1
The nurse is caring for a client whose partner is requesting to bring the client food from home that is not allowed in the client's dietary plan. Which response should the nurse make?
"Let's try to find ways to incorporate your partner's favorite food into the diet plan."
A nurse is planning to use the SBAR communication tool when calling a health care provider. Which statement should the nurse include in the "B" step?
The client was found unconscious on the floor in the home.
The nurse is caring for a client who is quiet and withdrawn. Which communication technique is most appropriate?
Stating observations
A nurse is counseling a client with a recent diagnosis of an illness. The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which communication style is this an example of?
Verbal communication
The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?
Speak facing the client
During communication with the healthcare provider using the SBAR communication tool the nurse reports, “The client is awake, alert, oriented to person, place, and time and the current BP is 180/90 mmHg.” Which part of the SBAR communication tool is the nurse reporting?
Assessment
During an interview, the nurse states, “You mentioned having shortness of breath. How would you describe it?” Which communication technique is the nurse using?
Open-ended question
During an assessment, the nurse notices that a client is handling a small charm that is tied to a leather strip around his neck. Which action by the nurse is appropriate?
Ask the client about the item and its significance.
A nurse is caring for a young adult client who reports experiencing increased anxiety and an inability to concentrate. Which is the best response by the nurse?
"It sounds like you're having a difficult time.
Which therapeutic communication technique is being used in this nurse-client interaction?
Formulating a plan of action
Which statement reflects the therapeutic communication technique the nurse should use when communicating with a client who is experiencing auditory hallucinations?
“I understand that the voices seem real to you, but I do not hear any voices.”
During an interview, a 78-year-old client describes how difficult it is to care for their disabled spouse by themselves. The client states, “I can’t believe my children don’t help me! What a terrible thing to do to their parent!” Which is the best response by the nurse?
“It must be so difficult to care for your spouse alone.”
An older-adult client is wearing a hearing aid. Which technique should the nurse use to facilitate communication?
Turn off the television.
A confused, older-adult client is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication?
Allow time for the client to respond.
A nurse is taking a history on a client who cannot speak English. Which action will the nurse take to provide effective care?
Obtain an interpreter
A quality improvement nurse has recognized the need to better integrate the principles of transcultural nursing into client care. How should the nurse integrate transcultural nursing into practice?
Implement research-focused practice that focuses on client-centered, culturally, competent nursing.
When planning a cultural assessment, the nurse should include which component?
Health-related beliefs
When performing a pain assessment, the nurse observes the client to be passive and attempts to hide the expression of pain. Which knowledge should the nurse base their actions on?
The expression of pain is a norm established by cultural groups
Which action demonstrates the nurse providing culturally competent care?
Asking the client to describe any folk healing methods used
A nurse is taking care of a client with a cultural background different from the nurse. Which step should the nurse take first to provide culturally competent care?
Assess one’s cultural values, beliefs, and biases
An emergency department nurse is preparing to inspect and palpate the head and scalp of an older adult client who experienced a fall. Which group would most likely consider this examination as a violation of norms?
Asian American
A nurse working on a pediatric unit is caring for a toddler who has not received any of their scheduled immunizations. Which view on immunization by the toddler’s parents represent the refusal of immunizations based off of cultural beliefs?
Cultural taboo
A nurse is about to explain a therapeutic procedure to a client that does not speak the same language as the nurse. Which action should the nurse take?
Have a medical interpreter present during the instructions.
Which primary nursing behavior, if demonstrated by the nurse, displays an adherence to the American Nurses Association Code of Ethics for Nurses?
The nurse evaluates personal values in implementing what is right in client care.
A nurse is preparing a presentation on the Adaptive Health Model. Which statement should the nurse include in the presentation?
The nurse strengthens the client's faith to achieve healing through pastoral daily service for the client.
A nurse is working with a client. When the nurse asks about family members, the client states that it includes their spouse and 3 step children. How will the nurse describe this type of family?
Blended
A nurse is assessing a family as a system. Which factor should the nurse include when assessing sociocultural context?
The family's religious practices
A nurse on a pediatric unit is caring for a child and family. The child’s caregivers define family as a husband, wife, and child. This definition is which type of family form?
Nuclear family
How is the family systems theory best described?
When the family system is disrupted, change can occur at any point in the system.
In the healthcare setting, how is family defined?
By the client as individuals important to the client