The nurse should consider what phenomenon that tends to occur in patients of all ages when they are ill?
- A. Tendency to regress in language skills
- B. Tendency to become more passive
- C. Tendency to become more involved in care
- D. Tendency to regress in age-appropriate behavior
Correct Answer: A
Rationale: During illness, patients of all ages tend to regress, and the regression often involves language skills. The other tendencies do not apply in this case.
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How should the nurse and the other members of the care team best respond?
- A. Explain to the son the teams ethical obligation to inform the patient.
- B. Refer the family to social work.
- C. Have a nurse or physician from the patients culture make contact with her and her son.
- D. Speak with the son to explore his rationale and attempt to reach a consensus.
Correct Answer: D
Rationale: Nurses must promote open dialogue and work with patients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual patient. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.
When attempting to foster positive and therapeutic nursepatient interactions, the nurse should recognize that these interactions are primarily dependent on what variable?
- A. The knowledge of patient tendencies during illness
- B. The nurses ability to work with a multicultural health care team
- C. The ability to understand and be understood
- D. Cultural diversity among the unit staff
Correct Answer: C
Rationale: Nursepatient interactions, as well as communications among members of a multicultural health care team, are dependent on the ability to understand and be understood. Nursepatient interactions are not dependent on the knowledge of patient tendencies during illness, the nurses ability to work with a multicultural health care team, or cultural diversity among the staff on the unit.
In which of the following groups are these disparities most evident?
- A. Urban men
- B. People with disabilities
- C. People who are single
- D. Middle-aged adults
Correct Answer: B
Rationale: Health disparities are noted among women, gays and lesbians, and people with disabilities. Specific health disparities have not been found among men, the middle-aged, or single people.
This belief is an example of which paradigm explaining the cause of disease and illness?
- A. Biomedical
- B. Naturalistic
- C. Holistic
- D. Factual
Correct Answer: A
Rationale: The biomedical or scientific perspective assumes that all events in life have a cause and effect and that all of reality can be observed and measured. One example of the biomedical or scientific view is the bacterial or viral explanation of communicable diseases. The naturalistic or holistic view states that forces of nature must be kept in natural balance or harmony. Factual is not a recognized category of beliefs.
When categorizing this particular complementary therapy, the nurse should identify it as which of the following?
- A. A biologically based therapy
- B. A mind-body intervention
- C. A manipulative and body-based method therapy
- D. An energy therapy
Correct Answer: D
Rationale: Therapeutic touch is an example of an energy therapy. Biologically based therapies include herbal therapies, special diet therapies, orthomolecular therapies, and biologic therapies. Mind-body interventions include meditation, dance, music, art therapy, prayer, and mental healing. Manipulative and body-based methods include chiropractic, massage therapy, osteopathic manipulation, and reflexology.
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