A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?

Caring for diverse clients will require balancing differences and needs

Individuals who live in the same neighborhood will accept the same care level

There should be no variation in the delivery of care among diverse clients.

The nurse should determine the plan of care regardless of client diversity

Answer and Explanation

The Correct Answer is A

Caring for diverse clients will require balancing differences and needs acknowledges the importance of recognizing and respecting cultural diversity among clients. Each individual may have unique cultural backgrounds, beliefs, values, and needs. The nurse must balance these differences effectively to provide care that is sensitive to each client's cultural context.
B.   It assumes homogeneity among individuals within the same neighborhood, disregarding the reality of cultural diversity even within small geographic areas.
C.   It suggests that all clients, regardless of cultural background, should receive the same standard of care.
D.   It disregards the importance of considering clients' cultural diversity in developing the plan of care.

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Correct Answer is C

Explanation

Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.

A. Alert refers to the client's level of consciousness and awareness of their surroundings.

B. Restlessness refers to a feeling of agitation or inability to stay still.

D. Pacing is an observable behavior where the client is walking back and forth in the room.

A. Increased vital capacity B. Decreased mental status C. Moist skin D. Heat intolerance

Correct Answer is B

Explanation

Malnutrition typically leads to muscle wasting and weakness, including respiratory muscles. As a result, it is more common to see a decrease in vital capacity rather than an increase.

B. Malnutrition can lead to cognitive impairment and decreased mental status due to inadequate nutrient supply to the brain. Deficiencies in essential nutrients such as vitamins and minerals can affect cognitive function, memory, and concentration.

C. Malnutrition is more commonly associated with dry, rough, and scaly skin due to deficiencies in essential fatty acids and vitamins. Moist skin is not typically a finding associated with malnutrition.

D. Heat intolerance is a feature of hyperthyroidism that is not typically seen in malnutrition.

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A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Correct Answer is C

Explanation

A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

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A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

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