Answer to Question 1
3
Rationale 1: The nurse is demonstrating discrimination and prejudice by her actions, even though that might not be the intent. Separating clients based solely on their ethnic background is not demonstrating acceptance or development of cultural heritage. Ethnocentrism is interpreting beliefs of others in terms of one's own cultural values, and believing one's own values are superior.
Answer to Question 2
4
Rationale: The diabetic has decreased perfusion to the wound and neurosensory impairment, which will reduce perception of heat. The nurse measures the temperature of the compress (90-105F), and monitors the site frequently for signs of burn. Elevating the extremity will counteract the purpose of the compress and decrease blood flow to the wound. A compress is not likely to cause excess bleeding or exudate.