Nokea
Which characteristic would the nurse use to define culture? (Select all that apply)
- A. Learned and shared lifeways of a particular group.
- B. Social identity influenced by language and religion.
- C. Belief in superiority of one's own ethnic group.
- D. Values influence both thinking and actions.
Correct Answer: A
Rationale: The correct answer is A because culture is defined as the learned and shared lifeways of a particular group. This includes traditions, customs, beliefs, and practices that are passed down from generation to generation within a community. This definition aligns with the concept of culture being a set of learned behaviors and beliefs that are commonly practiced and shared among individuals in a society.
Choice B is incorrect because while social identity can be influenced by language and religion, it does not fully encompass the complexity of culture. Choice C is incorrect as it refers to ethnocentrism, which is the belief in the superiority of one's own ethnic group and is not a defining characteristic of culture. Choice D is incorrect because while values do influence thinking and actions within a culture, it does not capture the entirety of what culture entails, such as traditions, customs, and shared beliefs.
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The nurse provides care to a client from Nigeria who is visiting the United States. Which should the nurse use to communicate with this client?
- A. Review the predominant health beliefs of the Nigerian population.
- B. Appraise the client's health beliefs and behaviors with a cultural assessment.
- C. Consult with other nurses who have taken care of clients from other countries.
- D. Use standard communication techniques to establish a helping relationship.
Correct Answer: B
Rationale: The correct answer is B because conducting a cultural assessment allows the nurse to understand the client's individual health beliefs and behaviors. This approach promotes culturally competent care by tailoring interventions to the client's specific needs. Option A is incorrect as it assumes all Nigerians have the same health beliefs. Option C is not necessary as the nurse can directly assess the client. Option D does not consider the importance of cultural competence in communication. Conducting a cultural assessment ensures effective communication and respectful care.
A young mother who fractured her leg is sobbing with her face hidden behind her hands. She says to the nurse, "I will not be able to work for at least 2 months. Without my job, I cannot pay my bills or take care of my baby. I am alone and do not have anyone to help me.= Which response by the nurse accurately conveys empathy?
- A. "Why do you think that no one cares about you or will refuse to help you?=
- B. "I can see that you are hesitant about relying on others because of low self-esteem.=
- C. "You seem worried about how you will be able to take care of yourself and your baby.=
- D. "I am sorry that you are uncomfortable with asking others for help right now.=
Correct Answer: C
Rationale: The correct answer is C because it reflects active listening and understanding the mother's concerns without making assumptions or judgments. The nurse accurately acknowledges the mother's worries about taking care of herself and her baby, showing empathy and validation. Choice A assumes the mother feels uncared for, choice B presumes low self-esteem, and choice D focuses on discomfort with asking for help rather than addressing the mother's specific concerns. Hence, choice C is the most empathetic and appropriate response in this scenario.
The nurse has implemented a plan to improve expression of warmth to other nurses. It is most important for the nurse to include which evaluation method?
- A. Self-monitor interactions with colleagues for feelings of relaxation and caring.
- B. Ask patients for their perception of the interactions that occur among nurses.
- C. Invite a supervisor to evaluate interactions and provide suggestions for improvement.
- D. Seek nominations for an award at the organizational level or from an association.
Correct Answer: A
Rationale: The correct answer is A because self-monitoring interactions with colleagues allows for personal reflection and assessment of warmth expression. This method promotes self-awareness and self-improvement. Asking patients (B) is not relevant for evaluating interactions among nurses. Inviting a supervisor (C) may introduce bias and may not accurately reflect warmth expression. Seeking nominations for an award (D) focuses on recognition rather than genuine improvement. Therefore, A is the most suitable method for evaluating the nurse's plan.
Let me know how you're doing and whether you need any help."
- A. "Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed."
- B. "Take the vital signs on all the patients in the lounge and tell me whether there are problems." The clarity and brevity of the direction makes the delegated task clear and leaves the responsibility of assessment to the nurse.
Correct Answer: B
Rationale: The correct answer is B because it provides clear instructions to take vital signs on all patients in the lounge and report any problems. This ensures comprehensive assessment and communication. Choice A is incorrect because it lacks specificity and may lead to overlooking important tasks. Choice C and D are incorrect as they are blank. Providing clear and concise directions is crucial in delegation to ensure tasks are completed accurately and efficiently.
According to the Workplace Bullying Institute, nurses are also exposed to this type of behavior within their professional environment. In teaching the possibility to an incoming graduate nurse, you know that the nurse understands when he or she includes which of the following as abusive conduct? (Select all that apply)
- A. Threats
- B. Humiliation
- C. Intimidation
- D. Physical abuse
Correct Answer: A
Rationale: The correct answer is A: Threats. Threats are considered abusive conduct in the context of workplace bullying. Nurses may be subjected to threats that create a hostile work environment. Threats can instill fear and distress in the victim, affecting their well-being and performance.
Summary of why other choices are incorrect:
B: Humiliation - While humiliation is a form of abuse, the question specifically asks about abusive conduct in the context of workplace bullying for nurses.
C: Intimidation - Intimidation is another form of abusive behavior, but the question focuses on identifying abusive conduct in the workplace environment for nurses.
D: Physical abuse - While physical abuse is a serious issue, the question pertains to identifying abusive conduct within the professional environment for nurses, where physical abuse may not be as common as other forms of bullying behavior.