Sherpath EAQ Flashcards
The nurse is using an interpreter to communicate with a patient who does not speak English. Which action by the nurse may hamper the communication between the nurse and the patient?
Introducing the interpreter to the patient
Determining the interpreter’s qualifications
Looking at the patient instead of the interpreter
Asking the patient’s family members to serve as interpreters
Asking the patient’s family members to serve as interpreters
While assessing a patient of a different culture, the nurse wants to know the patient’s perception of the etiology of the disease. Which is the most appropriate question asked by the nurse using a patient’s explanatory model?
“What do you call your problem?”
“Why do you think it started when it did?”
“What do you think your sickness does to you?”
“What are the chief problems your sickness has caused you?”
“What do you call your problem?”
While measuring the vital signs of a Muslim patient, the nurse observes that the patient is anxious. Which statement by the nurse indicates a good understanding of transcultural nursing?
“I know modesty is very important for you, but you’ll have to adjust this time.”
“I know modesty is very important for you, but it should not interrupt the assessment.”
“I know modesty is very important for you. However, we have to adhere to hospital rules.”
“I know modesty is very important for you. Is there any way I can make you comfortable?”
“I know modesty is very important for you. Is there any way I can make you comfortable?”
The nurse is assessing patients from different cultural backgrounds. Which action should the nurse perform to obtain a systematic cultural assessment? Select all that apply. One, some, or all responses may be correct.
Overlook patients’ beliefs about health care.
Establish trusting relations with patients.
Obtain information by asking open-ended questions.
Gather area demographic information from census data.
Obtain information about economic backgrounds.
Establish trusting relations with patients.
Obtain information by asking open-ended questions.
Gather area demographic information from census data.
A Haitian patient is admitted to the hospital for arthritic pain. During the nursing assessment, the nurse learns that the patient is using a therapy called cupping for palliation of pain along with traditional Western medicine. Cupping involves placing heated cups on the skin. Which is the most appropriate action by the nurse?
Ask the patient to stop this therapy immediately.
Ignore this information and continue with Western medicine.
Learn about this therapy and avoid imposing own beliefs.
Ask the patient to select either Western medicine or cupping therapy.
Learn about this therapy and avoid imposing own beliefs.
When the nurse has a prejudice against a particular culture, which type of behavior is likely to result?
Discrimination
Culturally congruent care
Effective intercultural communication
Sufficient knowledge of diverse groups
Discrimination
To ensure safe use of oxygen in the home by a patient, which teaching point would the nurse include? Select all that apply. One, some, or all responses may be correct.
Smoking is prohibited around oxygen.
Demonstrate how to adjust the oxygen flow rate based on patient symptoms.
Do not use electrical equipment around oxygen.
Special precautions may be required when traveling with oxygen.
It is safe to use oxygen around gas stoves, candles, or fireplaces that are in use.
- Smoking is prohibited around oxygen.
- Do not use electrical equipment around oxygen.
- Special precautions may be required when traveling with oxygen.
A patient is in the early stages of pancreatic cancer. The health care provider orders chemotherapy. Which information would be given to the patient per the principle of nonmaleficence?
There are no side effects of chemotherapy.
Chemotherapy has side effects, but it is a viable treatment option.
The cancer will be cured by chemotherapy.
Starting chemotherapy is the health care provider’s decision.
-Chemotherapy has side effects, but it is a viable treatment option.
The nurse is caring for a patient with a bacterial infection. After administering an antibiotic, the nurse realizes that the wrong dose was given. The nurse immediately informs the patient and the health care provider. Which principle of the nursing code of ethics has the nurse followed?
Advocacy
Accountability
Responsibility
Confidentiality
Accountability
Which statement about advance directives is accurate?
- A living will allows an appointed person to make health care decisions when the patient is in an incapacitated state.
- A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state.
- The patient cannot make changes in the advance directive once admitted to the hospital.
- A durable power of attorney for health care is invoked only when the patient has a terminal condition or is in a persistent vegetative state.
A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state.
Which safety precaution would be taken for the patient with muscle weakness while walking?
Side rails
Crutches
Belt restraint
Rubber-soled shoes
Rubber-soled shoes
Patients with which disease are at low risk of disease transmission? Select all that apply. One, some, or all responses may be correct.
Ebola Influenza Pneumonia Chickenpox Viral meningitis
Pneumonia
Viral meningitis
Which direction would the manager give to a staff nurse who documented the entry,
“The patient is difficult to care for and refuses suggestions for improving appetite?”
Avoid rushing when charting an entry.
Use correction fluid to remove the entry.
Draw a single line through the statement and initial it.
Enter only objective and factual information about the patient.
Enter only objective and factual information about the patient.
Which statement describes the purpose of the incident report? Select all that apply. One, some, or all responses may be correct.
Identifies loopholes in the operation of the health care system.
Provides good, quality health care.
Documents a patient’s negative feedback related to the health care delivered.
Determines the severity of the punishment to be delivered.
Identifies the need to change a procedure or policy.
- Identifies loopholes in the operation of the health care system.
- Provides good, quality health care.
- Identifies the need to change a procedure or policy.
Which statement requires correction regarding legal guidelines of handwritten documentation?
“I should avoid using generalized, empty phrases.”
“I should put a line through errors made while recording.
“I should record all written entries legibly and in black ink.”
“I should leave spaces with unknown information blank.”
“I should leave spaces with unknown information blank.”
