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A nurse is admitting a 10-year-old child with Trisomy 21 (Down syndrome) of Asian descent to the pediatric inpatient unit for acute appendicitis. The nurse is gathering data regarding the cultural considerations that should be included in the plan of care. Which of the following actions by the nurse demonstrates appropriate cultural considerations for this child?

Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month.

Assuming that since the child's parents have brought the child to a hospital that practices western medicine, traditional healing practices are not important to their culture

Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of.

Providing the same care to this child as they would provide to every other child they provide care to.

Answer and Explanation

The Correct Answer is C

A. Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month. Assuming that all families of Asian descent share the same cultural beliefs or practices ignores individual and regional differences. Each family has unique traditions and preferences that should be discussed directly with them.

B. Assuming that since the child's parents have brought the child to a hospital that practices Western medicine, traditional healing practices are not important to their culture. Seeking Western medical care does not mean that a family has abandoned their cultural beliefs or traditional healing practices. Many families integrate both Western and traditional approaches to healthcare.

C. Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of. This is the correct answer because it respects cultural diversity and allows the parents to share relevant information. Open-ended questions about cultural practices help incorporate family preferences into the child’s care while ensuring safe and effective treatment.

D. Providing the same care to this child as they would provide to every other child they provide care to. While consistent quality care is important, culturally competent care recognizes individual differences and respects each family’s beliefs and preferences. A one-size-fits-all approach fails to acknowledge cultural diversity in healthcare.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","E"]

Explanation

A. Breathing techniques. Deep breathing exercises help reduce stress, promote relaxation, and lower anxiety, making them an effective strategy to mitigate burnout among healthcare staff.

B. Work extended shifts. Long shifts contribute to burnout by increasing physical and emotional exhaustion. Encouraging shorter shifts and adequate rest periods is more beneficial for staff well-being.

C. Facilitate discussion on vicarious trauma. Caring for terminally ill children can lead to compassion fatigue and secondary trauma. Providing a safe space for staff to discuss their experiences helps in processing emotions and reducing emotional distress.

D. Take sleep aids at night. While sleep is essential, relying on sleep aids is not a recommended long-term strategy for managing burnout. Encouraging healthy sleep hygiene and relaxation techniques is a safer approach.

E. Guided imagery. This stress-reduction technique involves visualizing calming and peaceful scenes, helping healthcare staff manage emotional strain and maintain resilience in a high-stress environment.

A. The child is able to answer simple questions. B. The child engages in conversation. C. The child knows to stays away from danger. D. The child adheres to rules.

Correct Answer is A

Explanation

A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.

B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.

C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.

D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?

Correct Answer is A

Explanation

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