Which action should the nurse take when a client o

Question 1 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?

A. Stare out the window with the client. B. Move around the bed to stand in front of the client. C. Observe how the client uses eye contact. D. Stop the instruction and return later.

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 2 of 5

Using the National CLAS as a guide, which service should be offered to clients who have LEP?

A. Availability of interpreter services at a minimal fee B. Language assistance in the client's preferred language C. Interpretation services using family members D. Trained interpretation within 48 hours of hospital admission

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.

Question 3 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 4 of 5

Which one of the following is an example of a process measure of quality?

A. The percentage of patients diagnosed with deep venous thrombosis within 30 days of total hip replacement B. Having all intensive care patients cared for by physicians trained in critical care medicine C. Percentage of hospitalized patients with acute myocardial infarction receiving aspirin in the first 24 hours D. Risk adjusted 30-day mortality rate for patients undergoing coronary artery bypass graft

Correct Answer: C

Rationale: Process measures track care delivery actions. Per the test, aspirin within 24 hours for MI is a process measure what was done aligned with AHRQ definitions, focusing on guideline adherence. DVT post-hip replacement and 30-day mortality are outcomes what happened reflecting results, not actions. ICU physician training is a structure measure how care is organized not a process. Process measures ensure evidence-based steps occur, like timely aspirin reducing MI mortality, making this the correct choice per quality frameworks.

Question 5 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.

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?

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