Nokea
Joe, a Native American, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. It is obviously infected, and he tells the nurse that the shaman has been treating it with herbs. The nurse determines that Joe needs emergency care, but Joe states he will not go to the emergency department (ED) unless the shaman is allowed to help treat him. How should the nurse handle this situation?
- A. Contact the shaman and have him meet them at the ED to consult with the attending physician.
- B. Tell Joe that the shaman is not allowed in the ED.
- C. Explain to Joe that the shaman is at fault for his leg being in the condition it is in now.
- D. Have the shaman try to talk Joe into going to the ED without him.
Correct Answer: A
Rationale: Joe's cultural reliance on the shaman for treatment requires the nurse to respect this belief by allowing the shaman's involvement in the ED, ensuring cultural sensitivity and compliance with treatment, aligning with option a.
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Which term refers to individual beliefs and actions rooted in stereotype behaviors?
- A. Gender segregation
- B. Intersectional sexism
- C. Gender socialization
- D. Individual sexism
Correct Answer: D
Rationale: Individual sexism reflects personal stereotypical beliefs and actions.
When advising an Asian Indian patient to reduce his/her risk for coronary heart disease, which of the following dietary changes would be the most effective?
- A. Recommend healthy substitutions for ingredients typically found in traditional food
- B. Avoid curry, a common Indian spice
- C. Recommend the addition of lean beef
- D. Replace herbs in the patient's diet with salt
Correct Answer: A
Rationale: Substitutions maintain cultural relevance while improving heart health.
According to the World Health Organization study, which nursing activity addresses the number one psychiatric cause of disability in the world today?
- A. Arranging for a client's transportation to Alcoholics Anonymous meetings
- B. Helping the family understand their mother's obsessive-compulsive disorder
- C. Offering a depression screening at a local school for students in grades 8 through 12
- D. Providing nursing care at a free clinic that serves the schizophrenic population in a large city
Correct Answer: C
Rationale: The correct answer is C because offering a depression screening at a local school for students in grades 8 through 12 addresses the number one psychiatric cause of disability in the world today, according to the World Health Organization study. Depression screening in schools can help identify mental health issues early, leading to timely intervention and support for students. This proactive approach aligns with the WHO's focus on addressing mental health challenges globally.
Choices A, B, and D are incorrect because they do not directly address the number one psychiatric cause of disability as identified by the WHO study. Arranging transportation to Alcoholics Anonymous meetings, helping a family understand OCD, and providing nursing care for the schizophrenic population are important activities but do not specifically target the primary psychiatric cause of disability worldwide.
Which of the following choices correctly groups the three components that determine sexual orientation?
- A. Attraction, self-esteem, and ego
- B. Attraction, cognition, and behavior
- C. Cognition, behavior, and ego
- D. Cognition, self-esteem, and behavior
Correct Answer: B
Rationale: Attraction, cognition, and behavior define sexual orientation comprehensively.
The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
- A. The individual will experience no anxiety.
- B. The individual will demonstrate hope for the future.
- C. The individual will maintain anxiety at manageable level.
- D. The individual will verbalize acceptance of self as worthy.
Correct Answer: C
Rationale: The correct answer is C because it focuses on managing the anxiety at a manageable level, which is a realistic and achievable goal in the short term. This approach acknowledges the individual's current state and aims to provide coping strategies to help them function despite the anxiety. Option A is incorrect as it is unrealistic to expect no anxiety after a traumatic event. Option B is not the immediate priority when the individual is experiencing panic anxiety. Option D is also incorrect as self-acceptance may be a long-term goal but is not the immediate focus in managing panic anxiety.