NCLEX Review - Fundamentals of Nursing Study Guide
a) continue with the instructions, verifying client understanding
b) walk around the client so that the nurse constantly faces the client
c) give the client a dietary booklet and return later to continue with the instructions
d) tell the client about the importance of the instructions for the maintenance of health care
2. A nurse is preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that the surgery is necessary. The nurse considers the client's religious preferences in developing the plan of care and documents that:
a) faith healing is practiced primarily
b) medication administration is not allowed
c) surgery is prohibited in this religious group
d) the administration of blood and blood products is forbidden
3. Which of the following meal trays would be appropriate for the nurse to deliver to a client of Jewish faith who follows a koshier diet?
a) pork roast, rice, vegetables, mixed fruit, milk
b) crab salad on a croissant, vegetables with dip, potato salad, milk
c) sweet and sour chicken with rice and vegetables, mixed fruit, juice
d) fettucini Alfredo with shrimp and vegetables, salad, mixed fruit, iced tea
4. An ambulatory care nurse is discussing preoperative procedures wit ha Chinese-American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. The nurse interprets this nonverbal behavior as:
a) reflecting a cultural value
b) an acceptance of the treatment
c) the client is agreeable to the required procedures
d) the client understands the preoperative procedures
5. A Chinese-American client experiencing anemia, which is believed to be a yin disorder, is likely to treat it with:
a) magnetic therapy
b) intercessory prayer
c) foods considered to be yin
d) foods considered to be yang
Fundamentals of Nursing Study Guide:
ANSWERS AND RATIONALE
1) A
- Most Chinese maintain a formal distance with others, which is a form of respect. Many Chinese are uncomfortable with face-to-face communications, especially when eye contact is direct. If the client turns away from the nurse during a conversation, the most appropriate action is to continue with the conversation. Walking around to the client so that the nurse faces the client is in direct conflict with the cultural practice. The client may consider returning later to continue with the explanation as a rude gesture. Telling the client about the importance of the instructions for the maintenance of health care may be viewed as degrading.
2) D
- Among Jehovah’s Witnesses, surgery is not prohibited, but the administration of blood and blood products is forbidden. Faith healing is forbidden in this religious group. Administration of medication is an acceptable practice, except if the medication is derived from blood products.
3) C
- In the Jewish religion, those who are kosher believe that the dairy-meat combination is not acceptable. Pork and pork products are not allowed in the traditional Jewish religion. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered.
4) A
Nodding or smiling by a Chinese-American client may reflect only the cultural value of interpersonal harmony. This nonverbal behavior may not be an indication of agreement with the speaker, an acceptance of the treatment, or an understanding of the procedure.
5) D
- In the yin and yang theory, health is believed to exist when all aspects of the person are in perfect balance. Yin foods are cold and yang foods are hot. Cold foods are eaten when one has a hot illness and hot foods are eaten when one has a cold illness. Options A and B are not associated with the yin and yang theory.Go to the next page ---> NCLEX Review - Fundamentals of Nursing Study Guide (6-10)
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