Nokea
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.
You may also like to solve these questions
You have collected, aggregated and analyzed data which reflects the frequency of your staff returning medical equipment to the appropriate department because the staff members thought it was too unsafe to use. After the experts in the medical equipment inspect and test the equipment they report back to you, as the nurse manager, whether or not the equipment was indeed unsafe. This data indicates that 83% of the returns that were made by your staff were deemed safe and operable. What should you do?
- A. Counsel the staff about their need to stop wasting the resources of this department.
- B. Check the equipment yourself to determine the accuracy of this equipment department.
- C. Ignore it because everyone can make an innocent mistake.
- D. Plan an educational activity about determining what equipment to send for repairs.
Correct Answer: D
Rationale: Education can improve staff judgment regarding equipment safety.
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
- A. slurred speech, excessive drowsiness, and bradycardia
- B. paranoid delusions, tactile hallucinations, and panic
- C. runny nose, yawning, insomnia, and chills
- D. anxiety, agitation, and aggression
Correct Answer: C
Rationale: Rationale:
- Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills.
- Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal.
- Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal.
- Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.
he Montessori approach believes that discipline should be
- A. External
- B. Internal
- C. Punitive
- D. Authoritative
Correct Answer: B
Rationale: Montessori promotes internal discipline through self-regulation, not external enforcement.
Which of the following abilities is promoted through the use of trained medical interpreters?
- A. Ability to have 'small talk' with patients
- B. Ability to diagnose psychosocial disorders
- C. Ability to address adherence issues
- D. Ability to educate patients about their medications
Correct Answer: C
Rationale: Interpreters clarify instructions, directly aiding adherence discussions.
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.
Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.