Nokea
Frank is a Latino American who has an appointment at the community health center for 1:00 p.m. The nurse is angry when Frank shows up at 3:30 p.m. stating, 'I was visiting with my brother.' How must the nurse interpret this behavior?
- A. Frank is being passive-aggressive by showing up late.
- B. This is Frank's way of defying authority.
- C. Frank is a member of a cultural group that is present-time oriented.
- D. Frank is a member of a cultural group that rejects traditional medicine.
Correct Answer: C
Rationale: Frank's lateness, explained by visiting his brother, reflects a cultural orientation common in some Latino communities where present-time social interactions may take priority over strict punctuality, aligning with option c.
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You are caring for a client at the end of life. The client tells you that they are grateful for having considered and decided upon some end of life decisions and the appointments of those who they wish to make decisions for them when they are no longer able to do so. During this discussion with the client and the client's wife, the client states that “my wife and I are legally married so I am so glad that she can automatically make all healthcare decisions on my behalf without a legal durable power of attorney when I am no longer able to do so myself†and the wife responds to this statement with, “that is not completely true. I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.†How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?
- A. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.
- B. You should be aware of the fact that the wife of the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- C. You should be aware of the fact that the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- D. You should reinforce the wife's belief that legally married spouses automatically serve for the other spouse's durable power of attorney for health care decisions and that others than the spouse cannot be legally appointed while people are married
Correct Answer: B
Rationale: The wife demonstrates a knowledge deficit regarding advance directives and durable powers of attorney, necessitating education.
One of the roles of the registered nurse in terms of informed consent is to:
- A. Serve as the witness to the client's signature on an informed consent.
- B. Get and witness the client's signature on an informed consent.
- C. Get and witness the durable power of attorney for health care decisions' signature on an informed consent.
- D. None of the above
Correct Answer: A
Rationale: Nurses can serve as witnesses to the client's signature on informed consent forms.
According to Bandura (1977), perceived self-efficacy refers to:
- A. One's judgement of self-worth
- B. Beliefs in one's capabilities to organise and execute the courses of action required to produce given attainments
- C. Belief in another's capabilities to organise and execute the courses of action required to produce given attainments
- D. Belief in one's capabilities to win
Correct Answer: B
Rationale: Bandura (1977) defined self-efficacy as belief in one's capacity to achieve specific goals.
The psychoanalytical theory emphasizes importance of
- A. Conscious mind
- B. Unconscious mind
- C. Behavior
- D. Social interaction
Correct Answer: B
Rationale: Freud's psychoanalysis focuses on the unconscious mind as the driver of behavior.
Metabolic syndrome includes low HDL-C and elevated blood pressure defined in men by which of the following?
- A. HDL-C <50 mg/dL and blood pressure ≥120/75 mm Hg
- B. HDL-C <40 mg/dL and blood pressure ≥130/85 mm Hg
- C. HDL-C <35 mg/dL and blood pressure ≥135/85 mm Hg
- D. HDL-C <30 mg/dL and blood pressure ≥140/90 mm Hg
Correct Answer: B
Rationale: Standard criteria define low HDL-C as <40 mg/dL and hypertension as ≥130/85 mm Hg in men.