Nokea
When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:
- A. some members of the Hispanic and Native-American cultures are very open when discussing sexuality
- B. some cultures view the postpartum period as a state of impurity
- C. some women in the African-American culture view childbearing as a validation of their femaleness
- D. some Native-American women believe monthly menstruation maintains physical well-being and harmony
Correct Answer: A
Rationale: Hispanic and Native-American cultures are often reserved about discussing sexuality, unlike the other culturally accurate statements, which inform care planning.
You may also like to solve these questions
The nurse is caring for a client who has just tested positive for HIV. The client asks the nurse not to tell anyone outside of the care team about his diagnosis. What response is most appropriate?
- A. I have to inform all clients on the unit of your diagnosis as it is transmissible.'
- B. I will not communicate your diagnosis to anyone without your permission.'
- C. Because this is a communicable disease, it may need to be reported to the CDC.'
- D. You should not be concerned with who I share your diagnosis with.'
Correct Answer: C
Rationale: Many communicable diseases, such as HIV, have surveillance programs that require mandatory reporting.
The nurse in the emergency room is admitting a client who has sustained a gunshot wound and will require immediate surgery. The client is unconscious and by themselves. Which of the following actions is most appropriate?
- A. Call the charge nurse and request that the facility's legal counsel provide a waiver for informed consent.
- B. Attempt to stabilize the client in the emergency room until they are conscious enough to provide informed consent.
- C. Try to locate the client's family to obtain informed consent before transporting the client to the operating room.
- D. Proceed with transporting the client to the operating room without obtaining informed consent.
Correct Answer: D
Rationale: In an emergency situation, the client can receive treatment without informed consent if delaying care would potentially cause injury or death. In this scenario, the nurse can proceed with transporting to the operating room without informed consent.
An assessment of the skull of a normal 10-month-old baby should identify which of the following?
- A. closure of the posterior fontanel.
- B. closure of the anterior fontanel.
- C. overlap of cranial bones.
- D. ossification of the sutures.
Correct Answer: A
Rationale: The posterior fontanel should close by the age of 2 months.
What is the best definition for ethics in nursing?
- A. advocating for the client
- B. knowing your scope of practice
- C. being able to differentiate right from wrong
- D. being willing to report violations
Correct Answer: C
Rationale: Ethics in nursing is being able to differentiate right from wrong.
The advanced directive in a client's chart is dated August 12, 1998. The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
- A. follow the 1998 version because it's part of the legal chart.
- B. follow the 1998 version because the physician's code order is based on it.
- C. follow the 2003 version, place it in the chart, and communicate the update appropriately.
- D. follow neither until clarified by the unit manager.
Correct Answer: C
Rationale: The document dated 2003 supersedes the previous version and should be used as a basis for care direction. Choices 1 and 2 are incorrect because the 1998 version is now outdated. Choice 4 is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.