pg. 1
FNP: FINAL EXAM LATEST 2024 -2025 COMPLETE 500
POSSIBLE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient’s indigenous healthcare system and should be included in the plan of care?
1)Asking the family to bring in medals and amulets 2)Scheduling a visit from the shaman 3)Providing the patient with her favorite herbal tea 4)Requesting that the physician consult the patient’s acupuncturist - Correct Answer -
ANS: 2
Rationale; For the patient of Aleut descent, contacting the shaman and scheduling a visit with the patient might be helpful in recovery. Patients of Hispanic descent might benefit from herbal tea and medals and amulets brought in by the family. However, it is important to check with the physician before administering any herbal preparations that might interfere with prescribed medications. Asians and Pacific Islanders might benefit from a visit by the acupuncturist.
A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?
1)Use of herbs and roots 2)Application of oils and poultices 3)Burning of dried plants
4)Acupuncture - Correct Answer - ANS: 4 1 / 4
pg. 2 Rationale; Acupuncture requires a formally trained practitioner. Use of herbs and roots, the application of oils and poultices, and the burning of dried plants do not require formally trained practitioners. Patients should be advised to inform their traditional primary healthcare provider when using various herbal remedies, as they can interfere with other prescribed medication and cause untoward side effects.
An elderly patient tells the charge nurse that she wants another nurse to take care of her. When the charge nurse questions the patient, she states I don’t want a man taking care of me. Which cultural barrier is this patient exhibiting?
1)Ethnocentrism 2)Racism 3)Sexism
4)Chauvinism - Correct Answer - ANS: 3
Rationale; This patient is exhibiting sexism; she is objecting to the nurse merely because of his sex. Although we tend to think of sexism in a negative light, this woman may merely be reflecting a cultural attitude. The patient is in no position to actually discriminate against the nurse, in terms of employment, and so on. Therefore, her preferences should be respected. Ethnocentrism occurs when a person is positively biased toward their own culture. Racism is a form of prejudice and discrimination based on race. Chauvinism occurs when a person assumes that he is superior.
A patient who had surgery 8 hours ago has not voided. The nurse notifies the physician for an order to insert an indwelling urinary catheter. Which of the following statements should the nurse use to describe the procedure to the patient?
1) I need to put a Foley in you because you haven’t voided since your surgical procedure.2) I need to insert a tube into your bladder to drain the urine because you haven’t urinated since surgery.3) I need to catheterize you because you haven’t urinated since having your surgery. 2 / 4
pg. 3 4) I need to place a catheter in your bladder because you haven’t voided since surgery.
- Correct Answer - ANS: 2
Rationale; I need to insert a tube into your bladder . . . best describes the procedure for the patient because the explanation is in terms most patients will understand. The other options contain medical jargon that could confuse the patient.
A Hispanic patient is frustrated because the healthcare team does not understand the importance of hot and cold therapies. Which nursing diagnosis is most appropriate for this patient?
1)Powerlessness 2)Impaired Verbal Communication 3)Spiritual Distress
4)Risk for Noncompliance - Correct Answer - ANS: 1
Rationale; Powerlessness is the best nursing diagnosis for the patient who is unable to make healthcare personnel understand the importance of his cultural beliefs. Impaired Verbal Communication can be used for patients who do not speak or understand the healthcare personnels language. Spiritual Distress might occur because a treatment is not in agreement with the patients’ religious beliefs. Risk for Noncompliance can be identified when a patient fails to follow a health-promoting or therapeutic plan the healthcare provider believes they agreed to.
A patient of Scandinavian heritage is admitted for observation after sustaining injuries in a motor vehicle accident. The nurse expects that he may endure pain stoically, without grimacing or vocalizing. The nurses thinking is an example of a/an
1)Archetype 2)Bias 3)Prejudice
4)Stereotype - Correct Answer - ANS: 1
Rationale; 3 / 4
pg. 4 An archetype is an example of a person or thing something that is recurrent and it has its basis in facts. Therefore, it becomes a symbol for remembering some of the culture specifics and is usually not negative. A bias is the tendency to see only one side of an issue, a lack of impartiality. Prejudice refers to negative attitudes toward other people that are based on faulty and rigid stereotypes about race, gender, sexual orientation, and so on. A cultural stereotype is the unsubstantiated belief that all people of a certain racial or ethnic group are alike in certain respects. Similar to biases, a stereotype may be positive or negative.
- Which of the following is an example of what traditional medicine and
complementary and alternative medicine therapies have in common?
1)Both can produce adverse effects in some patients.2)Both use prescription medications.3)Both are usually reimbursed by insurance programs.
4)Both are regulated by the FDA. - Correct Answer - ANS: 1
Rationale; Both traditional and complementary therapies can produce adverse effects in some patients. Many medications are derived from herbs, but the alternative treatments usually use the herbs, not prescription medication. Insurance programs do not necessarily reimburse alternative treatments, because many are not supported by sound scientific research methodology. Alternative medications are not regulated by the FDA.
Of the following, the biggest disadvantage of having nursing assistive personnel (NAP) help nurses is that the nurse
1)Must know what aspects of care can legally and safely be delegated to the NAP 2)May rely too heavily on information gathered by the NAP when making patient care decisions 3)Is removed from many components of direct patient care that have been delegated to the NAP 4)Still maintains responsibility for the patient care given by the NAP - Correct Answer -
ANS: 2
- / 4