A nurse manager works in a setting where projections for the future include a more diverse ethnic mix of older adults. Which action will the nurse manager take?

Request volunteers for the ethics committee.

Develop nurses cultural competence.

Teach nurses about a variety of religious practices.

Recruit multilingual nurses

Answer and Explanation

The Correct Answer is B

A. Request volunteers for the ethics committee: While having a diverse representation on the ethics committee is important, it may not directly address the need for cultural competence among the nursing staff.

B. Develop nurses' cultural competence: This choice directly addresses the need to prepare nurses for providing care to a more diverse population of older adults. Cultural competence training helps nurses understand and respect the cultural backgrounds of their patients, improving communication and the quality of care.

C. Teach nurses about a variety of religious practices: While understanding religious practices is part of cultural competence, focusing solely on religion may not adequately prepare nurses for the broader spectrum of cultural diversity they may encounter in caring for older adults.

D. Recruit multilingual nurses: While having multilingual nurses can be beneficial for communication, it may not fully address the need for cultural competence. Additionally, recruitment efforts alone may not provide a timely solution to the immediate need for providing culturally competent care to a more diverse population of older adults.

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Correct Answer is D

Explanation

A. The client requires transfusions of packed red blood cells during care.

In Judaism, blood transfusions are generally accepted as a medical intervention to save a life or improve health. However, opinions may vary among individuals and communities. It's essential to respect the client's wishes regarding medical interventions, including blood transfusions, and to involve the family in decision-making if necessary. While this intervention may not inherently conflict with Jewish beliefs, individual preferences and religious interpretations should be respected.

B. Assessment by a male health care provider was required.

In Orthodox Judaism, there are rules regarding modesty and gender separation, particularly concerning physical contact with members of the opposite sex. Some Orthodox Jewish women may prefer female healthcare providers, especially for intimate examinations or procedures. It's crucial to respect the client's religious beliefs and preferences regarding modesty and gender-related care.

C. A do-not-resuscitate (DNR) order was recommended by the care team.

End-of-life decisions, including DNR orders, can be complex and sensitive topics in Judaism. While some Jewish individuals may choose to have a DNR order based on their beliefs about the sanctity of life and quality of life, others may prefer all possible measures to be taken to prolong life. It's essential to involve the client, their family, and potentially a spiritual advisor or rabbi in discussions about end-of-life care preferences and decisions.

D. An autopsy was ordered due to the client's unique disease etiology.

Autopsies are generally discouraged in Judaism because they are viewed as desecrating the body and delaying burial, which is an important aspect of Jewish tradition. However, there may be exceptions in certain circumstances, such as when required by law or when necessary for medical research or legal reasons. Nevertheless, sensitivity to the religious beliefs and practices of the client and their family is crucial when considering autopsy requests.

A. The client is using this as a means of going home. B. The food served may violate religious beliefs. C. The food served may not be culturally appropriate. D. The client does not like to eat with other residents of the home.

Correct Answer is C

Explanation

A. The client is using this as a means of going home.

While this could be a possibility, it is not the primary concern in this scenario. Assuming this without further evidence may lead to misunderstanding the client's needs and preferences.

B. The food served may violate religious beliefs.

While this could be a concern, the client's statement, "I just do not like the food here," suggests a personal preference rather than a religious restriction. It's important to consider religious beliefs, but it's not the immediate issue raised by the client.

C. The food served may not be culturally appropriate.

This option directly addresses the client's statement about not liking the food. It suggests that the food may not align with the client's cultural preferences, which is a significant factor to consider in understanding the client's refusal to eat. Exploring cultural preferences and providing culturally appropriate meals can help address the client's concerns.

D. The client does not like to eat with other residents of the home.

While social factors may contribute to the client's reluctance to eat, the primary concern expressed by the client is dissatisfaction with the food itself, not with the dining environment or social interactions. While social factors may also need to be addressed, they are not the immediate focus based on the information provided.

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A nurse manager works in a setting where projections for the future include a more diverse ethnic mix of older adults. Which action will the nurse manager take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

Correct Answer is D

Explanation

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?

Correct Answer is C

Explanation

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