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A client reports feeling like he belongs among his peers with whom he shares a group home. The nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?
- A. Living with a peer group often increases anxiety.
- B. Peers may alienate the client from daily living activities.
- C. The client will likely feel needed by his peers.
- D. Peer groups often do too much for each other causing dependency.
Correct Answer: C
Rationale: A sense of belonging reduces anxiety and fosters a sense of purpose and social productivity.
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Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to
- A. economic class.
- B. psychological influences.
- C. physiologic causes.
- D. sociocultural factors.
Correct Answer: C
Rationale: Americans typically attribute pain and illness to physical causes.
A nurse and a client of Chinese heritage are collaborating on treatment goals. The nurse would document which of the following as the client's priority goal?
- A. The client will be free of pain and excess stress.
- B. The client will express a feeling of balance and harmony.
- C. The client will be free of physical symptoms of illness.
- D. The client will express gratefulness to God for recovery.
Correct Answer: B
Rationale: Chinese culture prioritizes health as a balance of body, mind, and spirit.
Which one of the following statements is most accurate regarding the age at onset of a mental illness such as schizophrenia?
- A. Persons who are diagnosed at a younger age will more likely have a poorer outcome.
- B. Persons who are diagnosed at a younger age will more likely have a better outcome.
- C. Age at diagnosis is not related to outcomes.
- D. Younger clients have more experiences that will help them.
Correct Answer: A
Rationale: Persons who are diagnosed with schizophrenia at a younger age at onset have poorer outcomes, such as more negative signs and less effective coping skills, than do people with a later age at onset.
Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact?
- A. Communication
- B. Social organization
- C. Environmental control
- D. Biologic variations
Correct Answer: A
Rationale: Communication includes verbal and nonverbal elements like touch and eye contact.
Females from which of the following cultures are most likely to be expected to move in with husband's family?
- A. African Americans
- B. Mexican Americans
- C. South Asians
- D. Haitians
Correct Answer: C
Rationale: South Asian culture often expects daughters to move in with the husband's family.