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The nurse is assessing an elderly Hispanic woman who is being treated for hypertension. During the assessment, what is important for the nurse to remember about cultural aspects?
- A. The patient should be discouraged from using folk remedies and rituals.
- B. The nurse will expect the patient to value protective bracelets and -root doctorsl as healers.
- C. The nurse will remember that the balance among body, mind, and environment is important for this patient's health beliefs.
- D. The nurse's assessment needs to include gathering information regarding religious practices and beliefs regarding medication, treatment, and healing.
Correct Answer: D
Rationale: All beliefs need to be considered clearly so as to prevent a conflict from arising between the goals of nursing and health care and the dictates of a patient's cultural background. Assessing religious practices and beliefs is part of a thorough cultural assessment. The other options are incorrect. The nurse should not ignore a patient's cultural practices. The concept of balance among body, mind, and environment and the valuing of protective bracelets and root doctors reflect beliefs or practices that usually do not apply to the Hispanic cultural group.
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A patient is undergoing major surgery and asks the nurse about a living will. He states, -I don't want anybody else making decisions for me. And I don't want to prolong my life. I The patient is demonstrating which ethical term?
- A. Autonomy
- B. Beneficeence
- C. Justice
- D. Veracity
Correct Answer: A
Rationale: Autonomy includes self-determination, or the ability to act on one's own, including making one's own decisions about health care. Veracity is defined as the duty to tell the truth. Justice is the ethical principle of being fair or equal in one's actions. Beneficeence is the ethical principle of doing or actively promoting good.
During discharge patient teaching, the nurse reviews prescriptions with a patient. Which statement is correct about refills for an analgesic that is classified as Schedule C-III?
- A. No prescription refills are permitted.
- B. Refills are allowed only by written prescription.
- C. The patient may have no more than five refills in a 6-month period.
- D. Written prescriptions expire in 12 months.
Correct Answer: C
Rationale: Schedule C-III medications may be refilled no more than five times in a 6-month period. The patient should be informed of this regulation. No prescription refills are permitted for Schedule C-II drugs. Requiring refills by written prescription only applies to Schedule C-II drugs. Schedule C-III prescriptions (written or oral) expire in 6 months.
The nurse is reviewing the concept of drug polymorphism. Which factors contribute to drug polymorphism?
- A. The number of drugs ordered by the physician
- B. Inherited factors
- C. The patient's diet and nutritional status
- D. Different dosage forms of the same drug
- E. The patient's cultural practices
- F. The patient's drug history
- G. The various available forms of a drug
Correct Answer: B,C,E
Rationale: Inherited factors, diet and nutritional status, and cultural practices are some of the factors that contribute to drug polymorphism. The other options are not factors that contribute to drug polymorphism.
A patient has been selected as a potential recipient of an experimental drug for multiple sclerosis. The nurse knows that when informed consent has been obtained, it indicates which of these?
- A. The patient has been informed that he or she will need to stay in the study until it ends.
- B. The patient will be informed of the details of the study as the research continues.
- C. The patient will receive the actual drug during the experiment.
- D. The patient has had the study's purpose, procedures, and possible benefits as well as risks involved explained to him.
Correct Answer: D
Rationale: Informed consent involves the careful explanation of the purpose of the study, the procedures to be used, and the risks involved. The other options do not describe informed consent. Participation in studies is voluntary and patients have the right to end participation at any time.
The nurse is reviewing a list of scheduled drugs and notes that Schedule C-I drugs are not on the list. Which is a characteristic of Schedule C-I drugs?
- A. No refills are permitted.
- B. They may be obtained over-the-counter with a signature.
- C. They are available only by written prescription.
- D. They are used only with approved protocols.
Correct Answer: D
Rationale: Schedule C-I drugs are used only with approved protocols. Schedule C-II drugs are available only by written prescription, and refills are not permitted. Being available over-the-counter with a signature may be true of Schedule C-V drugs in certain states.