The administrative team at a home care agency is discussing how they meet the Culturally and Linguistically Appropriate Services (CLAS) standards. Which of the following actions demonstrates the incorporation of these standards in practice?
a. Requiring a small fee so that all patients will have a translator immediately available
b. Using hand motions, pantomime, and touch to convey information
c. Requiring all staff nurses employed in the hospital to be bilingual
d. Using a computer to print index cards with essential phrases both in English and in the patient's language
ANS: D
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A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, "Will I be able to deliver vaginally?" What explanation by the nurse is the most appropriate?
a. "Yes, you can deliver vaginally until 36 weeks." b. "A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section will be done." c. "A cesarean section is performed when the mother has a total placenta previa." d. "There is no reason why you cannot have a vaginal delivery."
A child diagnosed with stage IV neuroblastoma has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?
A) Risk for infection related to chemotherapy B) Impaired skin integrity related to abdominal surgery C) Grieving related to advanced disease and poor prognosis D) Imbalanced nutrition related to adverse effects of chemotherapy
A client has had diarrhea for 36 hours. The healthcare provider orders diphenoxylate with atropine (Lomotil). The nurse should contact the physician if the client has a history of:
a. heart disease. b. diabetes mellitus. c. glaucoma. d. neuropathy.
The home health nurse is firm with an 86-year-old man with terminal illness that he needs to file an advance directive to:
a. demonstrate understanding of his imminent death. b. comply with most hospital policies. c. clarify treatment protocols. d. spare his family the burden of making end-of-life decisions.