Choice A rationale:

The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.

Choice B rationale:

The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.

Choice C rationale:

While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.

Choice D rationale:

The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.

Choice A rationale:

While focusing on physical needs is important, it is not the priority when caring for a homeless patient in the emergency department.

Choice B rationale:

Asking about extended family members might be helpful for social support, but it is not the priority.

Choice C rationale:

Suggesting alternatives for housing is part of discharge planning, but it is not the immediate priority when caring for the patient.

Choice D rationale:

Being nonjudgmental is the priority when caring for this patient. It helps to establish trust and open communication, which are crucial for effective care.

Choice A rationale:

Culturally competent care requires an understanding of culture, ethnicity, and diversity in all groups. This understanding helps to provide care that respects and responds to the health beliefs and practices, cultural and linguistic needs of diverse patients.

Choice B rationale:

Using a nonjudgmental approach is important in providing care, but it does not fully explain culturally competent care.

Choice C rationale:

Preparing staff to expect different types of people as patients is part of diversity training, but it does not fully explain culturally competent care.

Choice D rationale:

Encouraging staff to learn about the cultures in the hospital community is beneficial, but it does not fully explain culturally competent care.

Choice A rationale:

Establishing clear-cut rules is important, but it may not be effective in managing immediate behavioral issues in a toddler.

Choice B rationale:

Using humor can help lighten the mood, but it may not address the root cause of the behavior.

Choice C rationale:

Listening to the child is crucial for understanding their needs, but it may not provide immediate behavior correction.

Choice D rationale:

Time-outs can be an effective discipline technique for toddlers. It provides the child with a moment to calm down and reflect on their behavior.

Choice A rationale:

Culture often uses symbols, gestures, and music to communicate and express ideas, making it symbolic.

Choice B rationale:

While culture is shared among a group of people, this choice does not specifically relate to the use of symbols, gestures, and music.

Choice C rationale:

Culture is indeed learned, but this choice does not directly relate to the use of symbols, gestures, and music.

Choice D rationale:

Although culture can adapt over time, this choice does not directly relate to the use of symbols, gestures, and music.

Choice A rationale:

It’s unlikely that a preschool-age child would show no response to a significant event like a grandparent’s death.

Choice B rationale:

Preschool-age children may believe in “magical thinking,” where they feel their thoughts or actions can cause events.

Choice C rationale:

Some preschool-age children may believe death is temporary, but this is not the most common belief.

Choice D rationale:

Associating death with misdeeds is more common in older children who understand morality.

Choice A rationale:

Sitting with the hands in the lap and the legs uncrossed indicates a relaxed and open posture, suggesting the patient is comfortable and willing to communicate.

Choice B rationale:

Staring out the window while answering questions suggests distraction or disinterest, which does not facilitate effective communication.

Choice C rationale:

Shaking the head no when responding to closed questions indicates disagreement or denial, which may hinder open communication.

Choice D rationale:

Waving the hands around when responding to questions can be a sign of agitation or excitement, which may not necessarily indicate willingness to communicate.

Choice A rationale:

Gender, while an important aspect of identity, is not specifically cultural information.

Choice B rationale:

Age, like gender, is a demographic detail but not specifically cultural.

Choice C rationale:

Vocation, or occupation, can influence a person’s lifestyle but is not a direct measure of cultural identity.

Choice D rationale:

Customs are a key component of culture, encompassing traditions, practices, and beliefs that are often shared among a group of people.

Choice A rationale:

Standing at the foot of the patient’s bed can create a sense of distance and may not convey caring effectively.

Choice B rationale:

Crossing the arms over the chest is often perceived as a defensive or closed-off posture, which may not communicate caring.

Choice C rationale:

As with choice A, standing at the foot of the bed may not effectively communicate caring.

Choice D rationale:

Touching the patient’s hand can be a powerful nonverbal communication of empathy and caring.

Choice E rationale:

Staring at the patient can be perceived as intrusive and may not convey caring.

Choice A rationale:

Immunization is a primary prevention strategy aimed at preventing disease before it occurs.

Choice B rationale:

Mammograms are secondary prevention strategies, as they are used to detect early stages of disease.

Choice C rationale:

Physical therapy treatment is a tertiary prevention strategy, as it is used to rehabilitate patients and prevent further complications.

Choice D rationale:

Adjusting blood pressure medication is also a tertiary prevention strategy, as it is used to manage existing conditions and prevent complications.