A nurse is asked to consult with the local domestic violence shelter where the shelter employees state that individuals from a particular culture do not use the services offered. An employee states, "I bet that these women are being abused because of
violent nature of that culture." What recommendation will the nurse suggest?
1. The agency should place flyers in the local schools.
2. The agency should advertise their services in the local newspaper.
3. The agency should add a culturally competent greeting on the agency's phone message.
4. The agency should promote culturally competent values, policy, structures, and practices.
Answer: 4
Explanation: Agencies that acknowledge, accept, and work with cultural differences may be viewed as "culturally competent," whereas those agencies that ignore culture when delivering services are viewed as "culturally blind." There may be an increased risk of conflict in health care services when providers lack cultural sensitivity. Strategies to increase advertising and add a culturally competent phone message should be targeted at the specific cultural group as a part of a larger strategy.
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The nurse is preparing a prenatal class session about maternal role attainment. Which statement should the nurse include?
A. The formal stage occurs after delivery when the mother looks to her own mother and other role models. B. The informal stage is reached when the mother develops her own personal style of mothering that works for her. C. The anticipatory stage begins when the child is about two years of age, when the mother is looking inward. D. The personal stage is characterized by trying to act as the mother believes others expect her to act.
A client is prescribed a hypertonic intravenous solution. Administration of this solution will most likely cause which manifestation to occur?
1. A shift of fluid from the vascular space to the interstitial space. 2. No fluid shift 3. The plasma to have more solutes than the interstitial fluid. 4. The plasma to have fewer solutes than the interstitial fluid
Which of the following physiological changes in an elderly patient lowers the rate of drug metabolism?
A. An increase in renal blood flow B. A decrease in the percentage of adipose tissue in the body C. A decrease in the production of enzymes that oxidize drugs D. An increase in the flow of blood to the liver
Ken, a 60-year-old, has been taking daily doses of certain fat-soluble drugs. Identify an accurate statement about how these drugs will get distributed in Ken's body.
A. Most of the drugs will dissolve into the body fluids. B. Most of the drugs will dissolve into the blood plasma. C. The drugs will be directly diverted to the liver and kidneys. D. The drugs will be distributed to the body organs that have a high content of adipose tissue.