Answer to Question 1
A
Cultural competence means having the skills to put cultural knowledge to use in assessment, communication, negotiation, and intervention. To provide culturally competent care, the nurse gathers data about the culture, the older adult, and the specific culture's impact on the older adult, organizes the data, and applies the information by planning, implementing, and evaluating nursing care. Planning includes supporting cultural patterns. Assessing includes increasing cultural knowledge. Through increased knowledge, nurses can better assess the strengths and weaknesses of the older adult within the context of their culture and know when and how to effectively intervene to support rather than hinder cultural patterns that enhance wellness and coping.
Answer to Question 2
D
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A Incorrect. This statement is true. RA affects joints in a symmetrical pattern.
B Incorrect. This statement is true. Unlike OA, RA has a highly variable course, which may include remissions as well as exacerbations.
C Incorrect. This statement is true. RA can cause general fatigue and malaise and attack systems other than joints.
D Correct. This statement is false. Conventional therapy for RA includes a com-plex regimen of medications. Glucosamine has not been proven to offer signifi-cant relief from RA.
Gangrene of the toes and foot as a result of an infection often means eventual amputation.
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