ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 8 Questions
Question 1 of 5
A nurse is providing care to a client who speaks and minimally understands, but whose primary language is different from, the dominant language. The client is accompanied by the spouse, who speaks and understands the dominant language well. The client requires surgery and will need to sign consents for treatment. Which is the best action for the nurse to take to ensure the client understands the plan of care?
Correct Answer: C
Rationale:
To ensure the client understands the plan of care, the nurse should use an interpreter who is preferably the same sex as the client to explain the plan of care. Asking the spouse to act as an interpreter is not the best option because the spouse may not feel comfortable with or may have limited experience with medical terminology, which can cause miscommunication. Relying on nonverbal communication is not the best option for communicating because some aspects of the plan may be lost in the communication. Using yes-or-no questions, in this case, would not be the best option because they would provide minimal information to the nurse.
Question 2 of 5
The nurse is discussing a client's beliefs about health and illness and how it is treated. The client expresses the idea that illness and disease are based on a cause-and-effect philosophy of human body functions. The client's view matches which perspective?
Correct Answer: A
Rationale: The biomedical or scientific view is generally shared by Western health care personnel and is based on cause-and-effect relationships. An example is the belief that bacterial or viral organisms cause meningitis. The natural or holistic view espouses that human beings are only one part of nature. Natural balance or harmony is essential for health. Examples of this perspective include hot/cold theory and yin-yang theory. According to the magico-religious perspective, supernatural forces dominate. Examples include faith healing in some Christian faiths and voodoo or witchcraft in some Caribbean cultures.
Question 3 of 5
A nurse works in a health care setting that serves the Amish community. Members of this community look to the bishop who governs the community to make decisions about health care treatments. The nurse who provides extra time for a client from this community to select a treatment option and to discuss the situation with the community bishop is demonstrating which cultural concept?
Correct Answer: C
Rationale: Generalization is using the knowledge of the trends within a specific group or community to guide the care of the client without stereotyping. However, the nurse must recognize that generalization can lead to oversimplification and stereotyping. Stereotyping has an end point; the assumption prevents one from seeing another person as unique. Generalization acknowledges common trends in a group while recognizing that more information is needed. Ageism is the stereotyping of older adult behavior or vulnerability based on an individual's prior experiences or anticipation of behaviors. Ethnocentrism is the belief that one's own ethnic heritage is the 'correct' one' and superior to others.
Question 4 of 5
A nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness that the client will adhere to the instructions by the use of which action?
Correct Answer: C
Rationale: Some individuals will not openly disagree with people in authority or who possess advanced education, so it is best for the nurse to assess the client's beliefs regarding health maintenance, promotion, and remedies. A client smiling, agreeing to, or promising to comply is not proof of agreement because the client may believe it impolite to disagree with someone seen as being in a position of authority.
Question 5 of 5
While providing personal care for a client, the nurse observes that the client is not comfortable with the close physical proximity. How will the nurse alleviate the discomfort of the client during personal care?
Correct Answer: D
Rationale: Simple explanations of the need for physical proximity during clinical procedures and personal care help alleviate the discomfort that the client may experience. Maintaining sufficient distance and ensuring that the client's family member is present may not help alleviate the discomfort the client is experiencing. Speaking words or phrases in the client's language will help in communicating with clients who do not speak the dominant language, but this action is not related to proximity.