A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip
How should the woman's nurse best exemplify cultural competence in the care of this patient?
A) Ensure that the woman receives care solely from Spanish-speaking caregivers.
B) Consider dimensions of the woman's cultural background when planning care.
C) Integrate teaching about American culture when interacting with the patient.
D) Address the woman's children first when explaining her care and changes in her health status.
B
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Each state has a nurse practice act that establishes the standards of care required for legal nursing practice. In order to protect herself/himself from litigation, the nurse should understand that:
a. laws create liability issues for nurses. b. licensure laws are devised to protect the nurse. c. the nurse is not responsible for other disciplines' mistakes. d. keeping current with changing laws can protect the nurse.
A lawsuit is brought against a nurse in a rural hospital. The nurse replies that the standard of care for rural nurses is different from that for nurses working in large urban facilities. Is this a defensible position?
1. Yes, the rural nurse does not have access to the same quality of inservice education as the urban nurse. 2. Yes, it is well known that rural health care is substandard as compared to urban health care. 3. No, nurses in rural settings must meet the same standards as those practicing in large urban areas. 4. No, rural nurses work in a slower paced environment, so they have more time to provide quality personal care.
A patient with hormone imbalance is demonstrating symptoms of dehydration and excessive urination. The nurse realizes that which hormone is most directly associated with these symptoms?
1. Antidiuretic hormone (ADH) 2. Adrenocorticotropic hormone (ACTH) 3. Follicle stimulating hormone (FSH) 4. Thyroid-stimulating hormone (TSH)
When the wife asked why her husband had gotten so upset because she burned the meat because of an interruption at the door, he explained that his boss had been giving him impossible tasks, he had a drink after work, and he really wished his wife would
learn how to cook. When the woman laughingly shared this story during a routine visit at the clinic, the nurse became concerned. What might have concerned the nurse? A. The husband had a drink after work rather than coming right home. B. The husband refused to take responsibility for his own actions. C. The woman felt this episode was worth sharing. D. The woman was laughing as she told the story.