Which action by a nurse demonstrates conscious imp

Question 1 of 5

Which action by a nurse demonstrates conscious impermeability in the continuum of developing cultural humility?

A. The nurse spontaneously operates from a place of cultural humility. B. The nurse is aware of social inequities but struggles to demonstrate cultural humility in practice. C. The nurse performs a mindful act of learning how to become culturally humble. D. The nurse synergistically combines cultural competence and humility.

Correct Answer: B

Rationale: Conscious impermeability is an early stage. Awareness of inequities with struggle , per humility continua, shows recognition without full integration (e.g., knowing bias but not acting). Spontaneous humility or synergy are advanced. Mindful learning is next. This fits the stage, making it the correct action.

Question 2 of 5

Which best represents a critical element of Patient-Centered Care?

A. Meeting or exceeding all patient expectations B. Ensuring patients know the technical terms for their treatments C. Involving patients in medical decision making D. Advocating one's patients are moved up in the queue in place of other patients

Correct Answer: C

Rationale: Patient-centered care empowers. Involving patients in decision-making , per the test and IOM, respects preferences (e.g., treatment options), aligning with HCAHPS goals. Exceeding expectations isn't feasible. Technical terms confuse. Queue-jumping is unfair. Shared decision-making improves satisfaction and adherence, making it the correct element.

Question 3 of 5

Examples of computer based decision support include all except:

A. Interruptive alerts warning of drug interactions B. On screen reminders to vaccinate patients C. Order sets targeting specific conditions D. Requiring linking of medication orders, e.g., antibiotics, to medication indications, such as pneumonia

Correct Answer: D

Rationale: Decision support guides, doesn't enforce. Linking orders to indications , per the test, lacks active guidance (e.g., suggestions), unlike alerts , reminders , or order sets , per HIMSS definitions. It's a rule, not support. True decision support aids clinical judgment, making this the correct exception.

Question 4 of 5

The younger nurses on a unit, who seem to adapt easily to the new technology presented, are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, 'You might be able to work a computer, but we know how to provide the care.' How should the charge nurse respond?

A. The charge nurse should assume the younger nurses are forcing new technology on the older nurses. B. The charge nurse should understand that this is stereotyping in the form of racism and intervene immediately. C. The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit. D. The charge nurse should demonstrate cultural blindness and pretend that the issue does not exist.

Correct Answer: C

Rationale: Conflict reflects subcultures. Discussing cultural conflict and value addresses generational differences, per nursing leadership, fostering teamwork (e.g., tech vs. experience). Forcing tech misjudges intent. Racism overstates; it's age-based. Ignoring escalates tension. This promotes mutual respect, making it the correct response.

Question 5 of 5

A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the client's hand?

A. A pink edematous hand B. Fiery red skin with edema in the nail beds C. Black fingertips surrounded by an erythematous rash D. A white color to the skin, which is insensitive to touch

Correct Answer: D

Rationale: Frostbite shows tissue freezing. White, insensitive skin , per emergency nursing texts, indicates early frostbite (stage 1), with vasoconstriction and numbness. Pink edema suggests rewarming. Red skin or black tips reflect later stages (thawing or necrosis). Initial assessment notes pallor and sensory loss, guiding rewarming care, making this the correct finding.

Which action by a nurse demonstrates conscious impermeability in the continuum of developing cultural humility?

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