Nokea
When communicating with a Muslim patient about end-of-life issues, which of the following statements best shows respect and mindfulness about Muslim beliefs?
- A. Death is expected soon
- B. We are fighting a losing battle
- C. We need to start considering options for hospice care
- D. No one knows when, where, or how someone will die
Correct Answer: D
Rationale: This reflects Islamic belief in divine will, showing cultural sensitivity.
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A patient is curious about Reiki, a Japanese spiritual practice often used as a complementary therapy. Reiki falls under which category of complementary and alternative medicine?
- A. Manipulative and body-based methods
- B. Alternative medical systems
- C. Energy therapies
- D. Mind-body medicine
Correct Answer: C
Rationale: Reiki is classified as an energy therapy, focusing on energy flow.
A patient admitted to an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and several drinks during the evening.' Which defense mechanism is evident?
- A. Rationalization
- B. Introjection
- C. Projection
- D. Denial
Correct Answer: D
Rationale: The correct answer is D: Denial. The patient's statement reflects denial as they are minimizing their alcohol consumption by categorizing it as normal social drinking. Denial is a defense mechanism where a person refuses to acknowledge a reality or truth to protect themselves from anxiety or discomfort. In this scenario, the patient is not accepting the reality of their excessive drinking habits.
Explanation for other choices:
A: Rationalization - This defense mechanism involves justifying behavior with logical reasoning. The patient is not providing logical reasoning for their drinking habits.
B: Introjection - This defense mechanism involves internalizing external beliefs or values. The patient's statement does not indicate internalizing external beliefs.
C: Projection - This defense mechanism involves attributing one's unacceptable thoughts or emotions to others. The patient is not projecting their drinking habits onto others.
Which of these is not a pitfall of Ecosystems Theory?
- A. May value the status quo and avoid any real change to avoid disruptions within the family or to ensure stability
- B. Existing circumstances may be accepted as givens. The focus may be to make adjustments within those limits, instead of challenging the limits.
- C. One must master many interventive skills to address issues at all system levels which is not realistic.
- D. There is an inattention to power differences in family and in the community regarding interpretations
Correct Answer: D
Rationale: Attention to power differences is a strength, not a pitfall, of ecosystems theory.
A therapeutic milieu is:
- A. A safe environment of care that is conducive to the prevention of medical errors.
- B. A client care area that provides personal privacy and the confidentiality of medical information.
- C. A European method of design and color to promote health and wellness.
- D. The provision of a therapeutic environment of consistency to promote health.
Correct Answer: D
Rationale: A therapeutic milieu (D) promotes health through consistency.
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and the treatment of disease. In order to best address these variations when planning nursing care, the nurse and client initially:
- A. Agree to respect each other's beliefs and values.
- B. Discuss what the client believes is the cause of his or her illness.
- C. Agree that treatment planning will include family members when possible.
- D. Discuss the incorporation of both traditional nursing practice and culturally based practices.
Correct Answer: B
Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions.
A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views.
C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness.
D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.