The nurse manager on a busy older adult medical unit is under significant pressure to minimize client lengths of stay and speed up discharge planning. An older adult client tells the nurse, "It doesn't matter who or how many people are waiting in the emergency department for this bed; I'm simply not healthy enough to go home yet." The nurse interprets the client's statement as indicating which idea?

Absolutism

Relativism

Egoism

Beneficence

Answer and Explanation

The Correct Answer is B

A. Absolutism: This philosophical perspective holds that certain actions or principles are universally true or right, regardless of context or circumstances. In the context of the scenario, if the client believed in absolutism, they would likely insist that their discharge readiness is determined by fixed criteria, such as medical parameters, regardless of external factors like the waiting list in the emergency department.

B. Relativism: Relativism is the belief that truth, morality, or judgments are not absolute but are relative to individuals, cultures, or situations. In this scenario, the client's statement reflects a relativistic perspective because they assert that their readiness for discharge depends on their own health status and needs, rather than external factors like the waiting list in the emergency department.

C. Egoism: Egoism is a philosophical theory that prioritizes self-interest as the primary motivation for human actions. While the client's statement may indirectly reflect a concern for their own well-being, it does not necessarily imply that they are acting purely out of self-interest or egoism.

D. Beneficence: Beneficence is an ethical principle that emphasizes the obligation to do good and promote the well-being of others. While the client's statement may align with the idea of advocating for their own well-being, it does not directly relate to the ethical principle of beneficence, which typically involves actions taken to benefit others rather than oneself.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

A. Cultural factors:

Cultural factors can influence sleep patterns and behaviors, such as bedtime routines, sleep hygiene practices, and beliefs about sleep. However, in this scenario where the client's reported sleep disturbance is directly linked to a recent leg injury, cultural factors might have less direct relevance compared to other factors like pain or medications.

B. Level of pain:

Pain is a common cause of insomnia, particularly in cases where there is a recent injury. Pain can make it difficult for individuals to find a comfortable sleeping position or to relax enough to fall asleep. Assessing the level and nature of pain is crucial in addressing sleep disturbances in this context.

C. Eating habits:

While eating habits can influence overall health and well-being, they might have less immediate impact on sleep disturbances related to a recent leg injury. However, certain dietary factors, such as consuming caffeine or heavy meals close to bedtime, could exacerbate insomnia. It's still important to consider eating habits as part of a comprehensive assessment, but they might not be the primary focus in this scenario.

D. Expectations for recovery:

The client's expectations for recovery can influence their emotional state and overall psychological well-being, which in turn can impact sleep patterns. Anxiety, uncertainty, or unrealistic expectations about recovery may lead to increased stress and difficulty sleeping. Assessing the client's expectations and addressing any concerns or misconceptions can be essential in managing insomnia related to a recent injury.

E. Medications that could interfere with sleep:

Certain medications, such as pain relievers, muscle relaxants, or steroids prescribed for managing the leg injury, may have side effects that interfere with sleep. It's important to review the client's medication regimen to identify any potential sleep-disrupting drugs and consider adjustments or alternative medications if appropriate.

A. Ensure that medical treatments comply with cultural expectations B. Increase compliance among minority clients C. Provide individualized and culturally sensitive care D. Ensure that clients get the respect customary in their own ethnic group

Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations:

- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.

B. Increase compliance among minority clients:

- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.

C. Provide individualized and culturally sensitive care:

- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.

D. Ensure that clients get the respect customary in their own ethnic group:

- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client reports not being able to sleep due to a recent leg injury. Which factor(s) will the nurse assess as a source of the insomnia? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is C

Explanation

A nurse is teaching a 90-year-old client about a new medication regimen. Which principle would be most important for the nurse to integrate into the teaching session?

A nurse manager at a long-term care facility is engaged in efforts to change many staff members' inaccurate and negative views of older adults. When talking with the staff, which statement indicates the need for the nurse manager to intervene?

A gerontological nurse in a long-term care facility is implementing practices to provide quality, cost-effective care. Which action would be appropriate for the nurse?

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?

A nurse is determining ways to address ethnic diversity among clients being provided care. Which action would be the most direct way for the nurse to do this?

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?