Online Practice Test 18

our Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 18 > NCLEX® Review Date/Time Submitted: July 10, 2012 at 2:17 PM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		Which of the following statements about culture is true? Your Answer: Differences can exist among members of the same cultural group.
		Objective: Recognize the core practice competencies of culturally competent nursing care. Rationale: Major differences within cultural groups may be due to age, gender, level of education, and socioeconomic status. Not all members of a cultural group will share the same beliefs and values. Different cultures rarely have the same values. No one culture has values that universally apply to all other cultures. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		Which statement about religion is most accurate? Your Answer: Religion is a system of beliefs, practices, and ethical values regarding the creator(s) or ruler(s) of the universe.
		Objective: Recognize the core practice competencies of culturally competent nursing care. Rationale: Culture, religion, and ethnicity shape a person's worldview. Religion often is determined by one's cultural and ethnic group. Religious teachings may begin in early childhood, before the individual is acclimated to society's norms. In most cases, there is a correlation between religion and ethnicity. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		While conducting an initial assessment of an infant, a home health nurse notices that she is wearing a soiled red string around her neck. The nurse should: Your Answer: Ask the infant's parents about the significance of the string, and suggest that it be placed more safely on her body
		Objective: Plan culturally sensitive, appropriate, and competent nursing interventions. Rationale: Always act in the best interest of the client, while demonstrating respect for their values. Removing the string would demonstrate cultural insensitivity. Leaving the string may place the infant at risk for injury. Informing the parents would demonstrate lack of respect for cultural beliefs and interfere with formation of a therapeutic relationship. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		A client with cancer refuses treatment, and tells the nurse, "I will recover through prayer and meditation if it's God's will." According to Andrews and Boyle's description of health beliefs, which of the following belief systems does this client hold? Your Answer: Holistic health belief Correct Answer: Magico-religious health beliefs
		Objective: Discuss the components of culturally focused nursing, heritage consistency, and health traditions. Rationale: This client holds Magico-religious health beliefs. Scientific or biomedical health belief is based on the belief that life and life processes are subject to control by humans. Folk medicine is derived from cultural beliefs, rather than a scientific base. Holistic health belief believes that illness is the result of an imbalance between that person and nature. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		A nurse is asked to care for a gay male client, but has no experience with gay culture and feels uncomfortable around this client. What would be the most appropriate nursing action? Your Answer: Being honest about the lack of experience, and respecting the client's values and practices
		Objective: Identify factors related to communication with culturally diverse patients and colleagues. Rationale: Being honest about the lack of experience, and respecting the client's values and practices, is the most appropriate nursing action. Leaving a pamphlet indicates a lack of respect for the client's beliefs and practices. Avoiding touching is not based on scientific knowledge about the transmission of HIV disease. Acting as if the client is no different may hinder communication between the client and nurse. Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Decide what is the best action for client and situation.
6.		A Native American client with a low-grade fever insists on using a sweat lodge to treat his illness. What is the nurse's best response? Your Answer: Monitoring the client's condition, and keeping in mind that treatment consistent with the client's beliefs will probably be the most successful
		Objective: Differentiate biomedical care from folk healing. Rationale: The nurse's best response is to monitor the client's condition, and to keep in mind that treatment consistent with the client's beliefs probably will be the most successful. The client who doesn't believe in Western medicine will not believe the sweat lodge will worsen his condition. Asking the client's relatives to convince him not to use the sweat lodge would not promote good relations with the client and may violate his right to privacy. The nurse should attempt to find a solution before asking the physician to intervene. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Decide what is the best action for client and situation.
7.		__________ describes the degree to which one’s lifestyle reflects his or her respective tribal culture. Your Answer: Values Correct Answer: Heritage consistency
		Objective: Discuss the components of culturally focused nursing, heritage consistency, and health traditions. Rationale: Heritage consistency describes the degree to which one’s lifestyle reflects his or her respective tribal culture. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use knowledge of culture and nursing practice.
8.		A nurse is caring for two clients, both of whom have had abdominal surgery. One, a Hispanic, writhes in pain and moans when touched, and the other, an Asian, appears calm and rarely complains of pain or discomfort. Which of the following statements regarding this situation is true? Your Answer: The Hispanic client is exaggerating his pain. Correct Answer: Culture and ethnicity may affect how a client exhibits distress.
		Objective: Identify factors related to communication with culturally diverse patients and colleagues. Rationale: Both have a direct effect on communication style, but the nurse should avoid stereotyping or false assumptions when planning and providing care. The presence or absence of pain must be validated by direct query. The nurse should never be judgmental of a client's behaviors. All complaints of pain by a patient must be believed and addressed. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		A home health nurse in a small Appalachian community is caring for a client at home. The client is an active member of the church, and as death nears, the local minister and many members of the congregation gather in the home for a "death watch." What is the most appropriate nursing action? Your Answer: Respectfully observe the client's religious beliefs and allow the family and minister unlimited access to the client
		Objective: Plan culturally sensitive, appropriate, and competent nursing interventions. Rationale: Particularly within the setting of a terminal illness, the nurse's most important responsibility is providing physical and spiritual comfort to the client and family. For the client who is dying and has no hope for recovery, spiritual support and contact with the family take precedence over medical procedures. Unless the client expresses a wish to be alone, the nurse should follow local cultural practices and allow the visitors to stay. The nurse should follow local cultural practices unless the client wishes otherwise. Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		The process of being raised within a culture and acquiring the characteristics of that group is called __________. Your Answer: Trait Correct Answers: Socialization or Acculturation Acculturation or Socialization
		Objective: Plan culturally sensitive, appropriate, and competent nursing interventions. Rationale: The process of being raised within a culture and acquiring the characteristics of that group is called socialization or acculturation. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Read question and use knowledge of culture.