NU328 Study Guide With
Complete Solution
Why should nurses be culturally competent - ANSWER Demographics have
changed: immigration, globalization, increasing acceptance of alternative
choices
What is the greatest impact of health status - ANSWER Poverty
What is the definition of a cultural assessment - ANSWER A systematic exam
of individuals, groups, and communities, in relation to their cultural and
religious/spiritual beliefs, values, and practices
What is the difference in spirituality and religion - ANSWER Spirituality -
person's effort to find purpose and meaning in life. Religion - formal,
organized system of beliefs.
Religion is best described as: - ANSWER an organized system of beliefs,
concerning the cause, nature, and purpose of the universe
The major factor contributing to the need for cultural care nursing is what -
ANSWER A demographic change
"Culturally competent" implies that the nurse is what - ANSWER Applies
underlying knowledge to providing nursing care
Many of the traditional definitions of health tend to focus on what - ANSWER
Physical, mental, and spiritual harmony
Illness may be described as an imbalance of hot and cold amount what
,people - ANSWER Asian-American heritage, African-American heritage,
Hispanic-American heritage
An amulet may be used to protect a person from what - ANSWER The evil
eye
Mental status is defined as what - ANSWER A person's emotional and
cognitive functioning
Mental status assessment determines what - ANSWER Dysfunction and
determines how that dysfunction affects self-care in everyday life
What are some behaviors that are assessed during a psychological
examination - ANSWER LOC, language, mood and affect, orientation,
attention, memory, abstract reasoning, thought process, thought content,
perceptions
Older adulthood contains more potential for what - ANSWER What are some
examples? Loss; money, job, spouse, friends, situations, functions
What is a full mental status examination - ANSWER A systematic check of
emotional and cognitive functioning
In what can mental status usually be assessed - ANSWER Patient's health
history interview
What are the 4 main areas in mental health assessment - ANSWER ABCT:
appearance, behavior, cognition, thought processes
When is it necessary to perform a full mental status exam - ANSWER When
any abnormality in affect or behavior is discovered; or any special
circumstances
,What are some findings that would warrant a full mental status exam -
ANSWER Pts whose initial screening suggests anxiety disorder or depression;
behavioral changes (memory loss); brain lesions in trauma, tumors,
cerebrovascular accidents or strokes; aphasia (impairment of language ability
secondary to brain damage); Sx of psych mental illness
If Ashlee Eames, SN is taking a health history, what are some things she
might see that would make her want to further investigate a patient's mental
health - ANSWER Known illnesses, such as alcoholism or chronic renal
disease; meds with side effects of confusion or depression; educational and
behavioral levels; indications of stress in social interactions, sleep habits,
drug and alcohol use
What are some things that Tan-Man Stewart, SN might see about his
patient's appearance that would suggest mental illness - ANSWER Slumping
posture, involuntary body movements what aren't smooth or even, wearing
clothes that aren't appropriate for the time or gender of the patient, poor
grooming and hygiene
What is the first thing that Upton, SN would look for regarding the behavior
of the patient - ANSWER LOC - are they awake, alert, and aware of external
and internal stimuli
What are some other aspects of behavior that would suggest mental illness -
, ANSWER Inappropriate facial expressions, speech that is awkward, with odd
pace and not on the expected educational level for the person, (Pace should
be moderate and fluent, with good articulation, and effortless work choice),
and a change in mood or affect
What three things should a patient be oriented to - ANSWER Person, time,
place (some hospital use the fourth: situation)
How could Tyler Cutrer, SN check a patient's ability to concentrate - ANSWER
Note whether the patient can complete a thought without wandering off
Attention span is commonly impaired in people who are what - ANSWER
Anxious, fatigued, or intoxicated
How would Cody Luke, SN assess a patients recent memory recall - ANSWER
Ask the patient for a 24-hour diet recall or ask the time the person arrived at
the agency
How would a nurse determine remote memory - ANSWER Ask the patient to
verify past events (health Hx, first job, DOB, anniversary, historical events)
What are some diseases that are associated with remote memory loss -
ANSWER Alzheimer's disease, dementia, any disease that damages cerebral
Complete Solution
Why should nurses be culturally competent - ANSWER Demographics have
changed: immigration, globalization, increasing acceptance of alternative
choices
What is the greatest impact of health status - ANSWER Poverty
What is the definition of a cultural assessment - ANSWER A systematic exam
of individuals, groups, and communities, in relation to their cultural and
religious/spiritual beliefs, values, and practices
What is the difference in spirituality and religion - ANSWER Spirituality -
person's effort to find purpose and meaning in life. Religion - formal,
organized system of beliefs.
Religion is best described as: - ANSWER an organized system of beliefs,
concerning the cause, nature, and purpose of the universe
The major factor contributing to the need for cultural care nursing is what -
ANSWER A demographic change
"Culturally competent" implies that the nurse is what - ANSWER Applies
underlying knowledge to providing nursing care
Many of the traditional definitions of health tend to focus on what - ANSWER
Physical, mental, and spiritual harmony
Illness may be described as an imbalance of hot and cold amount what
,people - ANSWER Asian-American heritage, African-American heritage,
Hispanic-American heritage
An amulet may be used to protect a person from what - ANSWER The evil
eye
Mental status is defined as what - ANSWER A person's emotional and
cognitive functioning
Mental status assessment determines what - ANSWER Dysfunction and
determines how that dysfunction affects self-care in everyday life
What are some behaviors that are assessed during a psychological
examination - ANSWER LOC, language, mood and affect, orientation,
attention, memory, abstract reasoning, thought process, thought content,
perceptions
Older adulthood contains more potential for what - ANSWER What are some
examples? Loss; money, job, spouse, friends, situations, functions
What is a full mental status examination - ANSWER A systematic check of
emotional and cognitive functioning
In what can mental status usually be assessed - ANSWER Patient's health
history interview
What are the 4 main areas in mental health assessment - ANSWER ABCT:
appearance, behavior, cognition, thought processes
When is it necessary to perform a full mental status exam - ANSWER When
any abnormality in affect or behavior is discovered; or any special
circumstances
,What are some findings that would warrant a full mental status exam -
ANSWER Pts whose initial screening suggests anxiety disorder or depression;
behavioral changes (memory loss); brain lesions in trauma, tumors,
cerebrovascular accidents or strokes; aphasia (impairment of language ability
secondary to brain damage); Sx of psych mental illness
If Ashlee Eames, SN is taking a health history, what are some things she
might see that would make her want to further investigate a patient's mental
health - ANSWER Known illnesses, such as alcoholism or chronic renal
disease; meds with side effects of confusion or depression; educational and
behavioral levels; indications of stress in social interactions, sleep habits,
drug and alcohol use
What are some things that Tan-Man Stewart, SN might see about his
patient's appearance that would suggest mental illness - ANSWER Slumping
posture, involuntary body movements what aren't smooth or even, wearing
clothes that aren't appropriate for the time or gender of the patient, poor
grooming and hygiene
What is the first thing that Upton, SN would look for regarding the behavior
of the patient - ANSWER LOC - are they awake, alert, and aware of external
and internal stimuli
What are some other aspects of behavior that would suggest mental illness -
, ANSWER Inappropriate facial expressions, speech that is awkward, with odd
pace and not on the expected educational level for the person, (Pace should
be moderate and fluent, with good articulation, and effortless work choice),
and a change in mood or affect
What three things should a patient be oriented to - ANSWER Person, time,
place (some hospital use the fourth: situation)
How could Tyler Cutrer, SN check a patient's ability to concentrate - ANSWER
Note whether the patient can complete a thought without wandering off
Attention span is commonly impaired in people who are what - ANSWER
Anxious, fatigued, or intoxicated
How would Cody Luke, SN assess a patients recent memory recall - ANSWER
Ask the patient for a 24-hour diet recall or ask the time the person arrived at
the agency
How would a nurse determine remote memory - ANSWER Ask the patient to
verify past events (health Hx, first job, DOB, anniversary, historical events)
What are some diseases that are associated with remote memory loss -
ANSWER Alzheimer's disease, dementia, any disease that damages cerebral
