NR 222 STUDY EXAMS GUIDE QUESTIONS AND
ANSWERS SURE A+
✔✔I am uncomfortable with the headscarves (hijab) Muslim women wear and I don't
even know what they are called. - ✔✔Assessment
✔✔Identifying and understanding one's own background, recognizing biases,
prejudices, and assumptions about others. To develop a greater cultural awareness,
time needs to be spent in thinking about and discussing various cultural experiences. -
✔✔Cultural desire
✔✔Develops through exposure to other cultures. This exposure can be through reading,
travel, movies, visits to ethnic neighborhoods and restaurants, attending ethnic
celebrations, speaking with persons from other cultures, and attending religious events
outside your own religious affiliation. - ✔✔Cultural skill
✔✔Ability to assess factors that influence client treatment and care. Acquired through
the practice of communication. One example is learning a different language. -
✔✔Cultural awareness
✔✔Interactions to learn about other cultures. Acquired through caring for culturally
diverse populations across the lifespan. - ✔✔Cultural knowledge
✔✔Motivation and willingness to learn from others. Be open-minded to learn about
cultural differences. Accept learning about others as part of your professional nursing
role. - ✔✔Cultural encounter
✔✔Have the client discuss the education from his perspective to assess his learning;
observe smoking behaviors; reassess for readiness to stop smoking. - ✔✔Evaluate
Outcomes
, ✔✔The client will understand how cigarette smoking contributes to respiratory illnesses,
cancer, and heart disease. - ✔✔Prioritize Hypotheses and Generate Solutions
✔✔Newly arrived in this country; all in extended family smoked; has many stories of
family who have died from respiratory illnesses; says that he does not understand how
smoking can make one ill; physical assessment indicates clubbing of fingers, wheezing,
and shortness of breath walking up one flight of stairs. - ✔✔Recognize and Analyze
Cues
✔✔Assess reading level, comprehension skills, and motivation to quit.Be mindful of
cultural differences and actively demonstrate respect and Chamberlain Care® attitude
(cultural humility); provide educational sessions with handouts printed in native
language; educate about smoking cessation opportunities. - ✔✔Generate Solutions and
Take Action
✔✔Knowledge deficit of health-related effects of smoking related to verbalized
knowledge deficiency as evidenced by smoking behaviors. - ✔✔Analyze Cues and
Prioritize Hypotheses
✔✔Liu (preferred pronouns he, him) is a 72-year-old client from China who does not
speak English and was admitted to an inpatient rehabilitation unit following a total knee
replacement surgery. Mr. Liu was originally discharged to his home but he lives alone
and refused to allow home health services to enter his residence. Now, he reports a
decreased appetite, weight loss, and being too fatigued to participate in physical
therapy. His condition is deteriorating.
Jared Solomon is the healthcare professional assigned to care for Mr. Liu today. Jared
wants to learn more about Mr. Liu's culture so he can provide appropriate care. Jared
locates an interpreter for assistance. During the first interaction, Jared asks Mr. Liu if he
is in any pain. Mr. Liu responds, "No." Jared then asks Mr. Liu if he is feeling anxious or
depressed about being admitted to the hospital. Mr. Liu responds, "No, I am fine, just
leave me alone." - ✔✔refused to allow home health services to enter his residence
just leave me alone
✔✔After leaving the room, Jared expresses frustration to his supervisor and mentions
how difficult it is to care for clients who do not speak English. Jared states, "Older Asian
adults believe they must be stoic about pain and refuse to talk about mental health
problems. Mr. Liu wouldn't even let home health help him." - ✔✔Stereotyping
✔✔Jared decides to try again and uses the 4 Cs to begin a new conversation with Mr.
Liu. Which questions should Jared ask? Select all that apply. - ✔✔What do you think
caused the problem?
How do you cope with the problem?
What are your concerns about the problem?
What do you call the problem you are having?
ANSWERS SURE A+
✔✔I am uncomfortable with the headscarves (hijab) Muslim women wear and I don't
even know what they are called. - ✔✔Assessment
✔✔Identifying and understanding one's own background, recognizing biases,
prejudices, and assumptions about others. To develop a greater cultural awareness,
time needs to be spent in thinking about and discussing various cultural experiences. -
✔✔Cultural desire
✔✔Develops through exposure to other cultures. This exposure can be through reading,
travel, movies, visits to ethnic neighborhoods and restaurants, attending ethnic
celebrations, speaking with persons from other cultures, and attending religious events
outside your own religious affiliation. - ✔✔Cultural skill
✔✔Ability to assess factors that influence client treatment and care. Acquired through
the practice of communication. One example is learning a different language. -
✔✔Cultural awareness
✔✔Interactions to learn about other cultures. Acquired through caring for culturally
diverse populations across the lifespan. - ✔✔Cultural knowledge
✔✔Motivation and willingness to learn from others. Be open-minded to learn about
cultural differences. Accept learning about others as part of your professional nursing
role. - ✔✔Cultural encounter
✔✔Have the client discuss the education from his perspective to assess his learning;
observe smoking behaviors; reassess for readiness to stop smoking. - ✔✔Evaluate
Outcomes
, ✔✔The client will understand how cigarette smoking contributes to respiratory illnesses,
cancer, and heart disease. - ✔✔Prioritize Hypotheses and Generate Solutions
✔✔Newly arrived in this country; all in extended family smoked; has many stories of
family who have died from respiratory illnesses; says that he does not understand how
smoking can make one ill; physical assessment indicates clubbing of fingers, wheezing,
and shortness of breath walking up one flight of stairs. - ✔✔Recognize and Analyze
Cues
✔✔Assess reading level, comprehension skills, and motivation to quit.Be mindful of
cultural differences and actively demonstrate respect and Chamberlain Care® attitude
(cultural humility); provide educational sessions with handouts printed in native
language; educate about smoking cessation opportunities. - ✔✔Generate Solutions and
Take Action
✔✔Knowledge deficit of health-related effects of smoking related to verbalized
knowledge deficiency as evidenced by smoking behaviors. - ✔✔Analyze Cues and
Prioritize Hypotheses
✔✔Liu (preferred pronouns he, him) is a 72-year-old client from China who does not
speak English and was admitted to an inpatient rehabilitation unit following a total knee
replacement surgery. Mr. Liu was originally discharged to his home but he lives alone
and refused to allow home health services to enter his residence. Now, he reports a
decreased appetite, weight loss, and being too fatigued to participate in physical
therapy. His condition is deteriorating.
Jared Solomon is the healthcare professional assigned to care for Mr. Liu today. Jared
wants to learn more about Mr. Liu's culture so he can provide appropriate care. Jared
locates an interpreter for assistance. During the first interaction, Jared asks Mr. Liu if he
is in any pain. Mr. Liu responds, "No." Jared then asks Mr. Liu if he is feeling anxious or
depressed about being admitted to the hospital. Mr. Liu responds, "No, I am fine, just
leave me alone." - ✔✔refused to allow home health services to enter his residence
just leave me alone
✔✔After leaving the room, Jared expresses frustration to his supervisor and mentions
how difficult it is to care for clients who do not speak English. Jared states, "Older Asian
adults believe they must be stoic about pain and refuse to talk about mental health
problems. Mr. Liu wouldn't even let home health help him." - ✔✔Stereotyping
✔✔Jared decides to try again and uses the 4 Cs to begin a new conversation with Mr.
Liu. Which questions should Jared ask? Select all that apply. - ✔✔What do you think
caused the problem?
How do you cope with the problem?
What are your concerns about the problem?
What do you call the problem you are having?
