1.
A client’s family member says to the nurse. “The doctor said he will provide palliative care. What does that mean?” The nurse’s best response is:
Correct Answer
B. “Palliative care aims to relieve or reduce the symptoms of a disease.”
Explanation
The goal of palliative care is the prevention. relief. reduction. or soothing of symptoms of disease or disorders without effecting a cure.
2.
Which of the following is not included in evaluating the degree of heritage consistency in a client?
Correct Answer
A. Gender
Explanation
The degree of heritage consistency in a client is evaluated by considering their culture, ethnicity, and religion. However, gender is not included in this evaluation. Gender refers to the social and cultural roles, behaviors, and expectations associated with being male or female, whereas heritage consistency focuses on cultural and ethnic identity. Therefore, gender is not directly relevant in assessing heritage consistency.
3.
When providing care to clients with varied cultural backgrounds. it is imperative for the nurse to recognize that:
Correct Answer
B. Generalizations about the behavior of a particular group may be inaccurate.
Explanation
The correct answer is that generalizations about the behavior of a particular group may be inaccurate. This is because cultural diversity means that individuals within a cultural group may have different beliefs, values, and behaviors. It is important for nurses to avoid making assumptions or stereotypes about individuals based on their cultural background. Instead, they should approach each client as an individual and take into consideration their unique cultural perspectives and experiences. This will help to provide culturally competent care that respects the diversity of the clients' backgrounds.
4.
To respect a client’s personal space and territoriality. the nurse:
Correct Answer
B. Explains nursing care and procedures
Explanation
To respect a client's personal space and territoriality, the nurse explains nursing care and procedures. This allows the client to have a clear understanding of what will be done and why, promoting a sense of control and autonomy. By providing explanations, the nurse acknowledges the client's need for information and involvement in their own care, fostering a therapeutic and respectful relationship. This approach also helps to establish trust and reduce anxiety or discomfort that the client may experience.
5.
To be effective in meeting various ethnic needs. the nurse should:
Correct Answer
B. Be aware of client’s cultural differences.
Explanation
To be effective in meeting various ethnic needs, the nurse should be aware of client's cultural differences. This is important because different cultures have different beliefs, values, and practices related to health and healthcare. By being aware of these differences, the nurse can provide culturally sensitive care, understand the client's perspective, and avoid making assumptions or judgments. This can help build trust and rapport with the client, leading to better communication and improved health outcomes. Treating all clients alike may not consider their individual cultural needs, and avoiding asking questions about the client's cultural background may hinder the nurse's ability to provide appropriate care. Acting as if comfortable with the client's behavior may not address the underlying cultural factors influencing the client's behavior.
6.
The most important factor in providing nursing care to clients in a specific ethnic group is:
Correct Answer
A. Communication
Explanation
Communication is the most important factor in providing nursing care to clients in a specific ethnic group because effective communication enables nurses to understand the cultural beliefs, values, and practices of the clients. It allows nurses to establish trust, build rapport, and provide culturally sensitive care. Good communication also helps in identifying and addressing any language barriers, ensuring that clients receive the necessary information and can actively participate in their healthcare decisions. Overall, effective communication promotes better understanding, enhances the therapeutic relationship, and improves the quality of care provided to clients from diverse ethnic backgrounds.
7.
A health care issue often becomes an ethical dilemma because:
Correct Answer
D. The choices involved do not appear to be clearly right or wrong.
Explanation
A health care issue often becomes an ethical dilemma because the choices involved do not appear to be clearly right or wrong. In healthcare, there are often complex situations where multiple values, principles, and perspectives come into play. Different individuals may have different opinions on what is the morally correct course of action. This can lead to ethical dilemmas where there is no clear-cut solution, and healthcare professionals must carefully consider the potential consequences and weigh the ethical implications of their decisions.
8.
A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the:
Correct Answer
D. Advance directives
Explanation
Advance directives refer to a legal document that outlines a person's medical treatment preferences in case they become unable to make decisions. This document may include instructions regarding the use of life-sustaining treatments, resuscitation, and other medical interventions. It allows individuals to have control over their healthcare decisions and ensures that their wishes are respected even when they cannot communicate them directly. Durable power of attorney, informed consent, and living will are related concepts but do not specifically refer to a document that lists medical treatment refusals like advance directives do.
9.
Which statement about an institutional ethics committee is correct?
Correct Answer
A. The ethics committee is an additional resource for clients and healthcare professionals.
Explanation
The correct answer is that the ethics committee is an additional resource for clients and healthcare professionals. This means that the committee serves as a support system for both clients and healthcare professionals when they encounter ethical issues or dilemmas. The committee does not relieve healthcare professionals from dealing with ethical issues, nor does it replace decision making by the client and healthcare providers. Instead, it provides guidance, advice, and resources to help navigate and address ethical concerns in healthcare settings.
10.
The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant. but the chances of success are unclear. In helping the parents resolve this ethical conflict. the nurse knows that the first step is:
Correct Answer
B. Collecting all available information about the situation
Explanation
In order to help the parents resolve the ethical conflict surrounding the proposed surgery for their seriously ill newborn, the nurse needs to collect all available information about the situation. By gathering as much information as possible, the nurse can provide the parents with a comprehensive understanding of the risks, benefits, and potential outcomes of the surgery. This will enable the parents to make a more informed decision and help them navigate the ethical dilemma they are facing.