Post Test - Geriatric/Transcultural/Herbal Medicines (Garino) PDF

1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL [email protected]...

1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL [email protected] Jan. 29, 2024, 5:23 p.m. MEDICINES (GARINO) Your score: 85% / 17 20 Duration: 0:09:26 1 / 1 point 1. The nurse is providing medication instructions to an older client who is taking digoxin daily. The nurse explains to the client that decreased lean body mass and decreased glomerular filtration rate, which are age-related body changes, could place the client at risk for which complication with medication therapy? Your Answer: Correct Decreased absorption of digoxin Increased risk for digoxin toxicity Decreased therapeutic effect of digoxin Increased risk for side effects related to digoxin 1 / 1 point 2. The nurse is providing instructions to the unlicensed assistive personnel (UAP) regarding care of an older client with hearing loss. What should the nurse tell the UAP about older clients with hearing loss? Your Answer: Correct They are often distracted They have middle ear changes They respond to low-pitched tones They develop moist cerumen production 1 / 1 point 3. The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication associated with the skin? Your Answer: Correct Wrinkling Ulceration https://testmozusercontent.com/q/7838080/student/review 1/7 1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) Deepening of expression lines Thinning and loss of elasticity in the skin 1 / 1 point 4. The long-term care nurse is performing assessments on several of the residents. Which are normal age-related physiological changes the nurse should expect to note? Select all that apply. Your Answer: Correct Increased heart rate Decline in visual acuity Decreased respiratory rate Decline in long-term memory Increased susceptibility to urinary tract infections Increased incidence of awakening after sleep onset 0 / 1 point 5. The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior? Your Answer: Incorrect Reflecting a cultural value An acceptance of the treatment Client agreement to the required procedures Client understanding of the preoperative procedures 1 / 1 point 6. When communicating with a client who speaks a different language, which best practice should the nurse implement? Your Answer: Correct Speak loudly and slowly Arrange for an interpreter to translate https://testmozusercontent.com/q/7838080/student/review 2/7 1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) Speak to the client and family together Stand close to the client and speak loudly 1 / 1 point 7. The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which best action? Your Answer: Correct Walk around the client so that the nurse constantly faces the client Continue with the instructions, verifying client understanding Give the client a dietary booklet and return later to continue with the instructions Tell the client about the importance of the instructions for the maintenance of health care 1 / 1 point 8. The nurse is preparing a plan of care for a client and is asking the client about religious preferences. The nurse considers the client’s religious preferences as being characteristic of a Jehovah’s Witness if which client statement is made? Your Answer: Correct “I cannot have surgery.” “I cannot have any medicine.” “I believe the soul lives on after death.” “I cannot have any food containing or prepared with blood.” 1 / 1 point 9. Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet? Your Answer: Correct Pork roast, rice, vegetables, mixed fruit, milk Crab salad on a croissant, vegetables with dip, potato salad, milk Sweet and sour chicken with rice and vegetables, mixed fruit, juice Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea https://testmozusercontent.com/q/7838080/student/review 3/7 1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) 1 / 1 point 10. An Asian American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method? Your Answer: Correct Prayer Magnetic therapy Foods considered to be yin Foods considered to be yang 1 / 1 point 11. An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that he would like to take an herbal substance to help lower his blood pressure. The nurse should take which action? Your Answer: Correct Advise the client to read the labels of herbal therapies closely Tell the client that herbal substances are not safe and should never be used Encourage the client to discuss the use of an herbal substance with the health care provider (HCP) Tell the client that if he takes the herbal substance, he will need to have his blood pressure checked frequently 1 / 1 point 12. The nurse is caring for a client whose cultural background is different. Which nursing actions are appropriate? Select all that apply. Your Answer: Correct Respect the client’s cultural beliefs Understand that all cultures experience pain in the same way. Explain the nurse’s beliefs so that the client will understand the differences Explain the nurse’s beliefs so that the client will understand the differences Consider that nonverbal cues, such as eye contact, may have a different meaning in different cultures https://testmozusercontent.com/q/7838080/student/review 4/7 1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) Ask the client if there are cultural or religious requirements that should be considered in the plan of care 1 / 1 point 13. Which of the following factors are most likely to be influenced by culture as opposed to personal characteristics? Select all that apply. Your Answer: Correct Diet Intelligence Gender roles Nonverbal gestures Skill with technology Value of older people in society 0 / 1 point 14. The nurse is presenting lecture on herbs to a group of community. Which guidelines should the nurse discuss with the group? Select all that apply. Your Answer: Incorrect Store the herbal remedy in a cool, dry, dark place Administer smaller amounts of herbs to babies and young children Think of herbs as medicines, more is not necessarily better Do not take herbs if you are pregnant or attempting to get pregnant 1 / 1 point 15. The client with atherosclerosis asks the nurse, “I would really like to take herbs instead of medications for my atherosclerosis.” Which statement is the nurse’s best response? Your Answer: Correct “Taking baby aspirin daily helps to decrease atherosclerosis.” “You should not take any herbs to treat your atherosclerosis.” “Valerian has sometimes been used to treat atherosclerosis.” “Garlic has been shown to decrease the ‘stickiness’ of platelets.” https://testmozusercontent.com/q/7838080/student/review 5/7 1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) 1 / 1 point 16. A clinic nurse is preparing to examine a Hispanic child who was brought by the mother for his first physical check-up. While assessing the child, the nurse would avoid doing which of the following? Your Answer: Correct Asking the mother questions about the child. Having an interpreter if necessary. Weighing the client. Admiring the child. 1 / 1 point 17. A clinic nurse is performing an admission assessment for an African-American client scheduled for an emergency appendectomy. Which of the following questions would be inappropriate for the nurse to ask for the initial evaluation? Your Answer: Correct When did the pain start? Do you have any difficulty breathing? Do you have any allergy to medicines? How close is your family during these situations? 0 / 1 point 18. A nurse is caring for a Chinese client who is hospitalized due to pneumonia. Based on their culture, which of the following is believed to be the cause of the illness? Your Answer: Incorrect An illness is cast by an enemy. An illness is a result of punishment for sins. An illness may be attributed to overexertion. An illness may be given by someone who did not want it. https://testmozusercontent.com/q/7838080/student/review 6/7 1/29/24, 5:23 PM POST TEST - GERIATRIC/ TRANSCULTURAL/ HERBAL MEDICINES (GARINO) 1 / 1 point 19. The nurse is preparing to care for a child from a culture that is different from the nurse. What is the best way to address the cultural needs of the child and family when the child is admitted to the health care facility? Your Answer: Correct Address only those issues that directly affect the nurse’s care of the child. Ask questions and explain to the family why the questions are being asked. Explain that cultural practices need to be discontinued during hospitalization. Ignore cultural needs because they are not important to health care professionals. 1 / 1 point 20. Which of the following food items would be appropriate for a Muslim client? Your Answer: Correct Wine and roast beef Chicken sandwich Beef and pork Beer and nuts https://testmozusercontent.com/q/7838080/student/review 7/7