the nurse is caring for a patient from a culture unfamiliar to the local area the best way for a culturally competent nurse to interact with the famil

ATI RN

Nursing Care of Children ATI

1. The nurse is caring for a patient from a culture unfamiliar to the local area. The best way for a culturally competent nurse to interact with the family is to:

A. Explain that the child must now be cared for differently
B. Speak in the language most used by the staff and encourage the family to learn it
C. Be respectful and open-minded when discussing beliefs
D. Insist that the family changes their beliefs

Correct answer: C

Rationale: The best way for a culturally competent nurse to interact with a family from an unfamiliar culture is to be respectful and open-minded when discussing beliefs. This approach demonstrates cultural competence by honoring and valuing the family's beliefs and practices. Choice A is incorrect as it disregards the family's cultural practices without understanding them. Choice B is not the best approach as it focuses on language rather than respecting beliefs. Choice D is inappropriate as it goes against the principles of cultural competence by imposing beliefs on the family.

2. The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?

A. Ask her, "Are you sexually active?"
B. Ask her, "Are you having sex with anyone?"
C. Ask her, "Are you having sex with a boyfriend?"
D. Ask both the girl and her parent if she is sexually active

Correct answer: A

Rationale: Directly asking the adolescent if she is sexually active is the most straightforward and respectful approach, ensuring privacy and fostering trust.

3. What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?

A. Neurogenic shock
B. Cardiogenic shock
C. Hypovolemic shock
D. Anaphylactic shock

Correct answer: D

Rationale: Anaphylactic shock is a severe allergic reaction that causes massive vasodilation and increased capillary permeability, leading to rapid fluid shifts and circulatory collapse if not treated promptly. Neurogenic, cardiogenic, and hypovolemic shocks have different etiologies.

4. What condition is the most common cause of acute renal failure in children?

A. Pyelonephritis
B. Tubular destruction
C. Severe dehydration
D. Upper tract obstruction

Correct answer: C

Rationale: Severe dehydration is the most common cause of acute renal failure in children, as it leads to prerenal azotemia, which can progress to renal failure if not corrected. Other causes like pyelonephritis and tubular destruction are less common and usually secondary to other conditions.