Nokea
Identify the specific component of acquiring cultural competence reflected in creating a safe environment in which collection of relevant cultural data can be obtained during the health history and physical examination.
- A. Cultural skill
- B. Cultural encounter
- C. Cultural awareness
- D. Cultural knowledge
Correct Answer: A
Rationale: Creating a safe environment involves using cultural skills to gather accurate and meaningful cultural data during assessments.
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Jane, an obese hypertensive homemaker, complains of continual hunger and lack of energy. What nursing measure would be most helpful?
- A. Giving her a list of low-calorie foods
- B. Discussing the importance of eating breakfast
- C. Recommending a strict vegetarian diet
- D. Suggesting vitamin supplements
Correct Answer: B
Rationale: Eating breakfast helps regulate metabolism and energy levels throughout the day, reducing hunger and fatigue.
What is the best strategy for communicating with clients with Limited English Proficiency (LEP)?
- A. Ask a family member to translate.
- B. Request a telephonic interpreter.
- C. Request a certified interpreter.
- D. Ask a bilingual staff member to interpret.
Correct Answer: C
Rationale: Certified interpreters ensure accurate and culturally sensitive communication, minimizing errors and misunderstandings.
What is the most common cause of conductive hearing loss?
- A. Earwax buildup
- B. Eardrum perforation
- C. Middle ear effusion
- D. All of the above
Correct Answer: D
Rationale: Conductive hearing loss can result from any obstruction or damage in the outer or middle ear.
Bob is diagnosed with idiopathic thrombocytopenic purpura (ITP). You realize that he has an increased risk of bleeding and you must monitor
- A. WBC and bleeding time.
- B. Prothrombin time (PT) and partial thromboplastin time (PTT).
- C. Platelet count and RBC.
- D. Iron and ferritin levels.
Correct Answer: C
Rationale: Low platelet count increases the risk of bleeding in ITP.
A client's nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to fluid management should be delegated to a nursing assistant?
- A. Administer IV fluids as prescribed by the physician.
- B. Provide straws and offer fluids between meals.
- C. Develop plan for added fluid intake over 24 hours.
- D. Teach family members to assist client with fluid intake.
Correct Answer: B
Rationale: The nursing assistant can effectively encourage oral fluid intake by offering fluids between meals, which is within their scope of practice. Administering IV fluids, developing plans, and teaching family members are more advanced tasks that require higher-level nursing skills.