KWB (25)

Format: Multiple Choice Client Needs: Psychosocial Integrity Cognitive Level: Apply Integrated Process: Culture and Spirituality Page and Header: 1076, Tips for Communicating with Biological parentss 14. The NR is performing a cultural assessment of an a A b i s r b i . a c o n m / f t a e s m t ily that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family? A) Research the culture and base care on findings ab . irb B) Ask other Asians to explain their culture. C) Just ask the family about their culture and listen. D) Hire an interpreter to explain the family cultur a e bi . rb Ans: C Feedback: Understanding and respecting the family ‘ s culture helps a b f i o r b s . c t o e m r / t e g s t ood communication and improves child and family education about health care. The best way to assess the family‘s cultural practices is to ask and then listen. Determine the language spoken at home and observe the use of eye contact and ab o irb t . h co e m r /te p s t hysical contact. Demonstrate a caring, nonjudgmental attitude and sensitivity to the child‘s and family‘s cultural diversity. An interpreter should be hired for a family who does not speak English. Page 13

Format: Multiple Choice Client Needs: Physiological Integrity: Physiological Adaptation Cognitive Level: Apply Integrated Process: Teaching/Learning Page and Header: 1076, 1077, Teaching Children and Families, Table 30.4 15. The NR is educating the biological parentss of a 7-year-old g a i r b l i r b w . c o h m o / t e h s t a s just been diagnosed with epilepsy. Which teaching technique would be most appropriate? A) Assessing the biological parents s‘ knowledge of the anticonvulsant medications B) Demonstrating proper seizure safety procedur a e b s irb C) Discussing the surgical procedure for epilepsy D) Giving the biological parentss information in small amounts at a time Ans: D Feedback: Biological parentss, when given a life-altering diagnosis, need time to absorb information and to ask questions. Therefore, giving the biological parentss information a i b n ir b s . c m o m a / t l e l s a t mounts at a time is best. The child has just been diagnosed with epilepsy, and surgical intervention is notused unless seizures persist in spite of medication therapy. Therefore, discussing surgery would be inappropriate at this time. Assessing t h a b e i r b p . c a o m r e / t e n s t t s ‘ knowledge of the anticonvulsant medications identifies a knowledge gap and need to learn, but it wouldbe unreasonable to think that they would understand the medications when the diagnosis had just been made. Demonstrating proper se a i z b i u r b r . c e o m s / a t e f s e t ty procedures is an effective way to present information to an grown ups. Format: Multiple Choice Client Needs: Safe, Effective Care Environment: Safety and Infection Control Cognitive Level: Apply Integrated Process: Teaching/Learning Page and Header: 1069, Minimizing Physical Stress During Procedures Page 14