Culture

The patient from India tells the nurse that, in addition to his conventional medical treatment, he would also like to be treated according to the principles of Ayurvedic medicine. The nurse plans care based on which understanding of the focus of Ayurvedic medicine?

The nurse is assigned to care for a patient who speaks minimal English but is fluent in Farsi. Which is the best practice for the nurse to take when communicating with this patient?

The nurse is providing discharge instructions and education to a patient with stomach cancer who is interested in alternative/complementary medicine. Which low-risk therapies does the nurse include in the discussion? Select all that apply.

The patient reports an interest in using a herbal supplement to help with his depression. The nurse discusses herbal supplements with the patient based on which understanding of the nurse’s role in alternative and complementary medicine?

A nurse is assigned to care for a terminally ill patient who is of the orthodox Jewish faith. The nurse anticipates the patient will have which opinion of organ donation?

The patient requiring mechanical ventilation is dying of tuberculosis and is responsive only to tactile and painful stimulation. The family would like to give him holy water to drink in order to have peace in the afterlife. Which response by the nurse is most appropriate?

The family of a patient who is dying expresses a desire to feed him a traditional fruit and herb paste to ensure that his soul can have peace in the afterlife in accordance with their religious beliefs. The patient is NPO due to the risk of aspiration and is unable to make his wishes known due to decreased cognition. Which action by the nurse is most appropriate?

Following a surgical procedure the patient experiences post-operative pain that is refractory to opioid medication. The patient requests acupuncture as a mode of pain relief in addition to the medications. The nurse advocates for this treatment modality based on which understanding of its action?

The patient speaks Chinese and very little English. Which action by the nurse is appropriate?

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

The extremely low birth weight neonate born at 22 weeks gestation is not expected to live through the night. The family has described to the nurse the importance of their church and Christian faith. Which action by the nurse demonstrates the nurse's ability to recognize and address the family's grief? 

The nurse is caring for a woman wearing a hijab. The woman does not speak English and has come to the emergency department (ED) with fever, vaginal bleeding, and abdominal pains. An interpreter is present for the interaction. Which question is appropriate for the nurse to ask first?

Which evening meal choice is appropriate for this patient? Look at the patient’s chart to make a selection.

The nurse caring for a dying patient of the Buddhist faith approaches the charge nurse in distress to state, “My patient is going to die at any time and the family is nowhere near him. I’m not sure what to do to ensure he is not alone as he passes.” Which response by the charge nurse is most appropriate?

The baby born at 23-weeks-gestation is 6 hours old when a pneumothorax develops and the patient decompensates rapidly. Despite stabilization of the airway and evacuation of the pneumothorax, the baby is not responding to chest compressions and intravenous epinephrine and is deemed unlikely to survive. The parents request the baby to be baptized before life-saving interventions are ceased. The chaplain is called but is unable to make it to the hospital immediately. Which action by the nurse is most appropriate?