,
,
,
, ANS: C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes
a patient’s response to a health problem that can be treated by nursing. The use of a medical
diagnosis as an etiology (as in the responses beginning “Altered tissue perfusion” and
“Altered urinary elimination”) is not appropriate. The response beginning “Risk for impaired
tissue integrity” uses the defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
10. The nurse admits a patient to the hospital and develops a plan of care. What components
should the nurse include in the nursing diagnosis statement?
a. The problem and the suggested patient goals or outcomes
b. The problem with possible causes and the planned interventions
c. The problem, its cause, and objective data that support the problem
d. The problem with an etiology and the signs and symptoms of the problem
ANS: D
When writing nursing diagnoses, this format should be used: problem, etiology, and signs and
symptoms. The subjective, as well as objective, data should be included in the defining
characteristics. Interventions and outcomes are not included in the nursing diagnosis
statement.
DIF: Cognitive Level: Remember (knowledge) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
11. A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to
delegate to experienced unlicensed assistive personnel (UAP)?
a. Monitor for shortness of breath or fatigue after ambulation.
b. Instruct the patient about the need to alternate activity and rest.
c. Obtain the patient’s blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
UAP education includes accurate vital sign measurement. Assessment and patient teaching
require registered nurse education and scope of practice and cannot be delegated.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
12. A nurse is caring for a group of patients on the medical-surgical unit with the help of one float
registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed
practical/vocational nurse (LPN/LVN). Which assignment, if delegated by the nurse, would
be inappropriate?
a. Measurement of a patient’s urine output by UAP
b. Administration of oral medications by LPN/LVN
c. Check for the presence of bowel sounds and flatulence by UAP
d. Care of a patient with diabetes by RN who usually works on the pediatric unit
ANS: C
, Assessment requires RN education and scope of practice and cannot be delegated to an
LPN/LVN or UAP. The other assignments made by the RN are appropriate.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
13. Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse
(LPN/LVN)?
a. Complete the initial admission assessment and plan of care.
b. Document teaching completed before a diagnostic procedure.
c. Instruct a patient about low-fat, reduced sodium dietary restrictions.
d. Obtain bedside blood glucose on a patient before insulin administration.
ANS: D
The education and scope of practice of the LPN/LVN include activities such as obtaining
glucose testing using a finger stick. Patient teaching and the initial assessment and
development of the plan of care are nursing actions that require registered nurse education and
scope of practice.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
14. A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The
patient can expect the nurse functioning in this role to perform which activity?
a. Care for the patient during hospitalization for the injuries.
b. Assist the patient with home care activities during recovery.
c. Determine what medical care the patient needs for optimal rehabilitation.
d. Coordinate the services that the patient receives in the hospital and at home.
ANS: D
The role of the case manager is to coordinate the patient’s care through multiple settings and
levels of care to allow the maximal patient benefit at the least cost. The case manager does not
provide direct care in either the acute or home setting. The case manager coordinates and
advocates for care but does not determine what medical care is needed; that would be
completed by the health care provider or other provider.
DIF: Cognitive Level: Apply (application) REF: 9
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
15. The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The
patient needs continued nursing care and physical therapy to improve mobility before
returning home. The nurse will help to arrange for transfer of this patient to which facility?
a. A skilled care facility c. A transitional care facility
b. A residential care facility d. An intermediate care facility
ANS: C
, Transitional care settings are appropriate for patients who need continued rehabilitation before
discharge to home or to long-term care settings. The patient is no longer in need of the more
continuous assessment and care given in acute care settings. There is no indication that the
patient will need the permanent and ongoing medical and nursing services available in
intermediate or skilled care. The patient is not yet independent enough to transfer to a
residential care facility.
DIF: Cognitive Level: Apply (application) REF: 8
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
16. A home care nurse is planning care for a patient who has just been diagnosed with type 2
diabetes mellitus. Which task is appropriate for the nurse to delegate to the home health aide?
a. Assist the patient to choose appropriate foods.
b. Help the patient with a daily bath and oral care.
c. Check the patient’s feet for signs of breakdown.
d. Teach the patient how to monitor blood glucose.
ANS: B
Assisting with patient hygiene is included in home health-aide education and scope of
practice. Assessment of the patient and instructing the patient in new skills, such as diet and
blood glucose monitoring, are complex skills that are included in registered nurse education
and scope of practice.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
17. The nurse is providing education to nursing staff on quality care initiatives. Which statement
is an accurate description of the impact of health care financing on quality care?
a. “If a patient develops a catheter-related infection, the hospital receives additional
funding.”
b. “Payment for patient care is primarily based on clinical outcomes and patient
satisfaction.”
c. “Hospitals are reimbursed for all costs incurred if care is documented
electronically.”
d. “Because hospitals are accountable for overall care, it is not nursing’s
responsibility to monitor care delivered by others.”
ANS: B
Payment for health care services programs reimburses hospitals for their performance on
overall quality-of-care measures. These measures include clinical outcomes and patient
satisfaction. Nurses are responsible for coordinating complex aspects of patient care,
including the care delivered by others, and identifying issues that are associated with poor
quality care. Payment for care can be withheld if something happens to the patient that is
considered preventable (e.g., acquiring a catheter-related urinary tract infection).
DIF: Cognitive Level: Apply (application) REF: 4
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
, 18. The nurse documenting the patient’s progress in the care plan in the electronic health record
before an interprofessional discharge conference is demonstrating competency in which
QSEN category?
a. Patient-centered care c. Evidence-based practice
b. Quality improvement d. Informatics and technology
ANS: D
The nurse is displaying competency in the QSEN area of informatics and technology. Using a
computerized information system to document patient needs and progress and communicate
vital information regarding the patient with the interprofessional care team members provides
evidence that nursing practice standards related to the nursing process have been maintained
during the care of the patient.
DIF: Cognitive Level: Apply (application) REF: 13
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
MULTIPLE RESPONSE
1. Which information will the nurse consider when deciding what nursing actions to delegate to
a licensed practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit
(select all that apply)?
a. Institutional policies
b. Stability of the patient
c. State nurse practice act
d. LPN/LVN teaching abilities
e. Experience of the LPN/LVN
ANS: A, B, C, E
The nurse should assess the experience of LPN/LVNs when delegating. In addition, state
nurse practice acts and institutional policies must be considered. In general, whereas the
LPN/LVN scope of practice includes caring for patients who are stable, registered nurses
should provide most of the care for unstable patients. Because the LPN/LVN scope of practice
does not include patient education, this will not be part of the delegation process.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
2. The nurse is administering medications to a patient. Which actions by the nurse during this
process are consistent with promoting safe delivery of care (select all that apply)?
a. Throws away a medication that is not labeled
b. Uses a hand sanitizer before preparing a medication
c. Identifies the patient by the room number on the door
d. Checks laboratory test results before administering a diuretic
e. Gives the patient a list of current medications upon discharge
ANS: A, B, D, E
, National Patient Safety Goals have been established to promote safe delivery of care. The
nurse should use at least two reliable ways to identify the patient such as asking the patient’s
full name and date of birth before medication administration. Other actions that improve
patient safety include performing hand hygiene, disposing of unlabeled medications,
completing appropriate assessments before administering medications, and giving a list of the
current medicines to the patient and caregiver before discharge.
DIF: Cognitive Level: Apply (application) REF: 12
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
OTHER
1. The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to
communicate a change in patient status to a health care provider. In which order should the
nurse make the following statements? (Put a comma and a space between each answer choice
[A, B, C, D].)
a. “The patient needs to be evaluated immediately and may need intubation and mechanical
ventilation.”
b. “The patient was admitted yesterday with heart failure and has been receiving furosemide
(Lasix) for diuresis, but urine output has been low.”
c. “The patient has crackles audible throughout the posterior chest, and the most recent
oxygen saturation is 89%. Her condition is very unstable.”
d. “This is the nurse on the surgical unit. After assessing the patient, I am very concerned
about increased shortness of breath over the past hour.”
ANS:
D, B, C, A
The order of the nurse’s statements follows the SBAR format.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
, Chapter 02: Health Disparities and Culturally Competent Care
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is obtaining a health history from a new patient. Which data will be the focus of
patient teaching?
a. Age and gender c. Hispanic/Latino ethnicity
b. Saturated fat intake d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patient’s saturated fat intake
is a behavior that the patient can change. The other information will be useful as the nurse
develops an individualized plan for improving the patient’s health, but will not be the focus of
patient teaching.
DIF: Cognitive Level: Apply (application) REF: 18
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if
implemented by the nurse, would decrease health care disparities for the Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D
Health care disparities are caused by stereotyping, biases, and prejudice of health care
providers. The nurse can decrease these through staff education. The other strategies may also
be addressed by the nurse but will not directly impact health disparities.
DIF: Cognitive Level: Apply (application) REF: 19
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
3. What information should the nurse collect when assessing the health status of a community?
a. Air pollution levels c. Most common causes of death
b. Number of health food stores d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life expectancy, access
to care, and morbidity and mortality rates related to disease and injury. Although air pollution,
access to health food stores, and education level are factors that affect a community’s health
status, they are not health measures.
DIF: Cognitive Level: Understand (comprehension) REF: 18
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
4. The nurse is caring for a Native American patient who has traditional beliefs about health and
illness. Which action by nurse is most appropriate?
a. Avoid asking questions unless the patient initiates the conversation.
b. Ask the patient whether it is important that cultural healers are contacted.
,
,
, ANS: C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes
a patient’s response to a health problem that can be treated by nursing. The use of a medical
diagnosis as an etiology (as in the responses beginning “Altered tissue perfusion” and
“Altered urinary elimination”) is not appropriate. The response beginning “Risk for impaired
tissue integrity” uses the defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
10. The nurse admits a patient to the hospital and develops a plan of care. What components
should the nurse include in the nursing diagnosis statement?
a. The problem and the suggested patient goals or outcomes
b. The problem with possible causes and the planned interventions
c. The problem, its cause, and objective data that support the problem
d. The problem with an etiology and the signs and symptoms of the problem
ANS: D
When writing nursing diagnoses, this format should be used: problem, etiology, and signs and
symptoms. The subjective, as well as objective, data should be included in the defining
characteristics. Interventions and outcomes are not included in the nursing diagnosis
statement.
DIF: Cognitive Level: Remember (knowledge) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
11. A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to
delegate to experienced unlicensed assistive personnel (UAP)?
a. Monitor for shortness of breath or fatigue after ambulation.
b. Instruct the patient about the need to alternate activity and rest.
c. Obtain the patient’s blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
UAP education includes accurate vital sign measurement. Assessment and patient teaching
require registered nurse education and scope of practice and cannot be delegated.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
12. A nurse is caring for a group of patients on the medical-surgical unit with the help of one float
registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed
practical/vocational nurse (LPN/LVN). Which assignment, if delegated by the nurse, would
be inappropriate?
a. Measurement of a patient’s urine output by UAP
b. Administration of oral medications by LPN/LVN
c. Check for the presence of bowel sounds and flatulence by UAP
d. Care of a patient with diabetes by RN who usually works on the pediatric unit
ANS: C
, Assessment requires RN education and scope of practice and cannot be delegated to an
LPN/LVN or UAP. The other assignments made by the RN are appropriate.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
13. Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse
(LPN/LVN)?
a. Complete the initial admission assessment and plan of care.
b. Document teaching completed before a diagnostic procedure.
c. Instruct a patient about low-fat, reduced sodium dietary restrictions.
d. Obtain bedside blood glucose on a patient before insulin administration.
ANS: D
The education and scope of practice of the LPN/LVN include activities such as obtaining
glucose testing using a finger stick. Patient teaching and the initial assessment and
development of the plan of care are nursing actions that require registered nurse education and
scope of practice.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
14. A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The
patient can expect the nurse functioning in this role to perform which activity?
a. Care for the patient during hospitalization for the injuries.
b. Assist the patient with home care activities during recovery.
c. Determine what medical care the patient needs for optimal rehabilitation.
d. Coordinate the services that the patient receives in the hospital and at home.
ANS: D
The role of the case manager is to coordinate the patient’s care through multiple settings and
levels of care to allow the maximal patient benefit at the least cost. The case manager does not
provide direct care in either the acute or home setting. The case manager coordinates and
advocates for care but does not determine what medical care is needed; that would be
completed by the health care provider or other provider.
DIF: Cognitive Level: Apply (application) REF: 9
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
15. The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The
patient needs continued nursing care and physical therapy to improve mobility before
returning home. The nurse will help to arrange for transfer of this patient to which facility?
a. A skilled care facility c. A transitional care facility
b. A residential care facility d. An intermediate care facility
ANS: C
, Transitional care settings are appropriate for patients who need continued rehabilitation before
discharge to home or to long-term care settings. The patient is no longer in need of the more
continuous assessment and care given in acute care settings. There is no indication that the
patient will need the permanent and ongoing medical and nursing services available in
intermediate or skilled care. The patient is not yet independent enough to transfer to a
residential care facility.
DIF: Cognitive Level: Apply (application) REF: 8
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
16. A home care nurse is planning care for a patient who has just been diagnosed with type 2
diabetes mellitus. Which task is appropriate for the nurse to delegate to the home health aide?
a. Assist the patient to choose appropriate foods.
b. Help the patient with a daily bath and oral care.
c. Check the patient’s feet for signs of breakdown.
d. Teach the patient how to monitor blood glucose.
ANS: B
Assisting with patient hygiene is included in home health-aide education and scope of
practice. Assessment of the patient and instructing the patient in new skills, such as diet and
blood glucose monitoring, are complex skills that are included in registered nurse education
and scope of practice.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
17. The nurse is providing education to nursing staff on quality care initiatives. Which statement
is an accurate description of the impact of health care financing on quality care?
a. “If a patient develops a catheter-related infection, the hospital receives additional
funding.”
b. “Payment for patient care is primarily based on clinical outcomes and patient
satisfaction.”
c. “Hospitals are reimbursed for all costs incurred if care is documented
electronically.”
d. “Because hospitals are accountable for overall care, it is not nursing’s
responsibility to monitor care delivered by others.”
ANS: B
Payment for health care services programs reimburses hospitals for their performance on
overall quality-of-care measures. These measures include clinical outcomes and patient
satisfaction. Nurses are responsible for coordinating complex aspects of patient care,
including the care delivered by others, and identifying issues that are associated with poor
quality care. Payment for care can be withheld if something happens to the patient that is
considered preventable (e.g., acquiring a catheter-related urinary tract infection).
DIF: Cognitive Level: Apply (application) REF: 4
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
, 18. The nurse documenting the patient’s progress in the care plan in the electronic health record
before an interprofessional discharge conference is demonstrating competency in which
QSEN category?
a. Patient-centered care c. Evidence-based practice
b. Quality improvement d. Informatics and technology
ANS: D
The nurse is displaying competency in the QSEN area of informatics and technology. Using a
computerized information system to document patient needs and progress and communicate
vital information regarding the patient with the interprofessional care team members provides
evidence that nursing practice standards related to the nursing process have been maintained
during the care of the patient.
DIF: Cognitive Level: Apply (application) REF: 13
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
MULTIPLE RESPONSE
1. Which information will the nurse consider when deciding what nursing actions to delegate to
a licensed practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit
(select all that apply)?
a. Institutional policies
b. Stability of the patient
c. State nurse practice act
d. LPN/LVN teaching abilities
e. Experience of the LPN/LVN
ANS: A, B, C, E
The nurse should assess the experience of LPN/LVNs when delegating. In addition, state
nurse practice acts and institutional policies must be considered. In general, whereas the
LPN/LVN scope of practice includes caring for patients who are stable, registered nurses
should provide most of the care for unstable patients. Because the LPN/LVN scope of practice
does not include patient education, this will not be part of the delegation process.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
2. The nurse is administering medications to a patient. Which actions by the nurse during this
process are consistent with promoting safe delivery of care (select all that apply)?
a. Throws away a medication that is not labeled
b. Uses a hand sanitizer before preparing a medication
c. Identifies the patient by the room number on the door
d. Checks laboratory test results before administering a diuretic
e. Gives the patient a list of current medications upon discharge
ANS: A, B, D, E
, National Patient Safety Goals have been established to promote safe delivery of care. The
nurse should use at least two reliable ways to identify the patient such as asking the patient’s
full name and date of birth before medication administration. Other actions that improve
patient safety include performing hand hygiene, disposing of unlabeled medications,
completing appropriate assessments before administering medications, and giving a list of the
current medicines to the patient and caregiver before discharge.
DIF: Cognitive Level: Apply (application) REF: 12
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
OTHER
1. The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to
communicate a change in patient status to a health care provider. In which order should the
nurse make the following statements? (Put a comma and a space between each answer choice
[A, B, C, D].)
a. “The patient needs to be evaluated immediately and may need intubation and mechanical
ventilation.”
b. “The patient was admitted yesterday with heart failure and has been receiving furosemide
(Lasix) for diuresis, but urine output has been low.”
c. “The patient has crackles audible throughout the posterior chest, and the most recent
oxygen saturation is 89%. Her condition is very unstable.”
d. “This is the nurse on the surgical unit. After assessing the patient, I am very concerned
about increased shortness of breath over the past hour.”
ANS:
D, B, C, A
The order of the nurse’s statements follows the SBAR format.
DIF: Cognitive Level: Apply (application) REF: 11
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
, Chapter 02: Health Disparities and Culturally Competent Care
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is obtaining a health history from a new patient. Which data will be the focus of
patient teaching?
a. Age and gender c. Hispanic/Latino ethnicity
b. Saturated fat intake d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patient’s saturated fat intake
is a behavior that the patient can change. The other information will be useful as the nurse
develops an individualized plan for improving the patient’s health, but will not be the focus of
patient teaching.
DIF: Cognitive Level: Apply (application) REF: 18
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if
implemented by the nurse, would decrease health care disparities for the Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D
Health care disparities are caused by stereotyping, biases, and prejudice of health care
providers. The nurse can decrease these through staff education. The other strategies may also
be addressed by the nurse but will not directly impact health disparities.
DIF: Cognitive Level: Apply (application) REF: 19
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
3. What information should the nurse collect when assessing the health status of a community?
a. Air pollution levels c. Most common causes of death
b. Number of health food stores d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life expectancy, access
to care, and morbidity and mortality rates related to disease and injury. Although air pollution,
access to health food stores, and education level are factors that affect a community’s health
status, they are not health measures.
DIF: Cognitive Level: Understand (comprehension) REF: 18
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
4. The nurse is caring for a Native American patient who has traditional beliefs about health and
illness. Which action by nurse is most appropriate?
a. Avoid asking questions unless the patient initiates the conversation.
b. Ask the patient whether it is important that cultural healers are contacted.
