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How should physicians initiate conversations with patients who use complementary or alternative therapies?
- A. In a frank but open manner
- B. In a nonjudgmental manner
- C. In a suspicious manner
- D. In a curious manner
Correct Answer: B
Rationale: Nonjudgmental dialogue encourages openness and integrates CAM into care plans.
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A recently widowed patient tells the health care provider, I have so much epigastric discomfort. I wonder if I have an ulcer. Diagnostic tests are negative. The symptom demonstrates:
- A. early reorganization behavior.
- B. disorganization and depression.
- C. preoccupation with the deceased.
- D. normal phenomenon of mourning.
Correct Answer: D
Rationale: Sensations of somatic distress are often experienced during the acute stage of grieving. They include tightness in the throat, shortness of breath, exhaustion, and pain or sensations such as those experienced by the dead person.
Of children between birth and 18 years of age, what severity of hearing loss is the most common?
- A. Severe
- B. One in four
- C. Minimal
- D. Moderate
Correct Answer: C
Rationale: Minimal hearing loss is most common in children, often unnoticed but impactful.
Joe, a Native American, goes to the emergency department (ED) because he has an oozing stasis ulcer on his leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. As greeting, the physician extends his hand to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture?
- A. The shaman is snubbing the physician.
- B. The shaman is angry at Joe for wanting to go to the ED.
- C. The shaman does not believe in traditional medicine.
- D. The shaman does not feel comfortable with touch.
Correct Answer: D
Rationale: The shaman's brief touch and quick withdrawal likely reflect cultural discomfort or unfamiliarity with physical touch, common in some Native American cultures, aligning with option d.
The nurse demonstrates appropriate Asian-American cultural sensitivity when:
- A. Substituting the word 'sadness' for depression when participating at a health fair at a local Asian-American senior center.
- B. Anticipating that the Asian-American teenager is well educated concerning the dangers of tobacco and marijuana abuse.
- C. Being particularly interested in the older Asian-American's view regarding the role of alcohol in managing stress.
- D. Evaluating the critical thinking skills and short-term recall abilities of the Asian-American female over the age of 70.
Correct Answer: A
Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community.
Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.
The focus of generic crisis intervention is to:
- A. Introduce the nurse as a caring resource to those in crisis.
- B. Assist as many in-crisis individuals as quickly as possible.
- C. Remove the individual in crisis from immediate sources of stress.
- D. Serve as a liaison between the individual in crisis and needed services.
Correct Answer: B
Rationale: The correct answer is B because generic crisis intervention aims to assist as many individuals in crisis as quickly as possible to minimize harm and provide immediate support. This approach focuses on rapidly addressing the crisis and ensuring the safety and well-being of those involved. Introducing the nurse as a caring resource (A) may be part of the intervention process, but it is not the primary focus. Removing the individual from immediate sources of stress (C) may be necessary in some situations but is not always feasible or effective as the first step. Serving as a liaison between the individual and needed services (D) is important, but it is not the primary goal of generic crisis intervention, which prioritizes immediate assistance and support.