Which of the following situations would most likely provide social support to a client?
- A. A friend who will share his or her perspective on an issue
- B. The transportation service that provides access to daily rehabilitation services
- C. Fellow teammates participating in a community softball league
- D. The teacher assisting a client to obtain a GED
Correct Answer: A
Rationale: Social support comes from relationships that provide emotional sustenance, such as a friend sharing perspectives.
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The nurse is preparing to conduct an admission assessment interview with a Mexican American client. During the interview, the nurse should respect the client's culture through which behavior?
- A. Greet the client with a hug.
- B. Encourage direct eye contact during questioning
- C. Prohibiting the next of kin to remain present
- D. Introduce self with a handshake
Correct Answer: D
Rationale: A handshake is a polite and culturally appropriate greeting for Mexican American clients.
Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact?
- A. Communication
- B. Social organization
- C. Environmental control
- D. Biologic variations
Correct Answer: A
Rationale: Communication includes verbal and nonverbal elements like touch and eye contact.
It is recorded in the client's chart that the family is resilient. The nurse concludes which of the following characteristics about the family life of this client? Select all that apply.
- A. Family members are independent of one another.
- B. Family members spend time together.
- C. Family members engage in recreational activities together.
- D. Family members share the same personal goals.
- E. Family members allow individual members to develop unique daily routines.
Correct Answer: B,C
Rationale: Resilient families spend time together and engage in recreational activities, fostering accord and support.
The nurse is preparing to administer PRN medication to a client of Japanese descent who is anxious. The prescription reads, 'Alprazolam (Xanax) 0.25 to 1.0 mg PO PRN.' The best dose for the nurse to give initially is
- A. 0.25 mg.
- B. 0.5 mg.
- C. 0.75 mg.
- D. 1.0 mg.
Correct Answer: A
Rationale: Persons of Asian descent often metabolize drugs more slowly, requiring lower doses to produce therapeutic effects and minimize side effects.
A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be.
- A. You have to keep trying to feel better
- B. What do you think could have caused your depression?
- C. Clinical depression is not something you have brought on yourself
- D. It will take several weeks for your medicine to start to help you feel better
Correct Answer: C
Rationale: Educating the client that depression is not self-induced addresses cultural beliefs about control over mental illness.
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