NURS3209 Holistic Nursing Final Exam –
Comprehensive Questions and Answers|Latest
Update|Rated A+
Nurses are responsible for delivering culturally competent care for
all clients. Culturally competent care does not account for:
individual values.
developmental level.
client's height.
available technology.
client's height.
In partnership with the person, family, and others; the nurse
develops an individualized plan considering the person's
characteristics or situation including but not limited to: values,
beliefs, spiritual and health practices, preferences, choices,
developmental level, coping style, culture, environment, and
available technology. A physical characteristic such as one's height
does not contribute to cultural competence.
A nurse is working with an older adult client, educating the client
on how to ambulate with the aid of a walker. The nurse notes that
the client appears to lack the motivation to learn how to use the
device. The client states, "I'm just too old to learn." What would
be most appropriate for the nurse to do to motivate this client?
Tell the client how to move the walker as the client ambulates.
Explain how the walker supports the client's lower extremities.
Fully discuss the rationale for using the walker.
Describe how the walker can improve the client's quality of life.
,Describe how the walker can improve the client's quality of life.
Motivating the older adult client can be done by showing the client
how the new knowledge will improve the client's quality of life,
regardless of how long that may be. It will also demonstrate how the
new knowledge could improve the client's level of independence.
Although demonstrating the use of the walker and explaining how
the walker assists with ambulation (and the rationale for its use) can
be used to educate the client, these actions would not promote
motivation for the client to learn.
The nurse has just attended a seminar on concepts of cultural
diversity. Which statement made by the nurse would require
further education?
"Culture helps to define identity within specific groups of people."
"Culture cannot be influenced, and you are born with your culture."
"Language is the primary way that people share their culture."
"Culture can be seen in attitudes and institutions of certain
populations."
"Culture cannot be influenced, and you are born with your culture."
Culture is learned through life experiences from one generation to
the next. Culture helping to define identity, language being the
primary way that people share their culture, and culture being seen
in attitudes of certain populations are correct options; these are all
components that define culture.
The nurse is caring for a confused older adult client who requires
surgery for a broken hip. What steps does the nurse take to
determine if the client has a durable power of attorney for health
care and how to contact that person?
Review the medical chart for a copy of a durable power of attorney
for health care or permission for disclosure contact.
Explain the client's need for hip surgery to visitors and ask them for
,information about a durable power of attorney for health care.
Look on the chart for a living will if a durable power of attorney for
health care cannot be located.
Allow the surgeon to handle the issue as part of his or her legal
responsibility for explaining the surgical procedure and obtaining
the appropriate signature on the consent form.
Review the medical chart for a copy of a durable power of attorney
for health care or permission for disclosure contact.
The client cannot give consent due to confusion. In most cases, the
durable power of attorney for health care document is discussed and
obtained during the admission process. The nurse should act as a
client advocate by seeking someone with durable power of attorney
to sign the informed consent form. It is the surgeon's responsibility
to explain the surgical procedure and obtain the appropriate
signature on the consent form; however, the nurse still acts as the
client advocate to locate the designated person. A living will specifies
the types of medical treatment the client wants should the client
become unable to speak in a terminal or permanently unconscious
medical condition, but it does not address matters related to client
confusion. Telling visitors about the need for surgery may violate
client confidentiality. If the nurse identifies who they have
permission to disclose medical information to, they can ask that
person about a durable power of attorney for health care.
A client believes that the illness is caused by an imbalance of yin
and yang. The nurse states, "You can call it whatever you believe,
but you have a metabolic disorder." What is this nurse
demonstrating?
Ethnocentrism
Cultural diversity
Stereotyping
Cultural blindness
, Cultural blindness
The nurse is demonstrating cultural blindness, which occurs when
one ignores differences and proceeds as though they do not exist.
What signs of complications and their probable causes may occur
when administering an IV solution to a client? Select all that apply.
Swelling, pain, coolness, or pallor at the insertion site may indicate
infiltration of the IV.
Redness, swelling, heat, and pain at the site may indicate phlebitis.
Local or systemic manifestations may indicate an infection is
present at the site.
A pounding headache, fainting, rapid pulse rate, increased blood
pressure, chills, back pains, and dyspnea occur when an air embolus
is present.
Bleeding at the site when the IV is discontinued indicates an
infection is present.
Engorged neck veins, increased blood pressure, and dyspnea occur
when a thrombus is present.
Swelling, pain, coolness, or pallor at the insertion site may indicate
infiltration of the IV.
Redness, swelling, heat, and pain at the site may indicate phlebitis.
Local or systemic manifestations may indicate an infection is present
at the site.
If the IV catheter has become dislodged and IV fluid is flowing into
the tissues, then infiltration has occurred. Infiltration is indicated
with swelling, pain, coolness, or pallor at the insertion site. Redness,
swelling, heat, and pain at the site may indicate phlebitis of the vein.
If the site has become infected, it may be contained as a localized
infection, or it can spread throughout the bloodstream as a systemic
infection. A pounding headache, fainting, rapid pulse rate, increased
blood pressure, chills, back pains, and dyspnea occur when fluids are
Comprehensive Questions and Answers|Latest
Update|Rated A+
Nurses are responsible for delivering culturally competent care for
all clients. Culturally competent care does not account for:
individual values.
developmental level.
client's height.
available technology.
client's height.
In partnership with the person, family, and others; the nurse
develops an individualized plan considering the person's
characteristics or situation including but not limited to: values,
beliefs, spiritual and health practices, preferences, choices,
developmental level, coping style, culture, environment, and
available technology. A physical characteristic such as one's height
does not contribute to cultural competence.
A nurse is working with an older adult client, educating the client
on how to ambulate with the aid of a walker. The nurse notes that
the client appears to lack the motivation to learn how to use the
device. The client states, "I'm just too old to learn." What would
be most appropriate for the nurse to do to motivate this client?
Tell the client how to move the walker as the client ambulates.
Explain how the walker supports the client's lower extremities.
Fully discuss the rationale for using the walker.
Describe how the walker can improve the client's quality of life.
,Describe how the walker can improve the client's quality of life.
Motivating the older adult client can be done by showing the client
how the new knowledge will improve the client's quality of life,
regardless of how long that may be. It will also demonstrate how the
new knowledge could improve the client's level of independence.
Although demonstrating the use of the walker and explaining how
the walker assists with ambulation (and the rationale for its use) can
be used to educate the client, these actions would not promote
motivation for the client to learn.
The nurse has just attended a seminar on concepts of cultural
diversity. Which statement made by the nurse would require
further education?
"Culture helps to define identity within specific groups of people."
"Culture cannot be influenced, and you are born with your culture."
"Language is the primary way that people share their culture."
"Culture can be seen in attitudes and institutions of certain
populations."
"Culture cannot be influenced, and you are born with your culture."
Culture is learned through life experiences from one generation to
the next. Culture helping to define identity, language being the
primary way that people share their culture, and culture being seen
in attitudes of certain populations are correct options; these are all
components that define culture.
The nurse is caring for a confused older adult client who requires
surgery for a broken hip. What steps does the nurse take to
determine if the client has a durable power of attorney for health
care and how to contact that person?
Review the medical chart for a copy of a durable power of attorney
for health care or permission for disclosure contact.
Explain the client's need for hip surgery to visitors and ask them for
,information about a durable power of attorney for health care.
Look on the chart for a living will if a durable power of attorney for
health care cannot be located.
Allow the surgeon to handle the issue as part of his or her legal
responsibility for explaining the surgical procedure and obtaining
the appropriate signature on the consent form.
Review the medical chart for a copy of a durable power of attorney
for health care or permission for disclosure contact.
The client cannot give consent due to confusion. In most cases, the
durable power of attorney for health care document is discussed and
obtained during the admission process. The nurse should act as a
client advocate by seeking someone with durable power of attorney
to sign the informed consent form. It is the surgeon's responsibility
to explain the surgical procedure and obtain the appropriate
signature on the consent form; however, the nurse still acts as the
client advocate to locate the designated person. A living will specifies
the types of medical treatment the client wants should the client
become unable to speak in a terminal or permanently unconscious
medical condition, but it does not address matters related to client
confusion. Telling visitors about the need for surgery may violate
client confidentiality. If the nurse identifies who they have
permission to disclose medical information to, they can ask that
person about a durable power of attorney for health care.
A client believes that the illness is caused by an imbalance of yin
and yang. The nurse states, "You can call it whatever you believe,
but you have a metabolic disorder." What is this nurse
demonstrating?
Ethnocentrism
Cultural diversity
Stereotyping
Cultural blindness
, Cultural blindness
The nurse is demonstrating cultural blindness, which occurs when
one ignores differences and proceeds as though they do not exist.
What signs of complications and their probable causes may occur
when administering an IV solution to a client? Select all that apply.
Swelling, pain, coolness, or pallor at the insertion site may indicate
infiltration of the IV.
Redness, swelling, heat, and pain at the site may indicate phlebitis.
Local or systemic manifestations may indicate an infection is
present at the site.
A pounding headache, fainting, rapid pulse rate, increased blood
pressure, chills, back pains, and dyspnea occur when an air embolus
is present.
Bleeding at the site when the IV is discontinued indicates an
infection is present.
Engorged neck veins, increased blood pressure, and dyspnea occur
when a thrombus is present.
Swelling, pain, coolness, or pallor at the insertion site may indicate
infiltration of the IV.
Redness, swelling, heat, and pain at the site may indicate phlebitis.
Local or systemic manifestations may indicate an infection is present
at the site.
If the IV catheter has become dislodged and IV fluid is flowing into
the tissues, then infiltration has occurred. Infiltration is indicated
with swelling, pain, coolness, or pallor at the insertion site. Redness,
swelling, heat, and pain at the site may indicate phlebitis of the vein.
If the site has become infected, it may be contained as a localized
infection, or it can spread throughout the bloodstream as a systemic
infection. A pounding headache, fainting, rapid pulse rate, increased
blood pressure, chills, back pains, and dyspnea occur when fluids are
