ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A patient at risk for skin impairment is able to sit up in a chair. How long should the nurse schedule the patient to sit in the chair?
Correct Answer: A
Rationale: Sitting over 2 hours risks ischemia on ischial tuberosities. Less than 2 hours at a time , per the flashcards, balances mobility and safety. Total daily limits or 30-minute caps are impractical. Comfort-based ignores objective risk. This standard prevents ulcers, making it the correct duration.
Question 2 of 5
Which level of the cultural environment is being assessed when the nurse asks a client about family rituals and traditions?
Correct Answer: A
Rationale: Bronfenbrenner's ecological model applies here. The microsystem includes immediate settings like family, where rituals and traditions shape daily life and health beliefs, per nursing cultural assessments. Mesosystem links microsystems (e.g., family-school). Exosystem involves external settings (e.g., parent's workplace). Macrosystem is broad cultural values. Family rituals are microsystem-level, guiding care, making this the correct level.
Question 3 of 5
A nurse is caring for a client from a different cultural background who refuses a certain medication. How can understanding transcultural models and frameworks help the nurse in this situation?
Correct Answer: B
Rationale: Transcultural models (e.g., Leininger's) prioritize cultural respect. Respecting beliefs and finding alternatives aligns with this, ensuring client-centered care while addressing needs. Disregarding beliefs or overriding violates ethics. Education may help but isn't primary without respect. This approach fosters trust, making it the correct action.
Question 4 of 5
A nurse is providing care to a client from a different cultural background and notices that the client seems reluctant to ask questions or express concerns. Which of the following strategies should the nurse implement to ensure culturally sensitive care?
Correct Answer: C
Rationale: Reluctance often stems from cultural norms (e.g., deference). Creating a safe, open environment , per nursing texts, encourages questions via trust (e.g., nonjudgmental tone). Translation helps language, not reluctance. Plain language aids comprehension, not expression. Family involvement assumes collectivism. This strategy empowers, making it the correct choice.
Question 5 of 5
Which actions by the nurse demonstrate that the nurse values cultural diversity?
Correct Answer: D
Rationale: Valuing diversity shows in action. Volunteering at an immigrant clinic , per nursing ethics, directly supports diverse populations, reflecting commitment. Discussing within one's culture or comparing lacks engagement. Uniform treatment stereotypes. This action aids vulnerable groups, making it the correct choice.