A client asks the nurse why he is a homosexual. The best response for the nurse to make would be:
a. it was determined in utero.
b. it evolved throughout your life span.
c. it is a culturally determined pattern.
d. you learned it from your family.
ANS: B
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The provision of culturally competent nursing care will be fostered when the nurse plans and
implements care on the belief that a. a nursing goal is to foster assimilation and conformity. b. reading a handbook describing the practices of various cultures is sufficient. c. the ability to work within the client's cultural context requires ongoing effort. d. self-examination of attitudes toward various cultures promotes dehumanizing care.
The nurse assesses the patient's pressure ulcer after 2 weeks of ambulatory wound care and observes pink tissue at the base of the wound. Which should the nurse implement?
a. Refer the patient to a dietitian to improve nutrition. b. Alter the wound care to include a débrid-ing agent. c. Collaborate with the healthcare provider for wound culture. d. Recommend a hydrocolloid wound dress-ing.
The nurse is reviewing the results of a patient's cardiac output curve and notes that the size of the curve is small. Which of the following does this finding indicate?
1. a low cardiac output 2. a poor injection technique 3. incorrect placement of the catheter 4. a high cardiac output
The adolescent male client who weighs 100 pounds tells the nurse that he is considering taking "some herbal stuff" to increase his muscle mass and make him stronger
The nurse should interpret this statement as an indication that this client has which of the following? A) Serious problems with logical thinking B) A strong need for admiration C) The need for referral to a psychologist D) Incongruence between reality and ideal self