Nokea
When a patient requires long-term care, which of the following issues must be addressed by the family and the health care providers?
- A. How the family expects to manage the patient's finances
- B. How the patient and family feel about nursing homes
- C. Which nursing home has doctors or nurses with the same cultural background
- D. Which family member will tell the patient that he/she cannot return home
Correct Answer: B
Rationale: Attitudes toward nursing homes are critical in planning long-term care.
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What is the primary result of a patient feeling 'judged'?
- A. The physician and/or the hospital becomes at risk for legal repercussions
- B. The physician's reputation becomes affected
- C. The patient will refuse copayment
- D. The effectiveness of the doctor-patient relationship may be jeopardized
Correct Answer: D
Rationale: Feeling judged undermines trust, weakening the therapeutic relationship.
From which of the following ethnic backgrounds are patients most likely to change their diet after being diagnosed with a health problem by their physician?
- A. Asian
- B. Latino/Hispanic
- C. African American
- D. Caucasian
Correct Answer: B
Rationale: Latino/Hispanic patients often show higher dietary adaptability post-diagnosis due to family involvement and cultural emphasis on health.
Family is a group defined by sexual relationship, sufficiently precise and enduring to provide for the procreation and upbringing of children:
- A. Skinner
- B. Steffen
- C. Maclver
- D. Einstein
Correct Answer: C
Rationale: MacIver, a sociologist, defined family by its reproductive and nurturing roles.
The nurse is assisting in a teaching plan for the family of a patient with HIV. Which explanation about the transmission of HIV should the nurse include in this plan?
- A. HIV is spread by casual contact with others.
- B. HIV spreads by contact with infected blood.
- C. HIV can be spread by sharing eating utensils.
- D. HIV is commonly transmitted by tears or saliva.
Correct Answer: B
Rationale: Step-by-step rationale:
1. HIV is mainly transmitted through contact with infected blood, such as sharing needles or blood transfusions.
2. Other modes, like casual contact, sharing utensils, tears, or saliva, do not contain enough virus to transmit HIV.
3. Understanding transmission modes helps prevent unnecessary fear and stigma.
4. By emphasizing the importance of avoiding contact with infected blood, the nurse empowers the family to protect themselves effectively.
Summary:
Choice B is correct as HIV is primarily spread through contact with infected blood. Choices A, C, and D are incorrect as they do not pose a significant risk of HIV transmission. It is crucial for the family to focus on accurate information to prevent unnecessary anxiety and take appropriate precautions.
Select the standardized “hand off†change of shift reporting system that is accurately paired with its elements.
- A. SBAR: Symptoms, background, assessment and recommendations
- B. ISBAR: Interventions, symptoms, background, assessment and recommendations
- C. The Five Ps: The patient, plan, purpose, problems and precautions
- D. BATON: Background, assessment, timing, ownership and next plans
Correct Answer: B
Rationale: ISBAR includes these elements for structured communication.