Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 6- Culture and Ethnicity
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a client with a urinary tract infection. The client is anemic and has a hemoglobin count of 8 mg/dl. Taking into consideration that the client is from a Mediterranean country, what should the nurse’s most appropriate action be? | |
| A) | Ensure that drugs exacerbating anemia are not given. | |
| B) | Ensure that the client takes adequate fluids. | |
| C) | Ensure that the client takes hematinics for anemia. | |
| D) | Ensure that the client takes care of personal hygiene. | |
| Ans: | A | |
| Feedback: | ||
| The nurse should ensure that the client is not prescribed drugs that are not compatible with G-6-PD deficiency. It has been observed that people from Mediterranean countries lack an enzyme that helps red blood cells to metabolize glucose. Therefore, the rate of red blood cells may increase in response to any stressful condition. Taking adequate fluids, hematinics, and taking care of personal hygiene are usual measures taken in urinary tract infection and anemia, but are not specific to people from Mediterranean countries. | ||
| 2. | A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction. Keeping in mind that the client speaks English as a second language, how should the nurse conduct the interview? | |
| A) | The nurse should ask the client to express himself emotionally. | |
| B) | The nurse should avoid using complex medical terminology. | |
| C) | The nurse should sit at a long distance from the client. | |
| D) | The nurse should ask closed-ended questions. | |
| Ans: | B | |
| Feedback: | ||
| The nurse should avoid using medical terminology and make the examination as simple as possible. People who speak English as a second language may not understand medical terminology. They may feel embarrassed to ask the nurse to repeat the information again. It is not necessary to sit at a long distance and the questions may be either closed-ended or open-ended. The acceptability of emotion is rooted in culture, not necessarily in language. | ||
| 3. | An English-speaking Hispanic male has undergone a resection of the colon. The nurse observes that the client is restless and is unable to sleep. What should be the nurse’s initial statement to the client? | |
| A) | “I will get you pain medication.” | |
| B) | “You will be better by morning.” | |
| C) | “Are you feeling uncomfortable?” | |
| D) | “Tell me what you are feeling.” | |
| Ans: | D | |
| Feedback: | ||
| The nurse should use open-ended questions and should not assume anything about the client’s emotional or physical condition. An open-ended question would encourage the client to verbalize his feelings. Telling the client that you will get him the pain medication is not correct, as it is not based on any assessment. Informing the client that he will be fine by morning is nontherapeutic, as it conveys false reassurance. Asking the client if he feels comfortable is a closed-ended question. | ||
| 4. | A non–English-speaking client has been admitted to the health care facility with complaints of chest pain. Since the assigned nurse does not know the client’s language, what would be the most appropriate solution in this case? | |
| A) | The nurse should request the help of a professional interpreter. | |
| B) | The nurse should get a language dictionary and translate. | |
| C) | The nurse should ask the supervisor to assign some other client. | |
| D) | The nurse should communicate with the client nonverbally. | |
| Ans: | A | |
| Feedback: | ||
| The nurse should request the help of a professional interpreter to communicate effectively with the non–English-speaking client. Trying to use a language dictionary to help communicate may be troublesome and time-consuming. The third response is inappropriate because the nurse cannot shun his or her responsibilities. Asking the client to communicate nonverbally may lead to a communication gap. | ||
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