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Which of the following statement best describe cultural competence?
- A. Ignoring client's cultural beliefs
- B. Providing care that respects cultural differences
- C. Forcing client to follow hospital culture
- D. Treating all clients the same way
Correct Answer: B
Rationale: Cultural competence is providing care respecting cultural differences (B), per nursing standards tailoring to beliefs (e.g., diet, rituals). Ignoring (A), forcing (C), or sameness (D) dismiss diversity. B best defines competence as culturally sensitive care, aligning with Purnell's model, making it correct.
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The nurse gave Mr. Gary his medication as planned. This is an example of?
- A. Implementation
- B. Planning
- C. Evaluation
- D. Assessment
Correct Answer: A
Rationale: Giving medication as planned is implementation (A) executing care, per process. Planning (B) sets, evaluation (C) assesses, assessment (D) gathers not action-specific. A fits intervention delivery, making it correct.
The parents of a healthy 6-year-old ask the nurse for advice about preventing obesity in their child. Which response reflects health promotion?
- A. Limit screen time and encourage outdoor play.'
- B. Weigh your child monthly to monitor for weight gain.'
- C. Give your child a multivitamin daily to prevent obesity.'
- D. Have your child's cholesterol checked annually.'
Correct Answer: A
Rationale: For a healthy 6-year-old, health promotion prevents obesity by fostering active habits limiting screen time and encouraging outdoor play boosts physical activity, burning calories and building muscle, key to avoiding weight gain at this age. Evidence links sedentary screen hours to childhood obesity; play counters it, aligning with nursing's focus on lifestyle over surveillance. Monthly weighing is secondary, tracking not preventing, and may stress the child. Multivitamins don't prevent obesity caloric balance does while annual cholesterol checks detect, not avert, issues. The nurse's reply promotes wellness through fun, practical steps like biking or tag tailored to a child's energy, ensuring long-term health without medicalizing a well kid, a cornerstone of pediatric nursing's preventive approach.
What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
- A. A cotton ball
- B. A penlight
- C. An ophthalmoscope
- D. A tongue depressor and flashlight
Correct Answer: D
Rationale: Cranial nerves 9 and 10 (glossopharyngeal and vagus) are assessed with a gag reflex, requiring a tongue depressor and light.
Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)?
- A. Evidence-based practice
- B. Client-centered care
- C. Informatics
- D. Nursing certification
Correct Answer: A
Rationale: The Quality and Safety Education for Nurses (QSEN) initiative defines key competencies to ensure nurses deliver safe, high-quality care, addressing modern healthcare demands. Evidence-based practice integrates the best research with clinical expertise, guiding decisions for effective outcomes. Client-centered care prioritizes individual needs and preferences, balancing advocacy with safety. Informatics leverages technology for accurate documentation and care evaluation, enhancing efficiency. Quality improvement drives ongoing assessment and refinement of practices, while teamwork and collaboration ensure coordinated care delivery. Safety minimizes risks, a core QSEN focus. Nursing certification, though valuable, isn't a QSEN competency, as it's an individual credential, not a universal standard. These standards collectively equip nurses to improve care quality and safety across settings, reflecting a comprehensive approach to professional development and patient well-being.
The nurse is preparing a client with gout for discharge. Which dietary selection reflects an understanding of the client's condition?
- A. Broiled chicken, rice, and iced tea
- B. Sardines, lima beans, and red wine
- C. Hamburger, fries, and a milkshake
- D. Shrimp, spinach, and beer
Correct Answer: A
Rationale: Broiled chicken, rice, and iced tea suit gout, avoiding purine-rich foods (sardines, shrimp) or alcohol (wine, beer) that raise uric acid lima beans and spinach also contribute less but aren't ideal. Nurses teach this, reducing flare-ups, supporting joint health and client compliance.