Extract:

Question 1 of 5

You are the Assistant Director of Nursing in a multi ethnic and culturally diverse inner city acute care facility. You will be chairing a committee to develop a philosophy of nursing that addresses these facility characteristics and the characteristics of the clients. Which theoretical framework would you recommend that this committee should consider when addressing multi ethnicity and the culturally diverse nature of this facility for this philosophy?

Correct Answer: D

Rationale: Madeleine Leininger's theory of Transcultural Nursing focuses on providing culturally congruent care, making it the most appropriate framework for addressing the needs of a multi-ethnic and culturally diverse population.

Question 2 of 5

Which of the following is true with regard to delegation of client care responsibilities? Select all that apply.

A. The nurse must know the nursing model that underlies care at the institution. B. The nurse delegates in accordance with demands on his/her time. C. The nurse validates with the non-RN caregiver that he/she has performed the same activity before. D. The nurse retains the right to determine which tasks are delegated. E. The nurse must account that the task has been delegated and to whom.

Correct Answer: A, C, D, E

Rationale: Delegation involves understanding the care model, validating caregiver competency, determining tasks, and documenting delegation, but not delegating based solely on time demands.

Question 3 of 5

A tour bus has overturned on an exit ramp. Many passengers are injured, but there are no fatalities. While the emergency department nurse prepares for treating the injured, the nurse also calls the crisis nurse based on the understanding about which of the following?

A. The accident victims will be experiencing grief and mourning. B. Many of the passengers may be experiencing feelings of victimization. C. There is a need for someone to coordinate calls from relatives about the passengers. D. Some of the passengers will need psychiatric hospitalization.

Correct Answer: B

Rationale: A crisis nurse can address feelings of victimization, a common psychological response to traumatic accidents, providing emotional support.

Question 4 of 5

A nurse is about to conduct a sexual history for a 16-year-old female who is accompanied by her mother. What is an appropriate question for the nurse to ask this client or her mother?

A. What do you think about having your mother leave the room?' B. Mother, do you think your daughter is sexually active?' C. Mother, I am going to ask you to wait a few minutes in the waiting room now so I can complete the health history with your daughter.' D. The two of you seem like you share everything. I am going to ask questions about sexual history now.'

Correct Answer: C

Rationale: Requesting the mother to leave ensures privacy for the teen, promoting honest responses during the sexual history.

Question 5 of 5

A client with alcohol dependence states, 'I feel so bad because of what I've done to my wife and kids. I'm just no good.' Which of the following responses by the nurse is most appropriate?

A. You'll need to make up for a lot of things B. They will need to forgive your shortcomings C. Alcohol dependence is a disease that can be treated D. Alcoholism is painful for everyone involved

Correct Answer: C

Rationale: Framing alcohol dependence as a treatable disease offers hope and reduces self-blame, supporting recovery. Other responses may reinforce guilt or are less therapeutic.

Nurselytic

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