The nurse is planning care for a patient from a non-English speaking culture. Which cultural factors should the nurse be aware of in order to provide culturally competent care to this patient? (Select all that apply.)
a. The patient's nutritional habits
b. The patient's communication style
c. The patient's sense of personal space
d. Complementary therapies the patient is using
e. The prescribed medications the patient is taking
ANS: A, B, C, D
A, B, C, and D describe characteristics of cultural diversity of which the nurse should be aware. E. Prescribed medications are related to physiological needs, not cultural needs.
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A dying 10-year-old boy tells a nurse, "I am going to leave and live with my grandpa in heaven." How should the nurse interpret this child is feeling?
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The nurse is planning oral hygiene for an older patient with a terminal illness who has an intact swallowing reflex. Which interventions would be appropriate for this patient? Select all that apply.
1. Offer ice chips frequently. 2. Provide care with soft swabs. 3. Apply petroleum jelly to the lips. 4. Brush the teeth three times a day. 5. Avoid using alcohol-based solutions.
A patient tells the nurse that he had made some decisions about his care when he thought he was going to die, but now that he knows he isn't, he wants all possible medical treatment. Which nursing action is indicated?
1. Tell the patient that he cannot change is mind or treatment plan. 2. Change the patient's classification in the medical record. 3. Contact social services to discuss the change in plans. 4. Contact the health care provider for the patient to discuss the patient's decision.