As a nurse today taking care of an older adult from a different culture, you would have a refined set of skills that would include which of the following? (Select all that apply.)
Creating a patient-centered environment
Developing a plan of action that takes both the client's and your perspectives into account and negotiates an outcome
Working with the client, not on the client
Listening carefully to the older adult for his or her perception of the situation
Explaining your perceptions quickly and with your own understanding of them
Correct Answer : A,B,D
A. Creating a patient-centered environment: Providing culturally competent care requires prioritizing the patient’s values, beliefs, and preferences. A patient-centered environment ensures respect and dignity while fostering trust in the care process.
B. Developing a plan of action that takes both the client's and your perspectives into account and negotiates an outcome: Collaborative care planning acknowledges cultural differences while balancing clinical needs. Negotiation helps achieve outcomes acceptable to both the nurse and patient.
C. Working with the client, not on the client: Partnership in care promotes empowerment, allowing the patient to be actively involved in decisions rather than being treated as a passive recipient of interventions.
D. Listening carefully to the older adult for his or her perception of the situation: Careful listening ensures the nurse understands the patient’s cultural beliefs and interpretations of illness. This builds rapport and guides interventions that align with the patient’s worldview.
E. Explaining your perceptions quickly and with your own understanding of them: Rushing to impose the nurse’s viewpoint without first understanding the client’s perspective risks cultural insensitivity and miscommunication. This approach does not reflect culturally competent practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Gastroesophageal reflux disease: GERD is related to lower esophageal sphincter dysfunction and can cause heartburn and regurgitation. While it affects swallowing comfort, it is not the most immediate or dangerous complication of dysphagia following a stroke.
B. Aspiration: Clients with dysphagia after a stroke are at high risk for aspiration because impaired swallowing mechanisms can allow food, liquids, or secretions to enter the airway. Aspiration can lead to pneumonia, airway obstruction, or acute respiratory distress.
C. Peptic ulcer disease: Peptic ulcers are typically associated with H. pylori infection, NSAID use, or increased gastric acid production. This condition is not directly linked to stroke-related dysphagia and does not represent an acute risk for this client.
D. Dumping syndrome: Dumping syndrome occurs after gastric surgery when food moves too quickly from the stomach into the small intestine. It causes abdominal cramping, diarrhea, and hypoglycemia, but it is not a complication of dysphagia in stroke patients.
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Blood pressure: A blood pressure of 122/65 mm Hg is within an acceptable range for an 82-year-old client. It does not indicate hypotension or hypertension requiring urgent intervention, especially in the context of other more critical findings.
B. Neurological assessment: The client is weak, fatigued, and only able to follow simple commands. These symptoms can indicate decreased cerebral perfusion or early signs of sepsis-related encephalopathy, which require immediate follow-up to prevent deterioration.
C. Temperature: A body temperature of 39.3°C (102.8°F) indicates a significant febrile response and suggests a systemic infection. In an elderly client with pneumonia, this could accelerate metabolic demands and worsen respiratory compromise.
D. Breath sounds: Decreased breath sounds and crackles bilaterally, along with productive cough and tachypnea, point to impaired gas exchange. This can rapidly progress to respiratory failure and needs urgent evaluation and intervention.
E. WBC count: A WBC of 60,000/mm³ is critically elevated and suggests either a severe infectious process or potential leukemoid reaction. This degree of leukocytosis is not typical for uncomplicated pneumonia and warrants immediate diagnostic and medical attention.
F. Oxygen saturation: An oxygen saturation of 90% on room air is below normal and indicates hypoxemia. Immediate intervention is needed to support oxygenation and prevent respiratory distress or failure.
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