Nokea
A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?
- A. Explore complementary and alternative medicine practices used by other cultures.
- B. Discuss cultural differences with coworkers.
- C. Provide care to diverse populations.
- D. Participate in continuing education programs about cultural diversity.
Correct Answer: D
Rationale: Continuing education about cultural diversity is the best strategy for increasing cultural competence as it provides the necessary knowledge to provide effective care.
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A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
- A. Tell the mother not to worry about it and continue with the office visit
- B. Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides
- C. Say to the mother, “Don’t you remember fighting with your sibling? Don’t worry; everything will work out.”
- D. Say to the mother, “Don’t worry; this behavior will all end soon.”
Correct Answer: B
Rationale: Sibling rivalry is normal, and the nurse should provide guidance on firm, fair discipline without taking sides.
A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate?
- A. The infant forms two-syllable sounds.
- B. The infant coos and makes vowel sounds.
- C. The infant babbles.
- D. The infant says “ma-ma” and “bye-bye.”
Correct Answer: C
Rationale: At 6 months, infants typically begin babbling. Two-syllable sounds emerge closer to 9-10 months.
A nurse is educating a group of adults about stress management strategies. Which of the following examples would the nurse include in the presentation?
- A. Participation in a swimming class
- B. Keeping a food diary as part of a weight reduction program
- C. Joining a smoking cessation support group
- D. Setting a goal of walking one mile a day
Correct Answer: A
Rationale: All these strategies are effective stress reduction techniques, but swimming provides both relaxation and physical exercise.
Which of the following changes is experienced by the urinary system during pregnancy?
- A. Increased urinary output secondary to total body water increase
- B. Decreased bladder capacity
- C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
- D. Increased renal excretion of acidic drugs
Correct Answer: A
Rationale: Pregnancy causes an increase in GFR and urinary output due to a higher body water volume and increased bladder capacity.
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is characterized by impartial, nondiscriminatory care.