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The nurse cares for diverse clients in a community health setting. Which action should the nurse take first to learn about delivering care to diverse clients?
- A. Adopt a transcultural framework to develop culturally appropriate care.
- B. Ask clients about their personal healthcare beliefs.
- C. Develop a self-awareness of personal healthcare beliefs.
- D. Recognize ethnocentric beliefs of minorities in the community.
Correct Answer: C
Rationale: Correct Answer: C - Develop a self-awareness of personal healthcare beliefs.
Rationale:
1. Self-awareness is foundational to cultural competence.
2. Understanding one's own biases and beliefs is crucial in providing culturally sensitive care.
3. It helps the nurse recognize potential sources of bias and work towards overcoming them.
4. By knowing personal beliefs, the nurse can better understand and respect the beliefs of diverse clients.
Summary of other choices:
A: Adopting a transcultural framework is important but should come after self-awareness.
B: While important, asking clients about their beliefs doesn't address the nurse's own biases.
D: Recognizing ethnocentric beliefs is important but doesn't directly address the nurse's self-awareness.
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As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
- A. Acting natural around others
- B. Listening when others are speaking
- C. Denying your mistakes
- D. Compliment only when you sincerely mean it
Correct Answer: A
Rationale: Step 1: Being genuine means acting natural around others, which fosters trust and respect in relationships.
Step 2: Acting natural promotes authenticity and conveys sincerity, enhancing communication and connection.
Step 3: Listening when others are speaking is also crucial for respect, as it shows empathy and understanding.
Step 4: Denying mistakes goes against respect and honesty, leading to mistrust and lack of credibility.
Step 5: Complimenting only when sincere is important, but not directly related to being genuine in this context.
A patient is attracted to the nurse and attempts to initiate a social relationship. It is most appropriate for the nurse to take which action?
- A. Encourage the client's behavior to develop a trusting nurse3client relationship.
- B. Inform the charge nurse of the situation and ask for a different patient assignment.
- C. Tell the patient that the relationship must remain professional at all times.
- D. Determine if the patient can be transferred to another nursing care unit.
Correct Answer: C
Rationale: The correct answer is C because it maintains professional boundaries, prioritizing the patient's well-being. By clearly stating that the relationship must remain professional, the nurse sets clear boundaries and avoids any potential ethical issues. Choice A is incorrect as it can lead to boundary violations and compromise patient care. Choice B is incorrect as it does not address the situation directly and may not be necessary if proper boundaries are set. Choice D is incorrect as transferring the patient may not address the underlying issue and is not a standard response to this situation.
A patient tells the nurse that she dislikes the food that is served in the hospital. The nurse responds, "Our cooks work very hard; the food that is served is very good." The nurse's response is an example of the communication block of:
- A. judgmental response.
- B. giving advice.
- C. defensive response.
- D. using clichés.
Correct Answer: C
Rationale: The correct answer is C: defensive response. The nurse's response deflects the patient's complaint about the food quality by defending the cooks' efforts instead of addressing the patient's concerns. This can create a barrier to effective communication by dismissing the patient's feelings and not acknowledging their perspective.
A: Judgmental response involves criticizing or making assumptions about the patient, which is not evident in the nurse's reply.
B: Giving advice would involve offering suggestions on how to improve the situation, which the nurse did not do.
D: Using clichés would involve using overused phrases that may not directly relate to the patient's concern, which is not the case in this scenario.
In summary, the nurse's defensive response fails to address the patient's complaint and can hinder effective communication by dismissing the patient's feelings.
The nurse cares for a young adult patient in the emergency room after a sexual assault. Which action by the nurse is appropriate?
- A. Avoid situations in which the patient will be involved with decision making.
- B. Tell the patient to join a local support group for sexual assault victims.
- C. Actively listen to the patient express feelings related to the sexual assault.
- D. Provide detailed information about evidence collection and invasive procedures.
Correct Answer: C
Rationale: The correct answer is C because actively listening to the patient express their feelings related to the sexual assault is essential for providing emotional support and validating their experience. This action shows empathy and helps the patient feel heard and supported. It also allows the nurse to assess the patient's emotional well-being and provide appropriate care.
Avoiding decision-making situations (A) may lead to further distress for the patient. While joining a support group (B) can be beneficial, it may not be appropriate or feasible immediately after a traumatic event. Providing detailed information about evidence collection (D) is important but should be done after addressing the patient's emotional needs.
In which situation(s) would it be appropriate for the nurse to communicate with empathy? (Select all that apply)
- A. An acquaintance who seeks a long-standing social relationship that is superficial.
- B. A patient who is anxious about a change in body image after a mastectomy.
- C. A supervisor who is searching for approval and recognition from staff.
- D. A colleague who expected a promotion but was not awarded the promotion.
Correct Answer: B
Rationale: The correct answer is B because a nurse should communicate with empathy when dealing with a patient who is anxious about a change in body image after a mastectomy. Empathy allows the nurse to connect emotionally with the patient, show understanding, and provide support. In this situation, the patient needs compassionate communication to feel heard and cared for.
Choices A, C, and D are incorrect because empathy is not necessary in those scenarios. For choice A, the acquaintance seeking a superficial social relationship does not require empathetic communication. For choice C, the supervisor seeking approval and recognition would benefit more from professional feedback and recognition of achievements. For choice D, the colleague expecting a promotion needs clear communication and feedback but not necessarily empathy.