The Community Engaged Professional Nurse Final

Which statement describes case management?

1.It optimizes use of skills of various nursing staff.

2.It promotes the patient's right to individualized care.

3.It provides 24-hour nursing care accountability.

4.It strives to achieve predetermined daily patient outcomes.

4.It strives to achieve predetermined daily patient outcomes.

Health promotion differs from illness prevention in that health promotion

1)addresses identified health problems.

2)occurs before the identification of disease risk factors.

3)identifies and ameliorates a health problem.

4)returns an individual to optimal functioning after an illness.

2)occurs before the identification of disease risk factors.

The purpose of continuous quality improvement (CQI) is to

1)monitor processes involved in the provision of safe, effective care for patients.

2)restructure hospital departments to initiate cost savings.

3)provide an opportunity for staff members to participate in self-governance.

4)deliver appropriate nursing care to patients.

1)monitor processes involved in the provision of safe, effective care for patients.

Which of the following is a characteristic of the patient-centered care model of nursing care delivery?

A. It is easily explained to patients because it is based on traditional models of nursing care.

B. Communication among team members is not required to make the model work.

C. A multidisciplinary team emphasizes continuum of care and focuses on the patient's right to individualized care.

D. It decreases the number of registered nurses required to provide care.

C. A multidisciplinary team emphasizes continuum of care and focuses on the patient's right to individualized care.

Which of the following is not recognized as part of the role of the nurse as a member of the health care team?

A. Patient advocate and educator

B. Collaborator and provider of care

C. Manager of care and resources for a group of patients

D. Performance of physician functions under direct supervision of a physician

D. Performance of physician functions under direct supervision of a physician

A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a

A. for-profit agency.

B. not-for-profit agency.

C. voluntary agency.

D. private agency.

B. not-for-profit agency.

The school health clinic treats common health problems, as well as conducting health promotion and illness prevention activities. The clinic provides which level of health care?

A. Subacute care

B. Primary care

C. Secondary care

D. Tertiary care

B. Primary care

Which of the following is an example of rehabilitation and disease management?

A. Prompt treatment for hypertension

B. Attending weight loss classes

C. Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia

D. Taking an antibiotic for a sinus infection

C. Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia

Which of the following is an example of health promotion and maintenance?

A. Talking to a women's church group about having an annual mammogram

B. Establishing an exercise program for postmenopausal women to reduce bone loss

C. Providing colonoscopy examinations for high-risk individuals

D. Talking to a state legislator about supporting a motorcycle helmet law

A. Talking to a women's church group about having an annual mammogram

Which of the following is an example of illness prevention?

A. Viewing a program on television about the increased incidence of heart disease

B. Speaking to a high school group about the value of exercise

C. Encouraging women at a health fair to have an annual mammogram

D. Counseling people recently experiencing death of a spouse about signs and symptoms of depression

D. Counseling people recently experiencing death of a spouse about signs and symptoms of depression

The care delivery model in which a registered nurse provides direct care and also has 24-hour responsibility for updating the patient's plan of care is known as

A. functional care.

B. team nursing.

C. primary care.

D. case management.

C. primary care.

A nurse caring for a preoperative patient is told by the patient, "The doctor just had me sign a paper. I wish I knew what it was all about." The nurse goes to report this to the physician. The nursing role adopted by the nurse is

A. provider of care.

B. counselor.

C. change agent.

D. patient advocate.

D. patient advocate.

An agency that provides inpatient care related to less complex conditions and does not require high-technology monitoring or complex diagnostic procedures is providing which level of care?

A. Subacute care

B. Primary care

C. Secondary care

D. Tertiary care

A. Subacute care

Hospices that provide care to terminally ill patients and their families in hospitals, in the home, or in special hospice facilities provide which level of health care?

A. Subacute care

B. Primary care

C. Secondary care

D. Tertiary care

D. Tertiary care

Which care delivery model uses critical pathways and continuous quality improvement to guide care practices?

A. Managed care

B. Primary care

C. Case management

D. Care redesign

C. Case management

A hospital standard states, "All intravenous (IV) sites must be rotated every 72 hours." The nurse who assesses and records variations from this standard is fulfilling which role of nursing?

A. Infection control

B. Quality Management

C. Coordinator

D. Counselor

B. Quality Management

Review: Differences between treatment outcomes for different populations are known as

A. health care outcomes.

B. population variability.

C. treatment choices.

D. health care disparities.

D. health care disparities.

Which of the following areas experience serious disparities in health care access and outcomes for black and brown US citizens? (Select all that apply.)

A. Infant mortality

B. Arthritis

C. Cardiovascular disease

D. Oral health

E. Immunizations

A C E

Which of the following is not included as an overarching goal of Healthy People 2020?

1)Eliminating health disparities

2)Creating environments that promote good health

3)Lengthening the average lifespan by a decade

4)Attaining longer lives free of preventable diseases and injury

3)Lengthening the average lifespan by a decade

According to the video "Escape Fire" roughly 75% of healthcare spending goes to treating preventable diseases. What solutions does "Escape Fire" suggest in order to live healthier lives? (Select all that apply).

A. Disease Prevention

B. Leading less active lifestyles.

C. Holistic approach to healthcare.

D. Support from workplaces, communities, and our healthcare system.

A C D

"Escape Fire" addressed problems with over-medication of patients. What is one of the effective strategies the military has used to address this problem?

A. increased number of drug rehabilitation facilities for active soldiers only

B. supplemented or replaced prescription controlled prescription drugs with integrative medicine methodologies such as physical therapy, yoga, meditation, and acupuncture

C. admitted soldiers diagnosed with Post Traumatic Stress Syndrome (PTSD) to hospital intensive care units

D. banned pharmaceutical companies from marketing prescription drugs to the military physicians

B. supplemented or replaced prescription controlled prescription drugs with integrative medicine methodologies such as physical therapy, yoga, meditation, and acupuncture

For a malpractice law suite, essential characteristics of negligence must be present. Which of the following constitute these essential characteristics? (Select all that apply.)

A. The nurse assumed the responsibility for the patient's care.

B. The nurse is found to have failed to meet the standard of care.

C. The harm to the patient must be shown to have been caused by the failure to meet the standard of care.

D. Harm to an individual has occurred.

E. The nurse's action involves acts of commission

A B C D

Review: The Patient Self-Determination Act of 1991, as implemented today, is known as providing

A. informed consent.

B. advance directives.

C. patient bill of rights.

D. HIPAA protections.

B. advance directives.

In which of the following situations should the legality of an informed consent be questioned

A. Patient with dementia; consent given by spouse

B. Patient who received a preoperative dose of Demerol before giving consent

C. Patient who is anxious and asks many questions of the physician

D. Patient who expresses concern about the cost of the procedure

B. Patient who received a preoperative dose of Demerol before giving consent

Which of the following is a nursing responsibility regarding informed consent?

A. Canceling the procedure if the patient has questions

B. Explaining the procedure, risks, and treatment alternatives

C. Serving as a witness, ensuring that the patient does not feel coerced into a decision

D. Ensuring that the physician has completely explained the costs of the procedure

C. Serving as a witness, ensuring that the patient does not feel coerced into a decision

A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to

•A. follow the standard of care.

•B. assess and monitor a patient.

•C. communicate with a patient (hiding the med).

•D. document.

•C. communicate with a patient (hiding the med).

Which of the following is an important step in preventing legal action against the nurse?

A. Never make a mistake.

B. Deflect blame from yourself as much as possible.

C. Develop caring, therapeutic relationships with patients.

D. Avoid explaining care procedures to patients.

C. Develop caring, therapeutic relationships with patients.

Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality?

A. Reporting certain diseases to public health authority

B. Discussing a patient's care with someone who does not know the patient

C. Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience

D. Discussing a patient's condition in a public place as long as the patient's name is not mentioned

A. Reporting certain diseases to public health authority

Which patient rights are guaranteed by HIPPA?

A. Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record.

B. Patients sign a release protecting the health care provider and insurance compamny against computer file theft.

C. Patients are protected against medical records being indiscriminantly shared.

D. Patients may receive a complete copy of their medical records at considerable cost to the patient.

C. Patients are protected against medical records being indiscriminantly shared.

The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse tells her colleague: "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and posts a message on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. Pleases help and donate if you can." This nurse:

A. is showing empathy and as long as she lets the patient know the money is not from her, she is not violating any social media guidelines.

B. is at risk for HIPAA violations.

C. has properly followed policy and protected the patient by not using her name.

D. is demonstrating the logical fallacy of slippery slope.

B. is at risk for HIPAA violations.

A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best?

A. "Yes, as long as you ask the family if that would be OK."

B. "I think that would be OK, but you should check hospital policy."

C. "No, posting pictures of patients and families on social media sites is not acceptable."

D. "No, that could lead to a malpractice suit by the patient or family."

C. "No, posting pictures of patients and families on social media sites is not acceptable."

What is the primary function of the National Council of State Boards of Nursing (NCSBN)?

A. Overseeing decisions made by state boards of nursing

B. Developing the NCLEX-RN" and NCLEX-PN" licensing examinations

C. Administering the NCLEX examination at testing centers

D. Overseeing granting licensure by endorsement

B. Developing the NCLEX-RN" and NCLEX-PN" licensing examinations

The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts?

A. They determine the educational requirements for licensure.

B. They describe the process for gaining membership to a professional organization.

C. They regulate how many professional nursing organizations may be formed.

D. They define the practice of medicine in relation to nursing.

A. They determine the educational requirements for licensure.

The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose. The nurse looks up the medication in a pharmacology book and finds the prescribed dose is too large. Which action should the nurse take?

A. Documenting the findings in the chart after giving the medication

B. Calling the nursing supervisor and ask what to do next

C. Calling the pharmacist to obtain the usual dosage

D. Notifying the physician of these findings before giving the medication

D. Notifying the physician of these findings before giving the medication

Which of the following falls under the jurisdiction of the state board of nursing?

A. Approving or reject applications for new nursing education programs

B. Expanding the provisions of the nurse practice act

C. Reducing the provisions of the nurse practice act

D. Right to suspend the need for licensure of registered nurses (RNs) in times of extreme shortage

A. Approving or reject applications for new nursing education programs

The most common reason that nurses are disciplined by the state board of nursing is

A. making medication errors.

B. following unsafe nursing practice.

C. practicing while impaired.

D. abandoning patients.

C. practicing while impaired.

Collaboration among health care professionals most importantly results in

A. the development of esprit de corps.

B. benefits to the organization alone.

C. positive patient outcomes.

D. maintenance of employee satisfaction.

C. positive patient outcomes.

Within nurse-patient communication, the use of silence can

A. block further therapeutic communication.

B. allow the patient to not feel pressured to provide information.

C. demonstrate trust.

D. provide the nurse with an opportunity to complete the patient's care.

B. allow the patient to not feel pressured to provide information.

The nurse plans to teach a patient about the care of her mastectomy site. The nurse finds the patient crying. The best response by the nurse is,

A. "It is time to discuss how to care for the surgical site."

B. "You seem upset. You should start looking forward to going home and being a wife and mother again."

C. "I see you are upset. Is there something on your mind you'd like to talk about?"

D. "Dr. Abrams said you can go home tomorrow, and we need to talk about the care of your surgical site."

C. "I see you are upset. Is there something on your mind you'd like to talk about?"

A nurse shares personal stories with the patient. This nursing action is considered problematic when:

1.The nurse continues to be aware of patient needs.

2.The nurse indiscriminately talks about personal issues.

3.The nurse refocuses on the needs of the patient.

4.The nurse uses disclosure related to patient's problems.

2.The nurse indiscriminately talks about personal issues.

Which is the most "reliable" form of communication

B. Non-verbal communication

Which of the following is an important outcome of the "orientation" phase of the nurse-pt relationship?

A. communication.

B. understanding.

C. acceptance.

D. trust.

D. trust.

A new mother says, "My baby is being kept in the nursery. I'm really worried about him. I'm also worried that the separation will interfere with breastfeeding." The most appropriate response by the nurse is,

A. "Well, that's not my territory. You'll have to deal with the nursery staff about breastfeeding."

B. "As a nurse on this unit, I can assure you that we will do all we can to help you."

C. "I can see you're upset about this, but to be honest with you, I'm a new nurse here, and I'm not sure how I can help you."

D. "I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you."

D. "I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you."

Which of the following best illustrates nonjudgmental acceptance by the nurse

A. Using professional influence to change a patient's morality to be more in keeping with societal norms

B. Changing your assignment if you discover that you have negative feelings toward your patient's lifestyle

C. Demonstrating caring behavior in spite of negative feelings

D. Avoiding all negative feelings about the patient

C. Demonstrating caring behavior in spite of negative feelings

Which behaviors help patients to develop trust in the nurse?

A. answering questions with authority

B. sharing pesronal information to indicate openness

C. conveying acceptance of the patient in with a nonjudgmental attitude

D. Telling the patient that he or she can trust you

C. conveying acceptance of the patient in with a nonjudgmental attitude

In which of the following examples is the nurse demonstrating empathy for the postoperative mastectomy patient?

A. "With today's advanced reconstruction techniques, you'll quickly forget you ever had surgery."

B. "You'll be back to your busy routine sooner than you think."

C. "This must be a very difficult time for you."

D. "I know how you feel; I also had breast cancer."

C. "This must be a very difficult time for you."

Which of the following could be considered congruent communication?

A. The nurse manager states, "Come by my office anytime." Then she keeps her door closed and does not answer phone calls.

B. As a co-worker hurries down the hall, he asks, "Is there anything you need help with?"

C. As she drops a stack of charts loudly on the desk, a co-worker states, "This is going to be a wonderful day."

D. The nurse manager sits with you in the nurse's lounge and asks, "Is there anything you would like to talk about?"

D. The nurse manager sits with you in the nurse's lounge and asks, "Is there anything you would like to talk about?"

A nurse is irrigating pressure ulcers on a patient's coccyx. When the patient asks how they are healing, the nurse grimaces and says, "Oh, they're doing just fine." This is

A. incongruence between verbal and nonverbal messages.

B. a confirming statement.

C. objectivity in responding to the question.

D. the therapeutic use of humor.

A. incongruence between verbal and nonverbal messages.

A 4-year-old child is going to have an abdominal x-ray examination. The child asks, "Why do they have to do this? Will it hurt?" Which of the following is the most appropriate response by the nurse?

A. "The doctor needs you to have the x-ray so she knows what is wrong with you."

B. "You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt."

C. "You will go downstairs on a stretcher. You will need to lie very still on a hard table while the x-ray machine goes over you. It will not take very long."

D. "X-rays do not hurt. The machine takes a picture but will not touch you."

B. "You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt."

A patient states, "The thing that scares me the most about surgery is the spinal anesthesia. I'm afraid it'll leave me paralyzed," and the nurse responds, "Everything will be fine. The anesthesiologists are very skilled in administering spinal anesthesia." The nurse's response is an example of a communication breakdown known as

A. failing to see the uniqueness of the individual.

B. failing to recognize levels of meaning.

C. using value statements.

D. using false assurance.

D. using false assurance.

Which behaviors foster active listening? (Select all that apply.)

A. Encouraging the speaker by saying, "Tell me more"

B. Limiting verbal ventilation because it is not focused

C. Sitting in an open posture such as leaning forward

D. Engagement in a task

E. Good eye contact at eye level and nodding of the head

A C E

A patient demonstrates obvious regression in the ability to perform self-care during the working phase. Which response by the nurse is most appropriate?

A. Frustration because the patient does not appear to be motivated to achieve goals

B. Persistence in demonstrating the importance of achieving goals

C. Patience and understanding because regression is a defense mechanism

D. Ignoring it because the nurse realizes the patient is exhibiting childlike behavior

C. Patience and understanding because regression is a defense mechanism

A new mother says, "My baby is being kept in the nursery. I'm really worried about him. I'm also worried that the separation will interfere with breastfeeding." The most appropriate response by the nurse is,

A. "Well, that's not my territory. You'll have to deal with the nursery staff about breastfeeding."

B. "As a nurse on this unit, I can assure you that we will do all we can to help you."

C. "I can see you're upset about this, but to be honest with you, I'm a new nurse here, and I'm not sure how I can help you."

D. "I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you."

D. "I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you."

A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship?

A. "You must be happy to be going home. Here are the written diet and medication instructions."

B. "It has been wonderful getting to know you. The best of luck when you get home."

C. "You must be happy to go home. Over the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions."

D. "You have done well learning a lot of new material and should be able to do well at home."

"You must be happy to go home. Over the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions."

The nurse and patient may experience sadness during the termination phase. How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?

A. Providing personal contact information so the patient can contact the nurse if needed

B. Visiting the patient at home during off-duty time to help the transition to self-care

✓C. Emphasizing the achievements the patient has made, including the ability for self-care

D. Exchanging goodbye gifts as a sign that the relationship is terminated

C. Emphasizing the achievements the patient has made, including the ability for self-care

A newly diagnosed diabetic patient states "I have very definite likes and dislikes when it comes to food. Am I going to have to eat only certain foods, or will I have some choice?" The nurse responds, "I will request a dietary consultation to include your preferences and still come up with a good diet for controlling your diabetes. If you want, you can start thinking about or writing a list of your likes and dislikes. What phase of the nurse-patient relationship is this

A. Relationship phase

B. Orientation phase

C. Working phase

D. Termination phase

C. Working phase

To use an ethical decision-making model, which step should the nurse perform first?

a)Gather and examine all possible solutions.

b) Identify the ethical dilemma in the case.

c) Identify all parties who will be impacted by the decision.

d) Gather all information important to the situation

b) Identify the ethical dilemma in the case.

What is the nursing profession's expression of its ethical values and duties to the public?

1. ANA's Nursing: Scope and Standards of Practice

2. Code of Ethics for Nurses with Interpretive Statements

3. Gilligan's stages of moral reasoning

4. International Council of Nurses

2. Code of Ethics for Nurses with Interpretive Statements

According to the nurse's Code of Ethics, the hallmark of nursing practice is

A. autonomy.

B. accountability.

C. evidence-based practice.

D. altruism.

B. accountability.

In a clinical setting, professional ethics should override personal morals and values.

1. True

2. False

1. True

Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of

A. justice.

B. autonomy.

C. nonmaleficence.

D. death with dignity.

B. autonomy.

A nurse is turning a bedfast patient to prevent pressure ulcers. The patient complains that the process is painful. The nurse explains the reason for the turning schedule and completes the task. This is an example of the ethical principle of

1) autonomy.

b) fidelity.

c) nonmaleficence.

d) veracity.

c) nonmaleficence.

Answering a terminally ill child's questions about his or her condition honestly is based on a belief in the ethical principle of

a) autonomy.

b) fidelity.

c) justice.

d) veracity.

veracity

The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles?

a) Double effect

b) Fidelity

c) Justice

d) Veracity

c) Justice

A school nurse teaching school-aged children about water safety is an example of which ethical principle?

A. Beneficence

B. Justice

C. Veracity

D. Autonomy

A. Beneficence

A patient who is terminally ill is experiencing great pain. To relieve the patient's suffering, the nurse needs to administer larger doses of morphine. This relieves the pain but also inhibits respiration. Which principle justifies the risk of harm

A. Justice

B. Fidelity

C. Veracity

D. Double effect

D. Double effect

Taking a pediatric patient to the playroom on a promised time and day is based on the belief in the ethical principle of

A. autonomy.

B. fidelity.

C. justice.

D. veracity.

B. fidelity.

When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of

A. beneficence.

B. fidelity.

C. justice.

D. veracity.

B. fidelity.

A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged due to an inability to pay for care is applying which ethical principle?

A. Justice

B. Beneficence

C. Autonomy

D. Fidelity

A. Justice

A patient was diagnosed with ovarian cancer 5 years ago. She underwent chemotherapy and radiotherapy, but cancer returned 2 years ago with metastases to the bone and possibly the lung. She says the cancer is "no longer curable, but treatable." During this time the patient's daughter was critically injured in a car accident and now lives with a traumatic brain injury, needing round-the-clock care. Her husband is also having an affair. She continues to work and volunteers with various community groups. Which phenomenon is the patient demonstrating?

A.Resourcefulness

B.Independence

C.Acceptance

D.Resilience

D.Resilience

A contemporary view of the sick role includes

A. patient as partner with the health care provider.

B. patient as submissive to the health care provider.

C. patient noncompliant with the health care provider.

D. moving away from cultural values when making health care decisions.

A. patient as partner with the health care provider.

What is the primary difference between acute illness and chronic illness?

A. In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.

B. In acute illness, symptoms begin suddenly, progress gradually, and do not subside.

C. In chronic illness, symptoms begin gradually, progress suddenly, and subside quickly.

D. In chronic illness, symptoms begin suddenly, require ongoing management, and subside quickly.

A. In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.

Which statement about acute illness is true?

A. Most people with acute illness develop chronic illness.

B. Most people with acute illness return to their previous level of wellness.

C. All people with an acute illness need medical care.

D. Acute illnesses are usually catastrophic in nature.

B. Most people with acute illness return to their previous level of wellness.

Which illness has the characteristics of a chronic illness? Lupus

Bronchitis

Chickenpox

Gastroenteritis

Lupus

A patient states, "Can't you give me my medication more often? I'm going to die anyway."

In which stage of illness is this patient?

A. Disbelief and denial

B. Irritability and anger

C. Attempting to gain control

D. Depression and grief

D. Depression and grief

A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient?

A.Disbelief and denial

B.Irritability and anger

C.Attempting to gain control

D.Acceptance and participation

D.Acceptance and participation

A patient is in the intensive care unit after a myocardial infarction and refuses to stay in bed, saying, "I have to be up and walking around. When I stayed in bed after having my babies 40 years ago, I got so weak I could hardly move." This patient's illness behavior is being influenced by

A. hardiness.

B. past experiences.

C. culture.

D. role expectations.

B. past experiences.

An English-speaking nurse gave a non-English-speaking Asian patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of povidone-iodine was to be used in cleansing the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error?

A. Giving the patient written instructions in his language

B. Using a medical interpreter to give the preoperative instructions

C. Having the patient sign a statement that he understood the instructions

D. Using illustrations to show the patient the procedure

B. Using a medical interpreter to give the preoperative instructions

A young girl from a Middle Eastern country is in the process of dying. Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress every day. The parents cannot be there every day to do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care?

A. Allowing the parents to dress the patient in the garment and headdress when they are by her side

B. Consulting the chaplain as to the meaning of the ritual in the Middle East

C. Informing the parents that hospital policy requires all patients to wear hospital garments

D. Learning how to apply the garment and headdress properly and documenting it in her chart and discussing it at shift change.

D. Learning how to apply the garment and headdress properly and documenting it in her chart and discussing it at shift change.

A Caucasian nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibility that this is

A. an interesting trinket to brighten the environment.

B. a gift from his grandchildren to make him feel closer to the family.

C. an important item used in native healing practices.

D. an item that might introduce microorganisms into the hospital environment.

C. an important item used in native healing practices.