ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
Which term describes the actions of a nurse who orders a kosher diet for a Jewish client based on previous experience with other Jewish clients?
Correct Answer: A
Rationale: Assuming all Jewish clients need kosher diets based on past experience is stereotyping , per cultural competence texts, overgeneralizing without individual assessment. Bias is prejudice, not assumption-based action. Othering excludes groups. Ethnocentrism favors the nurse's culture. Nurses must ask, not assume, making this the correct term.
Question 2 of 5
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
Correct Answer: B
Rationale: The ACCESS model (Assessment, Communication, etc.) emphasizes collaboration. Developing the plan with the client reflects this, per transcultural care, ensuring cultural input (e.g., traditional needs). Standardized or group-specific plans lack personalization. Nurse-only collaboration excludes clients. This aligns with ACCESS, making it the correct action.
Question 3 of 5
A nurse, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
Correct Answer: C
Rationale: The Social Identity Wheel examines self. Assessing how the nurse's identity influences care , per cultural humility, reveals biases (e.g., race, class) affecting interactions. Client identity isn't the focus. Ignoring bias denies reflection. Confirmation assumes sensitivity. This promotes awareness, making it the correct purpose.
Question 4 of 5
According to Campinha-Bacote's 'Process of Cultural Competemility in the Delivery of Healthcare Services' model, which question by a nurse represents the 'A' in the mnemonic 'A-S-K-E-D' for self-examination?
Correct Answer: A
Rationale: A' is awareness in ASKED. Asking about prejudices and 'isms' , per Campinha-Bacote, initiates self-examination of biases (e.g., racism) impacting care. Choice B (skill), C (knowledge), and D (encounters/desire) are later steps. This starts competemility, making it the correct question.
Question 5 of 5
Which of the following outcome measures is reported on the CMS Hospital Compare website?
Correct Answer: C
Rationale: CMS Hospital Compare reports standardized outcomes. 30-day MI mortality , per the test, is tracked per CMS, reflecting post-discharge care impact, publicly available since 2007. Rapid response activations and survival post-arrest are internal metrics, not CMS-reported. Follow-up within 2 weeks isn't a standard CMS outcome. This measure drives hospital accountability, linking to payment via value-based programs, making it the correct choice per CMS policy.