ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A nurse is caring for a client from a different cultural background who is experiencing chronic pain. The nurse asks the client, 'Mr. Smith, I would like to understand how you generally manage pain or if you have any preferences for pain management. Could you please share with me any cultural practices or approaches that you or your family find helpful in managing pain?' The nurse's approach is most closely aligned with which of the following models?
Correct Answer: B
Rationale: Leininger's theory focuses on culturally congruent care, exploring practices like pain management preferences, as in this question. Giger and Davidhizar assesses six phenomena (e.g., communication), less specific here. Purnell is broader. Peplau is relational, not cultural. This aligns with Leininger's emphasis, making it the correct model.
Question 2 of 5
The nurse is assessing a client who lives in an area described as a food desert. The nurse identifies that the client is therefore at risk for which disorder?
Correct Answer: A
Rationale: Food deserts lack fresh food access, increasing reliance on processed, calorie-dense options. Obesity , per public health data, is a primary risk in such areas due to poor nutrition, linking to social determinants of health. Parkinson's , multiple sclerosis , and COPD aren't directly tied to food access. Nurses assess this risk to tailor education (e.g., affordable healthy choices), aligning with cultural competence models addressing environmental barriers, making this the correct disorder.
Question 3 of 5
Which action should the nurse take when a client of a different culture than the nurse stares out the window while the nurse is providing preoperative instruction?
Correct Answer: C
Rationale: Cultural norms affect eye contact. Observing its use , per Giger and Davidhizar, assesses comfort (e.g., avoidance as respect in some cultures) without forcing engagement. Staring or moving may intrude. Stopping delays care. This informs communication, making it the correct action.
Question 4 of 5
Which action by a health care organization is an example of a leadership commitment to cultural competence?
Correct Answer: A
Rationale: Leadership drives systems. A policy for trained interpreters , per CLAS Standards, commits to LEP access, a concrete competence step. Satisfaction , outcomes , and access are goals, not actions. This ensures equity, making it the correct example.
Question 5 of 5
Using the National CLAS as a guide, which service should be offered to clients who have LEP?
Correct Answer: B
Rationale: CLAS mandates free, effective communication. Language assistance in the preferred language ensures LEP access without cost or delay, per standards. Fees or family use violate equity. Delayed service hinders care. This meets legal and ethical needs, making it the correct service.