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Fundamentals of Nursing-Exam 1-PrepU/Study Guide/Book
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Fundamentals of Nursing-Exam 1-PrepU/Study Guide/Book
A nurse is caring for a client after internal fixation of a compound fracture in
the tibia. The nurse finds that the client has not had his dinner, seems
restless, and is tossing on the bed. Keeping in mind that the client is a
Latino, what is the most appropriate response by the nurse? - -"Tell me what
you are feeling."
The nurse should ask the client to tell the nurse what he is feeling. Asking
open-ended questions would encourage the client to verbalize his pain.
Latino men may not demonstrate their feelings or readily discuss their
symptoms because they may interpret doing so as being less than manly.
Closed-ended questions like "Are you having pain?"; "Do you need pain
medication?"; and "Are you feeling alright?" may block communication and
the client may not express his feelings.
-A nursing instructor has assigned a student to care for a patient of Asian
descent. The instructor reminds the student that personal space
considerations vary among cultures. What personal space preferences are
important for the student to consider when caring for this patient? - -People
of Asian descent prefer some distance between themselves and others.
Individuals of Asian descent are more comfortable with some distance
between themselves and others. Direct eye contact may be considered
impolite or aggressive within the Asian culture, and they may tend to avoid
direct eye contact and avert their eyes while speaking with another.
-An Arab client has been admitted to the health care facility with varicose
veins. What should the nurse avoid while conducting the interview of the
client? - -Maintaining eye contact
While interviewing an Arab client, the nurse should avoid maintaining eye
contact with the client. In Arab culture, maintaining eye contact is sexually
suggestive; if the nurse does so during the interview, it may give the wrong
message to the client. However, the nurse may give a light handshake or ask
about the client's personal life and medical history during the interview.
(less)
-A nurse in the hospital is caring for a Native American male. What person is
most important to include in the care of the client? - -Tribal medicine man
,Observance of rituals in times of stress and uncertainty helps to restore a
sense of control, competence, and familiarity; to that extent, these rituals
are a desirable adjunct to nursing care.
-The inability of a person to recognize his or her own values, beliefs, and
practices and those of others because of strong ethnocentric tendencies is
termed what? - -Cultural blindness.
Cultural blindness occurs when one ignores differences and proceeds as
though they do not exist, resulting in bias and stereotyping. Acculturation is
the process by which members of a culture adapt or learn how to take on the
behaviors of another group. Cultural imposition is the tendency to impose
one's cultural beliefs, values, and patterns of behavior on a person from a
different culture. Stereotyping is when one assumes that all members of a
culture, ethnic group, or race act alike.
-The inability of a person to recognize his or her own values, beliefs, and
practices and those of others because of strong ethnocentric tendencies is
termed what?
a Stereotyping.
b Cultural blindness.
c Acculturation.
d Cultural imposition. - -Cultural blindness.
Explanation:
Cultural blindness occurs when one ignores differences and proceeds as
though they do not exist, resulting in bias and stereotyping. Acculturation is
the process by which members of a culture adapt or learn how to take on the
behaviors of another group. Cultural imposition is the tendency to impose
one's cultural beliefs, values, and patterns of behavior on a person from a
different culture. Stereotyping is when one assumes that all members of a
culture, ethnic group, or race act alike.
-What have the models of health promotion and illness prevention been
used for? - -To help healthcare providers understand health-related
behaviors.
Explanation:
Several models of health promotion and illness prevention have been used to
help healthcare providers understand health-related behaviors and adapt
care to people from diverse economic and cultural backgrounds. The models
include the health belief model, the health promotion model, the health-
illness continuum model, and the agent-host-environment model. These
models do not define a medical framework in the care of the disabled; these
models do not create a forum for improving rehabilitative care; and these
models do not formulate care plans for use with the disabled.
, -While providing client care, a nurse determines that a client adheres to the
health belief model. Which of the following would the nurse need to assess
as a factor possibly affecting the client's response to illness?
a) Nutritional awareness
b) Personality characteristics
c) Stress management
d) Environmental sensitivity - -Personality characteristics
Explanation:
The health belief model provides insight into the connection between the
way a person sees his or her state of health and that person's response to
health, illness, and treatment. According to the health belief model,
personality characteristics affect the person's response to illness. Nutritional
awareness, stress management, and environmental sensitivity are wellness
behaviors that promote healthy functioning and help prevent illness.
-An elderly patient has been recently diagnosed with vascular dementia.
Because he lives alone and has poorly controlled hypertension, he has begun
to receive home healthcare. This new aspect of his care is characteristic of
which stage of illness?
a) Achieving recovery and rehabilitation
b) Experiencing the symptoms
c) Assuming the sick role
d) Assuming a dependent role - -Assuming a dependent role
Explanation:
The stage of assuming a dependent role often requires assistance in carrying
out activities of daily living. As well, the patient often requires care, which
may be provided in the home. Experiencing symptoms and assuming a sick
role may precede (or accompany) this process. Recovery and rehabilitation
are not evident in the patient's present circumstances.
-The nurse has arranged for a stroke patient to participate in a daily group
rehabilitation program that aims to improve the mobility, independence, and
activities of daily living (ADLS) of participants. This program is likely to
address which of the following needs? Select all that apply.
a) Safety and security needs
b) Self-esteem needs
c) Love and belonging needs
d) Self-actualization needs
e) Physiologic needs - -• Physiologic needs
• Safety and security needs
• Love and belonging needs
• Self-esteem needs
• Self-actualization needs
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