Which is least likely to be true about working with an interpreter?
a. An interpreter may be needed even when the nurse speaks the same language as the client.
b. When working with interpreters, the nurse should avoid using technical terms or metaphors.
c. A client's young granddaughter who speaks English fluently would make the best interpreter because she is familiar with and loves the client.
d. The nurse should face the client, rather than the interpreter.
Question 2An older man who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dl. Which patient assessment does the nurse use to confirm a high risk for diabetes mellitus in this man?
a. 68 years of age c. Palpable peripheral pulses
b. 120/80 mm Hg d. Total cholesterol 198 mg/dl
Question 3Which is a true statement about osteoporosis?
a. Osteoporosis is indicative of an underlying health problem.
b. The most common site for osteoporosis fractures is in long bones.
c. Women who are African American have the highest risk for osteoporosis.
d. A high risk of death follows an osteoporosis-related fracture.
Question 4Which ethnic groups in the United States have higher rates of diabetes mellitus than non-Hispanic white people?
a. Pima Indians
b. Alaskan Natives
c. Cuban Americans
d. Native Americans
e. African Americans
f. Mexican Americans
Question 5Which is a true statement about differing health belief systems?
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional me-thods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.
Question 6Which is the best goal when planning nursing care for an older patient with diabetes mellitus?
a. Stabilize the serum glucose. c. Set walking dis-tance goals.
b. Prevent disease progression. d. Plan for consistent exercise.
Question 7Which is a true statement about gerontological nursing for patients of different races and ethnic backgrounds?
a. The fact that a nurse is white has no bearing on the nurse's ability to care for mi-nority patients or patients of color.
b. An encyclopedic accumulation of details of a particular culture is the best prepa-ration for caring for persons from that culture.
c. A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as a nurse who works in California.
d. Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from different ethnicities.
Question 8Which of the following is most likely to be true about caring for an older African-American patient?
a. The patient can expect to find support from his church after discharge.
b. During a physical assessment, an exami-nation of the interior of the patient's mouth with adequate light is important.
c. The patient may follow hot-cold beliefs.
d. African Americans may avoid eye contact when interacting with others.
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