NURS618 - Saunders Comprehensive Review for NCLEX 1

183Pages 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 ...

183Pages 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.(1,2,5) 1)  Answers-Ensures that a close relative stays with   Answers-Continue with the instructions, verifying client understanding. 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 2) Which clients have a high risk of obesity and diabetes mellitus? Select all that apply.(1,2,4,5) wishes.  Latino American Man  Native American man  Hispanic American man  African American woman 3) 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 any food containing or Prepared with blood." 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? 4) 1) The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously 5) 6)  Answers-Reflecting a cultural value best practice should the nurse implement? 7) 8) 9) 10)  Foods considered to be yin   When communicating with a client who speaks a different language, which  most appropriate response?  Arrange for an interpreter to translate. 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 Answers-"A person who moves from China to the United States (U.S.) and learns about and adapts culture in the U.S." a to the An Asin American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method? Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet? Sweet and sour chicken with rice and vegetables, mixed fruit, juice. Which is the best nursing intervention regarding complementary and alternative medicine? Educating the client about therapies that he or she is using or is interested in using An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that he would like to take an herbal substance to help lower his blood pressure. The nurse should take which action? 11)  Encourage the client to discuss the use of an herbal substance with the health care provider (HCP). The nurse educator asks a student to list the 5 main categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, indicates a need for further teaching regarding CAM categories? 12)  "Magnetic therapy and massage therapy are a focus of CAM." The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? 13)  The client was found lying on the floor. A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? 14)  Transport the victim to the operating room for surgery. The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next? 15) 16) 17)  Reassess the client.  The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? Clarify with the team leader to make a safe ICU client assignment.