You have been asked to join a task force to plan for a community mental health center to deal with substance abuse. You are concerned that the center provides culturally acceptable care for a group of Native Americans living in your area
Which of the following strategies would be MOST effective? a. Advertise around town about the new center.
b. Go to the schools and recruit student helpers.
c. Include a Native American practitioner among the staff.
d. Call the center "Native Hope."
C
Of the three options, including a Native American practitioner on the staff is the best choice. Since the issue at hand is providing culturally acceptable care for Native Americans, a Native American practitioner would be best able to advise the rest of the staff as to which practices would be culturally acceptable. Not only could such an individual help avert actions by the rest of the staff that could be considered culturally insensitive, but he or she could also advise staff on ways to maximize their effectiveness in providing care to Native Americans through their understanding of the culture.
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A client tells the nurse that she wants to be checked for a bowel infection because she has been constipated. The nurse should instruct this client that constipation is NOT caused by:
a. low-fiber diet. c. diverticular disease. b. dehydration. d. infectious agents.
A patient will be receiving busulfan (Myleran) as treatment for leukemia. Which intervention should the nurse include in the plan of care for this patient?
1. Assess for infection. 2. Administer anti-emetic prior to chemotherapy. 3. Assess oral mucous membranes. 4. Check stool for occult blood.
The nurse is most effectively using the concept of future time orientation when
a. promising to help the patient call his daughter each weekend. b. offering to complete the health assessment history after the patient eats dinner. c. encouraging an older patient to keep a follow-up clinic appointment. d. arranging for a colorectal cancer screen for senior citizens.
The nurse performs a vaginal examination to determine labor progress. She notes that the FHR, as indicated on EFM, rises approximately 30 beats/minute above baseline for about 60 seconds. The nurse recognizes that:
a. This is a normal response of the fetus to the vaginal examination and requires documentation only. b. This is an early sign of fetal infection and should be reported to the health care provider. c. The laboring woman must be getting a fever to cause the FHR to rise like that. d. This is an indication that the fetus may have a nuchal cord.