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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.
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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.
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.
When recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?
- A. Patient denies usual childhood illnesses.
- B. Patient states he was a 'very healthy' child.
- C. Patient states sister had measles, but he didn't.
- D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Correct Answer: D
Rationale: Choice D is the most accurate note by the nurse as it lists specific childhood illnesses commonly experienced by children. By documenting that the patient denies having had these specific illnesses, the healthcare provider establishes a clear medical history record regarding these common childhood illnesses. This detailed documentation is essential for providing comprehensive care and evaluating potential risks or complications associated with these illnesses in the future. Choices A, B, and C are not as accurate as they do not provide a comprehensive list of common childhood illnesses that are routinely evaluated by healthcare providers. Choice A is too vague, Choice B focuses on the patient's perception of their health rather than specific illnesses, and Choice C only mentions measles, lacking the breadth of information provided in Choice D.
During an interview, note-taking may impede the nurse's observation of the patient's nonverbal behaviors. Which statement is true regarding note-taking?
- A. Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
- B. Note-taking allows the patient to continue at their own pace as the nurse records what is said.
- C. Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level.
- D. Note-taking allows the nurse to break eye contact with the patient, which may increase their level of comfort.
Correct Answer: A
Rationale: Note-taking during an interview can impede the nurse's ability to observe the patient's nonverbal behaviors, such as body language and facial expressions, which are important aspects of communication. It may break eye contact too often, shift attention away from the patient, interrupt the patient's narrative flow, and diminish the patient's sense of importance. Therefore, it is crucial for the nurse to balance the need for note-taking with maintaining active listening and observation skills to ensure effective communication and rapport building with the patient. Choices B, C, and D are incorrect because note-taking can actually hinder the patient's narrative flow, decrease the nurse's observation of nonverbal cues, and potentially make the patient feel less important or attended to due to distractions caused by the note-taking process.
When an American Indian seeks help at the clinic for regulating her diabetes, the nurse can expect that she:
- A. will comply with the treatment prescribed.
- B. has not necessarily given up her beliefs in naturalistic causes of disease.
- C. may also be seeking the assistance of a shaman or medicine man.
- D. may need extra help in dealing with her illness and may be experiencing a crisis of faith.
Correct Answer: C
Rationale: It is important to recognize that individuals from American Indian cultures may incorporate traditional healing practices, such as seeking the assistance of a shaman or medicine man, alongside biomedical treatments. This holistic approach to health and healing is a significant aspect of their cultural beliefs and practices. Choice A is incorrect because compliance with treatment may vary among individuals and cannot be generalized. Choice B is incorrect as it assumes that seeking traditional help means giving up beliefs in naturalistic causes of disease, which is not necessarily the case. Choice D is incorrect as it makes assumptions about the patient's emotional state and crisis of faith without evidence. Overall, understanding and respecting the integration of traditional healing practices is key to providing culturally sensitive care.