The 12 domains of culture developed by Purnell and Paulanka identify the following characteristics for the nurse to identify as part of developing cultural competence: Standard Text: Select all that apply
1. Communication
2. Family roles
3. Nutrition
4. Death rituals
5. Intelligence
1,2,3,4
Rationale 1: Communication, including dominant language and cultural communication patterns of the client
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Today, an abundance of information is available in the health care arena for consumers, resulting in the nurse encountering patients who have a much greater use of what?
A) Over-the-counter (OTC) therapies B) Alternative therapies C) Prescription drugs D) Off-label drugs
A female client with coronary heart disease asks the nurse, "How will I know if I am having a heart attack if the symptoms are different for women?" What should the nurse explain to this client?
1. "Women usually do not become short of breath." 2. "Fatigue and weakness in the lower extremities often occurs just before the chest pain." 3. "The pain is often experienced as nausea and heartburn." 4. "The pain is always precipitated by activity."
You need to assess arterial oxygen saturation (SaO2) in your patient. What is the best procedure accomplish this?
A) Incentive spirometry B) Arterial blood gas (ABG) measurement C) Peak flow measurement D) Pulse oximetry
A patient with schizophrenia shows suicidal behaviors, and the provider orders clozapine (Clozaril). The nurse teaches the family about the medication and its side effects
Which statement by a family member indicates a need for further teaching about this drug? a. "Blood counts are necessary for several weeks after discontinuation of the drug." b. "Fever, sore throat, and sores in the mouth should be reported immediately." c. "If the ANC is less than 3000, the drug will be discontinued permanently." d. "Use of this drug requires weekly evaluation of blood work."