The nurse overhears two nursing students talking about nursing ...

[amal]

The nurse overhears two nursing students talking about nursing interventions. Which statement by one of the nursing students indicates further education is required?
 
  A) Nursing interventions must be consistent with standards of care and research findings.
  B) Nursing interventions must be culturally sensitive and individualized for the client.
  C) Nursing interventions must be compatible with other therapies planned for the client.
  D) Nursing interventions must be approved by other members of the health care team.

Question 2

The nursing student is caring for a Native American client who is admitted for deep vein thrombosis. The nursing student speaks with a nurse regarding the client's lack of eye contact with the student.
 
  The nurse responds that Native Americans view eye contact as an invasion of privacy. Which error did the nursing student make?
 
  A) Failure to act in partnership with the client.
  B) Failure to approach the client caringly.
  C) Failure to seek the client's input in the plan of care.
  D) Failure to provide culturally sensitive care.

[vickyvicksss]

Answer to Question 1

Ans: D

Nursing interventions should be based on the etiology in the nursing diagnosis, be compatible with other planned therapies, be consistent with standards of care and research, and individualized for the client. Nursing interventions can be independent, dependent, and interdependent. Independent nursing interventions are nurse-initiated interventions directed at the etiology of the client problem; they do not require approval from other members of the health care team.

Answer to Question 2

Ans: D

The nursing student failed to provide culturally sensitive care by expecting the client to engage in eye contact. There is no information to suggest the nursing student failed to act in partnership with the client, approach the client caringly, or seek the client's input in the plan of care.

[amal]

Excellent

[debra928]

Gracias!