Nokea
Which cultural group defines illness as a price that is being paid for the past or the future?
- A. African
- B. Native American
- C. Arabian
- D. Asian
Correct Answer: B
Rationale: Native American cultures often view illness as a price being paid for actions in the past or for actions that will affect the future.
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A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program?
- A. Assess the motivation level of the individuals
- B. Assess the knowledge level of the individuals
- C. Establish teacher-learner goals with the individuals
- D. Establish multiple teaching sessions with the individuals
Correct Answer: B
Rationale: Assessing the knowledge level of the individuals is essential to tailoring the program to meet their educational needs.
Which of the following best demonstrates the practice of transcultural nursing?
- A. Using previous knowledge about ethnic minority cultures to plan care
- B. Adapting nursing care to meet the needs of a person from an ethnic minority
- C. Requesting an interpreter when caring for a person from an ethnic minority
- D. Attending a presentation about cultural diversity
Correct Answer: B
Rationale: Transcultural nursing involves adapting care to the specific needs of individuals from different cultural backgrounds, beyond using stereotypes.
Self-care in long-term care: What should the nurse encourage?
- A. "Encourage participation in activities like Scrabble™ and bingo."
- B. "Dress residents before breakfast."
- C. "Fill in missing words during conversation to avoid embarrassment."
- D. "Get residents ready for breakfast as quickly as possible."
Correct Answer: A
Rationale: Encouraging self-care and participation in activities helps maintain cognitive function and independence.
A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?
- A. Give the group members a handout on the dangers of smoking
- B. Set a quit date with the group and determine which pharmacological method is most suitable for group members
- C. Provide a month’s supply of nicotine replacement to use before the next visit
- D. Have a guest speaker who has been diagnosed with lung cancer speak to the group
Correct Answer: B
Rationale: Setting a quit date and developing an action plan with the group can increase motivation and commitment to quitting.
An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.