{"id":110898,"date":"2023-07-28T14:39:49","date_gmt":"2023-07-28T14:39:49","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110898"},"modified":"2023-07-28T14:39:52","modified_gmt":"2023-07-28T14:39:52","slug":"test-bank-for-saunders-comprehensive-review-for-the-nclex-pn-examination-6th-edition","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/28\/test-bank-for-saunders-comprehensive-review-for-the-nclex-pn-examination-6th-edition\/","title":{"rendered":"Test Bank for Saunders Comprehensive Review for the NCLEX-PN Examination 6th Edition"},"content":{"rendered":"\n
    \n
  1. A nurse is providing discharge instructions to a Chinese client regarding prescribed dietary
    modifications. During the teaching session the client continually turns away from the nurse.
    Which of the following nursing actions is most appropriate?<\/li>\n\n\n\n
  2. Continue with the instructions, verifying client understanding.<\/li>\n\n\n\n
  3. Identify the importance of the instructions for the maintenance of health care.<\/li>\n\n\n\n
  4. Walk around the client so that the nurse continually faces the client.<\/li>\n\n\n\n
  5. Give the client a dietary booklet and return later to continue with the instructions.
    ANS: 1
    Rationale: Most Chinese maintain a formal distance with each other, which is a form of respect.
    Many Chinese are uncomfortable with face-to-face communications, especially when there is
    direct eye contact. If the client turns away from the nurse during a conversation, the best action is
    to continue with the conversation. Walking around the client so that the nurse faces the client is
    in direct conflict with the cultural practice. Identifying the importance of the instructions for the
    maintenance of health care may be viewed as degrading. Returning later to continue with the
    explanation may be viewed as a rude gesture.
    Test-Taking Strategy: Understanding the characteristics of this cultural group will assist in
    answering the question. Use the process of elimination. Eliminate options 2 and 4 first because
    these are nontherapeutic actions. From the remaining two options, note that option 1 is the most
    therapeutic. If you had difficulty with this question, review the communication practices of this
    cultural group.
    DIF: Level of Cognitive Ability: Application
    REF: Giger, J., & Davidhizar, R. (2004). Transcultural nursing: Assessment and intervention.
    St. Louis: Mosby. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Teaching and Learning<\/li>\n\n\n\n
  6. A nurse is assisting in preparing a plan of care for a client who is a Jehovah\u2019s Witness. The client
    has been told that surgery is necessary. Considering the client\u2019s religious preferences, the nurse
    documents that:<\/li>\n\n\n\n
  7. Surgery is prohibited in this religious group.<\/li>\n\n\n\n
  8. The administration of blood and blood products is forbidden.<\/li>\n\n\n\n
  9. Medication administration is not allowed.<\/li>\n\n\n\n
  10. Faith healing is primarily practiced.
    ANS: 2
    Rationale: In the Jehovah\u2019s Witness religion, surgery is not opposed, but the administration of
    blood and blood products is forbidden. Medication is an acceptable practice except if the
    medication is derived from blood products. Faith healing is forbidden in this religious group.
    Elsevier items and derived items \u00a9 2010 by Saunders, an imprint of Elsevier Inc.
    1 \/ 4
    Test Bank
    Test-Taking Strategy: Understanding the characteristics of this religious group will assist in
    answering the question. Remember that the administration of blood and any associated blood
    products is forbidden in this religion. Review the characteristics of this religious group if you had
    difficulty with this question.
    DIF: Level of Cognitive Ability: Comprehension
    REF: Nies, M., & McEwen, M. (2007). Community health nursing: Promoting the health of
    populations (4th ed.). St. Louis: Saunders. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Nursing Process\/Implementation<\/li>\n\n\n\n
  11. A nurse is preparing to deliver a food tray to a client whose religion is Judaism. The nurse checks
    the food on the tray and notes that the client has received a roast beef dinner with whole milk as
    a beverage. Which of the following actions will the nurse take?<\/li>\n\n\n\n
  12. Deliver the food tray to the client.<\/li>\n\n\n\n
  13. Call the dietary department and ask for a new meal tray.<\/li>\n\n\n\n
  14. Replace the whole milk with fat-free milk.<\/li>\n\n\n\n
  15. Ask the dietary department to replace the roast beef with pork.
    ANS: 2
    Rationale: In the Jewish religion, the dairy-meat combination is not acceptable. Pork and pork
    products are not allowed in the traditional Jewish religion. The only correct nursing action is to
    ask the dietary department to deliver a new meal tray.
    Test-Taking Strategy: Use the process of elimination and knowledge that the dairy-meat
    combination is not acceptable in this religion to answer the question. This knowledge will assist
    in eliminating options 1, 3, and 4. Also note that option 2 is the umbrella option. Review the
    dietary rules of this religious group if you had difficulty with this question.
    DIF: Level of Cognitive Ability: Application
    REF: Harkreader, H., & Hogan, M. (2007). Fundamentals of nursing (3rd ed.). St. Louis:
    Saunders. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Nursing Process\/Implementation<\/li>\n\n\n\n
  16. A nurse educator is describing the yin and yang theory of the ancient Chinese philosophy of Tao
    to a group of nursing students. The nurse explains that foods are classified as hot and cold in this
    theory and are transformed into yin and yang energy when metabolized by the body. The nursing
    student understands this theory when the student verbalizes that a client who practices this belief:<\/li>\n\n\n\n
  17. Consumes cold foods when a \u201chot\u201d illness is present<\/li>\n\n\n\n
  18. Consumes hot foods when a \u201chot\u201d illness is present<\/li>\n\n\n\n
  19. Believes that yin foods are hot foods<\/li>\n\n\n\n
  20. Believes that yang foods are cold foods
    ANS: 1
    Elsevier items and derived items \u00a9 2010 by Saunders, an imprint of Elsevier Inc.
    6-2
    2 \/ 4
    Test Bank
    Rationale: In the yin and yang theory, health is believed to exist when all aspects of the person
    are in perfect balance. Foods are classified as hot or cold and are transformed into yin and yang
    energy when metabolized by the body. Yin foods are cold, and yang foods are hot. Cold foods are
    eaten when one has a hot illness and hot foods are eaten when one has a cold illness.
    Test-Taking Strategy: Knowledge regarding the theory of yin and yang is required to answer this
    question. Remember that yin foods are cold and yang foods are hot; cold foods are eaten when
    one has a hot illness and hot foods are eaten when one has a cold illness. Review this theory if
    you are unfamiliar with it.
    DIF: Level of Cognitive Ability: Comprehension
    REF: Nies, M., & McEwen, M. (2007). Community health nursing: Promoting the health of
    populations (4th ed.). St. Louis: Saunders. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Teaching and Learning<\/li>\n\n\n\n
  21. A nurse is planning to instruct the Hispanic-American client about nutrition and dietary
    restrictions. When developing the plan for the instructions, the nurse is aware that this ethnic
    group:<\/li>\n\n\n\n
  22. Enjoys foods that lack color, flavor, and texture<\/li>\n\n\n\n
  23. Primarily eats raw fish<\/li>\n\n\n\n
  24. Enjoys eating red meat<\/li>\n\n\n\n
  25. Views food as a primary form of socialization
    ANS: 4
    Rationale: Mexican foods are rich in color, flavor, texture, and spiciness. In the Mexican culture,
    any occasion is seen as a time to celebrate with food and enjoy the companionship of family and
    friends. Because food is a primary form of socialization in the Mexican culture, Hispanic
    Americans may have difficulty adhering to a prescribed diet. Asian Americans eat raw fish, rice,
    and soy sauce. European Americans prefer carbohydrates and red meat.
    Test-Taking Strategy: Knowledge regarding the food practices and preferences and the meaning
    of food in the Hispanic-American culture is required to answer this question. Remember that
    food is a primary form of socialization in the Mexican culture. If you had difficulty with this
    question, review the food preferences associated with this culture.
    DIF: Level of Cognitive Ability: Comprehension
    REF: Giger, J., & Davidhizar, R. (2004). Transcultural nursing: Assessment and intervention.
    St. Louis: Mosby. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Nursing Process\/Planning<\/li>\n\n\n\n
  26. A nursing student is discussing cultural issues in a clinical conference. The nursing instructor
    asks the student to describe ethnocentrism. Which of the following if stated by the student
    indicates a lack of understanding of the issue of ethnocentrism?<\/li>\n\n\n\n
  27. \u201cIt is a tendency to view one\u2019s own ways as best.\u201d<\/li>\n\n\n\n
  28. \u201cIt is acting in a manner that is superior to other cultures.\u201d<\/li>\n\n\n\n
  29. \u201cIt is believing that one\u2019s own ways are the only acceptable way.\u201d<\/li>\n\n\n\n
  30. \u201cIt is imposing one\u2019s beliefs on individuals from another culture.\u201d
    Elsevier items and derived items \u00a9 2010 by Saunders, an imprint of Elsevier Inc.
    6-3
    3 \/ 4
    Test Bank
    ANS: 4
    Rationale: Ethnocentrism is a tendency to view one\u2019s own ways of life as the most desirable,
    acceptable, or best and to act in a superior manner toward another culture. Cultural imposition is
    the tendency to impose one\u2019s own beliefs, values, and patterns of behavior on individuals from
    another culture.
    Test-Taking Strategy: Note the strategic words \u201clack of understanding.\u201d Use the process of
    elimination, and note that options 1, 2, and 3 are comparable or alike. Additionally, knowledge of
    the concept of ethnocentrism will direct you to option 4. If you had difficulty with this question,
    review culturally related concepts.
    DIF: Level of Cognitive Ability: Comprehension
    REF: Nies, M., & McEwen, M. (2007). Community health nursing: Promoting the health of
    populations (4th ed.). St. Louis: Saunders. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Teaching and Learning<\/li>\n\n\n\n
  31. A nurse is assigned to collect data from a Hispanic-American client during the hospital
    admission. On initial meeting of the client, the nurse should plan to:<\/li>\n\n\n\n
  32. Greet the client with a handshake.<\/li>\n\n\n\n
  33. Avoid touching the client.<\/li>\n\n\n\n
  34. Avoid any affirmative nods during the conversations with the client.<\/li>\n\n\n\n
  35. Smile and use humor throughout the entire admission process.
    ANS: 1
    Rationale: To demonstrate respect, compassion, and understanding, health care providers should
    greet Hispanic-American clients with a handshake. On establishing rapport, providers may
    further demonstrate approval and respect through touch, smiling, and affirmative nods of the
    head. Given the diversity of dialects and the nuances of language, culturally congruent use of
    humor is difficult to accomplish and therefore should be avoided.
    Test-Taking Strategy: Knowledge regarding the cultural communication patterns of the Hispanic
    American is required to answer this question. Note the strategic words \u201cinitial meeting.\u201d Reading
    each option carefully and focusing on these strategic words will direct you to option 1. Review
    the characteristics of this cultural group if you had difficulty with this question.
    DIF: Level of Cognitive Ability: Application
    REF: Giger, J., & Davidhizar, R. (2004). Transcultural nursing: Assessment and intervention.
    St. Louis: Mosby. OBJ: Client Needs: Psychosocial Integrity
    TOP: Content Area: Fundamental Skills
    MSC: Integrated Process: Nursing Process\/Planning<\/li>\n\n\n\n
  36. A nurse is providing care to a Cuban-American client who is terminally ill. Numerous family
    members are present most of the time, and many of the family members are very emotional. The
    most appropriate nursing plan is to:<\/li>\n\n\n\n
  37. Restrict the number of family members visiting at one time.<\/li>\n\n\n\n
  38. Inform the family that emotional outbursts are to be avoided.<\/li>\n\n\n\n
  39. Request permission to move the client to a private room, and allow the family<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-110898","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=110898"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110898\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=110898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=110898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=110898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}