Nurs 311- Exam # 3 Questions And Answers!!

A caucasion nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibilty that this is: - An important item used in native healing practices A just culture is one in which - Staff can report mistakes without punishment A new nurse is working on a surgical unit. A physical therapist is quick to criticize everythingthe new nurse does and treats other nurses nicer than new nurse. The new nurse dreads going to work on the days that the physical therapist is working. What action should the new nurse take? - Report the behavior to the supervisor A nurse is providing discharge instructions for a client who is of Chinese heritage. Throughout the teaching, the client avoids all eye contact with the nurse. How should the nurse respond? - Continue teaching and verify clients understanding A sentinel event refers to an event that: - harms a patient by omission or comission, not an underying disease or condition. According to Mckeon and Cardell (2011), up to what percentage of nursing care is left undone? - 28% An english speaking nurse gave a non-english speaking Asian patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of providone-iodine was to be used in cleaning the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of providone-iodine. Which action would be most effective in preventing this error? - Using a medical interpreter to give the preoperative instructions Compared with errrors, near misses occur - With greater requrency Examples of HROs in exemplar hospitals include - Intenstive Care Units and Operating RoomsHROs use root cause analysis (RCA) to: - Analyze instiutional problems Mckenon and Cardell (2011) describe the ultimate goal of root cause anaysis is to: - Prevent future harm Research had demonstrated that staffing with a higher percentage of RN's results in - Fewer adverser patient events The most prevalent HAC is - Urinary tract Infections The nurse is admitting an American client to a Mexican hospital in a small town. The client was raised in a country where medical care is easy to obtain. The nurse notices the patient is feeling embarrassed and anxious and is becoming frustrated. The nurse knows the patient is showing signs of which of the following? - Culture Shock The nurse is caring for a 12 year old child following an appendectomy (removal of appendix). What interventions could interfere with the quality and safety of nursing care? - Following the doctor's orders no matter what. The nurse is caring for a client who has recently immigrated from India. Which action by the nurse is appropriate when developing the nursing care plan? - Perform a cultural assessment The nurse is caring for a frail elderly client who immigrated to the United States from China in 1935. The client is able to speak English but has lived in a Chinese neighborhood with extended family since arriving to the U.S. Which factor should influence the nurse when planning care for this client? - Health care practices, rituals, religious beliefs, and food patterns need to be identified. The nurse is caring for a patient that does not speak English. When is it imperative that the nurse have an interpreter present for this patient? - When consent for treatment is needed