The charge nurse is reviewing the care plans written by the ...

[rosent76]

The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:
 
  1. Fear related to separation from support system during hospitalization.
  2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment.
  3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness.
  4. Noncompliance related to impaired verbal communication secondary to recent immigration from nonEnglish-speaking area.

Question 2

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:
 
  1. Occiput posterior.
  2. Mentum anterior.
  3. Occiput anterior.
  4. Mentum posterior.

[ladyjames123]

Answer to Question 1

4
Rationale 1: Fear related to separation from support system during hospitalization seeks to inform the culturally sensitive nurse on how to partner with the family more effectively.
Rationale 2: Spiritual Distress related to discrepancy between beliefs and prescribed treatment seeks to inform the culturally sensitive nurse on how to partner with the family more effectively.
Rationale 3: Interrupted Family Processes related to a shift in family roles secondary to demands of illness seeks to inform the culturally sensitive nurse on how to partner with the family more effectively.
Rationale 4: The phrase impaired verbal communication might be offensive because speaking a different language is not equivalent to being impaired, and noncompliance does not necessarily stem from misunderstanding.

Answer to Question 2

3
Rationale 1: Occiput posterior is a more difficult delivery, as the largest part of the head is coming first.
Rationale 2: A mentum presentation is not conducive to an easy delivery.
Rationale 3: The most common fetal position is occiput anterior. When this position occurs, labor and birth are likely to proceed normally.
Rationale 4: A mentum presentation is not conducive to delivering easily