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The patient's saturated fat intake is a behavior that the patient can change. The other information will be useful as the nurse develops an individualized plan for improving the patient's health, but will not be the focus of patient teaching. DIF: Cognitive Level: Apply (application) REF: 31 TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if implemented by the nurse, would decrease health care disparities for the Hispanic patients? a. Improve public transportation to the clinic. b. Update equipment and supplies at the clinic. c. Obtain low-cost medications for clinic patients. d. Teach clinic staff about Hispanic health beliefs. ANS: D Health care disparities are due to stereotyping, biases, and prejudice of health care providers. The nurse can decrease these through staff education. The other strategies also may be addressed by the nurse but will not directly impact health disparities.
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DIF: Cognitive Level: Apply (application) REF: 24-25 3. What information should the nurse collect when assessing the health status of a community? a. Air pollution levels b. Number of health food stores c. Most common causes of death d. Education level of the individuals ANS: C Health status measures of a community include birth and death rates, life expectancy, access to care, and morbidity and mortality rates related to disease and injury. Although air pollution, access to health food stores, and education level are factors that affect a community's health status, they are not health measures. DIF: Cognitive Level: Understand (comprehension) REF: 19 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 4. The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Which action by nurse is most appropriate? a. Avoid asking questions unless the patient initiates the conversation. b. Ask the patient whether it is important that cultural healers are contacted.
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Test Bank Lewis Medical Surgical 9th Edition | Test Bank Exam
a. Avoid eye contact with the patient. b. Observe the patient's use of eye contact. c. Look directly at the patient when interacting. d. Ask a family member about the patient's cultural beliefs. Observation of the patient's use of eye contact will be most useful in determining the best way to communicate effectively with the patient. Looking directly at the patient or avoiding eye contact may be appropriate, depending on the patient's individual cultural beliefs. The nurse should assess the patient, rather than asking family members about the patient's beliefs. DIF: Cognitive Level: Apply (application) REF: 28 | 31 6. A female staff nurse is assessing a male patient of Arab descent who is admitted with complaints of severe headaches. It is most important for the charge nurse to intervene if the nurse takes which action? a. The nurse explains the 0 to 10 intensity pain scale. b. The nurse asks the patient when the headaches started. c. The nurse sits down at the bedside and closes the privacy curtain.
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