Nokea
Which statement about the development of cultural competence is inaccurate?
- A. Local health care workers and community advocates can help extend health care to underserved populations.
- B. Nursing care is delivered in the context of the client's culture but not in the context of the nurse's culture.
- C. Nurses must develop an awareness of and a sensitivity to various cultures.
- D. Culture's economic, religious, and political structures influence practices that affect childbearing.
Correct Answer: B
Rationale: Nurses' cultural context also influences the care they provide. Cultural competence involves both understanding the client's culture and being aware of the nurse's own cultural background, along with the impact of economic, religious, and political factors.
You may also like to solve these questions
The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
- A. Providing more women’sN sheRlterIs G B.C M U S N T O
- B. Ensuring early and adequate prenatal care
- C. Resolving all language and cultural differences
- D. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Correct Answer: B
Rationale: The correct answer is B: Ensuring early and adequate prenatal care. Prenatal care plays a crucial role in monitoring the health of the mother and the developing fetus, detecting and managing any potential health issues early on, and providing essential education on nutrition and healthy practices. This ultimately leads to healthier pregnancies, reduced risks of complications, and improved outcomes for both the mother and the infant. Providing more women's shelters (A) may help address social issues but does not directly impact infant mortality rates. Resolving language and cultural differences (C) is important for effective healthcare delivery but is not the primary factor in reducing infant mortality. Enrolling pregnant women in Medicaid (D) is beneficial for access to healthcare but does not address the importance of early and adequate prenatal care in reducing infant mortality rates.
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
of 10. Which expected outcome is correctly stated for this problem?
- A. Patient will state that pain is a 2 on a scale of 10.
- B. Patient will have a reduction in pain after administration of the prescribed
- C. Patient will state an absence of pain 1 hour after administration of the prescribed
- D. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of
Correct Answer: D
Rationale: The correct answer is D because it aligns with the SMART criteria for expected outcomes. Specific: It clearly states the desired pain level of 2 on a scale of 10. Measurable: It provides a quantifiable measure to assess the outcome. Achievable: The goal is realistic and attainable within a specified time frame. Relevant: It directly addresses the nursing diagnosis of acute pain related to tissue trauma. Time-bound: It includes a timeframe of 1 hour after administration for evaluation.
Choices A, B, and C are incorrect because they do not meet all the SMART criteria. Choice A only focuses on the pain level without a specific timeframe. Choice B mentions pain reduction but lacks a specific target level or timeframe. Choice C mentions pain absence but lacks a specific timeframe for evaluation.
The nurse provides education to a client about to undergo external radiation therapy. Which statement by the client reassures the nurse that the teaching has been effective?
- A. I am using ointment to keep my skin from drying out.
- B. I wash the irradiated area with deodorant soap.
- C. My diet is high in protein, and I drink at least 2000 ml of fluid a day.
- D. I wash off the markings for the radiation site after each treatment.
Correct Answer: C
Rationale: To maintain good nutrition, the woman should eat high-protein meals or use protein supplements and should have a high daily fluid intake of 2 to 3 L. The woman is counseled about good skin care and taught to avoid soaps, ointments, cosmetics, and deodorants because these may contain metals that would alter the radiation dose she receives.
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
- A. Check the newborn's temperature every 8 hr.
- B. Apply moisturizing lotion to the newborn's skin every 4 hr.
- C. Give the newborn 1 oz of glucose water every 4 hr.
- D. Reposition the newborn every 2 to 3 hr.
Correct Answer: D
Rationale: Frequent repositioning ensures even exposure to phototherapy light, promoting bilirubin breakdown.
Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. Which physiologic alteration is the cause for the diaphoresis and diuresis that this client is experiencing?
- A. Elevated temperature caused by postpartum infection
- B. Increased basal metabolic rate after giving birth
- C. Loss of increased blood volume associated with pregnancy
- D. Increased venous pressure in the lower extremities
Correct Answer: C
Rationale: Diaphoresis and diuresis are mechanisms for reducing excess tissue fluid accumulated during pregnancy.