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Unformatted text preview: A nurse enters the examination room the emergency clinic and meets a 29 year old
patient who misses her last to follow up appointments the nurse notes from the medical
record that the patient has high blood pressure that the doctor has been trying to help
her manage. The patient just spoke with her doctor who left the room frustrated
because the patient has not been taking her medication as prescribed. The patient
confronts the nurse saying "I am tired of being treated this way no one cares. I need to
find another doctor!" Using the C-lara mnemonic match the nurses response to the
correct letter of the mnemonic.
C- the nurse uses a relaxation technique before responding to the patient's concern
calm yourself. Take a deep breath. Check your pulse.
L- listen, the nurse maintains eye contact and allows the patient to discuss her
perspective all remaining attentively quiet
A- affirm, the nurse acknowledges that it is absolutely reasonable for patients to expect
that their Healthcare Providers care about their situations and that it is disappointing
when they have experiences that makes them feel like they do not.
R- reason, the nurse says I want to help you I can do that better if you tell me what's
making it difficult for you to come to your appointments and take your medicine every
A- act, the nurse explains one thing I want you to understand is that your blood pressure
medicine will only work if you take the same amount every day. Your follow-up
appointments are important so we can get this blood pressure under control. Let me get
a social worker who can help you figure out these Transportation issues or see if he can
find a doctor closer to your house.
which of the following are considered social determinants of Health?
1. lack of primary healthcare provider in a zip code.
2. poor quality public school education that prevents a person from developing
adequate reading skills.
3. lack of affordable health insurance.
4. employment opportunities that do not provide paid vacation or sick leave.
5. number of times a person exercises during the week.
6. neighborhood safety that prevents a person from walking around the block or
socializing with neighbors outside of his / her home.
lack of primary health care providers in a zip code
poor quality public school education that prevent a person from developing an adequate
lack of affordable health insurance
employment opportunities that do not provide paid vacation or sick leave neighborhood safety that prevents a person from walking around the block or socializing
with neighbors outside of his or her home
which of the following changes can help create a more inclusive environment for
lesbian, gay, bisexual, and transgender patients.
1. explicitly include sexual orientation and gender identity into non-discrimination
2. displaying art that reflects LGBT community.
3. modifying Health Care forms to provide opportunities for gender identity and sexual
4. not asking patients about their gender identity and sexual orientation to avoid making
5. ensuring access to unisex or single stall bathrooms
1, 2, 3, 5
which of the following are examples of problems with Healthcare System that
contributes to health disparities.
1. a healthcare providing assumes that the patient message to appointments because
the patient does not care about his or her health and does not acquire about the
reasons for missing visits.
2. the discharge nurse at a hospital uses teach back with a patient to ensure that she
has communicated the discharge instructions clearly.
3. a community hospital rocks adequate staff of social workers who are able to ensure
patient access to resources they need to take care of their health.
4. a hospital discharges a patient without ensuring that the patient has a primary care
provider and has made a follow-up appointment.
5. the nurse uses a family member As an interpreter to explain the patient's medication.
6. the hospital conducts quality improvement without stratifying data by race, ethnicity,
language, socioeconomic status, sexual orientation, and other axes of social group
1, 3, 4, 5, 6
match each letter of respect monomic with a statement that describes the concept the
R, rapport, connect on a social level, seeking the patient's point of view consciously
attempt to suspend judgment and avoid making assumptions.
E- empathy, approach to encounter with empathy, remembering that the patient has come to you for help. Seek out and understand the patient's rationale for his or her
behaviors or illness verbally acknowledge and legitimize his or her feelings.
S- support,ask about and try to understand barriers to care and adherence and then
offer resources to help the patient overcome them involving family members if
appropriate and reassuring the patient that you are and will be available for help
P- partnership, work closely together with the patient by being flexible with regard to
issues of control, negotiating rules when necessary, and stressing that you will be
working together to mutually address medical problems.
E- explanation, provide explanations for the process and your actions, checking often
for understanding and using verbal clarification techniques such as teach back
C- cultural competency, approach each encounter thinking about cultural competence
and how you can demonstrate respect for the patient and his or her culture and beliefs.
T- Trust, patient may have different reasons for not disclosing important information.
Earn a patient's confidence through actions and attitude that demonstrate respect,
compassion, and your interest in Partnership.
a patient is admitted through the emergency department after a serious car accident.
The nurse assesses the patient and quickly learns that he speaks little English. Spanish
is his primary language. The nurse speak some Spanish. Which interventions would be
appropriate at this time?
1. the nurse requests a professional interpreter.
2. Since this is an emergency situation, the nurse will interpret and identify the patient's
3. the nurse determines interpreters qualification and make sure that The Interpreter
can speak the patient's dialect
4. the nurse uses short sentences to explain the treatments provided by the emergency
5. the nurse direct questions to the patient by looking at the patient instead of The
1, 3 , 4, 5
a new nurse is caring for a hospitalized obese patient who is homeless. This is the first
time the patient has been admitted to the hospital and the patient is scheduled for
surgery. Which of the following is a universal skill that will help the nurse work effectively
with this patient?
1. the nurse shift her Focus to understanding the patient by asking her describe for me
the course of your illness
2. the nurse tells the patient your choice of foods and unwillingness to exercise are
adding to your health problems 3. the nurse Alex is the patient tell me about the main problem you have with your
health from not having a home
4. the nurse explains because you have obesity it is important to know the effects it has
on wound healing because of reduced tissue perfusion.
3. the nurse asks the patient, tell me about the main problem you have had with your
health from not having a home.
which statement made by a new graduate nurse about the teaching back technique
requires intervention in further instruction by the nurse preceptor?
1. After teaching a patient how to use an inhaler, I need to use the teach back technique
to test my patients understanding.
2. the teach back technique is an ongoing process of asking patients for feedback
3. using teach back with help me identify explanations and communication strategies
that my patient will most commonly understand
4. using pictures, drawings, and models can enhance the effectiveness of the teach
1. after teaching a patient how to use an inhaler, I need to use the teach back technique
to test my patient's understanding
in the United States there has never been a president of Asian Or Hispanic culture. This
is an example of?
a nurse has worked in a home health agency for a number of years. She goes to visit a
patient who has diabetes and who lives in a public housing facility. This is the first time
the nurse has cared for the patient. The patient has four other family members who live
with her in a one-bedroom apartment. Which of the following based on campinhabacote's 2002 model of cultural competency is an example of cultural awareness?
1. The nurse begins a discussion with the patient by asking tell me about your family
members who live with you.
2. The nurse asks what do you believe is needed to make you feel better?
3. The nurse silently reflects about how her biases regarding poverty can influence how
she assesses the patient.
4. the nurse uses a therapeutic and caring approach to how she interacts with the
patient. 3. The nurse silently reflects how her biases regarding property can influence how she
assesses the patient
match the following definitions with the key terms related to intersectionality
under inclusion - group has been overlooked in research and the design of interventions
social inequality - groups have unequal access to resources, services, and positions.
social location - one's place in society is based on membership in a social group that
determines access to resources.
a nurse is preparing to perform a cultural assessment of a patient which of the following
questions is an example of a contrast question
1. Tell me about your ethnic background
2. Have you had this problem in the past
3. Where do other members of your family live.
4. How different is this problem from the one you had previously
4. how different is this problem from the one you've had previously?
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how can a nurse work on developing cultural awareness?
1. reflect on his or her past learning about health, illness, race, gender, and sexual
2. develop greater self knowledge about personal biases
3. recognize consciously the multiple factors that influence his or her own worldview
4. engage in an in-depth self-assessment of his or her own background
5. learn as many facts as possible about an ethnic group
1, 2, 3, 4
during an encounter with an elderly patient, the nurse recognizes that a thorough
cultural assessment is necessary because the patient has recently come to the United
States from Russia and has never been hospitalized before. The nurse wants to discuss
cultural similarities between herself and the patient which step of the learn mnemonic is
4. recommend treatment
5. negotiated agreement
when you care for a patient who does not speak English, it is necessary to call on a
professional interpreter. Which of the following are proper principles for working with
1. expect The Interpreter to interpret your statements word forward so that there is no
misunderstanding by the patient
2. if you feel an interpretation is not correct, stop and address the situation directly to The Interpreter.
3. case a conversation so there is time for the patient's response to be interpreted.
4. direct your question to The Interpreter
5. ask the patient for feedback and clarification at regular intervals
2, 3, 5
the Collins family includes a mother, stepfather, two teenage biological Daughters of the
mother, and a twenty-five-year-old biological daughter of the Father. The father's
daughter just moved home following the loss of her job in another city. The family is
converting a study into Stacy's bedroom and is in the process of Distributing household
chores. When you talked to members of the family they all think that their family can
adjust to Lifestyle Changes. This is an example of family:
what is the most common reason for calling on grandparents to raise their children
which of the following most greatly affects a family access to adequate Healthcare,
opportunity for education, and sound nutrition
you are caring for a family that consists of a father and three year old boy who has wellmanaged asthma but misses care infrequently. they live in state supported housing. The
father is in school studying to be an information technology professional. his income and
time are limited, and he admits to going to fast food restaurants frequently for dinner.
However, he and his son spent a lot of time together. The family receive a statesupported health care for his son, but he does not have health insurance or a personal
physician. He has his son enrolled in a government assisted daycare program. Which of
the following are risks to this family's level of Health?
1. Economic status
2. Chronic illness
4. government assisted daycare
5. frequency of fast food dinners
6. State supported housing
1, 3, 5 which of the following family assessments are most important for successful family
1. educational level of family members
2. cultural food preferences
3. collaboration between family members
4. social support
5. conflict resolution practices
3, 4, 5
which of the following are possible outcomes with clear family communication
1 family goals
2 increased socialization
3 decision making
4 methods of discipline
5 improved education
6 impaired coping
1, 3, 4
a family has decided to care for a grandparent with terminal cancer in the daughter's
home. Family caregiving is new to the family. When helping this family as they begin to
plan for their caregiving roles what are the top two priority assessments to best learn
about family functioning?
2 decision making
4 economic status
5 family structure
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a family is facing job loss of the father who is the major wage-earner and relocation to a
new city where there is a new job. The children will have to switch schools and his wife
will have to resign from the job she likes. Which of the following contributes to this
1 family meetings
2 establish family roles
3 new neighborhood
4 willingness to change in times of stress
5 passive orientation to life
1, 2, 4
A family is undergoing a major change. Just as twins graduate from college and leave
home to begin their careers, the husband loses his executive well-paying job. Because
the family has two children and college at the same time, and they did not save for
retirement. They plan to save aggressively after the children left College in this situation which of the following demonstrate family resilience
1. resuming full-time work when spouse loses job
2 increasing problems among siblings
3 developing Hobbies when children leave home
4 placing blame on family members
5 expecting children to help financially
6. Consulting a financial planner
1, 3, 6
interviewing the family as context what is the principal Focus
1 family member within a system
2 family process and relationships
3 family rational and transactional concept
4. Health needs of an individual member
4 Health needs of an individual member
a hospice nurse is caring for a family that is providing end-of-life care for their
grandmother who has terminal breast cancer. When the nurse visits the focus is on
symptom management for the grandmother and helping the family with coping skills.
This approach is an example of which of the following
1 family as a context
2 family as a patient
3 family as a system
4 family as a structure
2 family as a patient
a new immigrant family consisting of a grandparent, two adults, and three school-age
children has decided to receive their health promotion Care at the community Wellness
Center. This is their first visit, and a family assessment, a health history, and a physical
of each family member are needed which of the following are included in a family
1 cultural practices
2 decision making
3 Neighborhood Services
4 rituals and celebrations
5 neighborhood crime data
6 availability of parks
1, 2, 4
two single mothers are active professionals and have teenage daughters. They also
have busy social lives and date occasionally. 3 years ago they decided to share a house
in housing cost living expenses and childcare responsibilities. The children consider one
another as their family what type of Family Farm does this represent
1 diverse family relationship
2 blended family relationship 3 extended family relationship
4 alternative family relationship
4. alternative family relationship
during a visit to a family clinic, a nurse teaches a mother about immunisations, carseat
used, and home safety for an infant and toddler which type of nursing intervention are
1 health promotion activities
2 acute care activities
3 restorative care activities
4 growth and development care activities
1. Health promotion activities
a family has decided to care for their father who is in the last stages of a debilitating
neurologic disease although he is alert, he cannot speak clearly or carryout self-care
activities he indicates that he wants to remain involved in family life as long as possible
and loved spending time with his wife and two teenage children. Which best defines
1. designing a nurturing family to raise children
2. providing physical and emotional care for a family member
3. establishing a safe environment for a family
4. monitoring for side effects of illness and treatment
5. reducing the use of Community Resources
2, 3, 4
the nurse is aware that preschoolers often display a developmental characteristic that
makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is
an example of
1 logical reasoning
3 concrete thinking
in 18 month old child is noted by the parents to be angry about any changes in routine
this child's temperament is most likely to be described as
1 slow to warm up
nine-year-old Brian has a difficult time making friends at school and being chosen to
play on the team. He also has trouble completing his homework and as a result receives
little positive feedback from his parents or teacher according to Erikson's Theory failure
at this stage of development results in
1 a sense of guilt
2 a poor sense of self 3 feelings of inferiority
feeling of inferiority
the nurse teaches patients how to have their children learn impulse control and
Cooperative behaviors. This would be during which of Erikson's stage of development
1 trust versus mistrust
2 initiative versus guilt
3 Industry versus inferiority
4 autonomy versus sense of Shame and doubt
2. initiative versus guilt
when Ryan was 3 months old, he had a toy train, when his view of the train was
blocked, he did not search for it. Now that he is 9 months old, he looks for it reflecting
the presence of
1 object permanence
2 sensorimotor play
4 magical thinking
when preparing a four-year-old child for a procedure, which method is developmentally
most appropriate for the nurse to use
1 allowing the child to watch another child undergo the same procedure
2 showing the child pictures of what he or she will experience
3 talking to the child in simple terms about what will happen
4 preparing the child through play with a doll and toy medical equipment
preparing the child through play with a doll and toy medical equipment
which of the following are examples of the conventional reasoning form of cognitive
a 35 year-old woman is speaking with you about her recent diagnosis of a chronic
illness. She is concerned about her treatment options in relation to her abil...
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- Fall '17
- Health care provider, The Unconscious