A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?

Native American cultural practices include being outspoken about pain.

Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.

Middle Eastern cultural practices include hiding pain from close family members.

Chinese cultural practices include enduring pain to prevent family dishonor.

Answer and Explanation

The Correct Answer is B

Cultural variances in the expression of pain can impact the assessment and management of pain. It is important to recognize and respect these cultural differences to provide culturally sensitive care. Puerto Rican cultural practices consider the expression of pain as a private matter, and individuals may not express their pain openly, as it may be viewed as a weakness or shameful. In contrast, Native American cultural practices often consider pain as a sign of strength, and individuals may express pain openly to receive validation and support from their community. Chinese cultural practices emphasize the importance of stoicism, and individuals may endure pain to prevent family dishonor. Middle Eastern cultural practices may consider pain as a test of faith, and individuals may hide their pain from close family members to avoid burdening them. By understanding these cultural variances, nurses can assess pain more effectively and develop culturally sensitive pain management plans.

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Correct Answer is B

Explanation

The correct answer is choice b. Teaching about inhaler use to a client who has asthma.

Choice A rationale:

Educating adults about breast cancer screening guidelines is an example of secondary prevention. It aims to detect and treat disease early to halt its progress.

Choice B rationale:

Teaching about inhaler use to a client who has asthma is an example of tertiary prevention. It involves managing an existing chronic condition to prevent complications and improve quality of life.

Choice C rationale:

Providing STI testing for students on a college campus is an example of secondary prevention. It focuses on early detection and treatment to prevent the spread of infections.

Choice D rationale:

Promoting the use of helmets with children who ride bicycles is an example of primary prevention. It aims to prevent injury before it occurs by encouraging safe practices.

A. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm B. A client who has full-thickness burn injuries over 30% of his total body surface area C. A client who is exhibiting agonal respirations with fixed and dilated pupils D. An ambulatory client who has a nosebleed and reports feeling dizzy

Correct Answer is B

Explanation

In a mass casualty incident (MCI) like a train crash, triage is based on the severity of injuries and likelihood of survival using the START (Simple Triage and Rapid Treatment) system. Clients are categorized as Immediate (Red), Delayed (Yellow), Minor (Green), or Expectant (Black).

A. A client with a humerus fracture and a 2+ radial pulse (Yellow - Delayed): The client is stable and not the highest priority for immediate transport.

B. A client with full-thickness burns over 30% TBSA (Red - Immediate): This client has life-threatening injuries requiring urgent treatment for airway support, fluid resuscitation, and burn care.

C. A client with agonal respirations and fixed, dilated pupils (Black - Expectant): This client is unlikely to survive even with treatment, so in an MCI, resources should be allocated to those with a higher chance of survival.

D. An ambulatory client with a nosebleed and dizziness (Green - Minor): This client is walking wounded and can wait for medical care.

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A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention?

Correct Answer is B

Explanation

A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first?

Correct Answer is B

Explanation

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