Nokea
Which of the following choices represents a barrier to health care for low-income patients in the U.S.?
- A. Limited health care and educational programs close to home
- B. Language proficiency
- C. Busy schedule
- D. Availability of brand-name medication
Correct Answer: A
Rationale: Limited local resources restrict access for low-income patients.
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Which statement made by a nurse who manages care for a number of culturally diverse Hispanic clients demonstrates an understanding of the challenges this assignment presents?
- A. I find the Hispanic language very difficult to master.'
- B. There are many differences between Hispanic subcultures.'
- C. Addressing the Hispanic culture's religious needs can be challenging.'
- D. I find Hispanic children to be very dependent upon their elders.'
Correct Answer: B
Rationale: The correct answer is B: "There are many differences between Hispanic subcultures." This answer demonstrates an understanding of the complexity and diversity within the Hispanic community, emphasizing that there is not a monolithic Hispanic culture but rather various subcultures with distinct customs, traditions, and beliefs. Understanding these differences is crucial for providing culturally competent care.
Rationale:
1. Option A focuses on language proficiency, not cultural diversity.
2. Option C mentions religious needs but does not address the broader complexity of Hispanic culture.
3. Option D makes a generalization about Hispanic children, not addressing the diversity within Hispanic communities.
In summary, the correct answer acknowledges and respects the diverse nature of Hispanic subcultures, highlighting the importance of recognizing and understanding these differences to provide effective care.
The psychological test measure projective responses is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: A
Rationale: The Rorschach test uses projective responses to uncover unconscious processes.
Which nursing intervention best builds a therapeutic nurse-client relationship?
- A. Actively listening as the client expresses his or her thoughts and feelings
- B. Intervening when the client begins to state beliefs that come from his or her illness
- C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
- D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A
Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.
Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.
Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.
Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.
Which of the following factors might lead the parents of a Muslim or Arab adolescent patient to initially delay or refuse chemotherapy?
- A. Belief related to Islam
- B. Superstitions about chemotherapy in Arab culture
- C. Desire to consult with extended family members and/or Imam first
- D. Higher prevalence of chemotherapy-related complications among Arabs
Correct Answer: C
Rationale: Consulting family and religious leaders is common in Arab culture for major medical decisions.
You routinely use the PQRST method to assess pain. The PQRST method consists of:
- A. Pain level, the quality of the pain, the region or area of the pain, the severity of the pain, and the pain triggers
- B. Precipitating factors, the quality of the pain, relief factors, the severity of the pain, and the pain triggers
- C. Pain level, the quantitative numerical pain score, the region or area of the pain, the severity of the pain, and the pain triggers
- D. Precipitating factors, the quality of the pain, the region or area of the pain, the severity of the pain, and the pain triggers
Correct Answer: D
Rationale: PQRST (D) stands for Precipitating, Quality, Region, Severity, Timing.