Which one of the following statements about the nurse and ethnocentrism is true?
- A. Nurses as people may inwardly view their own culture as superior to others.
- B. Ethnocentrism is a desirable trait in a nurse.
- C. Nurses must deny their ethnocentrism.
- D. A nurse must not think of his or her own attitudes and beliefs.
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon, especially when the person has no experience with any culture other than his or her own.
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The nurse fails to assess personal values surrounding homosexuality before caring for a patient who is openly gay. Which of the following statements about the nurse and ethnocentrism is true?
- A. Nurses as people may inwardly view their own culture as superior to others.
- B. Ethnocentrism is a desirable trait in a nurse.
- C. Nurses must deny their ethnocentrism.
- D. A nurse must not think of his or her own attitudes and beliefs.
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon, especially when the person has no experience with any culture other than his or her own.
The nurse assesses fine hand tremors in a patient with a history of heavy alcohol use. If the nurse understands that the tremors are a direct result of alcohol use, the nurse is using which pattern of knowing, according to Carper?
- A. Aesthetic knowing
- B. Ethical knowing
- C. Personal knowing
- D. Empirical knowing
Correct Answer: D
Rationale: Empirical knowing is obtained from the science of nursing, such as understanding clinical symptoms related to alcohol use.
A client who had been in a substance abuse treatment program asks the nurse to attend a picnic with his family after the client is discharged. The nurse should explain the importance of which of the following?
- A. Maintaining professional boundaries
- B. Attending family events to support recovery
- C. Ensuring family involvement in treatment
- D. Encouraging social interactions post-discharge
Correct Answer: A
Rationale: A therapeutic relationship is professional, focused on meeting the client's needs, and is terminated when the client no longer needs services. The nurse must maintain professional boundaries.
The client says to the nurse, 'I feel really close to you. You are the only true friend I have.' The most therapeutic response the nurse can make is.
- A. I am sure there are other people in your life who are your friends; besides, we just met.
- B. It makes me feel good that you trust me so much, it is important for the work we are doing together.
- C. Since ours is a professional relationship, let's explore other opportunities in your life for friendship.
- D. We are not friends. This is strictly professional.
Correct Answer: C
Rationale: The nurse's response must let the client know in clear terms that the relationship is professional while not demeaning or ridiculing the client.
How can a nurse avoid the possibility of finding the client's behavior unacceptable or distasteful?
- A. By being aware of the client's behavior and background before beginning the relationship, and exploring the possibility of a conflict with a colleague.
- B. By using silence instead of verbal responses for all instances of the client describing their behavior
- C. By using facial expressions of annoyance if the client expresses behavior that the nurse disapproves of
- D. By turning away from the client when the nurse does not want the client to see his or her facial expression
Correct Answer: A
Rationale: Being aware of the client's behavior and background and discussing potential conflicts with a colleague helps prevent negative reactions.
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