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During a wellness workshop, a healthcare provider is collecting comprehensive health histories from attendees. One of the written questions on the history form states, 'You don't smoke, drink, or take drugs, do you?' This question is an example of:
- A. talking too much.
- B. using confrontation.
- C. using biased or leading questions.
- D. using blunt language to address sensitive topics.
Correct Answer: C
Rationale: The question provided is an example of using biased or leading questions. It suggests that one answer is more socially acceptable or preferable than another, potentially pressuring the individual to respond in a specific way. This can result in inaccurate information being provided and may also evoke feelings of guilt or judgment, influencing the person's responses. Choices A, B, and D are incorrect as they do not accurately describe the nature of the question. The question does not involve talking too much, confrontation, or blunt language; instead, it leads the respondent towards a specific answer.
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In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this is true, probably because Mexican-Americans:
- A. have less efficient immune systems and are often ill.
- B. consider these symptoms a part of normal living, not symptoms of ill health.
- C. come from Mexico where coughing is normal and healthy.
- D. are usually in a lower socioeconomic group and are more likely to be sick.
Correct Answer: B
Rationale: In Mexican-American culture, coughing, sweating, and diarrhea are often considered normal bodily functions and not necessarily indicative of illness. This cultural perspective shapes their understanding of health and illness, leading them to view these symptoms differently than the majority culture in America. Choice A is incorrect because it generalizes Mexican-Americans as having less efficient immune systems, which is not supported by evidence. Choice C is incorrect as it oversimplifies by attributing the perception solely to coming from Mexico. Choice D is incorrect as it makes unwarranted assumptions about the socioeconomic status and health status of Mexican-Americans.
Among many Asians there is a belief in the yin\yang theory, rooted in the ancient Chinese philosophy of Tao. The nurse recognizes which statement that most accurately reflects "health" in an Asian with this belief?
- A. A person is able to work and produce.
- B. A person is happy, stable, and feels good.
- C. All aspects of the person are in perfect balance.
- D. A person is able to care for others and function socially. - C) All aspects of the person are in perfect balance. Page: 21 Many Asians believe in the yin\yang theory, in which health is believed to exist when all aspects of the person are in perfect balance. The other statements do not describe this theory.
Correct Answer: C
Rationale: In Asian belief systems like the yin\yang theory rooted in Tao philosophy, health is seen as existing when all aspects of a person are in perfect balance. This means that physical, mental, emotional, and spiritual elements need to be harmonized for an individual to be considered healthy. The other statements do not encapsulate this holistic perspective on health.
An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by:
- A. germs and viruses.
- B. supernatural forces.
- C. eating imbalanced foods.
- D. an imbalance within his or her spiritual nature.
Correct Answer: B
Rationale: The magicoreligious perspective of illness and disease is based on the belief that supernatural forces play a significant role in causing health problems. Individuals holding this perspective may believe that their illness was caused by curses, evil spirits, or other supernatural factors rather than conventional explanations like germs or viruses. This worldview influences how they perceive and seek treatment for their health conditions. Therefore, the correct answer is B) supernatural forces. Choices A, C, and D are incorrect because they do not align with the supernatural beliefs associated with the magicoreligious perspective. This perspective focuses on attributing illness to supernatural causes rather than biological, dietary, or spiritual imbalances.
When providing culturally competent care, how should nurses incorporate cultural assessments into health assessments? Which statement is most appropriate when initiating an assessment of cultural beliefs with an elderly American Indian patient?
- A. "Are you of the Christian faith?"
- B. "Do you want to see a medicine man?"
- C. "How often do you seek help from medical providers?"
- D. "What cultural or spiritual beliefs are important to you?"
Correct Answer: D
Rationale: The most appropriate statement to initiate an assessment of cultural beliefs with an elderly American Indian patient is to ask, "What cultural or spiritual beliefs are important to you?" This question encourages the patient to share their personal beliefs without assuming stereotypes or making generalizations. It allows the patient to express their individual cultural and spiritual practices, enabling nurses to deliver more personalized and culturally competent care. Choices A, B, and C are not as suitable. Choice A assumes a specific faith without considering the patient's actual beliefs. Choice B relies on a stereotype about American Indian culture, and Choice C focuses more on seeking medical help rather than exploring cultural beliefs.
What would be an appropriate nursing response when a mother reports that her 16-month-old toddler has an earache?
- A. Maybe the toddler is just teething.
- B. I will check her ear for an ear infection.
- C. Are you sure the toddler is really in pain?
- D. Please describe what the toddler is doing to indicate she is in pain.
Correct Answer: B
Rationale: The appropriate nursing response would be to assess the toddler's ear to determine if there is indeed an ear infection causing the earache. It is crucial to provide timely and suitable care for the child's pain and discomfort. Checking for an ear infection is a necessary step in evaluating the source of the toddler's earache. Choice A is incorrect as it assumes the earache is due to teething without proper assessment. Choice C questions the mother's report rather than focusing on the child's condition. Choice D is not as direct and focused as directly examining the ear for a possible infection.