the nurse is presenting a staff development program about understanding culture in the healthcare encounter which components should the nurse include

ATI RN

ATI Nursing Care of Children

1. The nurse is presenting a staff development program about understanding culture in the healthcare encounter. Which components should the nurse include in the program? (Select all that apply.)

A. Cultural humility
B. All are applicable
C. Cultural sensitivity
D. Cultural competency

Correct answer: B

Rationale: Cultural humility, sensitivity, and competency are key components in providing culturally competent care in healthcare encounters.

2. A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. How should the nurse prepare this child?

A. It is unnecessary because of child’s age.
B. It is essential because it will be an adjustment.
C. Preparation is not needed because the colostomy is temporary.
D. Preparation is important because the child needs to deal with negative body image.

Correct answer: B

Rationale: Preparation is essential even for a young child, as they need to adjust to the temporary colostomy and understand the changes to their body, which can be confusing and distressing without proper explanation.

3. What is the most common cause of bronchiolitis in infants?

A. Adenovirus
B. Influenza virus
C. Respiratory syncytial virus
D. Parainfluenza virus

Correct answer: C

Rationale: The correct answer is C, Respiratory syncytial virus (RSV). RSV is the leading cause of bronchiolitis, a common respiratory condition in infants that results in inflammation of the small airways in the lung. It is highly contagious and can cause severe respiratory distress in young children, particularly those under 2 years old. Choice A, Adenovirus, is not the most common cause of bronchiolitis in infants. Choice B, Influenza virus, may cause respiratory infections but is not the primary cause of bronchiolitis. Choice D, Parainfluenza virus, can cause croup and other upper respiratory infections but is not the main cause of bronchiolitis in infants.

4. What is the most frequent cause of hypovolemic shock in children?

A. Sepsis
B. Blood loss
C. Anaphylaxis
D. Heart failure

Correct answer: B

Rationale: Hypovolemic shock in children is most frequently caused by blood loss, which can result from trauma, surgery, or gastrointestinal bleeding. Sepsis and anaphylaxis can lead to different types of shock (septic and anaphylactic), and heart failure is related to cardiogenic shock.

5. When auscultating an infant's lungs, the nurse detects diminished breath sounds. What should the nurse interpret this as?

A. Suggestive of chronic pulmonary disease
B. Suggestive of impending respiratory failure
C. An abnormal finding warranting investigation
D. A normal finding in infants younger than 1 year of age

Correct answer: C

Rationale: Diminished breath sounds in an infant are an abnormal finding and warrant further investigation to rule out conditions like atelectasis or pneumonia.