The U.S. Department of Health and Human Services (USDHHS) acted to make cultural competence a priority in health care. Federal standards were issued that included which of the following?
a. Clients are expected to agree to medical services, regardless of their cultural be-liefs.
b. Hiring practices of hospitals should not be affected by these standards.
c. Interpreters should be available to all non–English-speaking clients.
d. Nursing staff that are of the same culture as the client should care for the client.
C
Interpreter services should be available at no cost to each client with limited English proficiency at all points of contact, in a timely manner, and during all hours of operation.
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The nurse at the student health center is seeing a nursing student who is interested in reducing his stress level. The nurse identifies guided imagery as an appropriate intervention. Guided imagery involves:
A) The use of progressive tensing and relaxing of muscles to release tension in each muscle group B) Using positive self-image to increase and intensify physical workouts in the gym, which decreases stress C) The mindful use of a word, phrase, or visual image that allows one's self to be distracted and temporarily escape from stressful situations D) The use of music and humor to create a calm and relaxed demeanor, which allows escape from stressful situations
A patient is receiving a blood transfusion and complains of a new onset of slight dyspnea. The nurse's rapid assessment reveals bilateral lung crackles and elevated BP. What is the nurse's most appropriate action?
A) Slow the infusion rate and monitor the patient closely. B) Discontinue the transfusion and begin resuscitation. C) Pause the transfusion and administer a 250 mL bolus of normal saline. D) Discontinue the transfusion and administer a beta-blocker, as ordered.
Continuous venovenous hemodialysis is used to:
a. remove fluids and solutes through the process of convection. b. remove plasma water in cases of volume overload. c. remove plasma water and solutes by adding dialysate. d. combine ultrafiltration, convection and dialysis
A patient asks which method of contraception will provide the greatest protection against gonorrhea. What method can the nurse recommend?
1. Oral contraceptives 2. Male condoms 3. Sponges 4. Spermicides