Culturally Competent
What would a nurse do?
Out and About
Back to Basics
Assess, Assess, Assess
100

Please provide examples of other cultures approach to cure illness or achieve optimal health. 

Ying-yang approach, balancing good and bad external forces, using herbs or spices, eating hot or cold foods

100
Why is it important to develop a trusting relationship with your patient? 

Better acceptance of education, comfort level with patient, cooperation 

100

When conducting a health history, what is to be included?

Chief concern, history of presenting illness or problem, medical history, surgical history, personal history, social history, review of systems, medications

100

What is the normal range for an adult pulse? What is tachycardia and bradycardia?

60-100

100

Please give an example of an expected outcome statement in measurable terms. 

Client will report pain of less than 5 on a scale of 0-10.

200

When assessing a patient's home meds it is important assure the patient includes? Select all that apply. 

A. Prescribed Medications from all providers

B. Home remedies

C. Prescribed medications only from the provider they are seeing

D. Alternative treatments

E. Supplements 

A, B, D, E

200

Please give examples of how a nurse can promote a good rapport with their patient.

Eye contact, Sitting at patients level, active listening, open-ended questions, full attention

200

What are some factors that can inhibit the ability to obtain an initial assessment?

Pain, Non-cooperative, Bad rapport, Anxiety, Confusion

200
What is the normal range for respirations in an adult? What is tachypnea and bradypnea?

12-20

200

What are the steps of the nursing process

Assessment, Diagnosis, Planning, Implementation, Evaluation

300

When conducting an assessment on a non English speaking patient what is appropriate to do to best facilitate communication?

Utilize an interpreter, Determine the patient's primary language, use culturally appropriate communication

300

Which of the following are communication techniques that can be utilized to promote a positive rapport?

A. Open-ended questions

B. Nonjudgmental questioning

C. Closed-ended questioning

D. Asking for clarification

A, B, D

300

When assessing a patient's drug and alcohol intake, what questions are appropriate to ask? Select all that apply.

A. On average, how many drinks do you have per week?

B. What type of alcohol do you drink?

C. On a drinking day, how many drinks do you have?

D. Do you currently, or have you ever used drugs?


A, C, D

300

How do we test for orthostatic hypotension?

Test patient's BP lying, sitting, and standing. Check for a decrease in BP with changing of positions 

300

What are some examples of nonpharmacologic pain relief interventions? 

Repositioning, massage, range of motion exercises, guided imagery, music

400

What cultural factors can contribute to a patient's food selections or meal times?

Beliefs, fasting practices, cultural practices

400

What is the definition of a focused health history?

An assessment that is utilized to assess the immediate need of the patient
400
What is the difference between alcohol dependence and alcohol withdrawal?

Dependence: adaptive state resulting from repeated substance abuse

Withdrawal: physiological symptoms from cessation of a substance

400

When a patient is experiencing dehydration, what can the nurse expect to find on assessment? Select all that apply. 

A. Hypertension

B. Hypotension

C. Decreased skin turgor

D. Tachycardia

E. Bradypnea

B, C, D

400

When taking a temperature on a comatose patient, which routes can be used?

Temporal, Rectal, Tympanic

500
Please give 3 examples of how patient care can be impacted by culture. 

Food preferences, beliefs and practices, communication, treatment preferences

500

What is the definition of the chief compliant?

The illness, disease, or symptoms that are to be addressed during their appointment or hospital stay

500

When the patient states, " I have a high tolerance. I drink a 12 pack of beer a day." How should the nurse interpret this finding?

The patient has a high tolerance for alcohol, meaning it takes an increased amount of the substance to produce the same effect

500

Why should the nurse avoid taking vitals on an infant when they are fussy? 

It can alter the vital signs. Assessment order should be RR, HR, BP, Tympanic Membranes

500
Please give examples of factors that can lead to inaccurate BP assessments.

Using too big or too small cuff, BP after exercise, BP after smoking, Obtaining VS after ROM assessment

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