The nurse working in a predominately Hispanic community outlines a breast health screening. The nurse is aware that:
1. Breast cancer is the leading cause of cancer death in Hispanic women.
2. This cultural group is strict about performing monthly self breast exams.
3. Hispanic women have a higher incidence of breast cancer after age 40.
4. Hispanic women have an open attitude about private issues.
1
Rationale 1: While Hispanic women, along with Asian women, have the lowest rates of breast cancer, breast cancer is the leading cause of cancer death in Hispanic women.
Rationale 2: It is common for this particular cultural group to believe that looking at or touching themselves is prohibited; therefore, this culture is not strict about performing monthly self–breast exams.
Rationale 3: Caucasian women over the age of 40 have a higher incidence of breast cancer than women in all other racial and ethnic groups.
Rationale 4: Many Hispanic women do not have an open attitude about private issues. Females in many cultures have concerns about discussing breast health or disease, as well as disrobing and being examined by others, especially when the examiner is of the opposite sex.
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The nurse is caring for a client who does not speak English and is assessing the client's pain level. The nurse should consider using which scale to help the client communicate pain levels?
1. A pain questionnaire such as McGill 2. Numeric pain intensity scale 3. Descriptive pain intensity scale 4. Wong-Baker FACES scale
Which of the following should the nurse encourage to help prevent and control community-acquired infections?
A) Diet and exercise regimen C) Childhood immunizations B) Reduced smoking D) Regular checkups
Two cognitive processes that nurses use in clinical judgments include (select two answers):
a. analysis. b. brainstorming. c. fish boning. d. intuition.
Which scenario best reflects direct supervision of a nursing assistant?
1. The nurse and the nursing assistant work together to provide care to a team of six patients. 2. The nursing assistant provides care independently and telephones the nurse when questions arise. 3. The nursing assistant only provides hygienic care to the patient and works independently in the patient's home. 4. The nursing assistant charts care in the patient's medical record and the nurse reviews that charting on a regular basis.