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One barrier to health care is when the patient is not fluent in the same language as the medical staff.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Language barriers can significantly hinder effective communication, understanding of medical instructions, and access to appropriate care.
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Asking a patient, 'Do you understand?' after giving directions is an appropriate way to confirm knowledge.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Simply asking 'Do you understand?' may not effectively confirm comprehension, as patients may nod or agree without fully understanding. More open-ended questions or teach-back methods are better.
Spiritual distress only occurs during one's own illness or injury, especially if the illness is terminal.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Spiritual distress can occur in various situations, not only during personal illness or terminal conditions, such as when a loved one is ill or during significant life changes.
An LPN/LVN working in the hospital overhears a CNA mocking a patient for her belief that an evil spell has been cast on her, causing her illness. The nurse understands the need to
- A. Reprimand the CNA in front of other staff for disrespectful behavior.
- B. Tell the CNA and other staff about other patients in the past with strange beliefs.
- C. Take the CNA aside and explain that these words are insensitive to the patient's cultural beliefs.
- D. Require the CNA to apologize to the patient and staff for being disrespectful.
Correct Answer: C
Rationale: Taking the CNA aside to explain the insensitivity of their words promotes a respectful approach, educates the CNA, and maintains professionalism without public humiliation or escalation.
A nurse is caring for a patient whose hemoglobin and hematocrit levels are very low. The health-care provider has recommended that the patient be transfused with two units of packed red blood cells to help bring up the blood count, but the patient refuses. He tells you this is due to his religious beliefs. The nurse understands that the patient is most likely a member of which group?
- A. Seventh-Day Adventists
- B. Latter-Day Saints (Mormons)
- C. Jehovah's Witnesses
- D. Practitioners of traditional Chinese medicine
Correct Answer: C
Rationale: Jehovah's Witnesses are known for refusing blood transfusions due to their religious beliefs, which prohibit the acceptance of blood products.
Transcultural nursing is about recognizing and addressing
- A. Cultural differences among patients.
- B. Treating all patients exactly the same.
- C. Cultural differences among the health-care staff.
- D. The difficulties of communicating with patients from different cultures.
- E. The culture of the individual nurse.
Correct Answer: A,C,D
Rationale: Transcultural nursing focuses on understanding and addressing cultural differences among patients and healthcare staff, as well as overcoming communication challenges to provide culturally competent care.