A 14-month-old child is admitted to the hospital. During the admission process, the nurse determines that the child and family are visiting this country from a foreign country
The nurse is unaware of the cultural traditions and values of that country. How can the nurse best provide culturally competent health care? 1. Read about that country on the internet.
2. Ask the family members how care would be provided in their own country.
3. Ask a nurse who has visited the child's home country about life in that country.
4. Ask a coworker who comes from the same region about customs and cultures in their country.
2
Rationale 1: While this may provide some information about culture, this is not the best choice for this particular child and family.
Rationale 2: This response provides accurate information about this family's beliefs and culture.
Rationale 3: This choice provides an outsider's view of the country and is not the best response.
Rationale 4: While this may be helpful in seeing the full picture, the family is the most direct and complete source of information.
Global Rationale:
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A nurse was considering self-employment by starting a home health managed care agency. Which of the following risks is the nurse taking, particularly in the beginning?
a. Because the nurse is a newcomer, most patient referrals may go to other, more long-term agencies. b. Managed care agencies assume the risk of providing all needed care within the amount budgeted. c. Most clients would not know the nurse and therefore would be unaware of the nurse's agency. d. Other nurses may envy the successful nurse and withdraw their friendship and support.
The nurse notices that a client performing a BSE is failing to palpate her breast and axillae completely. To improve her technique, the nurse should teach the client to
a. compress the nipple downward. b. gently slide her fingers over the breast tissue. c. palpate the breast using a systematic approach. d. start her examination when standing.
The nurse is caring for a client post-cerebral angiography via the client's right femoral artery. Which intervention does the nurse implement?
a. Check the right lower extremity pulses. b. Measure orthostatic blood pressure. c. Perform a funduscopic examination. d. Assess the client's gag reflex.
Which third-trimester woman would you suspect might be having difficulty with psychological adjustments to her pregnancy?
1. A woman who says, "Either a boy or a girl will be fine with me." 2. A woman who puts her feet up and listens to some music for 15 minutes when she is feeling too stressed 3. A woman who was a smoker but who has quit at least for the duration of her pregnancy 4. A woman who has not investigated the kind of clothing or feeding methods the baby will need