Nokea
A client with signs and symptoms of double pneumonia states,"I will not agree to hospital admission unless my shaman is allowed to continue helping me." Which would be an appropriate nursing intervention?
- A. Tell the client that the shaman is not allowed in the emergency department.
- B. Have the shaman meet the attending physician at the hospital.
- C. Have the family talk the client into admission without the shaman.
- D. Explain to the client that the shaman is responsible for the client's condition.
Correct Answer: B
Rationale: The correct answer is B. Having the shaman meet the attending physician at the hospital is the most appropriate nursing intervention because it allows for collaboration between traditional beliefs and modern medical care. This approach respects the client's cultural and spiritual preferences while ensuring the client receives necessary medical treatment. It also helps establish a supportive and holistic care environment.
Choice A is incorrect because denying the shaman access may lead to resistance from the client and hinder effective communication and trust-building. Choice C is inappropriate as it disregards the client's autonomy and may create conflict within the family. Choice D is incorrect as blaming the shaman for the client's condition is disrespectful and unprofessional.
You may also like to solve these questions
Which technique is most applicable to aversion therapy?
- A. Punishment
- B. Desensitization
- C. Role modeling
- D. Positive reinforcement
Correct Answer: A
Rationale: Aversion therapy aims to reduce unwanted behaviors by associating them with negative consequences. Punishment, option A, is the most applicable technique as it involves applying an unpleasant stimulus to decrease the likelihood of a behavior occurring again. Desensitization (B) and positive reinforcement (D) aim to increase desired behaviors, which is not the goal of aversion therapy. Role modeling (C) involves observing and imitating others' behaviors, which is unrelated to aversion therapy's principles.
Malika agrees to try losing weight according to the nurse practitioner's outlined plan. Additional teaching is warranted when Malika states:
- A. I am willing to admit I am depressed.
- B. Psychotherapy will be a part of my treatment.
- C. I prefer to have a gastric bypass rather than use this plan.
- D. My comorbid conditions may improve with weight loss.
Correct Answer: C
Rationale: Rationale:
C is correct because choosing gastric bypass over the outlined plan indicates a lack of commitment to the agreed weight loss plan. It suggests that Malika may not be fully engaged in following the recommendations provided by the nurse practitioner. This choice also implies a preference for a more invasive and potentially risky procedure over a more conservative approach. Options A, B, and D are incorrect because they do not challenge or contradict the nurse practitioner's plan, indicating a willingness to address depression, engage in psychotherapy, and recognize potential benefits of weight loss on comorbid conditions.
A nurse who has worked with a client diagnosed with generalized anxiety disorder (GAD) when he was an inpatient on the psychiatric unit sees the client in the waiting room of the outpatient psychiatric clinic. The client motions to the nurse to come over so he can tell the nurse how things have been going since he was discharged. While talking with the client, the nurse determines that the client's therapy has been effective when the client states which of the following?
- A. I am still experiencing quite a bit of stress at home and at work; things are different at home than they were in the hospital.
- B. When my mother-in-law comes over now, I go out to my workshop and work on one of my projects.
- C. I'm still drinking coffee; I can't quit after drinking it all these years.
- D. I've learned having a beer after I get home from work helps me relax.
Correct Answer: B
Rationale: The correct answer is B because the client's behavior of going to the workshop to work on projects when his mother-in-law visits indicates a healthy coping mechanism to manage stress. This shows that the therapy has been effective in helping the client find a constructive way to deal with his anxiety triggers. Choice A indicates ongoing stress, which suggests therapy may not be effective. Choice C shows a habit that has not changed, indicating little progress. Choice D suggests the use of alcohol as a coping mechanism, which is not a healthy or sustainable way to manage anxiety.
A psychiatric-mental health nurse is teaching a class about social factors associated with mental illness at a community health center. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk?
- A. Older adults
- B. Individuals with physical disabilities
- C. Single-parent families
- D. Homeless individuals
Correct Answer: D
Rationale: The correct answer is D: Homeless individuals. Homeless individuals are the most at risk due to the severe impact of poverty and the downward economic spiral on their mental health. Homelessness often results from poverty, leading to chronic stress, lack of access to basic needs, social isolation, and increased vulnerability to mental health issues. Homeless individuals face multiple stressors that can exacerbate existing mental health conditions or lead to the development of new ones. Older adults (A) may face financial challenges but are not necessarily homeless. Individuals with physical disabilities (B) may encounter economic difficulties but are not automatically homeless. Single-parent families (C) may struggle financially, but homelessness is not exclusive to this group.
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
- A. "You must have been very upset when you tried to hurt yourself."
- B. "It makes me sad to see you going through such a difficult experience."
- C. "If you tell me what is troubling you, I can help you solve your problems."
- D. "Suicide is a drastic solution to a problem that may not be such a serious matter."
Correct Answer: A
Rationale: The correct answer is A because it directly acknowledges the patient's emotions and perspective without judgment. It shows understanding and validation of the patient's feelings, indicating empathy. Choice B focuses on the nurse's feelings, not the patient's. Choice C offers a solution without addressing the patient's emotional state. Choice D minimizes the seriousness of the patient's situation and lacks empathy. Overall, choice A demonstrates the most empathetic response by recognizing and empathizing with the patient's emotional distress.