Saunders Nclex Fundamentals review

Saunders Nclex Fundamentals review Questions and Answers

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior

• Reflecting a cultural value
• An acceptance of the treatment
• Client agreement to the required procedures
• Client understanding of the preoperative procedures - ANSWER a. Reflecting a

cultural value Nodding or smiling by a Japanese American client may reflect only the cultural value of interpersonal harmony. This nonverbal behavior may not be an indication of acceptance of the treatment, agreement with the speaker, or understanding of the procedure.When communicating with a client who speaks a different language, which best practice should the nurse implement?

• Speak loudly and slowly.
• Arrange for an interpreter to translate.
• Speak to the client and family together.
• Stand close to the client and speak loudly. - ANSWER b. Arrange for an

interpreter to translate.Arranging for an interpreter would be the best practice when communicating with a client who speaks a different language. Options 1 and 4 are inappropriate and ineffective ways to communicate. Option 3 is inappropriate because it violates privacy and does not ensure correct translation The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to provide an

example of the concept of acculturation. The nurse educator should make which most appropriate response?

• "A group of individuals identifying as a part of the Iroquois tribe among Native

Americans."

• "A person who moves from China to the United States (U.S.) and learns about

and adapts to the culture in the U.S."

• "A group of individuals living in the Azores that identify autonomously but are a

part of the larger population of Portugal." d."A person who has grown up in the Philippines and chooses to stay there because of the sense of belonging to his or her cultural group." - ANSWER b. "A person who moves from China to the United States (U.S.) and learns about and adapts to the culture in the U.S." Acculturation is a process of learning a different culture to adapt to a new or changing environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which best action?

• Continue with the instructions, verifying client understanding.
• Walk around the client so that the nurse conb. stantly faces the client.
• Give the client a dietary booklet and return later to continue with the

instructions.

• Tell the client about the importance of the instructions for the maintenance of

health care. - ANSWER a. Continue with the instructions, verifying client understanding.Most Chinese Americans maintain a formal distance with others, which is a form of respect. Many Chinese Americans are uncomfortable with face-to-face communications, especially when eye contact is direct. 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 this cultural practice. The client may consider it a rude gesture if the nurse returns later to continue with the explanation. Telling the client about

the importance of the instructions for the maintenance of health care may be viewed as degrading A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on the client's statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? Select all that apply.

• Ensures that a close relative stays with the client
• Makes a referral for a Catholic priest to visit the client
• Removes the crucifix from the wall in the client's room
• Administers the sacrament of the sick to the client if death is imminent
• Offers to provide a means for praying the rosary if the client wishes
• Reminds the dietary department that meals served on Fridays during Lent do

not contain meat - ANSWER a. Ensures that a close relative stays with the client

• Makes a referral for a Catholic priest to visit the client
• Offers to provide a means for praying the rosary if the client wishes

In times of illness, a Roman Catholic client may turn to prayer for spiritual support. This may include rosary prayers or visits from a priest, who is the spiritual leader in the Roman Catholic faith. Close family members usually want to stay with a dying family member in order to hear the wishes of the client, allowing the soul to leave in peace. A priest, not a nurse, would administer the sacrament of the sick. Roman Catholics would not ask for the crucifix to be removed. Members of other religious groups such as Islam or Judaism may request the removal of the crucifix. Dietary rituals are not a concern at this time.

Which clients have a high risk of obesity and diabetes mellitus? Select all that apply.

• Latino American man
• Native American man
• Asian American woman

• Hispanic American man
• African American woman - ANSWER a. Latino American man
• Native American man
• Hispanic American man

Because of their health and dietary practices, Latino Americans, Native Americans, Hispanic Americans, and African Americans have a high risk of obesity and diabetes mellitus. Owing to dietary practices, Asian Americans have a lower risk for obesity and diabetes mellitus.e. African American woman

The nurse is preparing a plan of care for a client, and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made?

• "I cannot have surgery."
• "I cannot have any medicine."
• "I believe the soul lives on after death."
• "I cannot have any food containing or prepared with blood." - ANSWER d. "I

cannot have any food containing or prepared with blood." Among Jehovah's Witnesses, surgery is not prohibited, but the administration of blood and blood products is forbidden. For a Jehovah's Witness, administration of medication is an acceptable practice except if the medication is derived from blood products. This religious group believes that the soul cannot live after death.Jehovah's Witnesses avoid foods prepared with or containing blood.

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?

• Pork roast, rice, vegetables, mixed fruit, milk
• Crab salad on a croissant, vegetables with dip, potato salad, milk
• Sweet and sour chicken with rice and vegetables, mixed fruit, juice