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 congruence, which is essential for effective communication and learning. By having an Asian nurse providing information to pregnant Asian women, there is a shared cultural background that enhances understanding and trust. This setting promotes cultural sensitivity and tailors the information to meet the specific needs and preferences of the audience. In contrast, the other choices lack cultural relevance and may hinder effective communication and learning. Choice A involves a large group setting, which may not allow for individualized cultural considerations. Choice B highlights a language barrier that can impede understanding. Choice C presents a diverse group, which may not address the unique cultural needs of each individual.

Correct Answer: D

Rationale: The correct answer is D because a multipara with six pregnancies and two young children may require more help and understanding due to the potential challenges of caring for multiple young children simultaneously. The presence of two children younger than 3 years old indicates that the mother may be experiencing higher levels of stress and demands on her time and energy. This situation could lead to difficulties in integrating the newborn into the family dynamics. Choice A is incorrect because being from an upper-income family does not necessarily indicate a need for more help and understanding. Choice B is incorrect because coming from a large family does not directly correlate with requiring more assistance when integrating a newborn. Choice C is incorrect because having a supportive husband and mother can provide valuable assistance and may not necessarily indicate a greater need for help compared to the scenario described in choice D.

Correct Answer: B

Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals. Explanation of other choices: A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA. C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA. D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.

Correct Answer: C

Rationale: Rationale: 1. Traditional hospital birth setting often involves medical interventions that can limit parent-infant interaction, such as continuous fetal monitoring and medication administration. 2. These interventions may restrict movement and bonding opportunities between the parent and infant during labor and immediately after birth. 3. In contrast, birth center and home birth settings typically prioritize natural childbirth experiences with minimal interventions to encourage bonding and parent-infant interaction. 4. Labor, birth, and recovery room, while providing a more private setting than a traditional hospital, may still involve medical interventions that can impact parent-infant interaction. Summary: A: Birth center and B: Home birth promote parent-infant interaction. D: Labor, birth, and recovery room may still involve interventions. C: Traditional hospital birth setting often limits parent-infant interaction due to medical interventions.

Correct Answer: A

Rationale: In the nursing process, planning is the step where the nurse determines appropriate interventions for the identified nursing diagnosis. Firstly, in the assessment step (choice C), the nurse collects data to identify the nursing diagnosis. Next, in the diagnosis step, the nurse analyzes the data to identify the nursing diagnosis. Then, in the planning step (choice A), the nurse develops a plan of care that includes specific interventions to address the nursing diagnosis. Finally, in the intervention step (choice D), the nurse implements the planned interventions. Evaluation (choice B) is the step where the nurse assesses the effectiveness of the interventions. Therefore, choice A is correct as it is the step where the nurse determines the appropriate interventions based on the identified nursing diagnosis.