Question

Which nursing action demonstrates the RN going beyond the conventional role and using holistic nursing concepts with a client?

A. Respecting clients’ choices.

B. Using role modeling

C. Teaching herb and drug interactions.

D. Providing a complementary massage.

Which herb does the RN recognize as being effective for respiratory colds or the flu when interviewing the client?

A. Echinacea

B. Feverfew

C. Ginger

D. Flaxseed

A RN should tell a client that some herbs are potentially harmful and should be avoided. Which of the following herbs will the RN teach is most harmful?

A. Saw Palmetto

B. Garlic

C. Black Cohosh

D. Ephedra

A RN should tell a client it is important to consider which information associated with herbs?

A. Herbs rarely interact with other prescribed medications.

B. It is important to check the U.S. national formulary.

C. There is a lack of standardization of potency.

D. There are no cases of documented cases of toxicity.

While admitting and assessing an Asian client, which cultural health practice would be most anticipated by the RN?

A. Laying on of hands

B. Acupuncture

C. prayer

D. Chanting

For which client should the RN assess the effectiveness of the beta blocker first?

A. Asian American

B. Latin American

C. African American

D. European American

The RN is assigned to care for a client of an unfamilair culture. Which action by the RN is most appropriate?

A. Defer care to a RN peer, who is aware of the culture.

B. Recognize lack of knowledge and seek it to care for client.

C. Focus on physical priorities for the client during the shift.

D. Apply knowledge of another known similar culture.

A RN says “When you are here in the hospital you need to follow the visiting rules as it is the hospital policy”. This reflects which cultural term?

A. Awareness

B. Competence

C. Ethnocentrism

D. Humility

Which of the following communication strategies should the RN use with an interpreter for a client with a language barrier?

A. Ask one question at a time and await response.

B. Ask family member to validate interpreter.

C. Give list of questions to interpreter to ask.

D. Use metaphors to paint a clear picture.

The RN should assess clients of ethnic and minority groups for which of the following health disparities?    Select all that apply.

A. Diabetes

B. Glaucoma

C. Cancer

D. Multiple sclerosis

E. Heart disease

A RN should include which of the following communication strategies when planning education for a client with a language barrier?

A. Avoid interpreter acting as a cultural broker

B. Use a family memberTalk directly to the interpreter

C. Provide teaching materials in preferred language

D. Talk directly to the interpreter

Which patient statement indicates they have a holistic or naturalistic view of illness?

A. “They say we are born with cancer cells.”

B. “I need to eat more hot food for this cancer.”

C. “I think microorganisms are a factor in causing cancer.”

D. “The good spirits can heal me of this cancer.”

The RN finds a patient crying after the physician has informed the patient of a terminal diagnosis. The patient states “This is just too much. I have no close friends or relatives to talk to.” Which nursing diagnosis is most supported by the patient’s statement?

A. Ineffective Denial

B. Ineffective coping

C. Spiritual distress

D. Fear

C. unanswered

Which client outcome is most appropriate for a client with the nursing diagnosis label of Spiritual distress?

A. Participate in religious practices during hospitalization.

B. Make positive statements about self by two days.

C. Use coping measures to decrease stress.

D. Verbalize known fears within two days.

Which of the following nursing interventions are appropriate for the diagnosis of Spiritual distress? Select all that apply.

A. Plan care allowing patient to have privacy for prayer.

B.Explain how the medical plan will take the place of normal religious practices.

C. Be present and listen to patient.

D. Refer the patient to chaplain for spiritual counseling.

E. Refocus patient to avoid dwelling on fears related to dying.

In which client should the RN assess for a risk of serious skin reaction associated with carbamazepine ingestion?

A. African American male

B. Caucasian male

C. Native American female

D. Asian female

The RN recognizes passive obedience when the client says which of the following?

A. “That goes against my beliefs and I cannot do it.”

B. “That is not clear to me; please explain it again.”

C. “Oh, yes. I will do what you say.”

D. “Are you sure that is the dose I am to take?”

The family tell the RN that they heard the dying patient talking to deceased family members, and are worried. Which response to the family by the RN is appropriate?

A. “I will report this to the health care provider now.”

B. “Are you sure that is what you heard?”

C. “Your loved one is ready to die now.”

D. “It is not uncommon for this to occur.”

Which intervention by the RN demonstrates using the concept of “remembered wellness” to enhance healing of the patient?

A. The RN tells the patient, “it is now time for the medication, that will improve your breathing.”

B. The RN administers antiemetic and analgesics round the clock for healing as ordered.

C. The RN is honest with the patient concerning all of the possible side effects of the treatment.

D. The RN informs the patient that perhaps the new diet change might be helpfu

Answer 1

1. The correct answer is C) . Teaching drug and medicine interactions.

2. The correct answer is A) Echinacea. It is a herh that encourages the immune system and reduces many symptoms of cold ,flu ,and some other infections and illnesses . Research show that it increases the number of white blood cells to fight infection .

3. The correct answer is A) saw palmetto , as it causes bleeding and it is the most harmful herb.

4. The correct answer is B) it is important to check the US national formulary before we use the herbs .