Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse is caring for a newly admitted client.
Which intervention is the best example of a culturally appropriate nursing intervention?
A. Insist family members provide most of the client’s personal care.
Insisting that family members provide most of the client’s personal care may not be culturally appropriate. It may place undue burden on the family and may not respect the client’s autonomy or preferences.
B. Maintain a personal space of at least 2 feet when assessing the client.
Maintaining a personal space of at least 2 feet when assessing the client may not be culturally appropriate. Different cultures have different norms and expectations about personal space, and this distance may be seen as too distant or impersonal in some cultures.
C. Ask permission before touching a client during the physical assessment.
Asking permission before touching a client during the physical assessment is a culturally appropriate nursing intervention. It shows respect for the client’s personal space and autonomy, and acknowledges cultural differences in norms about touch.
D. Consider the client’s ethnicity as the most important factor in planning care.
Considering the client’s ethnicity as the most important factor in planning care is not a culturally appropriate nursing intervention. While a client’s ethnicity can influence their health beliefs and behaviors, it is only one aspect of their identity and should not be the sole basis for planning care. Hildegard Peplau Hildegard Peplau Explore
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Nur214 proctored exam. Take the full exam now
Full Explanation
Choice A rationale
Insisting that family members provide most of the client’s personal care may not be culturally appropriate. It may place undue burden on the family and may not respect the client’s autonomy or preferences.
Choice B rationale
Maintaining a personal space of at least 2 feet when assessing the client may not be culturally appropriate. Different cultures have different norms and expectations about personal space, and this distance may be seen as too distant or impersonal in some cultures.
Choice C rationale
Asking permission before touching a client during the physical assessment is a culturally appropriate nursing intervention. It shows respect for the client’s personal space and autonomy, and acknowledges cultural differences in norms about touch.
Choice D rationale
Considering the client’s ethnicity as the most important factor in planning care is not a culturally appropriate nursing intervention. While a client’s ethnicity can influence their health beliefs and behaviors, it is only one aspect of their identity and should not be the sole basis for planning care. Hildegard Peplau Hildegard Peplau Explore
Similar Questions
A nursing educator is utilizing case studies from one demographic to instruct a different demographic on ethical decision-making.
Which ethical system does this approach exemplify?
A. Deontology
Deontology is an ethical theory that emphasizes duties or rules. It doesn’t focus on using case studies from one demographic to instruct a different demographic on ethical decision-making.
B. Utilitarianism
Utilitarianism is an ethical theory that determines right from wrong by focusing on outcomes. It suggests that the most ethical choice is the one that will produce the greatest good for the greatest number. It doesn’t involve using case studies from one demographic to instruct another.
C. Feminist Ethics
Feminist ethics is an approach to ethics that builds on the belief that traditionally ethical theorizing has undervalued and/or underappreciated women’s moral experience. It doesn’t directly relate to the use of case studies from one demographic to instruct another.
D. Casuistry
Casuistry, in ethics, a case-based method of reasoning. It is particularly employed in field- specific branches of professional ethics such as business ethics and bioethics. Casuistry typically uses general principles in reasoning analogically from clear-cut cases, called paradigms, to vexing cases. This aligns with the scenario of a nursing educator utilizing case studies from one demographic to instruct a different demographic on ethical decision-making.
Full Explanation
Choice A rationale
Deontology is an ethical theory that emphasizes duties or rules. It doesn’t focus on using case studies from one demographic to instruct a different demographic on ethical decision-making.
Choice B rationale
Utilitarianism is an ethical theory that determines right from wrong by focusing on outcomes. It suggests that the most ethical choice is the one that will produce the greatest good for the greatest number. It doesn’t involve using case studies from one demographic to instruct another.
Choice C rationale
Feminist ethics is an approach to ethics that builds on the belief that traditionally ethical theorizing has undervalued and/or underappreciated women’s moral experience. It doesn’t directly relate to the use of case studies from one demographic to instruct another.
Choice D rationale
Casuistry, in ethics, a case-based method of reasoning. It is particularly employed in field- specific branches of professional ethics such as business ethics and bioethics. Casuistry typically uses general principles in reasoning analogically from clear-cut cases, called paradigms, to vexing cases. This aligns with the scenario of a nursing educator utilizing case studies from one demographic to instruct a different demographic on ethical decision-making.
A diabetic client reports being terminated from their employment for using their glucose meter. Which law does this action infringe upon?
A. Americans with Disabilities Act
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
B. Emergency Medical Treatment and Active Labor Act
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
C. Mental Health Parity Act
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
D. Affordable Care Act
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.
Full Explanation
Choice A rationale
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
Choice B rationale
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
Choice C rationale
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
Choice D rationale
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.
A nursing student confidently communicates with a patient before performing a procedure for the first time, assuring the patient of their ability to safely carry out the procedure.
This demonstrates which critical thinking attitude?
A. Independent thinking
Independent thinking is a necessary component of critical thinking; however, it refers to the ability to think for oneself and make one’s own decisions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
B. Confidence
Confidence is a critical thinking attitude that involves believing in one’s own abilities and knowledge. A nursing student confidently communicating with a patient before performing a procedure for the first time demonstrates this attitude.
C. Fairness
Fairness in critical thinking involves considering all viewpoints and treating them equally. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
D. Creativity
Creativity in critical thinking involves thinking outside the box and coming up with innovative solutions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Full Explanation
Choice A rationale
Independent thinking is a necessary component of critical thinking; however, it refers to the ability to think for oneself and make one’s own decisions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice B rationale
Confidence is a critical thinking attitude that involves believing in one’s own abilities and knowledge. A nursing student confidently communicating with a patient before performing a procedure for the first time demonstrates this attitude.
Choice C rationale
Fairness in critical thinking involves considering all viewpoints and treating them equally. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice D rationale
Creativity in critical thinking involves thinking outside the box and coming up with innovative solutions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.