Professional Documents
Culture Documents
Name___________________________________
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1) The client is receiving a beta-blocker medication. The nurse has done medication education and 1)
provided the client with printed information to take home. During the next appointment, the nurse
notes that the client is not taking the medication properly. What is a therapeutic assessment
question to ask this client?
A) "Do I have to inform your physician about your noncompliance?"
B) "Don't you understand how important it is to take the medicine?"
C) "Why didn't you take your medicine as we talked about?"
D) "Are you able to read and comprehend the printed information?"
Answer: D
Explanation: A) 40% of Canadians adults lack literacy skills that are desired for a knowledge-based
economy. Canada's Aboriginal population has even a lower rate, and 22% of adult
Canadians have serious problems dealing with printed material. Clients do not
have functional literacy, a basic ability to read, understand, and act on health
information. The nurse should ask the client about the ability to read and
understand printed information. Asking "why" questions put the client on the
defensive, and the nurse might not receive the most accurate answer. Being
confrontational with a "don't you understand" question is as demeaning as asking a
"why" question. It is inappropriate to involve the physician before the nurse
assesses the reason for non-compliance; and this question is threatening.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
B) 40% of Canadians adults lack literacy skills that are desired for a knowledge-based
economy. Canada's Aboriginal population has even a lower rate, and 22% of adult
Canadians have serious problems dealing with printed material. Clients do not
have functional literacy, a basic ability to read, understand, and act on health
information. The nurse should ask the client about the ability to read and
understand printed information. Asking "why" questions put the client on the
defensive, and the nurse might not receive the most accurate answer. Being
confrontational with a "don't you understand" question is as demeaning as asking a
"why" question. It is inappropriate to involve the physician before the nurse
assesses the reason for non-compliance; and this question is threatening.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
C) 40% of Canadians adults lack literacy skills that are desired for a knowledge-based
economy. Canada's Aboriginal population has even a lower rate, and 22% of adult
Canadians have serious problems dealing with printed material. Clients do not
have functional literacy, a basic ability to read, understand, and act on health
information. The nurse should ask the client about the ability to read and
understand printed information. Asking "why" questions put the client on the
defensive, and the nurse might not receive the most accurate answer. Being
confrontational with a "don't you understand" question is as demeaning as asking a
"why" question. It is inappropriate to involve the physician before the nurse
assesses the reason for non-compliance. and this question is threatening.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
1
D) 40% of Canadians adults lack literacy skills that are desired for a knowledge-based
economy. Canada's Aboriginal population has even a lower rate, and 22% of adult
Canadians have serious problems dealing with printed material. Clients do not
have functional literacy, a basic ability to read, understand, and act on health
information. The nurse should ask the client about the ability to read and
understand printed information. Asking "why" questions put the client on the
defensive, and the nurse might not receive the most accurate answer. Being
confrontational with a "don't you understand" question is as demeaning as asking a
"why" question. It is inappropriate to involve the physician before the nurse
assesses the reason for non-compliance; and this question is threatening.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
2) The East Indian client had a myocardial infarction and is receiving atorvastatin (Lipitor). The nurse 2)
caring for the client is Caucasian. The nurse assesses the client's diet to be very high in fat. What is
the best plan by the nurse to improve the client's diet and reduce the risk for additional
medications?
A) Plan to give the client information specific to East Indian low fat diets.
B) Plan to ask the physician for a consult by dietary services so a dietician can teach the client
about low fat diets.
C) With the client's permission, plan to discuss his diet with whomever prepares meals for his
family.
D) With the client's permission, plan to ask an East Indian nurse to speak to him about a low fat
diet.
Answer: C
Explanation: A) Every culture has culture-specific diets; the nurse must include the person in the
family who does the meal preparation if a different diet is to be successful. Asking
the client about having an East Indian nurse speak to him is racist and implies that
a Caucasian nurse cannot understand the dietary needs of an East Indian client. At
this point, a consult by dietary services is premature. Providing information is a
good idea, but the nurse must also teach the client.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
B) Every culture has culture-specific diets; the nurse must include the person in the
family who does the meal preparation if a different diet is to be successful. Asking
the client about having an East Indian nurse speak to him is racist and implies that
a Caucasian nurse cannot understand the dietary needs of an East Indian client. At
this point, a consult by dietary services is premature. Providing information is a
good idea, but the nurse must also teach the client.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
C) Every culture has culture-specific diets; the nurse must include the person in the
family who does the meal preparation if a different diet is to be successful. Asking
the client about having an East Indian nurse speak to him is racist and implies that
a Caucasian nurse cannot understand the dietary needs of an East Indian client. At
this point, a consult by dietary services is premature. Providing information is a
good idea, but the nurse must also teach the client.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
2
D) Every culture has culture-specific diets; the nurse must include the person in the
family who does the meal preparation if a different diet is to be successful. Asking
the client about having an East Indian nurse speak to him is racist and implies that
a Caucasian nurse cannot understand the dietary needs of an East Indian client. At
this point, a consult by dietary services is premature. Providing information is a
good idea, but the nurse must also teach the client.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
3) The nurse is providing group education about warfarin (Coumadin) to minority clients who have 3)
experienced strokes (CVA's). The nurse determines that learning has occurred when the clients
make which statement?
A) "We may need to have less frequent blood tests."
B) "We may need to have more frequent blood tests."
C) "We may need less medication than other ethnic groups."
D) "We may need more medication than other ethnic groups."
Answer: C
Explanation: A) Asian and African clients are poor metabolizers of warfarin (Coumadin), so they
will often require lower dosages. There is no need for Asian and African clients to
have more frequent blood tests than Caucasian clients. Asian and African clients
are poor metabolizers of warfarin (Coumadin), so they will often require lower, not
higher, dosages. There is no need for Asian and African clients to have less
frequent blood tests than Caucasian clients.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
B) Asian and African clients are poor metabolizers of warfarin (Coumadin), so they
will often require lower dosages. There is no need for Asian and African clients to
have more frequent blood tests than Caucasian clients. Asian and African clients
are poor metabolizers of warfarin (Coumadin), so they will often require lower, not
higher, dosages. There is no need for Asian and African clients to have less
frequent blood tests than Caucasian clients.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
C) Asian and African clients are poor metabolizers of warfarin (Coumadin), so they
will often require lower dosages. There is no need for Asian and African clients to
have more frequent blood tests than Caucasian clients. Asian and African clients
are poor metabolizers of warfarin (Coumadin), so they will often require lower, not
higher, dosages. There is no need for Asian and African clients to have less
frequent blood tests than Caucasian clients.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
3
D) Asian and African clients are poor metabolizers of warfarin (Coumadin), so they
will often require lower dosages. There is no need for Asian and African clients to
have more frequent blood tests than Caucasian clients. Asian and African clients
are poor metabolizers of warfarin (Coumadin), so they will often require lower, not
higher, dosages. There is no need for Asian and African clients to have less
frequent blood tests than Caucasian clients.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
4) The client is from an Arab culture and is in labour and delivery. Her husband insists he must stay 4)
with her, and will not allow her to receive any analgesia during the experience. What is the best
action by the nurse?
A) Inform the husband that he must sign a release of responsibility to avoid future litigation
against the hospital.
B) Inform the husband that it is his wife's choice whether or not to receive analgesia.
C) Allow this request, and be available in the event the request changes.
D) Allow the request, but inform the husband that the physician will make the final decision
about analgesia.
Answer: C
Explanation: A) Nurses must allow and support cultural differences. The husband's decisions must
be respected as long as client safety is not involved, and it is not involved in this
situation. With some cultures, the husband makes the choices, not the wife or the
physician. When cultural differences are allowed and supported, clients are not as
likely to become involved in litigation.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
B) Nurses must allow and support cultural differences. The husband's decisions must
be respected as long as client safety is not involved, and it is not involved in this
situation. With some cultures, the husband makes the choices, not the wife or the
physician. When cultural differences are allowed and supported, clients are not as
likely to become involved in litigation.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
C) Nurses must allow and support cultural differences. The husband's decisions must
be respected as long as client safety is not involved, and it is not involved in this
situation. With some cultures, the husband makes the choices, not the wife or the
physician. When cultural differences are allowed and supported, clients are not as
likely to become involved in litigation.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
D) Nurses must allow and support cultural differences. The husband's decisions must
be respected as long as client safety is not involved, and it is not involved in this
situation. With some cultures, the husband makes the choices, not the wife or the
physician. When cultural differences are allowed and supported, clients are not as
likely to become involved in litigation.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
4
5) The nurse is conducting a holistic assessment of a client with alcoholism. What are the important 5)
questions to ask? Select all that apply.
A) "Have you ever attended Alcoholic Anonymous meetings?"
B) "How is drinking alcohol viewed by your culture?"
C) "What blood relatives of yours are addicted to alcohol?"
D) "Have you been in alcohol rehabilitation before now?"
E) "Did you see your parents drinking alcohol when you were growing up?"
Answer: B, C, E
Explanation: A) Biological, environmental, and cultural questions are valid questions to ask during
a holistic assessment. Participation in a rehabilitation program refers to treatment,
and does not have relevance to a holistic assessment. Participation in Alcoholics
Anonymous refers to treatment, and does not have relevance to a holistic
assessment.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
B) Biological, environmental, and cultural questions are valid questions to ask during
a holistic assessment. Participation in a rehabilitation program refers to treatment,
and does not have relevance to a holistic assessment. Participation in Alcoholics
Anonymous refers to treatment, and does not have relevance to a holistic
assessment.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
C) Biological, environmental, and cultural questions are valid questions to ask during
a holistic assessment. Participation in a rehabilitation program refers to treatment,
and does not have relevance to a holistic assessment. Participation in Alcoholics
Anonymous refers to treatment, and does not have relevance to a holistic
assessment.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
D) Biological, environmental, and cultural questions are valid questions to ask during
a holistic assessment. Participation in a rehabilitation program refers to treatment,
and does not have relevance to a holistic assessment. Participation in Alcoholics
Anonymous refers to treatment, and does not have relevance to a holistic
assessment.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
E) Biological, environmental, and cultural questions are valid questions to ask during
a holistic assessment. Participation in a rehabilitation program refers to treatment,
and does not have relevance to a holistic assessment. Participation in Alcoholics
Anonymous refers to treatment, and does not have relevance to a holistic
assessment.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
5
6) The adolescent Aborginal male has been diagnosed with Attention Deficit Hyperactivity Disorder 6)
(ADHD) and is taking methylphenidate (Ritalin). Even though the drug helps with focus and
grades, the adolescent will not go to the school office at noon for his medication. Which statement
best describes the result of the nurse's evaluation?
A) The adolescent is fearful that this drug may be a "gateway drug" and he will abuse other
substances.
B) The adolescent really does not need an additional dose of methylphenidate (Ritalin) at school.
C) The adolescent has developed alternative coping mechanisms to increase his focus during
classes.
D) The adolescent is embarrassed about having to take medicine at school; it is a social stigma.
Answer: D
Explanation: A) Some clients believe that having to take drugs in school will cause them to be
viewed as weak, unhealthy, or dependent. Clients can also perceive this as a social
stigma. Methylphenidate (Ritalin) is a short-acting drug and doses must be
administered about four hours apart, so the client must receive a dose during
school hours. Attention Deficit Hyperactivity Disorder is a brain-based disorder,
and the primary treatment is medication; alternative coping mechanisms will not
usually help to increase focus during classes. Appropriate treatment of Attention
Deficit Hyperactivity Disorder will result in less addiction to mood-altering
substances, not more addiction.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
B) Some clients believe that having to take drugs in school will cause them to be
viewed as weak, unhealthy, or dependent. Clients can also perceive this as a social
stigma. Methylphenidate (Ritalin) is a short-acting drug and doses must be
administered about four hours apart, so the client must receive a dose during
school hours. Attention Deficit Hyperactivity Disorder is a brain-based disorder,
and the primary treatment is medication; alternative coping mechanisms will not
usually help to increase focus during classes. Appropriate treatment of Attention
Deficit Hyperactivity Disorder will result in less addiction to mood-altering
substances, not more addiction.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
C) Some clients believe that having to take drugs in school will cause them to be
viewed as weak, unhealthy, or dependent. Clients can also perceive this as a social
stigma. Methylphenidate (Ritalin) is a short-acting drug and doses must be
administered about four hours apart, so the client must receive a dose during
school hours. Attention Deficit Hyperactivity Disorder is a brain-based disorder,
and the primary treatment is medication; alternative coping mechanisms will not
usually help to increase focus during classes. Appropriate treatment of Attention
Deficit Hyperactivity Disorder will result in less addiction to mood-altering
substances, not more addiction.
Professional Practice
Nurse-Person Relationship
Nursing Practice: Health and Wellness
6
Another random document with
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servir leur ambition et peut-être même leur pays, n’auront servi que
d’étroits intérêts et de longues rancunes de caste.
Enfin, il y a le patriote échauffé, le bon patriote, comme ils disent.
Oh ! ceux-là sont les grands coupables. D’autant plus inexcusables
que, tout en versant de chaudes larmes sur l’abandon des grands
idéals du passé, sur la montée de l’individualisme, ils suivent, eux
aussi, dans le terre-à-terre de la vie, l’humble morale du bonheur. Ils
n’ont jamais été profondément influencés par la foi qu’ils professent.
Dans l’existence, ils se conduisent comme de simples pacifistes.
Tout en maudissant le progrès, ils en usent. Mais non, ils ne veulent
pas en convenir. Ah ! ceux-là, pourquoi ne peut-on pas leur crier que
le culte de la personne humaine — ce culte qu’ils servent pour eux-
mêmes — entraîne celui de la collectivité, mais non point d’une
collectivité réduite à un coin de terre.
Je maudis leur doctrine de haine. Ils veulent chasser l’étranger,
ses représentants, ses produits. Qu’adviendrait-il donc de notre
richesse, si l’étranger appliquait la loi du talion, supprimait le
bienfaisant échange ? Je les maudis de battre monnaie avec un
idéal qu’ils considèrent comme sacré, en mettant au jour des
romans, des pièces — dont ils touchent les droits — qui exploitent
un chauvinisme exaspéré. Je maudis le patriote de table d’hôte,
celui qui décerne des diplômes de bon français, qui les détient, qui
en a le monopole. Celui qui veut sur la nappe un pot de moutarde
français, bien français. Et qui louche sur son voisin dès que la
courbe de son nez ne lui paraît pas bien française. Celui qui ravale
l’homme au rang de la bête, en le poussant à foncer sur quiconque
ne lui ressemble pas. Oh ! celui-là, j’appelle de tous mes vœux sa
disparition de la surface de la terre. Je n’ai de haine que pour la
haine…
CHAPITRE PREMIER
DE L’ÉDUCATION : PRINCIPES ET MOYENS D’ACTION
Pour améliorer une race, il ne faut guère compter sur les lois, qui
ne sont que l’enjeu des luttes de partis. Il faut agir directement sur
ses mœurs. C’est l’œuvre de chacun, qui tient ainsi un peu de
l’avenir dans ses mains. Et l’action la plus facile, la plus logique, la
plus urgente, ne doit-elle pas s’exercer sur l’éducation, par
l’éducation ?
Il faut insister sur cette idée qu’en ne punissant pas les enfants,
on leur évite de mentir. En effet, ils emploient le mensonge comme
un bouclier. Ils se dissimulent derrière lui. C’est un moyen de cacher
la faute et d’éviter le châtiment. Si, lorsqu’ils ont commis une
maladresse, cassé quelque objet, ils savent qu’en l’avouant on ne
les grondera pas, qu’on ne les frappera pas, qu’on leur dira
simplement : « Ce n’est pas bien. Tâche de faire attention », qu’on
leur représentera le prix des choses, le soin qu’il en faut avoir, dans
ce cas-là, ils avoueront, ils ne mentiront pas. Ils auront acquis, pour
l’avenir, le précieux bénéfice de la franchise.
Argent.
Cette formule d’un fort banquier m’a toujours frappé et vaut qu’on
la creuse et la médite : « Si je n’étais pas honnête par nature, je le
serais par intérêt. »
Oui, c’est notre intérêt d’être honnête. C’est l’habileté suprême,
quoi qu’il y paraisse.
Ménage.
Une femme doit connaître à peu près le prix des choses que sa
cuisinière achète. Sans quoi, comment modérer la danse du panier ?
Un excellent entraînement pour l’adolescente, c’est d’accompagner
parfois la domestique aux Halles.
Et puis, il faut pouvoir au besoin mettre la main à la pâte,
connaître des principes et un peu de pratique culinaires. La patronne
qui réprimande sa cuisinière sans rien savoir du métier, manque
autant de prestige et frise autant le ridicule qu’un ingénieur qui
reprend un ouvrier sans pouvoir saisir l’outil et lui montrer comment
s’en servir.
De la parure.