A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?

Correct Answer: D

Rationale: The correct answer is D because it demonstrates cultural competence by matching the nurse's background with the patients'. This helps establish trust, understanding, and effective communication. The nurse is more likely to be familiar with cultural norms and preferences, making the teaching more culturally relevant and impactful. A: An auditorium setting with a large number of students may not allow for individualized cultural considerations. B: Language barriers can hinder effective communication and understanding, impacting learning outcomes. C: While diversity can enrich learning, the varying backgrounds may not necessarily address specific cultural needs as effectively as a tailored approach.

Correct Answer: D

Rationale: The correct answer is D. A multipara with 6 pregnancies and 2 children younger than 3 years may require more help and understanding when integrating the newborn into the family due to potential challenges of caring for multiple young children simultaneously. This situation can lead to increased stress, fatigue, and difficulty in managing the needs of all children effectively. In contrast, choices A, B, and C have factors that may provide more support and resources for the new mother, such as being from an upper-income family (A), coming from a large family (B), or having a supportive husband and mother (C), which can help in the integration process.

Correct Answer: B

Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.

Correct Answer: C

Rationale: The correct answer is C: Traditional hospital birth. In a traditional hospital setting, there may be limited parent-infant interaction due to medical interventions, procedures, and protocols that can restrict immediate bonding opportunities. The presence of medical staff, equipment, and potential complications may create a more clinical environment, impacting the initial bonding experience. Summary: A: Birth center - Typically encourages parent-infant interaction and supports a more natural birth experience. B: Home birth - Allows for maximum parent-infant interaction in a familiar and comfortable environment. D: Labor, birth, and recovery room - Provides a dedicated space for labor and recovery, but still allows for parent-infant interaction after birth.

Correct Answer: A

Rationale: In the nursing process, planning is the step where the nurse determines the appropriate interventions for the identified nursing diagnosis. Firstly, after assessing the patient's needs (Assessment), the nurse analyzes the data to identify nursing diagnoses. Next, in the Planning step, the nurse sets goals, establishes priorities, and decides on specific interventions to address the nursing diagnoses. This step involves developing a comprehensive care plan tailored to the individual patient's needs. Evaluation comes after the interventions are implemented to assess the effectiveness of the care provided. The Intervention step involves carrying out the planned interventions. Thus, the correct answer is A: Planning.