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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Discard the dressing in the bedside trash receptacle: This option is inappropriate because it poses a risk of contamination and infection. Regular trash receptacles are not equipped to handle materials that may be contaminated with blood or infectious waste.
B. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle: While enclosing the dressing in a plastic bag is a step toward containment, discarding it in the regular trash still poses a contamination risk and is not compliant with infection control standards for hazardous materials.
C. Double-bag the dressing in clear bags and label it "biohazard": Although double-bagging and labeling would provide additional precautions, this method is not the standard practice for disposing of contaminated wound dressings. It is more appropriate to use designated biohazard containers for infectious waste rather than using bags.
D. Dispose of the dressing in a biohazardous waste container: This is the correct action. Biohazardous waste containers are specifically designed to safely dispose of materials that may be contaminated with blood, body fluids, or infectious agents. Proper disposal helps to prevent the spread of infection and ensures compliance with safety regulations in healthcare settings.
Correct Answer is D
Explanation
A. Move the client's limbs through their complete range of motion: This action describes passive range-of-motion exercises, where the nurse assists the client in moving their limbs. While this is beneficial for clients who cannot move independently, it does not align with the plan for isometric exercises, which focus on muscle contraction without joint movement.
B. Have the client move each limb independently through its complete range of motion: This describes active range-of-motion exercises, which involve the client actively moving their limbs. Although these exercises are important for maintaining joint flexibility and preventing stiffness, they are not isometric exercises, which are intended to be performed without changing the length of the muscle.
C. Ask the client to move her arms and legs while applying slight resistance: This action combines movement with resistance training, which is not consistent with isometric exercises. Isometric exercises focus solely on muscle contraction without joint movement or changing muscle length, making this option inappropriate for the prescribed plan of care.
D. Instruct the client to tighten muscle groups for a short period, and then relax: This accurately describes isometric exercises, where the client contracts specific muscle groups (e.g., arms, legs, abdomen) without moving the joints. These exercises help maintain muscle strength and prevent atrophy while the client is on bedrest. The nurse should guide the client to perform these contractions for a few seconds, followed by relaxation, as directed by the plan of care.
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