Nursing A Concept Based Approach to Learning Volume II 2nd Edition – Test Bank

Nursing A Concept-Based Approach to Learning Volume II 2nd Edition – Test Bank

Nursing: A Concept-Based Approach to Learning, 2e (Pearson)

Module 24   Culture and Diversity

The Concept of Culture and Diversity

1) A female client is being discharged after a lengthy hospitalization. The family is from a male-dominated culture. What should the nurse do before providing discharge instructions?

A) Assess who the decision maker is in the family.

B) Make sure that the physician gives the instructions.

C) Make sure instructions are understood by the client.

D) Ask the client when the best time for teaching would be.

Answer:  A

Explanation:  A) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision-maker of the family to be present.

B) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision-maker of the family to be present.

C) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision-maker of the family to be present.

D) The nurse needs to identify who has the “authority” to make decisions in a client’s family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision-maker of the family to be present.

Page Ref: 1634

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  1. Describe how belief systems impact the provision of health care.