Core Concepts of Patient Family Care

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The nurse demonstrates appropriate Asian-American cultural sensitivity when:

  • A. Substituting the word 'sadness' for depression when participating at a health fair at a local Asian-American senior center.
  • B. Anticipating that the Asian-American teenager is well educated concerning the dangers of tobacco and marijuana abuse.
  • C. Being particularly interested in the older Asian-American's view regarding the role of alcohol in managing stress.
  • D. Evaluating the critical thinking skills and short-term recall abilities of the Asian-American female over the age of 70.
Correct Answer: A

Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community.

Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.

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Sociologists use the term 'sex' to refer to

  • A. Anatomical and psychological differences
  • B. Emotional and cultural practices
  • C. Erotic and physical practices
  • D. Psychological and social differences
Correct Answer: A

Rationale: Sex refers to biological and sometimes psychological distinctions.

Nurse Jones decides to go against family wishes and tell the client of his terminal status because that is what she would want if she were the client. Which of the following ethical theories is considered in this decision?

  • A. Kantianism
  • B. Christian ethics
  • C. Natural law theories
  • D. Ethical egoism
Correct Answer: A

Rationale: Nurse Jones bases her decision on what she would want in the client's position, reflecting a duty-based approach focused on universal moral principles, which aligns with Kantianism, option a.

ne greatest incidence of extra marital sex for women occurs among those in their

  • A. thirties
  • B. fifties
  • C. forties
  • D. twenties
Correct Answer: C

Rationale: Research shows women in their 40s are more likely to engage in extramarital sex, often tied to midlife shifts.

You are caring for a client who has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were $600 \mathrm{mLs}$ remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?

  • A. 0 mL
  • B. 5 mL
  • C. 10 mL
  • D. 7.5 mL
Correct Answer: A

Rationale: 1200 mL / 8 hr = 150 mL/hr; 4 hr (8 am-12 pm) x 150 mL/hr = 600 mL; 600 mL - 600 mL = 0 mL (A).

While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)

  • A. Audible bowel sounds
  • B. Inappropriate laughter
  • C. Inability to state home address
  • D. Knee buckling while walking
Correct Answer: B

Rationale: The correct answer is B: Inappropriate laughter. Inappropriate laughter is a common symptom of HIV-associated neurocognitive disorder, indicating cognitive impairment. This symptom is often observed in patients with AIDS and can be indicative of changes in behavior and emotional responses.

Audible bowel sounds (A) are not specifically related to HIV-associated neurocognitive disorder. Inability to state home address (C) may indicate memory impairment but is not a specific symptom of this disorder. Knee buckling while walking (D) is more related to physical weakness or balance issues rather than cognitive impairment associated with HIV.

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