The student nurse has been studying different cultures in relationship to nursing. She understands that transcultural nursing has been developed as a distinct discipline and can be defined as which of the following?
a. Understanding that cultural patterns are generated from predetermined criteria
b. Knowing that culturally congruent care is based on health care system values
c. Understanding cultural similarities and differences among groups of people
d. The realization that illness and disease are the same
C
Leininger defines transcultural nursing as a comparative study of cultures to understand similarities (culture universal) and differences (culture-specific) across human groups. The goal of transcultural nursing is culturally congruent care, or care that fits a person's life patterns, values, and a set of meanings. Patterns and meanings are generated from people themselves rather than predetermined criteria. Culturally congruent care is sometimes different from the values and meanings of the professional health care system. To provide culturally congruent care, it is important for you to distinguish between disease and illness. Illness is the way that individuals and families react to disease, whereas disease is a malfunctioning of biological or psychological processes.
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The nurse manager has decided to use evidence-based practice (EBP) to solve an issue and has called staff nurses together for input. Which question, as posed by the manager, reflects the first step of the EBP process?
1. "What outcomes are we expecting from this work?" 2. "Is anyone prepared to evaluate the statistics we will find?" 3. "What is the exact clinical issue with which we are dealing?" 4. "Where can we look for information?"
The nurse making an admission assessment notes the client is profoundly depressed to the point of
being mute and motionless. The client has refused to bathe and eat for a week, according to her parents. The nurse should code the client's global assessment of functioning as a. 100. b. 50. c. 25. d. 10.
The nurse is caring for 8-year-old girl with hyperpituitarism. Which of the following treatments will the nurse expect to perform?
A) Give desmopressin acetate intranasally. B) Inject octreotide acetate. C) Give 1 mg/kg/day of methimazole. D) Administer glipizide orally.
A patient is admitted to the emergency department with severe fatigue and confusion. Laboratory studies are done. Which laboratory value will require the most immediate action by the nurse?
a. Arterial blood pH is 7.32. b. Serum calcium is 18 mg/dL. c. Serum potassium is 5.1 mEq/L. d. Arterial oxygen saturation is 91%.