Nursing Elites

1. When working with children from different cultural perspectives, the healthcare provider may find it particularly challenging because:

• A. children's spiritual needs are influenced by their stages of development.
• B. children's spiritual needs are direct reflections of what is happening in their homes.
• C. religious beliefs often impact the parents' views on the illness.
• D. parents are usually the decision-makers, but they may lack awareness of their children's spiritual needs.

Correct answer: A

Rationale: Children's spiritual needs are influenced by their stages of development, not just by what is happening in their homes. Understanding these needs requires knowledge of how children's spiritual beliefs evolve as they grow. Different cultural perspectives can bring varying beliefs and practices regarding children's spiritual development, which may challenge healthcare providers in addressing these needs effectively. Choice B is incorrect because children's spiritual needs are not solely reflections of their home environments but are shaped by various factors. Choice C is incorrect as it discusses the impact of parents' religious beliefs on illness views rather than focusing on children's spiritual needs. Choice D is incorrect as it addresses parental awareness of children's spiritual needs, which is not the primary challenge faced by healthcare providers in this context.

2. During an interview, the nurse states, 'You mentioned shortness of breath. Tell me more about that.' Which verbal skill is used with this statement?

• A. Reflection
• B. Facilitation
• C. Direct question
• D. Open-ended question

Correct answer: D

Rationale: The nurse's statement, 'Tell me more about that,' is an example of an open-ended question. Open-ended questions encourage the interviewee to provide detailed information and expand on their responses. This type of question is useful for gathering narrative information and allows the interviewee to express themselves freely. Reflection involves restating or paraphrasing the client's words, facilitation encourages the client to say more, and direct questions typically elicit specific, close-ended responses, unlike open-ended questions.

3. During a wellness workshop, a healthcare provider is collecting comprehensive health histories from attendees. One of the written questions on the history form states, 'You don't smoke, drink, or take drugs, do you?' This question is an example of:

• A. talking too much.
• B. using confrontation.
• C. using biased or leading questions.
• D. using blunt language to address sensitive topics.

Correct answer: C

Rationale: The question provided is an example of using biased or leading questions. It suggests that one answer is more socially acceptable or preferable than another, potentially pressuring the individual to respond in a specific way. This can result in inaccurate information being provided and may also evoke feelings of guilt or judgment, influencing the person's responses. Choices A, B, and D are incorrect as they do not accurately describe the nature of the question. The question does not involve talking too much, confrontation, or blunt language; instead, it leads the respondent towards a specific answer.

4. During an interview, note-taking may impede the nurse's observation of the patient's nonverbal behaviors. Which statement is true regarding note-taking?

• A. Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
• B. Note-taking allows the patient to continue at their own pace as the nurse records what is said.
• C. Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level.
• D. Note-taking allows the nurse to break eye contact with the patient, which may increase their level of comfort.

Correct answer: A

Rationale: Note-taking during an interview can impede the nurse's ability to observe the patient's nonverbal behaviors, such as body language and facial expressions, which are important aspects of communication. It may break eye contact too often, shift attention away from the patient, interrupt the patient's narrative flow, and diminish the patient's sense of importance. Therefore, it is crucial for the nurse to balance the need for note-taking with maintaining active listening and observation skills to ensure effective communication and rapport building with the patient. Choices B, C, and D are incorrect because note-taking can actually hinder the patient's narrative flow, decrease the nurse's observation of nonverbal cues, and potentially make the patient feel less important or attended to due to distractions caused by the note-taking process.

5. During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son's treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This would suggest that the parent is:

• A. just changing positions.
• B. more comfortable in this position.
• C. tired and needs a break from the interview.
• D. uncomfortable talking about his son's treatment.

Correct answer: D

Rationale: The parent's sudden change in body language from an open position to crossing arms and legs suggests discomfort or defensiveness, particularly when discussing his son's treatment. This closed-off position indicates a lack of willingness to share information and potentially signals discomfort with the topic being discussed. Choice A is incorrect as the abrupt shift in body language indicates more than just a change in position. Choice B is incorrect because crossing arms and legs typically signal defensiveness or discomfort rather than comfort. Choice C is incorrect as there are specific body language cues indicating discomfort rather than just fatigue.

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