A nurse is reflecting on their implicit bias that may affect client care. Which action should the nurse take to evaluate and manage their implicit bias when caring for clients of different cultures and backgrounds?

Treat all clients the same no matter their background, culture, needs, or diagnoses

Rely on colleagues to identify any personal biases in clinical decision-making

Refuse to treat clients of different backgrounds to avoid misunderstandings

Keep a journal to document experiences and feelings about client interactions

Answer and Explanation

The Correct Answer is D

A. Treat all clients the same no matter their background, culture, needs, or diagnoses: Treating all clients the same ignores individual needs, cultural differences, and social determinants of health. Effective care requires recognizing and addressing each client’s unique context.

B. Rely on colleagues to identify any personal biases in clinical decision-making: While peer feedback can be helpful, relying solely on others does not promote self-awareness or personal growth. The nurse must actively engage in self-reflection to identify and manage biases.

C. Refuse to treat clients of different backgrounds to avoid misunderstandings: Avoiding clients based on cultural differences is unethical, discriminatory, and contrary to professional nursing standards. It denies clients access to equitable care.

D. Keep a journal to document experiences and feelings about client interactions: Reflective journaling allows the nurse to recognize patterns, triggers, and personal biases that may affect care. This practice promotes self-awareness, critical reflection, and development of culturally competent nursing interventions.

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Correct Answer is D

Explanation

A. Allergy assessment: This is part of the client’s medical history and does not fall under the general survey, which focuses on observable, overall physical and behavioral characteristics.

B. Skin temperature and color: While skin assessment is important, detailed measurements of temperature and specific color changes are usually part of the physical examination, not the initial general survey.

C. Reason for seeking care: This is subjective information provided by the client and is part of the health history, rather than the general survey, which emphasizes observable characteristics.

D. Posture and speech: Posture, gait, speech, and overall appearance are key elements of the general survey. These observations provide an immediate impression of the client’s general health, functional status, and level of comfort.

A. Ask the client to describe the wound care steps to evaluate teaching effectiveness. B. Set goals that the client will be able to perform wound care independently. C. Assess the wound for complications and document the findings in the client's chart. D. Document in the electronic health record the client's risk for deficient knowledge.

Correct Answer is A

Explanation

A. Ask the client to describe the wound care steps to evaluate teaching effectiveness: Evaluating the client’s understanding is the next step after education. Asking the client to verbalize or demonstrate the steps ensures they have correctly learned the procedure and allows the nurse to clarify any misconceptions.

B. Set goals that the client will be able to perform wound care independently: Goal-setting occurs during the planning phase of the nursing process. While important, it should be established before or during teaching rather than immediately after instruction.

C. Assess the wound for complications and document the findings in the client's chart: Wound assessment is an ongoing clinical responsibility but does not directly evaluate the effectiveness of the client’s learning or teaching provided.

D. Document in the electronic health record the client's risk for deficient knowledge: Documentation of teaching and learning outcomes is essential, but it should follow the evaluation of the client’s understanding to reflect accurate progress and identify remaining educational needs.

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A nurse is reflecting on their implicit bias that may affect client care. Which action should the nurse take to evaluate and manage their implicit bias when caring for clients of different cultures and backgrounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting findings following the examination of a client. Which should the nurse include as part of the general survey?

Correct Answer is D

Explanation

A nurse educated a client about how to perform wound care. What action should the nurse take next?

Correct Answer is A

Explanation

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