1
Medical-Surgical Nursing 2 |
Saunders Comprehensive Review
for NCLEX – Complete Study Set
, 2
The nurse is providing discharge instructions to a Chinese American clien
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regarding prescribed dietary modifications. During the teaching session,
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the client continuously turns away from the nurse. The nurse should
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implement which best action? j j j
✓ Answers-Continue with the j j j
instructions,verifyingclient j j j
understanding.
1) A critically ill Hispanic client tells the nurse through an
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interpreter that she is Roman Catholic and firmly believes in
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the rituals and traditions of the Catholic faith. Based on the
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client's statements, which actions by the nurse demonstrate
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cultural sensitivity and spiritual
j j j
support? Select all that apply.(1,2,5)
j j j j
✓ Answers-Ensures that aclose j j j j
relative stays with j j
the client j
✓ Makes a referral for a Catholic j j j j j j
priest to visit the client j j j j
✓ Offers to provide a means for j j j j j
praying the rosary if the client j j j j j j
wishes.
2) Which clients have a high risk of obesity and diabetes
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mellitus? Select all that apply.(1,2,4,5)
j j j j
✓ Latino American Man j j
✓ Native American man j j
✓ Hispanic Americanman j j
✓ African American woman j j
3) The nurse is preparing a plan of care for a client, and is asking
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the client about religious preferences. The nurse considers
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the client's religious preferences as being characteristic of
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ja Jehovah's Witness if which client statement is made?
j j j j j j j j
✓ I cannot have any food containing j j j j j
or Prepared with blood." j j j
4) The ambulatory care nurse is discussing preoperative
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, 3
procedures with a Japanese American client who is scheduled for
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surgery the following week. During the discussion, the client
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continually smiles and nods the head. How should the nurse
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interpret this nonverbal behavior?
j j j
, 4
✓ Answers-Reflectinga cultural value j j j
5) When communicating with a client who speaks a different
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language, which best practice should the nurse implement?
j j j j j j j
✓ Arrange for aninterpreter to j j j j j
translate.
6) The nurse educator is providing in-service education to the
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nursing staff regarding transcultural nursing care; a staff
j j j j j j j j
member asks the nurse educator to provide an example of the
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concept of acculturation. The nurse educator should make which
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most appropriate response?
j j
✓ Answers-"A person who moves from j j j j j
China to the United States (U.S.) and j j j j j j j
learns about and adapts ato the j j j j j j
culture in the U.S." j j j
7) An Asin American client is experiencing a fever. The nurse plans
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care so that the client can self-treat the disorder using
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which method? j
✓ Foods considered to be yin j j j j
8) Which meal tray should the nurse deliver to a client of
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Orthodox Judaism faith who follows a kosher diet?
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✓ Sweet and sour chicken with rice and j j j j j j j
vegetables, mixed fruit, juice. j j j
9) Which is the best nursing intervention regarding
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complementary and alternative medicine? j j j
✓ Educating the client about j j j j
therapies that he or she is using or j j j j j j j j
is interested in using
j j j
10) An antihypertensive medication has been prescribed for a
j j j j j j j j
client with hypertension. The client tells the clinic nurse that
j j j j j j j j j j
he would like to take an herbal substance to help lower his blood
j j j j j j j j j j j j j
pressure. The nurse should take which action? j j j j j j
Medical-Surgical Nursing 2 |
Saunders Comprehensive Review
for NCLEX – Complete Study Set
, 2
The nurse is providing discharge instructions to a Chinese American clien
j j j j j j j j j j
regarding prescribed dietary modifications. During the teaching session,
j j j j j j j
the client continuously turns away from the nurse. The nurse should
j j j j j j j j j j j
implement which best action? j j j
✓ Answers-Continue with the j j j
instructions,verifyingclient j j j
understanding.
1) A critically ill Hispanic client tells the nurse through an
j j j j j j j j j j
interpreter that she is Roman Catholic and firmly believes in
j j j j j j j j j j
the rituals and traditions of the Catholic faith. Based on the
j j j j j j j j j j j
client's statements, which actions by the nurse demonstrate
j j j j j j j j
cultural sensitivity and spiritual
j j j
support? Select all that apply.(1,2,5)
j j j j
✓ Answers-Ensures that aclose j j j j
relative stays with j j
the client j
✓ Makes a referral for a Catholic j j j j j j
priest to visit the client j j j j
✓ Offers to provide a means for j j j j j
praying the rosary if the client j j j j j j
wishes.
2) Which clients have a high risk of obesity and diabetes
j j j j j j j j j j
mellitus? Select all that apply.(1,2,4,5)
j j j j
✓ Latino American Man j j
✓ Native American man j j
✓ Hispanic Americanman j j
✓ African American woman j j
3) The nurse is preparing a plan of care for a client, and is asking
j j j j j j j j j j j j j j
the client about religious preferences. The nurse considers
j j j j j j j j
the client's religious preferences as being characteristic of
j j j j j j j
ja Jehovah's Witness if which client statement is made?
j j j j j j j j
✓ I cannot have any food containing j j j j j
or Prepared with blood." j j j
4) The ambulatory care nurse is discussing preoperative
j j j j j j
, 3
procedures with a Japanese American client who is scheduled for
j j j j j j j j j j
surgery the following week. During the discussion, the client
j j j j j j j j j
continually smiles and nods the head. How should the nurse
j j j j j j j j j j
interpret this nonverbal behavior?
j j j
, 4
✓ Answers-Reflectinga cultural value j j j
5) When communicating with a client who speaks a different
j j j j j j j j j
language, which best practice should the nurse implement?
j j j j j j j
✓ Arrange for aninterpreter to j j j j j
translate.
6) The nurse educator is providing in-service education to the
j j j j j j j j j
nursing staff regarding transcultural nursing care; a staff
j j j j j j j j
member asks the nurse educator to provide an example of the
j j j j j j j j j j j
concept of acculturation. The nurse educator should make which
j j j j j j j j j
most appropriate response?
j j
✓ Answers-"A person who moves from j j j j j
China to the United States (U.S.) and j j j j j j j
learns about and adapts ato the j j j j j j
culture in the U.S." j j j
7) An Asin American client is experiencing a fever. The nurse plans
j j j j j j j j j j j
care so that the client can self-treat the disorder using
j j j j j j j j j j
which method? j
✓ Foods considered to be yin j j j j
8) Which meal tray should the nurse deliver to a client of
j j j j j j j j j j j
Orthodox Judaism faith who follows a kosher diet?
j j j j j j j
✓ Sweet and sour chicken with rice and j j j j j j j
vegetables, mixed fruit, juice. j j j
9) Which is the best nursing intervention regarding
j j j j j j j
complementary and alternative medicine? j j j
✓ Educating the client about j j j j
therapies that he or she is using or j j j j j j j j
is interested in using
j j j
10) An antihypertensive medication has been prescribed for a
j j j j j j j j
client with hypertension. The client tells the clinic nurse that
j j j j j j j j j j
he would like to take an herbal substance to help lower his blood
j j j j j j j j j j j j j
pressure. The nurse should take which action? j j j j j j
