I'm in my 1st semester of nursing and been doing pretty good so far. 1st test=88, 2nd test=90, 3rd=86. So last week was our 4th test and I walked out confident. Today I find out I got a 68!!!!! We go over the tests and it was horrible....we were all arguing with the prof. Every test is made up by a different prof. and my particular one made this test. Some of the questions, the answers were right in the book and she didn't want to hear it. Me and a few others are thinking of going to the dept. head. Let me give some examples....
1. A pt. has a signed DNR and starts having dyspnea and says "I'm having a hard time breathing, help me!" You should....(I'm leaving out the 2 answers that weren't in question)
A. check the chart to see if there's a mistake and really a DNR
B. help the client
2. An ill Jewish pt. is fasting during (insert Jewish fasting holiday). What should you do?
A. Remind the pt. that some religions excuse ill pts. from fasting
B. Respect clients wishes
C. call Dr.
D. provide comfort measures
What would you choose for both questions??? There's so many others.....ohhhh just thought of another....
A pt. has died, what do you do....
A. tape the wedding ring on the finger
B. document all the jewelry to keep a record
C. put all jewelry in a bag to give to funeral home
but do most religions make that exception? I honestly dont know and to me, that is an assumption.
basically, regardless their religious affiliation, you cant force a patient to do something against their will. So if they refuse to eat, they refuse to eat.
According to my book, most religions excuse the ill, pregnant, or nursing mothers from fasting. And yes, I do know you can't force someone to eat but you can at least offer that option. It's possible that even though the person is a part of that religion, doesn't know they offer excuses.
I answered B for all too. I didn't think the questions were all that hard, but I haven't been studying a book that acknowledged some of the other choices.
DNR means do not resuscitate, not do not treat. It means we do not intubate, or do tube feeds, or defib. It does not mean we ignore a patient who is asking for help! I'd have chosen B for all as well.
I, too was hung up on cultural sensitivity questions. Here's one that I have used as a template to answer all of my future cultural questions:
1. An Arabic woman has returned to her room after having had a breast tumor biopsy, and she is waiting for her husband. The nurse has client teaching to perform regarding post-op care. Understanding that in Arabic culture, it is appropriate for the husband to be present during such information exchanges, the nurse will:
A. Perform client teaching.
B. Ask the client if she wishes to wait for her husband.
C. Wait for her husband to be present to begin client teaching.
D. Give the client pillow therapy. (Had to throw one ridiculous one in)
I chose B.... EEEEEEEHHH! Wrong answer. Correct answer: C!
I specifically asked the instructor if we were to adhere to the client's cultural practices even if they seem derogatory or sometimes even potentially harmful to us. Her answer, straightforwardly: Yes!
Now, keep in mind, this is N-Clex world, where everything is perfect and nothing is to be assumed. But now I know just how important that cultural awareness is when it comes to getting the correct answer on these type of questions. Just remember, unless it's illegal, adhere to the cultural practice in N-Clex world.
Also, remember fundamentals students. You are learning another way of thinking, and I found that one of the things I'm used to by now (I graduate in May) is screwing up, and not believing I screwed up. As in, I believe the teachers are false sometimes. Just remember they are trying to get you able to bass your boards, and it's supposed to be challenging and difficult. You're being prepared for a challenging and difficult profession!
Hang in there, the light at the end of the tunnel eventually gets brighter and brighter.
A mexican man has high blood pressure. He is being treated with antihypertensives. He asks the nurse to call his espiritualista so he can see if he will get better. The nurse:
a. Notifys the physician.
b. Calls the espiritualista
c. Tell the patient that he is getting the best care possible.
d. I don't exactly remember "d" but it was something like: Tell the patient that the medications will take care of the hypertension without the espiritualista.
I picked "b". I don't know if it is right yet. I have been following this post and it seems like the wishes of the patient are what is paramont. Also, I felt calling the espiritualisa would not hurt the patient and will make him feel better. I really don't see the need to notify the doctor. Colleen
I took fundamentals last semester and I remember getting the wedding band question as well. The textbook we used (Kozier & Erb 8th ed.) mentioned it in the paragraph about preparing the patient's body for the family to view. They said that "all jewelry is removed, except a wedding band in some instances, which is taped to the finger," and then went on to talk about providing soft lighting and placing chairs for the family, etc. What those authors seemed to be implying is that if you are preparing a married patient's body for the spouse to view, they may be upset by the absence of something so personal and meaningful as their wedding band. However, it didn't say anything about removing the band later when the patient is sent to the morgue or whatnot so it seemed a bit nonsensical to me, too.
I, too was hung up on cultural sensitivity questions. Here's one that I have used as a template to answer all of my future cultural questions:
1. An Arabic woman has returned to her room after having had a breast tumor biopsy, and she is waiting for her husband. The nurse has client teaching to perform regarding post-op care. Understanding that in Arabic culture, it is appropriate for the husband to be present during such information exchanges, the nurse will:
A. Perform client teaching.
B. Ask the client if she wishes to wait for her husband.
C. Wait for her husband to be present to begin client teaching.
D. Give the client pillow therapy. (Had to throw one ridiculous one in)
I chose B.... EEEEEEEHHH! Wrong answer. Correct answer: C!
I specifically asked the instructor if we were to adhere to the client's cultural practices even if they seem derogatory or sometimes even potentially harmful to us. Her answer, straightforwardly: Yes!
Now, keep in mind, this is N-Clex world, where everything is perfect and nothing is to be assumed. But now I know just how important that cultural awareness is when it comes to getting the correct answer on these type of questions. Just remember, unless it's illegal, adhere to the cultural practice in N-Clex world.
Also, remember fundamentals students. You are learning another way of thinking, and I found that one of the things I'm used to by now (I graduate in May) is screwing up, and not believing I screwed up. As in, I believe the teachers are false sometimes. Just remember they are trying to get you able to bass your boards, and it's supposed to be challenging and difficult. You're being prepared for a challenging and difficult profession!
Hang in there, the light at the end of the tunnel eventually gets brighter and brighter.
We've had a similiar question too....it's tough. I probably would've chosen B too....because by choosing C you're assuming this couple is following their religion, IMO. Kinda stereotyping....assuming all Arabics are alike. I agree....it is so hard!
A mexican man has high blood pressure. He is being treated with antihypertensives. He asks the nurse to call his espiritualista so he can see if he will get better. The nurse:
a. Notifys the physician.
b. Calls the espiritualista
c. Tell the patient that he is getting the best care possible.
d. I don't exactly remember "d" but it was something like: Tell the patient that the medications will take care of the hypertension without the espiritualista.
I picked "b". I don't know if it is right yet. I have been following this post and it seems like the wishes of the patient are what is paramont. Also, I felt calling the espiritualisa would not hurt the patient and will make him feel better. I really don't see the need to notify the doctor. Colleen
I would say B too....but who am I?....I got a 68 on my last test, lol. Good luck!!
I took fundamentals last semester and I remember getting the wedding band question as well. The textbook we used (Kozier & Erb 8th ed.) mentioned it in the paragraph about preparing the patient's body for the family to view. They said that "all jewelry is removed, except a wedding band in some instances, which is taped to the finger," and then went on to talk about providing soft lighting and placing chairs for the family, etc. What those authors seemed to be implying is that if you are preparing a married patient's body for the spouse to view, they may be upset by the absence of something so personal and meaningful as their wedding band. However, it didn't say anything about removing the band later when the patient is sent to the morgue or whatnot so it seemed a bit nonsensical to me, too.
We're using this same book! I hate how it didn't explain why tape it? I'm just going by what my prof. says about it possibly being stolen. It also states that a full bath after death isn't necessary and one of the questions was a list of things to be done after death and I chose full bath (because that's what we did as a CNA) and I got the question wrong. The book says it's not necessary, doesn't say don't give one. :/
Specializes in Emergency Dept. Trauma. Pediatrics.
I'm in my 1st semester of nursing and been doing pretty good so far. 1st test=88, 2nd test=90, 3rd=86. So last week was our 4th test and I walked out confident. Today I find out I got a 68!!!!! We go over the tests and it was horrible....we were all arguing with the prof. Every test is made up by a different prof. and my particular one made this test. Some of the questions, the answers were right in the book and she didn't want to hear it. Me and a few others are thinking of going to the dept. head. Let me give some examples....
1. A pt. has a signed DNR and starts having dyspnea and says "I'm having a hard time breathing, help me!" You should....(I'm leaving out the 2 answers that weren't in question)
A. check the chart to see if there's a mistake and really a DNR
B. help the client
2. An ill Jewish pt. is fasting during (insert Jewish fasting holiday). What should you do?
A. Remind the pt. that some religions excuse ill pts. from fasting
B. Respect clients wishes
C. call Dr.
D. provide comfort measures
What would you choose for both questions??? There's so many others.....ohhhh just thought of another....
A pt. has died, what do you do....
A. tape the wedding ring on the finger
B. document all the jewelry to keep a record
C. put all jewelry in a bag to give to funeral home
I haven't read the other replies yet so not sure if this has been said but I would say B for all 3, The first one she is having difficulty breathing and should be help. If she codes then she isn't resuscitated but that isn't what is going on.
In number 2 the clients religious views should always be respected and in the last one B is the only one that makes sense, you don't just hand over a bag of jewelry to a funeral home and why would anyone be tapping rings on the fingers. You should document everything the patient has.
We go over the tests and it was horrible....we were all arguing with the prof. Every test is made up by a different prof. and my particular one made this test. Some of the questions, the answers were right in the book and she didn't want to hear it. Me and a few others are thinking of going to the dept. head. Let me give some examples....
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CrunchyMama, ASN, RN
1,068 Posts
According to my book, most religions excuse the ill, pregnant, or nursing mothers from fasting. And yes, I do know you can't force someone to eat but you can at least offer that option. It's possible that even though the person is a part of that religion, doesn't know they offer excuses.