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Worksheetschapter 1,6,17 very hard level
Total questions: 51
Worksheet time: 26mins
A patient newly admitted to a long-term care facility refuses to allow an LPN to perform hygiene care, stating “It’s degrading.” What should the LPN do first?
Leave and notify the physician
Respect the refusal and explore the patient’s concerns
Document the refusal as noncompliance
Ask the UAP to handle hygiene instead
The nurse notices that a patient from a collectivist culture allows their adult child to answer all health questions. The best response is to:
Require the patient to speak for themselves
Ask the adult child to leave
Assess the patient’s preference for family involvement
Proceed with care as usual without asking
A nurse overhears a colleague mocking a patient’s cultural healing beliefs. The most appropriate response is to:
Confront the colleague immediately and loudly
Report the incident to hospital security
Speak privately and reinforce professional behavior
Say nothing and continue your assignment
A patient with dementia is resisting bathing and yelling. The LPN’s best action is to:
Use two staff members to complete the task by force
Document patient noncompliance and leave
Attempt later, using calm voice and familiar cues
A patient with a diabetic foot ulcer asks the LPN why they can’t soak their feet. The nurse’s best explanation is:
Soaking is ineffective.
Diabetic feet can be damaged by excessive moisture and heat.
Your provider doesn’t allow it.
Soaking will improve circulation.
A patient says, “I only trust herbs, not your pills.” What’s the most culturally competent response by the nurse?
That’s dangerous and outdated.
Let’s talk about the herbs you use to ensure safety with your medications.
We don’t support herbal therapy here.
You should only take what’s prescribed.
The LPN is assisting with plan of care development. Which activity is within their scope?
Writing discharge instructions
Collecting patient data and reporting to the RN
Independently changing the care goals
Initiating physician consults
A patient’s culture believes that illness results from a spiritual curse. The nurse should:
Notify psychiatry
Document delusional behavior
The most appropriate hygiene approach for an immunocompromised patient is to:
Delay hygiene to avoid patient stress
Use shared equipment
Use fresh linens and individual bathing supplies
Bathe only once per week
The best response to a patient with expressive aphasia who needs assistance choosing breakfast is to:
Skip the choice and make the decision
Use a yes/no format and point to food pictures
Wait for the patient to write answers
Ask the UAP to decide
A nurse trims the toenails of a diabetic patient using curved scissors. What error has occurred?
The tool should be sterile
The nurse should have used an emery board and filed straight
Diabetic toenails should be rounded
Foot care is not necessary daily
A patient undergoing spiritual cleansing refuses morning meds. The nurse should:
Notify pharmacy to discontinue meds
Hold the dose and educate on timing options
A nurse assisting a Native American patient with perineal care observes ritual beads tied at the waist. What should the nurse do?
Remove them during the bath
Ask the patient permission before touching the item
Assume they’re irrelevant
Call security
A new LPN is confused about scope of practice. The correct understanding is:
LPNs assess and evaluate independently
LPNs do not require supervision
LPNs collect data, assist with care, and report findings
LPNs delegate physician orders
A nurse uses a towel when brushing dentures over a sink. The rationale is:
To absorb water
To prevent breakage if dropped
To prevent mess
To sanitize the area
Which action is inappropriate for an LPN providing hygiene care?
Filing toenails straight
Documenting skin breakdown
Using gloves and warm water
A Muslim patient asks for gender-congruent staff for hygiene care. The best nursing response is:
We will try to accommodate your request.
We don’t allow patient requests.
That’s only for emergencies.
You should not be embarrassed.
A patient with severe arthritis cannot brush their teeth. What should the nurse prioritize?
Encouraging independence
Performing complete oral care
Delaying oral hygiene
Documenting refusal
A patient who speaks little English nods during discharge teaching. What should the nurse do next?
Assume understanding
Use teach-back with a medical interpreter
Provide a brochure
Ask the family
A cognitively impaired patient becomes combative during morning care. What is the priority nursing action?
Restrain the patient
Leave and document refusal
A patient avoids eye contact and speaks in a quiet tone. Which cultural principle might explain this?
Distrust of healthcare
Passive behavior
Cultural respect and humility
Avoidance due to illness
A nurse assesses dry, flaky skin in an older adult. What is the most appropriate intervention?
Apply lotion immediately after bathing
Bathe more often
Use alcohol-based products
Increase water temperature
A patient refuses perineal care from a female nurse citing religious beliefs. What is the nurse’s priority?
Report noncompliance
Find a male staff member if available
A patient insists on traditional herbal compresses. What is the best nurse response?
Discourage the practice
Approve it only if prescribed
Explore ingredients and potential interactions
Tell the patient to ask pharmacy
A patient with dementia becomes tearful during shaving. What is the most therapeutic action?
Stop and provide emotional reassurance
Finish quickly
Ask family to take over
Postpone shaving permanently
Which hygiene task should the nurse assign to a UAP for a patient with C. difficile precautions?
Perineal care using soap and water
Applying alcohol-based hand gel
Using pre-moistened wipes
Clipping fingernails
A newly licensed LPN asks when oral care is most critical. The correct response is:
When the patient complains of bad breath
After every meal
A patient becomes angry after receiving incorrect food due to a religious restriction. What should the nurse do?
Ignore the complaint
Re-educate dietary staff and apologize
Explain hospital limitations
Remove the tray and walk away
Which nursing action violates patient rights during hygiene care?
Not providing privacy
Using gloves
Asking permission before touching the patient
Using a barrier towel
Which patient statement reflects cultural competence by the nurse?
We do things differently here.
Let’s include your traditions in your care plan.
Our way is the most effective.
Forget those beliefs now.
31. A patient refuses to let the nurse remove a spiritual bracelet before surgery. What’s the priority action?
Respect the patient's wishes and cover the bracelet if possible.
Remove the bracelet without the patient's consent.
Call security to remove the bracelet.
Ignore the patient's concerns and proceed with removal.
An older adult with poor vision is brushing teeth and spills water. What should the nurse prioritize?
Independence support
Taking over hygiene
Disciplinary report
Immediate toileting
A patient’s family insists on performing a cultural bathing ritual. What should the nurse do?
Decline to maintain hospital control
Allow with infection control guidance
Leave the room
Ask them to stop
A confused patient becomes combative during mouth care. The nurse’s best response is to:
Apply wrist restraints
Return later with calm cues
Delegate to security
Skip care indefinitely
______ is the nursing approach of accepting the patient’s cultural values even if they differ from one’s own.
Cultural bias
Cultural assimilation
Cultural accommodation
Cultural intolerance
Which patient need reflects Maslow’s physiological tier during hygiene care?
A patient embarrassed to undress
A patient asking for pain relief
A patient requesting clergy
A patient requesting quiet time
A patient with limited English nods after hearing medication instructions. The next action is to:
Document understanding
Use teach-back via interpreter
Give written materials only
Call the family
What is the best indicator a patient understands personal hygiene instruction?
Verbal agreement
Independent performance
Family nodding
Smiling during teaching
Which observation requires the most urgent response during a bed bath?
Dry skin on the legs
Small mole on the back
Red area over the coccyx
Long toenails
A nurse tells a patient, “You should be grateful for what you have.” This is an example of:
Therapeutic listening
Encouragement
Nontherapeutic response
Validation
Which nursing action reflects patient advocacy during cultural conflict?
Explaining why the hospital does not allow rituals
Recommending spiritual support services
Ignoring beliefs for efficiency
Stating “We don’t do that here”
Which patient behavior indicates internalization of Western health beliefs?
Belief in spiritual illness
Use of folk remedies
Requesting vaccines and routine screening
Refusing blood transfusion
Which of the following practices supports cultural humility?
Memorizing each culture
Asking respectful, open-ended questions
Speaking slower and louder
Using family to interpret
During bathing, a patient with dementia starts crying. The LPN should:
Stop and provide reassurance
Increase speed
Ask the UAP to finish
Ignore the tears
A patient says, “I don’t want anyone touching my body but my pastor.” What is the best nursing response?
That’s not allowed.
Let’s talk about what you’re comfortable with.
We’ll skip bathing today.
Your pastor can’t be in here.
Which behavior by a nurse shows bias during care delivery?
Supporting a patient’s customs
Ignoring different health beliefs
Using interpreter services
Asking about dietary needs
A nurse caring for a patient from a low-context culture should expect communication that is:
Direct and explicit
Indirect and implicit
Highly emotional and nonverbal
Ambiguous and context-dependent
Which of the following best describes communication in low-context cultures?
Implicit and nonverbal
Direct, clear, and task-focused
Symbolic
Emotional and story-based
When educating a patient with limited literacy, the nurse should use:
Long educational pamphlets
Simple visuals and verbal cues
Only verbal instructions
Online videos
A patient refuses assistance during bathing and says, “I can do it myself.” The nurse should:
Allow the patient to attempt while observing
Do the bath anyway
Leave the supplies and walk away
Reassign to another nurse
Which action best reduces aspiration risk during oral care in an unconscious patient?
Supine positioning
Side-lying with suction available
Providing mouthwash only
Limiting frequency
