Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds?
a. The fact that a nurse is white has no bear-ing on the nurse's ability to care for mi-nority patients or patients of color.
b. An encyclopedic accumulation of details of a particular culture is the best prepara-tion for caring for persons from that cul-ture.
c. A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as the nurse who works in California.
d. Facial expressions, body language, post-ure, and touch are important elements of communication between a nurse and a pa-tient from a different ethnicity.
D
Facial expressions, body language, posture, and touch become more important as language bar-riers limit the effectiveness of verbal exchanges. They also have different meanings in different cultures. A white person is more likely to have had opportunities and freedoms and take them for granted, whereas a person of color who has never experienced such opportunities and freedoms may regard them as special privileges. Knowledge of cultural details can be useful, but it can also lead to stereotypes that obscure the differences between individual persons. Illinois, along with California, Nevada, Florida, Texas, and New Jersey, is one of the states with the greatest numbers of immigrant older adults.
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The spouse of a recently deceased client is concerned because she has had a backache since the client's death and seems to be more forgetful. The nurse realizes that the client is describing a(n):
a. acute illness and needs to see a physician. b. chronic illness that needs attention. c. dysfunctional grief reactions. d. normal grief reactions.
A patient is prescribed triamcinolone (Kenalog) ointment for an allergic skin rash. Which precaution is most important to teach this patient?
a. "Always wear gloves when applying this ointment." b. "Do not use the ointment on an infected skin area." c. "Keep the drug refrigerated between applications." d. "Do not wash the ointment off until the area is healed."
The physician orders a hypertonic crystalloid solution for the patient in critical care who has cerebral edema. The nurse hangs a bag of a hypotonic solution. What will the priority assessment by the nurse include?
1. Headache, irritability, and decreasing level of consciousness 2. Nausea, projectile vomiting, and pinpoint pupils 3. Confusion, hallucinations, and agitation 4. Hypertension, headache, and nausea
MC Pulseless Electrical Activity (PEA) is most commonly due to
A. hypovolemia B. hypokalemia C. hypothermia D. hypoxia