The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?

The client explains they are not planning to leave their home.

The client thinks their home will be safer now that there is a baby in the house

The client thanks the nurse for the information.

The client puts the number of the crisis center into their phone.

Answer and Explanation

The Correct Answer is D

It indicates that the client acknowledges the importance of having a safety plan and is willing to take proactive measures to ensure their well-being and that of their child. This response suggests a positive engagement with the safety plan provided by the nurse.
A.   This response indicates that the client may not perceive their current situation as unsafe or may not be ready to take action to address potential safety concerns.
B.   This response suggests that the client may have misconceptions about how the presence of a baby in the home affects safety, especially in the context of intimate partner violence.
C.   While expressing gratitude for the information provided is a positive response, it does not necessarily indicate whether the client understands the seriousness of the situation or plans to utilize the resources provided.

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Correct Answer is C

Explanation

Discussing the client's reasons for change is a key component of eliciting and strengthening motivation. When the client voluntarily discusses their reasons for making a behavior change, it suggests that they are beginning to articulate and explore their motivations.

A. This behavior indicates successful engagement with the client.

B. This behavior may indicate resistance or ambivalence toward discussing the target behavior change.

D. This behavior may indicate a readiness to explore treatment options but does not necessarily indicate successful engagement with the client in MI.

A. A client's culture may influence their willingness to follow health recommendations B. Power imbalances between providers and clients assist in bridging cultural differences. C. Cultural groups can have different perceptions of health conditions. D. In some cultures, health care decisions can be made by more than just the Individual client E. Clients from different cultures can vary in how they seek health care services.

Correct Answer is ["A","C","D","E"]

Explanation

A. Cultural beliefs, values, and practices can significantly impact an individual's health behaviors and adherence to medical recommendations.

C. Different cultures may have varied understandings of health and illness, which can affect how they perceive symptoms, seek treatment, and interact with healthcare providers.

D. Healthcare decisions may involve family members, elders, or other community members. Understanding these dynamics is essential for nurses to effectively engage with patients and their families in care planning and decision-making processes.

E. Cultural factors can influence how individuals access and utilize healthcare services. Some cultures may prioritize traditional healing practices or seek care from alternative sources before turning to Western medicine.

B. Power imbalances can actually hinder effective communication and care delivery, especially in cross- cultural encounters

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is C

Explanation

A nurse manager in a community clinic is planning an in-service to increase staff nurses' knowledge on cultural diversity in health care. Which of the following information should the nurse manager include in the presentation? (Select All that Apply)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" The nurse should give which of the following responses?

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?

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

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?

A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?

During an assessment, the nurse determines that a client sees more than one primary care provider and has obtained prescriptions from each provider. Which method would be most appropriate to determine a client's current medication regimen?