NURSING 102 (NURSING FUNDAMENTALS) REAL QUESTIONS WITH VERIFIED ANSWERS

NURSING 102 (NURSING FUNDAMENTALS) REAL QUESTIONS WITH VERIFIED ANSWERS Balzer Riley: Communication in Nursing, 7 th Edition Understanding Each Other: Communication and Culture MULTIPLE CHOICE 1. A non-Hispanic white nurse provides care to mostly Hispanic patients. It would be most important for the nurse to take which action? A. Discover cultural influences on health care perceptions and behaviors. B. Assist the patients to adapt to American culture and health beliefs. C. Avoid confrontation of underlying issues of discrimination. D. Improve communication by learning how to speak Spanish. ANS: A Nurses need to know about culture because it influences both nurses’ and clients’ health care perceptions and behaviors. Nurses should learn about the culture of diverse clients and communities. Nurses need to recognize and overcome certain attitudes basic to the American culture. To provide culturally competent care, the nurse must address issues of discrimination. Learning how to speak another language is important, but it is more important to seek understanding of cultural influences on health. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: p. 48 2. The nurse cares for diverse clients in a community health setting. Which action should the nurse take first to learn about delivering care to diverse clients? A. Adopt a transcultural framework to develop culturally appropriate care. B. Ask clients about their personal health care beliefs. C. Develop a self-awareness of personal health care beliefs. D. Recognize ethnocentric beliefs of minorities in the community. ANS: C The initial action that the nurse should take to learn about delivering care to diverse clients is to become familiar with personal health care beliefs and behaviors. Self-awareness helps nurses recognize that their beliefs and behaviors are not necessarily common to all. Nurses’ lack of knowledge about their own culture can distort their perceptions of the beliefs and behaviors of clients from diverse cultures. Transcultural frameworks have been developed to help nurses provide culturally appropriate nursing care. Ethnocentrism interferes with the appreciation of diverse cultures and their health care beliefs and behaviors. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: p. 49 3. The nurse provides care to a client from Nigeria who is visiting the United States. Which should the nurse use to communicate with this client? A. Review the predominant health beliefs of the Nigerian population. B. Appraise the client’s health beliefs and behaviors with a cultural assessment. C. Consult with other nurses who have taken care of clients from other countries. lOMoAR cPSD| Downloaded by Elizabeth Whitney () D. Use standard communication techniques to establish a helping relationship. ANS: B Tripp-Reimer and Afifi (1989) suggest two processes that nurses may use to communicate with clients from diverse cultures: cultural assessment and cultural negotiation. Cultural assessment refers to the appraisal of a client’s health beliefs and behaviors. The information is then used to determine appropriate nursing interventions. Cultural negotiation refers to the process of negotiating with the client regarding differences in the lay and professional belief systems concerning appropriate care. Information obtained from other sources (e.g., written documents, other nurses, experts, standards) is not specific to this client’s health beliefs and behaviors. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: p. 49 4. The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best? A. Ask a bilingual friend of the patient to interpret. B. Use nonverbal communication and draw pictures. C. Request a Spanish-speaking medical interpreter. D. Interview the patient’s English-speaking daughter. ANS: C Professional interpreters are able to communicate medical terms and can be of assistance in reducing the risks of breaches in patient privacy and confidentiality. Also, information can be directly obtained from the patient. When family members or volunteers serve as the interpreter, patients are often uncomfortable sharing sensitive information. Family members in a stressful situation may have difficulty being the interpreter. Although nonverbal communication is important, this method should only be used if an interpreter is not available. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 51 5. The nurse is interviewing a Native American client. It is most important for the nurse to take which action? A. Maintain eye contact to show respect and interest. B. Assess whether the client is comfortable with eye contact. C. Avoid prolonged eye contact with this client. D. Sit next to the patient to avoid any eye contact. ANS: B Eye contact is often cultural; some Native Americans believe that prolonged eye contact is rude and intrusive. However, it is important to assess each individual patient for preferences and comfort with eye contact. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 53 6. The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate? A. Use both first and last name with each encounter. B. Ask the patient how he prefers to be addressed. C. Call the patient by his first name. D. Address the patient by his last name. ANS: B It is important to call the patient by the name he or she prefers. The nurse should ask a person how he or she prefers to be addressed, because considerable cultural variation exists. Most Americans are comfortable with calling people by their first names. This is perceived by some, however, as a failure to show respect. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 54 7. The nurse observes a nursing assistant interacting with an elderly patient. Which statement by the nursing assistant requires an immediate intervention by the nurse? A. “I will help you remember where your room is located.” B. “Would you like me to read from your Bible today?” lOMoAR cPSD| Downloaded by Elizabeth Whitney () C. “Tell me a story about when you were young.” D. “Sweetie, I will bring your coffee in a few minutes.” ANS: D The elderly should not be addressed using disrespectful terms such as “honey,” “sweetheart,” “gramps,” and “granny” and other patronizing forms of speech. Short term memory may decline with age; health care providers may assist patients as needed. The elderly may express their spirituality through prayer and reading the Bible. Sharing stories helps an elderly patient to review life and establish meaning. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 54 8. A female nurse discusses a concern related to client care with a male physician. Which communication strategy, if used by the nurse, is most effective? A. Assume a subservient role to the physician. B. Use a direct approach with succinct sentences. C. Ask questions instead of making recommendations. D. Be polite and expect politeness from the physician. ANS: B Simplicity of speech is recommended; use direct communication with few words. The nurse should not assume a subservient role to the physician; there needs to be a connection between communication, collaboration, and teamwork in the nurse-physician relationship to provide quality care. The nurse should be assertive, expect professional respect, and exude expertise. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care REF: p. 56 9. Which patient would most likely be uncomfortable with close personal space during an interaction with the nurse? A. 19-year-old white female patient who is standing two feet in front of the nurse. B. 40-year-old African-American male patient who is sitting next to the nurse. C. 60-year-old Latin-American female patient who is seated across from the nurse. D. 82-year-old patient from France who is lying in bed with the nurse sitting next to the bed