Nokea
You are caring for a client who has been assessed as having a past history of violent and dangerous behaviors towards others. You, as the nurse, are concerned about this client's past history and the dangers that may adversely affect others including staff, visitors and other clients on the unit. What is the first thing that you should do to prevent violence towards others?
- A. Restrain the client
- B. Place the client in seclusion
- C. Get an order for a sedating medication
- D. Establish trust with the client.
Correct Answer: D
Rationale: Establishing trust (D) is the first step to de-escalate potential violence.
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Which statement made by a nurse who manages care for a number of culturally diverse Hispanic clients demonstrates an understanding of the challenges this assignment presents?
- A. I find the Hispanic language very difficult to master.'
- B. There are many differences between Hispanic subcultures.'
- C. Addressing the Hispanic culture's religious needs can be challenging.'
- D. I find Hispanic children to be very dependent upon their elders.'
Correct Answer: B
Rationale: The correct answer is B: "There are many differences between Hispanic subcultures." This answer demonstrates an understanding of the complexity and diversity within the Hispanic community, emphasizing that there is not a monolithic Hispanic culture but rather various subcultures with distinct customs, traditions, and beliefs. Understanding these differences is crucial for providing culturally competent care.
Rationale:
1. Option A focuses on language proficiency, not cultural diversity.
2. Option C mentions religious needs but does not address the broader complexity of Hispanic culture.
3. Option D makes a generalization about Hispanic children, not addressing the diversity within Hispanic communities.
In summary, the correct answer acknowledges and respects the diverse nature of Hispanic subcultures, highlighting the importance of recognizing and understanding these differences to provide effective care.
The Montessori approach believes that the teacher's role is
- A. Director
- B. Guide
- C. Instructor
- D. Controller
Correct Answer: B
Rationale: Montessori teachers guide rather than direct learning.
The theorist who believes in cultural development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's sociocultural theory emphasizes cultural influences on development.
During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:
- A. Asks that another nurse continue the assessment.
- B. Identifies for the client the inappropriateness of his statements.
- C. Shares with the client that he appears angry about being admitted.
- D. Postpones the remainder of the interview until the client is more cooperative.
Correct Answer: C
Rationale: Rationale:
C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.
Which statement is NOT true about elder abuse?
- A. Inappropriate misuse of patients funds by a caregiver is not considered abuse.
- B. Inappropriate use of restraints is a form of abuse.
- C. The abuser can be a hired caregiver or family.
- D. Sexual contact with a woman with dementia is considered elder abuse.
Correct Answer: A
Rationale: Misuse of an elderly persons funds by a trusted person is a form of elder abuse.