Nokea
Which of the following is an important difference in the diets of Asian Indian patients in India versus Asian Indian patients living in the U.S.?
- A. Patients in the U.S. have a lower carbohydrate intake on average
- B. Patients in the U.S. eat more curry
- C. Patients in India use more vanaspathi (hydrogenated fat) in their cooking
- D. Patients in India are less likely to eat pork
Correct Answer: C
Rationale: Vanaspathi use is more common in India, impacting fat intake.
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You are serving as the preceptor for a newly graduated nurse. As you observe the new nurse for their application of body mechanics principles into client care, you observe that the nurse spreads her legs apart during a transfer with a client. What should you do?
- A. Advise the nurse that the legs must be close together for stability during lifting and transfers.
- B. Advise the nurse that the legs should be one in front of the other and not spread apart during a transfer.
- C. Validate the nurse's competency in terms of the application of body mechanics principles during a transfer.
- D. Validate the nurse's competency in terms of the application of ergonomics principles during a transfer.
Correct Answer: C
Rationale: Spreading legs apart enhances stability during transfers.
-------is an orientation period when members get to know one another and share expectations about the group:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: A
Rationale: Forming (Tuckman) is the initial stage of group orientation and acquaintance.
An individual was killed during a store robbery 2 weeks ago. The widowed spouse, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about the death. Which is the nurses most therapeutic comment?
- A. I'm worried about how much you're crying. Your grief over your spouses death has gone on too long.
- B. The unexpected death of your spouse must be painful. I'm glad youre able to talk to me about your feelings.
- C. This loss is harder to accept because of your mental illness. Let's refer you to the partial hospitalization program.
- D. Your crying shows me you aren't coping well. I made an appointment for you to see the psychiatrist for medication adjustment.
Correct Answer: B
Rationale: The patient is expressing feelings related to the loss, and this is an expected and healthy behavior. This patient is at risk for dysfunctional grieving because of the history of a severe psychiatric illness, but the nurses priority intervention is to form a therapeutic alliance and support the patients expression of feelings. The patients crying 2 weeks after the spouses death is expected and normal.
When taking a medical history, which of the following approaches would be the best way to develop a patient's trust and build rapport?
- A. Confront a patient with targeted questions about his/her behaviors in a direct manner
- B. Provide a setting that is private and safe for disclosure
- C. Always include family members in these conversations
- D. Be persistent in your questioning of the patient
Correct Answer: B
Rationale: A private, safe setting fosters trust, encouraging honest disclosure.
A dual perspective is one which...
- A. Requires you to watch your client's body language and listen at the same time
- B. Requires you to take your client's words at face value while considering intersectionality
- C. Reminds us every client is part of a dominant/sustaining system and a nurturing system
- D. Reminds us to consider the physical and social environment of the client
Correct Answer: C
Rationale: The dual perspective highlights the interplay between sustaining (dominant) and nurturing (familial) systems in a client's life.