A hospitalized Native American patient tells the nurse that later in the day a medicine man from his tribe is coming to perform a healing ceremony to return his world to balance. What should the nurse recognize about this situation?
- A. The patient does not adhere to an organized,formal religion.
- B. The patient’s spiritual needs may be met by traditional rituals.
- C. The patient’s spiritual needs may be met by traditional rituals.
- D. The patient may be putting his health in jeopardy by relying on rituals.
Correct Answer: B
Rationale: Traditional rituals such as those performed by a medicine man can meet the spiritual needs of Native American patients. This approach respects their cultural beliefs without undermining conventional medical treatment.
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Which theorist discussed adaptive and maladaptive behaviors?
- A. F. Skinner
- B. Harry Stack Sullivan
- C. Erik Erikson
- D. Sigmund Freud
Correct Answer: A
Rationale: F. Skinner's behaviorist theory emphasizes how behaviors are learned through reinforcement and punishment.
You are reviewing your client's understanding of the post-operative stapedectomy instructions that you gave several days ago. Which comment concerns you the most?
- A. I'm going to take swimming lessons in a couple of months.'
- B. I have to take a long overseas flight in several weeks.'
- C. I can't wait to get back to my regular weightlifting class.'
- D. I have been coughing a lot with my mouth open.'
Correct Answer: C
Rationale: Weightlifting can increase intracranial pressure and compromise the surgical site, posing a risk to recovery.
What is the main drawback of the botulism antitoxin that the nurse should be aware of?
- A. It causes 9% hypersensitivity.
- B. It requires monthly booster dosages.
- C. It is not available from the CDC.
- D. It is not available as a pre-exposure vaccine.
Correct Answer: D
Rationale: The correct answer is D because botulism antitoxin is not available as a preventive vaccine.
Your neighbor tells you about her preteen son. It seems that he has an ongoing head cold. His sinus is congested; he is not eating regularly and is losing weight. Your neighbor reports that his head cold is so bad that he has to wear sunglasses even in the house. She asks him to remove the glasses but he becomes agitated. You noticed her son is around the neighborhood during school hours when the rest of the family is working. What is your best response?
- A. You better take your son to your doctor immediately. He might have more than a head cold.
- B. Do you notice any money missing from your house?
- C. Is your son going to school?
- D. Your son's condition and behavior does not seem normal. Why don't you ask your practitioner to assess your son.
Correct Answer: D
Rationale: Encouraging professional assessment addresses potential substance abuse or other health issues.
End-of-life palliative nursing care involves
- A. Constant assessment for changes in physiologic functioning.
- B. Administering large doses of analgesics to keep the patient sedated.
- C. Providing as little physical care as possible to prevent disturbing the patient.
- D. Encouraging the patient and family members to verbalize their feelings of sadness
Correct Answer: D
Rationale: Emotional and psychological support for both the patient and family is crucial in palliative care, helping them process feelings and find closure.