To plan culturally competent care, a nurse should consider that:

Clients from most cultures will be receptive to a scientific perspective.

Assigning clients to specific cultural categories facilitates communication.

Disease and illness are not necessarily influenced by culture.

The meaning of behavior can vary widely across cultures.

Answer and Explanation

The Correct Answer is D

A.   While some clients may be receptive to a scientific perspective, cultural beliefs and practices can significantly influence health-related decisions and behaviors.
B.   Assigning clients to specific cultural categories can lead to stereotyping and may not account for the individual variations within a cultural group.
C.   Disease and illness can indeed be influenced by cultural factors, including beliefs about health and healing practices.

D.   The meaning of behavior can vary widely across cultures, and understanding the cultural context is crucial for providing culturally competent care.

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Correct Answer is D

Explanation

A. Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care, but determining the client's reading ability takes precedence as it will significantly impact communication options.
B. Arranging a support session is important for emotional support, but assessing the client's reading ability is more immediate in addressing communication needs.
C. Demonstrating the use of esophageal speech is relevant, but understanding the client's reading ability is a priority before exploring communication alternatives.

A. Unsteady gait B. Report of short-term memory loss C. Hearing loss D. Report of frequent constipation

Correct Answer is A

Explanation

A. An unsteady gait increases the risk of falls, which can lead to serious injuries in older adults.

A. Ensuring safety and preventing falls is a priority.

B. Short-term memory loss is common in older adults, but it may not pose an immediate risk to safety.
C. Hearing loss, while important, may not be an immediate safety concern unless it significantly impacts the individual's ability to communicate or hear warnings.
D. Frequent constipation is a common concern in older adults but may not pose an immediate threat to safety. Falls prevention takes precedence in this scenario.

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To plan culturally competent care, a nurse should consider that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

Correct Answer is D

Explanation

A nurse is performing an assessment of an older adult client in an assisted living facility. Which of the following findings is the highest priority for the nurse to address when planning care?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero is applicable. Do not use a trailing zero.)

A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider, the nurse still feels that it is unsafe. Which of the following actions should the nurse take?

A nurse in a hospital setting is preparing to administer a partial dose of a prefilled opioid analgesic parenterally. Which of the following is an appropriate action by the nurse?

A nurse should assign which of the following tasks to an assistive personnel?

A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance the development of suitable programs?

A provider prescribes cold application for a client who reports ankle joint stiffness. Which of the following assessment findings should the nurse identify as a contraindication to the application of cold?

A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?