A client with considerable pain asks, 'What is your opinion regarding acupuncture as a drug-free method for alleviating pain?' The nurse responds, 'I'd forget about it as those weird non-Western treatments can be scary.' The nurse's response is an example of

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Question 1 of 5

A client with considerable pain asks, 'What is your opinion regarding acupuncture as a drug-free method for alleviating pain?' The nurse responds, 'I'd forget about it as those weird non-Western treatments can be scary.' The nurse's response is an example of

Correct Answer: C

Rationale: Ethnocentrism describes the nurse's response. Judging acupuncture as 'weird' and 'scary' reflects a bias toward Western norms, per cultural competence. Prejudice is broader, discrimination involves action, and insensitivity is less specific. C fits the attitude.

Question 2 of 5

A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?

Correct Answer: C

Rationale: Placing in respiratory/secretion precautions is first for suspected meningococcal meningitis. Droplet isolation prevents spread, per infection control, a public health priority. Seizures , monitoring , and antibiotics follow. C protects staff and patients.

Question 3 of 5

Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?

Correct Answer: B

Rationale: The elderly worker with a positive acid-fast bacillus smear is the priority to report. It suggests TB, a public health threat, per CDC mandates, requiring rapid notification. Shigella , Pneumocystis , and varicella are less urgent. B protects the community.

Question 4 of 5

The nurse reviews an order to administer Rh immune globulin to an Rh negative woman following the birth of an Rh positive baby. Which assessment is a priority before the nurse gives the injection?

Correct Answer: B

Rationale: A positive Coombs' test indicates Rh sensitization, contraindicating RhoGAM as it's ineffective post-sensitization.

Question 5 of 5

The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?

Correct Answer: A

Rationale: Prolonged PT increases bleeding risk; gum bleeding signals potential hemorrhage.

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