A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don't make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population.
ANS: B
Many members of the LGBTQ community have faced discrimination from health care providers and may be reluctant to seek health care. The nurse should never make assumptions about the needs of members of this population. Rather, respectful questions are appropriate. If approached with sensitivity, the client with any health care need is more likely to answer honestly.
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When teaching clients about acute myocardial infarctions (MI), the nurse should include:
a. "Acute myocardial infarction, or heart attack, occurs when an area of heart muscle dies as a result of insufficient oxygen." b. "Nearly 80% of all clients experiencing acute myocardial infarction die before reaching a health care facility, so you should get your affairs in order." c. "The goal for the care of the client with an acute myocardial infarction is to restore life to the dead heart tissue." d. "The first action you should take if you experience signs of a heart attack is to place one of your nitroglycerin patches on."
A patient with a urinary diversion requires a sterile urine specimen for culture and sensitivity. Which action should the nurse take to obtain the sterile specimen?
a. Have the patient void into a sterile cup after being cleaned. b. Collect the specimen from a new urine pouch. c. Insert a sterile catheter into the urinary stoma. d. Let urine drip from the stoma into a sterile specimen cup.
A nurse working in obstetrics helps new mothers bond with their children. Which of the following observations would be of concern to the nurse? (Select all that apply.)
a. The mother appears frightened of her newborn and avoids touching him. b. The mother continually praises her newborn and his nursing and sleeping. c. The mother constantly looks at and talks to her newborn. d. The mother touches her newborn, patting, hugging, and smiling at him. e. The mother says "Boys are tough" as she rather carelessly changes his diaper. f. The mother states that the newborn does not seem to like her.
Dysrhythmias are a concern for any client. However, the presence of a dysrhythmia is more serious in an elderly person because
A) elderly persons usually live alone and cannot summon help when symptoms appear. B) elderly persons are more likely to eat high-fat diets which make them susceptible to heart disease. C) cardiac symptoms, such as confusion, are more difficult to recognize in the elderly. D) elderly persons are intolerant of decreased cardiac output which may result in dizziness and falls.