NU 216 Final Exam 1 Questions with Correct Answers

NU 216 Final Exam 1 Questions with Correct Answers A staff nurse expresses frustration that a Native American patient always has several family members at the bedside. Which action by the charge nurse is most appropriate? - Ch.2 - Answer-Ask about the nurse's personal beliefs about family support during hospitalization. Rationale: The first step in providing culturally competent care is to understand one's own beliefs and values related to health and health care. Asking the nurse about personal beliefs will help achieve this step. Reminding the nurse that this cultural practice is important to the family and patient will not decrease the nurse's frustration. The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in the patients. To correct this health disparity, which action should the nurse take first? Ch. 2 - Answer-Assess the perceptions of community members about the care at the clinic. Rationale: Before other actions are taken, additional assessment data are needed to determine the reason for the disparity. The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Which action by nurse is most appropriate? Ch. 2 - Answer-Ask the patient whether it is important that cultural healers are contacted. Rationale: Because the patient has traditional health care beliefs, it is appropriate for the nurse to ask whether the patient would like a visit by a shaman or other cultural healer The nurse is caring for a patient who speaks a different language. If an interpreter is not available, which action by the nurse is most appropriate? Ch. 2 - Answer-Use simple gestures to demonstrate meaning while talking to the patient. Rationale: The use of gestures will enable some information to be communicated to the patient. While admitting a patient to the medical unit, the nurse determines that the patient has a hearing impairment. How should the nurse use this information to plan teaching and learning strategies? Ch. 4 - Answer-Written materials should be provided with verbal instructions. Rationale: The information that the patient has a hearing impairment indicates that the nurse should use written and verbal materials in teaching along with other strategies. A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure? Ch. 6 - Answer-Relaxation breathing Rationale: Relaxation breathing is an easy relaxation technique to teach and use A patient with a deep partial thickness burn has been receiving hydromorphone through patient-controlled analgesia (PCA) for 1 week. The nurse caring for the patient during the previous shift reports that the patient wakes up frequently during the night complaining of pain. What action by the nurse is appropriate? Ch. 8 - Answer-Consult with the health care provider about using a different treatment protocol to control the patient's pain