Nokea
The nurse is caring for an African-American patient. Who would the nurse expect to be the primary decision maker in the patient's family?
- A. Men
- B. Women
- C. Clergy
- D. Grandparents
Correct Answer: B
Rationale: When caring for African Americans, women are primarily the decision makers in the family and are frequently the head of the household.
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A nurse is preparing to discuss birth control options for a Roman Catholic patient. What is the most appropriate method for the nurse to discuss with this patient?
- A. Abstinence
- B. Vasectomy
- C. Tubal ligation
- D. Oral contraceptives
Correct Answer: A
Rationale: Birth control for Roman Catholics is prohibited except for abstinence or natural family planning. Referral to a priest for questions about this can be of great help. Nurses can teach the techniques of natural family planning if they are familiar with them; otherwise, this should be referred to the health care provider or to a support group of the Church that instructs couples in this method of birth control. Sterilization is prohibited unless there is an overriding medical reason.
Which health belief system is commonly referred to as "third-world" beliefs and practices?
- A. Folk health belief system
- B. Holistic health belief system
- C. Biomedical health belief system
- D. Alternative/complementary belief system
Correct Answer: A
Rationale: The folk health belief system is commonly referred to as 'third-world' beliefs and practices. It is often called strange or weird by nurses and other health professionals who are unfamiliar with folk medicine beliefs.
A set of learned values beliefs customs and practices that are shared by a group and are passed from one generation to another is known as ____
Correct Answer: culture
Rationale: Culture is a set of learned values, beliefs, customs, and practices that are shared by a group and are passed from one generation to another.
A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement?
- A. Mixing of milk and meat at a meal
- B. Use of separate cooking utensils for meat and milk products
- C. Use of one set of cooking utensils for meat and milk products
- D. Consumption of food not slaughtered in accordance with Jewish law
Correct Answer: B
Rationale: For observant Jews, Kosher dietary laws include the following: no mixing of milk and meat at a meal; no consumption of food or any derivative thereof from animals not slaughtered in accordance with Jewish law; use of separate cooking utensils for meat and milk products; if a patient requires milk and meat products for a meal, the dairy foods should be served first, followed later by the meat.
A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer's disease. What should this nurse take into consideration when caring for the resident?
- A. Cultural background has an important role in determining the resident's status
- B. The resident will be culturally sensitive to caregivers
- C. Home remedies may have value even if harmful
- D. The resident will have a strong sense of trust for health care workers
- E. Communication should involve gesturing whenever possible
Correct Answer: A,C
Rationale: Cultural background has an impact on family dynamics and plays an important role in determining the role and the status of the older person. Some older adults are less tolerant of other cultures as a result of influences or experiences early in their lives, which raises the possibility of misunderstandings and distrust when the caregiver is of a cultural group different than that of the older person. Communication should suit the individual needs of the resident and does not necessarily involve gesturing.