The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

Telling potential patients who are Jewish that the facility does not have a kosher kitchen

Requesting the bridge group only use the game room for 2 hours at a time

Repeatedly confiscating herbs and food products used in healing

Encouraging Christian residents to attend mass or church services

Answer and Explanation

The Correct Answer is A

A.   Ethnocentrism is the belief that one's own culture is superior to others. In this case, the nurse is exhibiting ethnocentrism by assuming that the facility's current accommodations are sufficient for all residents, without considering the specific cultural needs of Jewish patients. By informing potential Jewish patients that the facility does not have a kosher kitchen, the nurse is essentially stating that the facility's culture and practices are more important than the cultural needs of the patients.
B.   This is a reasonable request to ensure that the facility's resources are shared fairly among all residents. It does not reflect ethnocentrism.
C.   While it's important to ensure that medications and treatments are safe and effective, confiscating herbs and food products used for healing without a clear medical reason could be seen as disrespectful of the patient's cultural beliefs and practices. However, if there are valid medical concerns, the nurse should communicate these to the patient in a respectful and culturally sensitive manner.
D.   This is a common practice in many assisted living facilities and is not considered ethnocentric. However, the nurse should ensure that these activities do not exclude or marginalize residents of other faiths.

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Correct Answer is A

Explanation

A. When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B. While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C. This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D. This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

A. Living conditions and family support B. Medications and current medical problems C. Results of the Mini Mental State examination D. Baseline physical and cognitive functioning

Correct Answer is D

Explanation

A. While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B. This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C. This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D. When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.

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The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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