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 A

Explanation

This statement encourages the client to express their own perspectives, beliefs, and preferences regarding their health and well-being. It fosters client autonomy and acknowledges the importance of understanding the client's cultural context and values when developing a treatment plan. This statement aligns with the principles of the CFI tool.
C. This statement imposes the nurse's perspective on the client and may not be culturally sensitive.
D. This statement imposes the nurse's beliefs and assumptions on the client and may not be culturally sensitive.
B. This statement may not be appropriate without further exploration of the client's experiences, beliefs, and cultural context. It imposes Western diagnostic categories on the client without considering the cultural validity of these categories or the client's own explanatory model of illness.

A. Before examining the head and neck B. Before auscultating the chest and abdomen C. At the end D. At the beginning

Correct Answer is C

Explanation

Examination of the tympanic membrane causes some level of discomfort in the child. This may make the child apprehensive making the rest of the exam impossible. Therefore, examination of the tympanic membrane should be done last.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

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?

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)

A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse? (Select All that Apply.)

A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include?

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

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

A community health nurse is reflecting on unconscious feelings they may have toward some of the clients they care for. The nurse should identify this as which of the following concepts of cultural competence?

A nurse is taking a new client's health history at a clinic. Which question should the nurse begin with to obtain the health history?