answer: A
Rationale: According to Campinha-Bacote’s model of cultural competency, a nurse should focus on the following components to become culturally competent:
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The nurse caring for a patient diagnosed with Parkinsons disease has prepared a plan of care that would include what goal?
- A. Promoting effective communication
- B. Controlling diarrhea
- C. Preventing cognitive decline
- D. Managing choreiform movements
Correct Answer: A
Rationale: Patients diagnosed with Parkinson's disease often experience speech and communication difficulties due to the effects of the disease on the muscles involved in speech production. This can manifest as soft, slurred speech or difficulty articulating words. Therefore, promoting effective communication would be an essential goal in the plan of care for a patient with Parkinson's disease. This goal may involve strategies such as speech therapy, communication devices, or providing a conducive environment to facilitate clearer communication between the patient and healthcare providers. By focusing on promoting effective communication, the nurse can help improve the patient's quality of life and enhance their ability to express their needs and concerns.
A nurse is explaining to the nursing students working on the antepartum unit how to assess for edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area? N R I G B.C M U S N T O
- A. +1
- B. +2
- C. +3
- D. 4
Correct Answer: C
Rationale: Edema of the extremities, face, and sacral area is classified as +3 edema. Edema classified as
+1 indicates minimal edema of the lower extremities. Marked edema of the lower extremities
is +2 edema. Generalized massive edema (+4) includes the accumulation of fluid in the
peritoneal cavity.
The nurse is part of the health care team at an oncology center. A patient has been diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the bad news best be conveyed to the patient?
- A. Family should be given the prognosis first.
- B. The prognosis should be delivered with the patient at eye level.
- C. The physician should deliver the news to the patient alone.
- D. The appointment should be scheduled at the end of the day.
Correct Answer: B
Rationale: When delivering bad news to a patient, it is important to create an environment that is supportive, compassionate, and conducive to effective communication. Having the patient at eye level when discussing difficult information helps to establish a sense of equality and respect between the healthcare provider and the patient. This can increase the patient's comfort level and help them feel more connected and engaged in the conversation. Additionally, eye level communication allows for better non-verbal cues to be exchanged, such as eye contact and facial expressions, which are important for conveying empathy and understanding during such sensitive discussions. It is crucial for the patient to be met at eye level, both physically and emotionally, when discussing a poor prognosis like the diagnosis of leukemia.
Draw up prescribed amount of sterile solution ordered.
- A. 3, 2, 6, 1, 5, 4
- B. 5, 6, 1, 2, 3, 4
- C. 1, 5, 6, 3, 2, 4
- D. 6, 5, 1, 3, 2, 4
Correct Answer: D
Rationale: The correct sequence for drawing up a prescribed amount of sterile solution ordered is as follows: 6, 5, 1, 3, 2, 4.
A patient who is scheduled for a skin test informs the nurse that he has been taking corticesteroids to help control his allergy symptoms. What nursing intervention should the nurse implement?
- A. The patient should take his corticosteroids regularly prior to testing.
- B. The patient should only be tested for grass, mold, and dust initially.
- C. The nurse should have an emergency cart available in case of anaphylaxis during the test.
- D. The patients test should be cancelled until he is off his corticosteroids.
Correct Answer: A
Rationale: The patient should continue taking his corticosteroids regularly prior to testing. Corticosteroids can suppress the body's immune response and affect the results of skin tests by potentially causing a false-negative result. Instructing the patient to maintain his regular corticosteroid regimen will help ensure accurate testing results. It is essential to consult with the healthcare provider to determine the appropriate timing for testing in relation to corticosteroid use.