The nurse recognizes that the subculture of healthcare
1. Can be ignored when dealing with clients from one's culture
2. Takes precedence over his or her own personal culture
3. Affects thinking and cultural values
4. Causes many nurses to view their personal cultures as more important
3
Rationale 1: The subculture of healthcare may cause the nurse to view health practices from his or her personal culture as primitive. The client from the personal culture may lack trust in the nurse who has become part of the healthcare subculture
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Which of the following statements is true regarding a nurse's job description?
a. As long as the nurse follows the American Nurses Association Standards of Care, the job description is irrelevant in a negligence allegation. b. Job descriptions must be reflective of the accepted standard of care. c. Institution-specific job descriptions are not legally acceptable. d. Job descriptions should be vague in describing nursing functions to avoid claims of negligence.
The nurse is caring for an older adult client on a medical-surgical unit. The client tells the nurse, "I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!"
When providing an explanation for the nocturia, which statement by the nurse is the most appropriate? A) "As you get older, there is a decrease in number of nephrons." B) "As you get older, there is a decrease in the blood supply to your bladder." C) "As you get older, you may have a decrease in bladder capacity." D) "As you get older, there is a decrease in cardiac output, which can cause your symptoms."
A 76-year-old resident of an assisted living facility who has a history of heart failure has presented to her primary care provider for a scheduled appointment. Which of the woman's statements suggests that her heart failure is worsening?
A) "The last few weeks I've found that I'm more comfortable sleeping in a chair than in my bed." B) "I find that I have to wake up two or three times a night to go to the washroom, which never used to be the case." C) "I find that my appetite is not what it used to be, and I have to will myself to eat enough healthy food." D) "I pride myself in staying alert and up-to-date but lately I've forgotten a few important events."
Cheryl is a 72-year-old patient who presents with a fever and newly developed incontinence. She denies pain on urination and says that she does feel as though she needs to go more often but often doesn't get to the toilet on time
What other assessment needs to be done? A) Check reflexes. B) Assess for flank pain. C) Inspect perineum. D) Assess rectum.