Nokea
Based on her cancer diagnosis and her yin/yang beliefs, which meal will the patient most likely order for lunch?
- A. Chicken noodle soup with crackers, fruit crisp, and hot tea
- B. Turkey sandwich, small tossed salad, and iced tea
- C. Chefs salad, bread, and water
- D. Fruit smoothie and granola bar
Correct Answer: A
Rationale: Foods are classified as cold (yin) and hot (yang) in the naturalistic or holistic perspective. In this theory, foods are transformed into yin and yang energy when metabolized by the body. Hot foods are eaten when a person has a cold illness such as cancer, headache, stomach cramps, and a cold. Based on this information, the patient would select chicken noodle soup with crackers, fruit crisp, and hot tea as these are hot foods. The other options are cold foods and are eaten when a patient has a hot illness such as a fever, rash, sore throat, ulcer, or infection.
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Which of the following variables would you prioritize when performing an assessment of the patients cultural beliefs?
- A. Patients previous medical history
- B. Patients marital status
- C. Patients age
- D. Patients communication style
Correct Answer: D
Rationale: Assessment of a patients culture should include the patients country of origin, language (communication style), food preferences or restrictions, health maintenance practices, and religious practices. This aspect of assessment does not explicitly include the patients support systems, marital status, or age, though each of these parameters would be assessed at different points.
What is the nurses best response to the patients indication that his care provider is a shaman?
- A. Thank you for providing the information about the shaman, but we will keep that information and approach separate from your current hospitalization.
- B. It seems that the care provided by your shaman is not adequately managing your hypertension and diabetes, so we will try researched medical approaches.
- C. Dont worry about insulting your shaman, as he will understand his approach to your hypertension and diabetes was not working after your doctor tells him how sick you were in the hospital.
- D. I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels.
Correct Answer: D
Rationale: Native American patients may seek assistance from a shaman or medicine man or woman. The nurses best approach is not to disregard the patients belief in folk healers or try to undermine trust in the healers. Nurses should make an effort to accommodate the patients beliefs while also advocating the treatment proposed by health science.
Which of the following is most likely the patients religion?
- A. Roman Catholicism
- B. Buddhism
- C. Islam
- D. Mormonism
Correct Answer: C
Rationale: Many Islamic people abstain from eating pork. Members of other religions also proscribe the consumption of meat in general, or pork in particular, but the other listed religions are not among these.
When categorizing this particular complementary therapy, the nurse should identify it as which of the following?
- A. A biologically based therapy
- B. A mind-body intervention
- C. A manipulative and body-based method therapy
- D. An energy therapy
Correct Answer: D
Rationale: Therapeutic touch is an example of an energy therapy. Biologically based therapies include herbal therapies, special diet therapies, orthomolecular therapies, and biologic therapies. Mind-body interventions include meditation, dance, music, art therapy, prayer, and mental healing. Manipulative and body-based methods include chiropractic, massage therapy, osteopathic manipulation, and reflexology.
This belief is an example of which paradigm explaining the cause of disease and illness?
- A. Biomedical
- B. Naturalistic
- C. Holistic
- D. Factual
Correct Answer: A
Rationale: The biomedical or scientific perspective assumes that all events in life have a cause and effect and that all of reality can be observed and measured. One example of the biomedical or scientific view is the bacterial or viral explanation of communicable diseases. The naturalistic or holistic view states that forces of nature must be kept in natural balance or harmony. Factual is not a recognized category of beliefs.