Nokea
Miss Lee is an Asian American on the psychiatric unit. She says to the nurse, 'I must have the hot ginger root for my headache. It is the only thing that will help.' What meaning does the nurse attach to this statement?
- A. She is being obstinate and wants control over her care.
- B. She believes ginger root has magical qualities.
- C. She subscribes to the restoration of health through the balance of yin and yang.
- D. Asian Americans refuse to take traditional medicine for pain.
Correct Answer: C
Rationale: Miss Lee's emphasis on ginger root for her headache reflects a belief in traditional Asian medicine, specifically the balance of yin and yang for health restoration, which aligns with option c.
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A survivor of physical spousal abuse was treated in the emergency department for a broken wrist. This patient said, Ive considered leaving, but I made a vow and I must keep it no matter what happens. Which outcome should be met before discharge? The patient will:
- A. facilitate counseling for the abuser.
- B. name two community resources for help.
- C. demonstrate insight into the abusive relationship.
- D. reexamine cultural beliefs about marital commitment.
Correct Answer: B
Rationale: The only outcome indicator clearly attainable within this time is for staff to provide the victim with information about community resources that can be contacted. Development of insight into the abusive relationship and reexamining cultural beliefs will require time. Securing a restraining order can be accomplished quickly but not while the patient is in the emergency department. Facilitating the abusers counseling may require weeks or months.
Children develop autonomy between
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: B
Rationale: Autonomy vs. shame/doubt (1-3 years, Erikson) builds independence.
A patient in need of surgery expresses the belief that exposing lung cancer to air during surgery can cause the tumor to spread. What might this belief reflect?
- A. Personal investigation of the mechanisms of cancer spread
- B. General fear of surgery or distrust of the physician
- C. A trust in conventional chemotherapy over surgical treatments
- D. An understanding of the risks and benefits of surgery
Correct Answer: B
Rationale: This reflects a common folk belief tied to fear or mistrust, not scientific reasoning.
The Montessori approach believes that the teacher's role is
- A. Director
- B. Guide
- C. Instructor
- D. Controller
Correct Answer: B
Rationale: Montessori teachers guide rather than direct learning.
The part of my behavioral facilitation system that determines how I react to a good class grade, a raise at work, or my confidence is called:
- A. Positive affectivity
- B. Social affectivity
- C. Emotions
- D. Over-reaction
Correct Answer: A
Rationale: Positive affectivity (Watson) governs reactions to positive events like grades or raises.