A nurse is admitting an older adult from Mumbai, India who is visiting family members in the US. Which of the following would be most appropriate for the nurse to say?

"Your roommate is Catholic and her priest comes to see her, is that a problem for you?"

"Can I call the Hindu hospital chaplain to make a visit with you today?"

"Can you tell me how your culture will impact the care I will give?"

“I will be sure to get a menu for you without any beef and beef related foods."

Answer and Explanation

The Correct Answer is C

A. "Your roommate is Catholic and her priest comes to see her, is that a problem for you?": This statement may inadvertently introduce a concern or discomfort about the roommate's religious practices. It does not focus on the needs or preferences of the patient and could be perceived as dismissive of the patient's own beliefs.

B. "Can I call the Hindu hospital chaplain to make a visit with you today?": While offering spiritual support is important, this question assumes the patient identifies with Hinduism without confirming their preferences or beliefs first. It is better to first ask about the patient’s specific cultural or spiritual needs.

C. "Can you tell me how your culture will impact the care I will give?": This approach demonstrates respect for the patient's cultural background and invites them to share their beliefs, values, and preferences. It allows for an open dialogue and helps the nurse understand how to provide culturally competent care tailored to the patient’s needs.

D. "I will be sure to get a menu for you without any beef and beef-related foods.": While it is important to accommodate dietary restrictions, this statement assumes the patient avoids beef without first confirming their dietary preferences or cultural practices. It is essential to ask about dietary restrictions directly to ensure the patient’s preferences are respected.

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Correct Answer is D

Explanation

A. "After breakfast we can review the instructions for insulin self-injection again.": This statement indicates ongoing interaction and teaching with the client, suggesting that the nurse is still in the working phase of the nurse-client relationship rather than the termination phase.

B. "As soon as I get your admission papers I'll be in to talk with you about your health problem.": This statement implies the initiation of a relationship and care plan, indicating that the nurse is in the orientation phase rather than the termination phase.

C. “I see that you live near the hospital. Have you been living here a while?": This statement reflects rapport-building and exploration of the client’s background, which are part of the initial phases of the nurse-client relationship. It does not signify the termination phase.

D. “I’m going to miss talking with you every day but you are better and ready to go home now.": This statement clearly indicates the termination phase of the nurse-client relationship. It acknowledges the emotional aspect of the relationship while confirming that the client is prepared for discharge, signifying the conclusion of the care provided. This reflects a transition in the relationship as the nurse prepares to end interactions with the client.

A. "The bulb-like system will stay in place permanently after your surgery." B. "You will receive medication through this device." C. "This drain minimizes the chance for bacteria to enter the surgical site." D. "It provides a way to remove drainage and blood from the surgical wound."

Correct Answer is D

Explanation

A. "The bulb-like system will stay in place permanently after your surgery.": A Jackson-Pratt drain is a temporary measure used to collect drainage from a surgical site. It is designed to be removed once the output decreases and the surgical site is healing properly, so it does not remain in place permanently.

B. "You will receive medication through this device.": The Jackson-Pratt drain is specifically for draining fluids from the surgical area and does not administer medication. Medications are typically given through separate methods, such as IV or oral administration.

C. "This drain minimizes the chance for bacteria to enter the surgical site.": While proper drainage can help reduce the risk of complications associated with fluid accumulation, the main purpose of the drain is to facilitate the removal of fluids rather than to directly minimize bacterial entry. Maintaining a clean and sterile technique when handling the drain is essential to prevent infection.

D. "It provides a way to remove drainage and blood from the surgical wound.": This accurately reflects the primary function of the Jackson-Pratt drain. It allows for continuous drainage of excess fluids and blood from the surgical site, helping to prevent complications such as hematomas or seromas and promoting better healing outcomes.

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A nurse is admitting an older adult from Mumbai, India who is visiting family members in the US. Which of the following would be most appropriate for the nurse to say?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse prepares to meet with assigned clients after receiving hand-off communication. Which statement or question demonstrates that the nurse is in the termination phase with a client?

Correct Answer is D

Explanation

The nurse is teaching a client who is preparing for surgery. Which teaching about a Jackson-Pratt drain will the nurse include?

Correct Answer is D

Explanation

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