Nokea
A trusting physician-patient relationship is a key factor in improving patient adherence to prescribed medications. Which of the following might discourage a patient from taking his/her medications?
- A. Using a trained medical interpreter to explain a prescription schedule
- B. Discussing folk or culture beliefs in the context of treating illness
- C. Prescribing complex treatments
- D. Reinforcing the urgency of the patient's illness
Correct Answer: C
Rationale: Complex treatments can overwhelm patients, reducing adherence due to confusion or burden.
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Color-coded and gender-typed clothing of infants and children are
- A. No longer allowed in hospitals
- B. Likely to change dramatically in 20 years
- C. Universal
- D. Acceptable only in industrialized countries
Correct Answer: C
Rationale: Gender-typed clothing (e.g., pink for girls) is a universal practice.
A nursing intervention for the initial phase of grief should focus on:
- A. Ignoring the patient until your presence is requested.
- B. Staying available to provide support when the person demonstrates distress.
- C. Insisting the person face reality of the loss.
- D. Organizing a support group to provide a support system.
Correct Answer: B
Rationale: The initial phase of grief is denial. The individual may have difficulty facing the scope of the loss initially, so being available to support him or her when the emotions come is important.
Describe three of the seven SFT interventions.
- A. Joining, boundary-making, unbalancing
- B. Lecturing, punishing, isolating
- C. Analyzing dreams, free association, transference
- D. Mediation, arbitration, negotiation
Correct Answer: A
Rationale: Joining builds rapport, boundary-making clarifies roles, unbalancing shifts power dynamics in SFT.
Which of the following choices represents a barrier to health care for low-income patients in the U.S.?
- A. Limited health care and educational programs close to home
- B. Language proficiency
- C. Busy schedule
- D. Availability of brand-name medication
Correct Answer: A
Rationale: Limited local resources restrict access for low-income patients.
The mourning process is more difficult when the bereaved:
- A. was relatively independent of the deceased.
- B. has experienced a number of previous losses.
- C. accepts that death is expected for older adults.
- D. had few unresolved conflicts with the deceased.
Correct Answer: B
Rationale: Factors that have negative effects on the mourning process include a high dependency on the deceased, ambivalence toward the deceased, a poor or absent support system, a high number of past losses or other recent losses, poor physical or mental health, and young age of the deceased. Data do not support the incorrect options.