Which of the following statement is NOT true about cultural competence in nursing?
- A. Respects diversity
- B. Improves care
- C. Forces assimilation
- D. Adapts to patient needs
Correct Answer: C
Rationale: Cultural competence respects diversity (A), improves care (B), adapts (D) 'forces assimilation' (C) isn't true, opposes respect, per standards. C's coercion contradicts competence, like with Mr. Gary's beliefs, making it untrue.
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Palpating the midclavicular line is the correct technique for assessing
- A. Baseline vital signs
- B. Systolic blood pressure
- C. Respiratory rate
- D. Apical pulse
Correct Answer: D
Rationale: The midclavicular line locates the apical pulse at the heart's apex.
Provides a concise method of organizing and recording data about the client. It is a series of flip cards kept in portable file used in change of shift reports.
- A. Kardex
- B. Progress Notes
- C. SOAPIE
- D. Change of shift report
Correct Answer: A
Rationale: Kardex (A) is a concise, card-based system for shift reports, per nursing practice. Progress notes (B) detail chronologically, SOAPIE (C) structures per problem, shift reports (D) are verbal. A fits the portable file description, making it correct.
Which of the following statement best describe alternative therapy?
- A. Used with conventional medicine
- B. Replaces conventional medicine
- C. A diagnostic method
- D. A surgical approach
Correct Answer: B
Rationale: Alternative therapy replaces conventional medicine (B), per definition e.g., herbs over drugs. Not with (A), not diagnostic (C), not surgical (D) standalone. B best defines its substitute role, making it correct.
Which of the following statement is TRUE about palliative care?
- A. Palliative care is given only on Hospice setting
- B. Palliative care is given only to cancer clients
- C. Palliative care improves quality of life
- D. Palliative care is offered only when the client's condition is irreversible
Correct Answer: C
Rationale: Palliative care improves quality of life (C), per its goal managing symptoms, enhancing comfort. It's not hospice-only (A), not cancer-specific (B), and applies beyond irreversible states (D) available at any serious illness stage. C's universal truth aligns with palliative principles, making it correct.
What best describes nurses as a care provider?
- A. Determine client's need
- B. Provide direct nursing care
- C. Help client recognize and cope with stressful psychological situation
- D. Works in combined effort with all those involved in patient's care
Correct Answer: A
Rationale: As care providers, nurses first assess client needs e.g., identifying respiratory distress before delivering care. This foundational step ensures interventions (like oxygen therapy) are targeted and effective, unlike direct care (an outcome), psychological support (a subset), or collaboration (a method). Accurate need determination, rooted in the nursing process, is the bedrock of care provision, guiding all subsequent actions in clinical practice.
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