The nurse is working at a clinic that assists minority patients.
The nurse notes that the physician refuses to use a translator and gives the patients materials only in English. The nurse notes that the physician is guilty of which of the following?
Discrimination.
Ethnocentrism.
Stereotyping.
Acculturation.
The Correct Answer is A
Choice A rationale
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
Choice B rationale
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
Choice C rationale
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
Choice D rationale
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
The RN must ensure that the nurse aide has the required training to perform these tasks. This is because the RN is responsible for determining client needs and when to delegate. The RN must also ensure that the delegate is competent to perform the activity.
Choice B rationale
The RN must maintain accountability for ensuring the delegated tasks are conducted correctly and completely. This is because the RN is answerable for their own choices, decisions, and actions as measured against a standard.
Choice C rationale
The RN must ensure policies cover the delegation. This is because the RN must understand the delegation process and the state nurse practice act (NPA) to ensure that it is safely, ethically, and effectively carried out.
Choice D rationale
The RN must perform an assessment of the patient prior to delegation. This is because the RN’s decision of whether or not to delegate is based upon their judgement concerning the condition of the patient.
Choice E rationale
While observing all tasks performed by the nurse aide II is a good practice, it is not a requirement for the RN in regard to this delegated task.
Correct Answer is C
Explanation
Choice A rationale
The dosage of Methadone 40.0 mg orally twice a day does not seem unusually low. Methadone is a potent opioid medication used for pain management and the treatment of opioid dependence. Its dosage should be individualized based on the patient’s condition and response to treatment16.
Choice B rationale
The abbreviation “BID” is not listed as a “Do not use” abbreviation. It is a commonly used medical abbreviation that stands for “bis in die,” which means “twice a day” in Latin16.
Choice C rationale
Trailing zeros should be avoided when writing medication orders. Writing “40.0 mg” instead of “40 mg” can lead to dosing errors if the decimal point is not seen, potentially resulting in a tenfold overdose16.
Choice D rationale
There is a need to contact the provider to clarify the order due to the potential for dosing errors associated with the use of trailing zeros16.
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