Nokea
Moxibustion (or moxa), through heat generated by the burning of mugwort (a spongy herb), is used by traditional Chinese practitioners to treat many conditions. Which of the following Western treatments is most likely to be impacted by concurrent moxibustion?
- A. Oral medications
- B. Topical medications
- C. Inhaled medications
- D. Surgical interventions
Correct Answer: B
Rationale: Topical medications may interact with moxibustion due to skin application and heat effects.
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A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled pentobarbital sodium. What is the nurse’s first action?
- A. Test reflexes
- B. Check pupils
- C. Initiate vomiting
- D. Establish a patent airway
Correct Answer: D
Rationale: The correct answer is D: Establish a patent airway. The first action in any emergency situation involving an unconscious person is to ensure their airway is open and clear to facilitate breathing. This is crucial for maintaining oxygenation and preventing potential complications like hypoxia. Testing reflexes (A) and checking pupils (B) are important assessments but not the immediate priority in this situation. Initiating vomiting (C) is contraindicated as it can lead to further complications, especially if the person has ingested a potentially harmful substance.
Generalizing others' regarding this which of the following statements is true?
- A. There is no 'ME' at birth, it is formed through continual symbolic interaction
- B. The generalized other is really who we are
- C. The 'I' is more important than 'ME' in forming our sense of self
- D. Social expectations have a little impact on who we think we are
Correct Answer: A
Rationale: The 'ME' develops through social interaction (Mead).
Which of the following approaches is most effective in helping patients with type 2 diabetes to lose weight?
- A. Advocate the American Diabetes Association's 1800-calorie diet for all patients
- B. Recommend daily exercise and decreased food intake
- C. Suggest substituting healthy ingredients for meals and snacks based on the patient's cultural heritage and personal preferences
- D. Refer patients to a dietitian for all their diet-related inquiries
Correct Answer: C
Rationale: Culturally tailored substitutions enhance adherence by aligning with patient preferences and lifestyle.
Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, 'No one can help me. I was an evil person in my youth, and now I must pay.' How might the nurse assess this statement?
- A. Sarah is having delusions of persecution.
- B. Some African Americans believe illness is God's punishment for their sins.
- C. Sarah is depressed and just wants to be left alone.
- D. African Americans do not believe in psychiatric help.
Correct Answer: B
Rationale: Sarah's statement about being an evil person in her youth and needing to pay suggests a cultural or spiritual belief that illness is a punishment for sins, common among some African Americans, aligning with option b.
Intervention with Andrew (from question 12) would include:
- A. Encouraging expression of feelings
- B. Antianxiety medications
- C. Participation in a support group
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because a comprehensive intervention for Andrew should include all options. Encouraging expression of feelings helps him process emotions. Antianxiety medications can address his symptoms. Participation in a support group offers additional emotional support and coping strategies. Each option plays a crucial role in Andrew's holistic care, addressing his emotional, physical, and social needs. A combination of these interventions provides a well-rounded approach to support Andrew's mental health and well-being.