Nokea
What do these key indicators reveal about the United States?
- A. A significant gap in health status between the overall population and people of specific ethnic backgrounds
- B. A significant gap in health care delivery between the overall population and subgroups of the minority populations
- C. A significant gap in health status between the Hispanic population and the Native American population
- D. A significant gap in health care delivery between the Asian American population and the Pacific Islander population
Correct Answer: A
Rationale: Key health indicators in the United States reveal a significant gap in health status between the overall American population and people of specific ethnic backgrounds. Option B is incorrect because key health care indicators do not show a gap in health care delivery between the overall population and subgroups of minority populations; options C and D are incorrect because these ethnic populations are not singled out in these ways.
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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.
What is the best way for the nurse to interact with a patient who has a different cultural perspective on space and distance?
- A. Allow the patient to adopt a position that is comfortable for him or her.
- B. Realize that sitting close to the patient is an indication of warmth and caring.
- C. Position yourself 10 to 12 feet from the patient to accommodate the most common cultural preferences.
- D. Remember not to intrude into the personal space of the elderly.
Correct Answer: A
Rationale: If the patient appears to position himself or herself too close or too far away, the nurse should consider cultural preferences for space and distance. Ideally, the patient should be permitted to assume a position that is comfortable to him or her in terms of personal space and distance. Older adults do not share a common perspective on personal space. A distance of 10 to 12 feet is not normally necessary. Close proximity can be interpreted as being invasive by some individuals.
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.
Which of the following is most likely the patients religion?
- A. Roman Catholicism
- B. Buddhism
- C. Islam
- D. Mormonism
Correct Answer: C
Rationale: Many Islamic people abstain from eating pork. Members of other religions also proscribe the consumption of meat in general, or pork in particular, but the other listed religions are not among these.
When using this model in the care of a patient who has had a transurethral prostate resection (TUPR), what area of care would be influenced most directly?
- A. Transferring the patient from a stretcher to a bed
- B. Documenting the patients vital signs and level of consciousness
- C. Administering a scheduled dose of acetaminophen
- D. Explaining the rationale for continuous bladder irrigation (CBI)
Correct Answer: D
Rationale: Giger and Davidhizar identified communication, space, time orientation, social organization, environmental control, and biologic variations as relevant phenomena. Explaining CBI requires clear communication. Transferring a patient to a bed, administering Tylenol, or documenting are nursing responsibilities that are less directly relevant to this model.