Choice A rationale:

The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.

Choice B rationale:

The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.

Choice C rationale:

While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.

Choice D rationale:

The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.

Choice A rationale:

While focusing on physical needs is important, it is not the priority when caring for a homeless patient in the emergency department.

Choice B rationale:

Asking about extended family members might be helpful for social support, but it is not the priority.

Choice C rationale:

Suggesting alternatives for housing is part of discharge planning, but it is not the immediate priority when caring for the patient.

Choice D rationale:

Being nonjudgmental is the priority when caring for this patient. It helps to establish trust and open communication, which are crucial for effective care.

Choice A rationale:

Culturally competent care requires an understanding of culture, ethnicity, and diversity in all groups. This understanding helps to provide care that respects and responds to the health beliefs and practices, cultural and linguistic needs of diverse patients.

Choice B rationale:

Using a nonjudgmental approach is important in providing care, but it does not fully explain culturally competent care.

Choice C rationale:

Preparing staff to expect different types of people as patients is part of diversity training, but it does not fully explain culturally competent care.

Choice D rationale:

Encouraging staff to learn about the cultures in the hospital community is beneficial, but it does not fully explain culturally competent care.

Choice A rationale:

Establishing clear-cut rules is important, but it may not be effective in managing immediate behavioral issues in a toddler.

Choice B rationale:

Using humor can help lighten the mood, but it may not address the root cause of the behavior.

Choice C rationale:

Listening to the child is crucial for understanding their needs, but it may not provide immediate behavior correction.

Choice D rationale:

Time-outs can be an effective discipline technique for toddlers. It provides the child with a moment to calm down and reflect on their behavior.

Choice A rationale:

Culture often uses symbols, gestures, and music to communicate and express ideas, making it symbolic.

Choice B rationale:

While culture is shared among a group of people, this choice does not specifically relate to the use of symbols, gestures, and music.

Choice C rationale:

Culture is indeed learned, but this choice does not directly relate to the use of symbols, gestures, and music.

Choice D rationale:

Although culture can adapt over time, this choice does not directly relate to the use of symbols, gestures, and music.

Choice A rationale:

It’s unlikely that a preschool-age child would show no response to a significant event like a grandparent’s death.

Choice B rationale:

Preschool-age children may believe in “magical thinking,” where they feel their thoughts or actions can cause events.

Choice C rationale:

Some preschool-age children may believe death is temporary, but this is not the most common belief.

Choice D rationale:

Associating death with misdeeds is more common in older children who understand morality.

Choice A rationale:

Sitting with the hands in the lap and the legs uncrossed indicates a relaxed and open posture, suggesting the patient is comfortable and willing to communicate.

Choice B rationale:

Staring out the window while answering questions suggests distraction or disinterest, which does not facilitate effective communication.

Choice C rationale:

Shaking the head no when responding to closed questions indicates disagreement or denial, which may hinder open communication.

Choice D rationale:

Waving the hands around when responding to questions can be a sign of agitation or excitement, which may not necessarily indicate willingness to communicate.

Choice A rationale:

Gender, while an important aspect of identity, is not specifically cultural information.

Choice B rationale:

Age, like gender, is a demographic detail but not specifically cultural.

Choice C rationale:

Vocation, or occupation, can influence a person’s lifestyle but is not a direct measure of cultural identity.

Choice D rationale:

Customs are a key component of culture, encompassing traditions, practices, and beliefs that are often shared among a group of people.

Choice A rationale:

Standing at the foot of the patient’s bed can create a sense of distance and may not convey caring effectively.

Choice B rationale:

Crossing the arms over the chest is often perceived as a defensive or closed-off posture, which may not communicate caring.

Choice C rationale:

As with choice A, standing at the foot of the bed may not effectively communicate caring.

Choice D rationale:

Touching the patient’s hand can be a powerful nonverbal communication of empathy and caring.

Choice E rationale:

Staring at the patient can be perceived as intrusive and may not convey caring.

Choice A rationale:

Immunization is a primary prevention strategy aimed at preventing disease before it occurs.

Choice B rationale:

Mammograms are secondary prevention strategies, as they are used to detect early stages of disease.

Choice C rationale:

Physical therapy treatment is a tertiary prevention strategy, as it is used to rehabilitate patients and prevent further complications.

Choice D rationale:

Adjusting blood pressure medication is also a tertiary prevention strategy, as it is used to manage existing conditions and prevent complications.

Choice A rationale:

Access to public libraries is an example of the education determinant of health.

Choice B rationale:

Lack of access to transportation is an example of the social and community context determinant of health, as it can affect a person’s ability to access health care and other resources.

Choice C rationale:

Lack of walking trails is an example of the built environment determinant of health.

Choice D rationale:

Lack of access to health care facilities is an example of the health and health care determinant of health.

Choice A rationale:

While increasing treatment for depression is important, it is not applicable to all age groups as depression is more prevalent in adults.

Choice B rationale:

Increasing employment is a significant indicator, but it is not applicable to children or the elderly who are not in the workforce.

Choice C rationale:

Reducing food insecurity and hunger is applicable to all ages as everyone needs access to nutritious food for health and wellbeing.

Choice D rationale:

Reducing cigarette smoking is crucial, but it is not applicable to all ages, especially children who are not supposed to smoke.

Choice A rationale:

The youngest child usually has less pressure to perform a certain way as they often receive more leniency.

Choice B rationale:

An only child might face some pressure, but the description does not specifically point to an only child.

Choice C rationale:

The second child might face some expectations, but they are usually less than the oldest child.

Choice D rationale:

The oldest child often faces great demands to perform a certain way as they are expected to set an example for their younger siblings.

Choice A rationale:

Using children to send messages to the former spouse can cause emotional distress to the children.

Choice B rationale:

Professional counseling can provide children with a safe space to express their feelings and learn coping strategies.

Choice C rationale:

Changing the children’s schools can add to their stress and disrupt their routine.

Choice D rationale:

Limiting the children’s contact with the other parent can deprive them of a loving relationship unless there are safety concerns. .

Choice A rationale:

Reading poetry supports my soul. This statement is more about personal comfort and mental peace than religious belief.

Choice B rationale:

Spending time outside gives me peace. This is more about personal peace and connection with nature than a religious belief.

Choice C rationale:

I attend Mass every Sunday. This is a clear indication of a religious practice, specifically within Christianity.

Choice D rationale:

Sitting under a tree helps me connect with my guide. This could be interpreted as spiritual but not necessarily religious.

Choice A rationale:

Reading poetry supports my soul. This statement is more about personal comfort and mental peace than religious belief.

Choice B rationale:

Spending time outside gives me peace. This is more about personal peace and connection with nature than a religious belief.

Choice C rationale:

I attend Mass every Sunday. This is a clear indication of a religious practice, specifically within Christianity.

Choice D rationale:

Sitting under a tree helps me connect with my guide. This could be interpreted as spiritual but not necessarily religious.

Choice A rationale:

Language is a primary means of transmitting culture from one generation to the next.

Choice B rationale:

Innovation, while important, is not a primary means of cultural transmission.

Choice C rationale:

Acculturation refers to the process of adopting another culture, not transmitting one’s own.

Choice D rationale:

Diffusion refers to the spread of cultural elements from one society to another, not intergenerational transmission.

Choice A rationale:

Neighborhood environment refers to the physical and social characteristics of the areas in which people live. However, this is not directly related to the client’s unemployment.

Choice B rationale:

Education refers to the opportunities for learning available to people. While it can affect employment, the client’s current challenge is not having a job.

Choice C rationale:

Economic stability refers to an individual’s financial situation. The client is unemployed, which directly affects their economic stability, making this the correct choice.

Choice D rationale:

Social and community context refers to the relationships and social connections individuals have. While important, it is not the primary challenge for this client.

Choice A rationale:

Senior living centers primarily house older adults, who are not the primary demographic for substance abuse treatment.

Choice B rationale:

High schools could be a good location for preventative education, but the report is about adults.

Choice C rationale:

Churches could reach a broad demographic, but not everyone attends church.

Choice D rationale:

Workplaces are a common location for adults, making them an ideal location for education on this health concern.

Choice A rationale:

During the orientation phase, the nurse and patient get to know each other and establish a plan of care, making this the correct choice.

Choice B rationale:

Identifying the patient’s coping mechanisms is typically part of the working phase, not the orientation phase.

Choice C rationale:

Determining if the patient has been helped is part of the termination phase, not the orientation phase.

Choice D rationale:

Asking the patient for the name they prefer could be done at any time, but it is not a specific action taken during the orientation phase.

Choice A rationale:

Having detailed knowledge about all cultures is impractical and unnecessary. It’s impossible to know everything about every culture.

Choice B rationale:

Developing cultural sensitivity and awareness is the key to achieving cultural competence. It involves understanding and respecting cultural differences.

Choice C rationale:

Attending an in-service presentation about cultural competence can be helpful, but it’s not enough to achieve cultural competence.

Choice D rationale:

Learning to speak the language of another culture can be beneficial, but it’s not the most important aspect of cultural competence.

Choice A rationale:

An endemic disease is one that affects only a particular country or region. It’s present in a specific region but not globally.

Choice B rationale:

A disease affecting a large number of people in a community is usually referred to as an epidemic, not an endemic.

Choice C rationale:

An illness that spreads over several countries is typically referred to as a pandemic, not an endemic.

Choice D rationale:

An illness that spreads over several continents is also typically referred to as a pandemic, not an endemic.

Choice A rationale:

The ultimate goal of transcultural nursing is to provide culturally congruent care. This means providing care that is in harmony with the patient’s cultural beliefs and practices.

Choice B rationale:

Limiting the need for hospitalizations is a goal of many health care organizations, but it’s not the ultimate goal of transcultural nursing.

Choice C rationale:

Improving quality improvement indicators is a common goal in health care, but it’s not the ultimate goal of transcultural nursing.

Choice D rationale:

Reducing unnecessary expenses is a goal of many health care organizations, but it’s not the ultimate goal of transcultural nursing.

Choice A rationale:

Adhering to standard approaches when providing care may not consider the unique cultural needs of the patient, which can lead to ineffective care.

Choice B rationale:

Encouraging the patient to talk about their culture allows the healthcare provider to gain insight into the patient’s beliefs and practices, which can guide culturally competent care.

Choice C rationale:

While physical needs are important, they are not the only aspect of care. Cultural needs also play a significant role in a patient’s health and wellbeing.

Choice D rationale:

While an interpreter can provide valuable information about a culture, it is more beneficial to hear directly from the patient about their personal cultural practices and beliefs.

Choice A rationale:

Documenting religion as “honed” on the self-assessment form does not necessarily indicate that the patient’s religious beliefs support health promotion activities.

Choice B rationale:

Abstaining from alcohol and tobacco is a health promotion activity as it reduces the risk of various health conditions such as liver disease and lung cancer.

Choice C rationale:

Providing care for children and aging parents indicates family commitment but does not necessarily relate to health promotion activities.

Choice D rationale:

Teaching Bible study classes on Wednesday shows religious involvement but does not directly indicate support for health promotion activities.