Nursing Process: TEST 2 REVIEW: Cultural Considerations and Patient Care

What is ginger traditionally used for in Chinese medicine?

Ginger aids with digestion and relieves nausea.

What dietary restrictions are associated with Hindu culture?

Hindus typically avoid meat, especially pork, and primarily eat vegetables.

What type of food tray should be offered to a person of the Muslim faith?

A food tray that does not contain pork.

What are the requirements for a kosher food tray for Orthodox Jews?

The tray must keep meat and dairy separate.

What should a nurse do if a patient does not speak the same language?

Use pictures or gestures to explain instructions and consider using a translator.

What is the post-mortem care for a male client who is Muslim?

The body is ritualistically washed, wrapped in a white cloth, and should not be touched by a non-Muslim. Same-sex caregivers are preferred.

How should a nurse interact with an Asian-American client regarding eye contact?

The nurse should avoid direct eye contact, as it may be considered impolite or aggressive.

How should a nurse address a Chinese client to show respect?

The nurse should address the client by her last name.

What is the policy regarding sharing computer access as a nurse?

Nurses should never share their computer access with anyone.

What is the purpose of documenting in an Electronic Medical Record (EMR)?

To communicate client data to the healthcare team and ensure easy access to information while mitigating errors.

What does akathisia refer to?

Akathisia is a movement disorder.

What is anhedonia?

Anhedonia is the inability to experience pleasure or joy.

What does anosognosia mean?

Anosognosia refers to a lack of awareness.

What is anergia?

Anergia is a lack of energy.

What is the first stage of grieving for a client newly diagnosed with cancer?

The first stage is denial, where the patient may oscillate between acceptance and denial.

What should be included in the care plan for a client at the end stage of life?

The plan should prioritize pain management and ensure the client is not in pain.

According to Maslow's hierarchy of needs, what is a priority action for terminal clients?

The priority action is to meet the client's safety and security needs.

What is the acronym for the stages of grief?

DABDA: Denial, Anger, Bargaining, Depression, Acceptance.

What should a nurse do to prevent acute pain exacerbations in terminal clients?

Schedule the client's pain medication on a routine basis.

What is the priority for a nurse caring for a patient who is HIV positive and at end of life?

Provide pain medication on a routine basis to manage pain control and prevent unnecessary suffering.

What role can a nurse play in the organ donation process?

A nurse may serve as a witness to a consent for organ donation after a specially trained professional requests consent.

What indicates that a client understands the purpose of palliative care?

Clients receiving palliative care understand that the goal is to relieve symptoms and provide the best possible quality of life.

Which patient is likely to experience anticipatory grief?

A client with a new diagnosis of metastatic liver cancer, as they are unlikely to recover and can prepare for their death.

What is the first step in post-mortem care?

Certify the patient's death by ensuring there is no heartbeat or breathing.

What should be done with medical equipment during post-mortem care?

Remove medical equipment such as oxygen, EKG, and IV sites.

What is the correct way to take an adult's tympanic temperature?

Insert the probe using a circular motion until it fits snugly in the ear canal.

What should a nurse encourage after a lumbar puncture?

Encourage fluid intake and monitor for hematoma; the client should remain flat in bed for at least one hour to reduce headache risk.

What is the timing for administering peak and trough levels for Vancomycin?

Draw blood for trough 15 minutes before the next dose and for peak 30 minutes after the dose finishes infusing.

Can an enteric-coated tablet be crushed?

No, crushing it irritates the stomach and destroys its protective coating.

How should a nurse manage a patient who has trouble swallowing an enteric-coated tablet?

Contact the pharmacy to see if an alternative medication is available, as crushing the tablet will cause gastrointestinal disturbance.

What is the purpose of an enteric coating on aspirin tablets?

It prevents the tablet from dissolving in the stomach, reducing gastric irritation by allowing it to dissolve in the intestine instead.

What should a nurse do if a patient is experiencing anticipatory grief?

Provide emotional support and resources to help the patient cope with their impending loss.

What is the significance of monitoring for hematoma after a lumbar puncture?

It helps to identify potential complications such as bleeding at the puncture site.

What are the key considerations for post-mortem care regarding cultural practices?

Be mindful of cultural or religious practices, such as those of Muslim clients, before calling the morgue.

What should a nurse do if a patient requires pain management at end of life?

Implement a routine schedule for analgesia to ensure effective pain control.

What is the role of specially trained professionals in the organ donation process?

They are responsible for requesting consent from families for organ donation.

What is the expected outcome of palliative care?

To relieve symptoms and provide the best possible quality of life for the patient.

What is the importance of the peak and trough levels in medication administration?

They help determine the effectiveness of the drug and ensure it is within therapeutic range.

What should be done with the body during post-mortem care?

Cleanse the body while being mindful of bodily fluids and label the body with ID toe tags.

What is the correct position for a patient after a lumbar puncture?

The patient should remain flat in bed for at least one hour to minimize headache risk.

What should the nurse do if a patient experiences cramping during a tap water enema?

The nurse can lower the bag to lessen the cramping.

How should the skin be positioned during an intradermal injection?

The skin should be held taut with the nondominant hand.

What is the purpose of administering Echinacea?

To boost the immune system and prevent the common cold.

What should you do if a guest is grasping their throat and has a weak cough?

First check if they are breathing, then see if they can cough it out, and prepare to perform the Heimlich maneuver.

How should a nurse manage a patient experiencing delusions?

Set limits on discussing delusions, change the topic, and redirect the conversation to reality-based subjects.

What environmental factors can help an older patient having trouble sleeping?

A dark room, soothing music, hot milk, and a consistent nighttime routine.

Where should the stethoscope be placed to take an apical pulse?

At the 5th intercostal space.

What precautions should be taken when administering Heparin IV?

Use an infusion pump to prevent overdosage and check the rate every 30 to 60 minutes.

Who should you speak to if you feel an assignment is unfair?

Speak with the Charge Nurse.

Who would you refer a patient with a temporomandibular joint issue to?

An oral surgeon or dentist.

Who should a patient with metastatic bone cancer be referred to?

An oncologist.

What should a nurse do if a male patient requests not to have a female involved in his care?

Remain professional, discuss with the charge nurse, and look for a male nurse.

What dietary approach should be taken for a patient newly diagnosed with severe depression?

Offer frequent small, high-calorie, high-protein snacks.

How should food be served to a paranoid patient who believes they are being poisoned?

Serve food in unopened containers.

What should a nurse do if a post-operative patient refuses to walk?

Respect their refusal, try again later, and document the situation.

What are signs of a therapeutic response from a patient receiving a back massage in palliative care?

Shoulders droop, facial muscles relax, and pulse remains within range.

What benefits does music therapy provide for palliative care clients?

Helps express emotions, provides distraction, and aids movement for patients with mobility limitations.

What care should a nurse provide for a palliative care client in hospice?

Do not force the patient to stay up, administer pain medication, and reposition the patient as needed.