You Selected: Asking about cultural beliefs related to health, illness, treatments, and dietary practices Correct response: Asking about cultural beliefs related to health, illness, treatments, and dietary practices Explanation: It is a nursing obligation to practice in a culturally sensitive and competent manner. This answer elicits key information regarding the client’s beliefs, values, and cultural practices. This also indicates willingness to learn and be respectful of different beliefs and practices. Knowledge is important, but individualizing rather than
generalizing is critical. The other choices are inaccurate because they involve making decisions for the client and explaining that the aim is for all cultures to become one. Remediation: Question 42 See full question A client scheduled for a total laryngectomy and radical neck dissection begins talking rapidly, commenting, “I’m really nervous and scared about the operation.” What is the most therapeutic action by the nurse? You Selected: The nurse should listen attentively and provide realistic verbal reassurance. Correct response: The nurse should listen attentively and provide realistic verbal reassurance. Explanation: Clients routinely experience preoperative anxiety. Nurses should use basic communication skills to reduce their apprehension. Other answers are incorrect because they don’t address the client's immediate need. Remediation: Question 43 See full question A client undergoing a mastectomy says, “I’ve been a basket case just thinking of what implications this has for my family.” How should the nurse respond? You Selected: “This is a very difficult adjustment period for you and your family.” Correct response: “This is a very difficult adjustment period for you and your family.” Explanation: This response paraphrases the client’s concerns about the effect on her family. The other choices are not appropriate responses at this time and would not be therapeutic. Remediation: Question 44 See full question A client’s spouse has arrived prior to surgery. When the client is transferred to the operating room, what would be appropriate for the nurse to tell the spouse? You Selected: Inform the spouse that the client will be going to the recovery room after the operation, and that someone will notify the unit when the client is ready to come back. Correct response: Inform the spouse that the client will be going to the recovery room after the operation, and that someone will notify the unit when the client is ready to come back. Explanation: Informing the spouse of what to expect will allay apprehension. He/she can phone the unit and check for the client's return. Encouraging the spouse to go to work is not supportive. The client would be in recovery after the operating room, so the spouse might not be able to see the client immediately after surgery. A discussion about concerns should occur with the client as well.
- Spring '17
- mrs. Vargovich
- Nursing, Health care provider, Correct Response