Which one of the following statements about the roles that biologic makeup plays in a client's emotional responses is most accurate?
- A. Biologic differences can affect a client's response to treatment with psychotropic drugs.
- B. Biologic differences do not affect a client's response to treatment with psychotropic drugs.
- C. Heredity and biologic factors are under voluntary control.
- D. Persons cannot change their health status and improve the ability to cope.
Correct Answer: A
Rationale: Biologic differences can affect a client's response to treatment with psychotropic drugs, influencing the efficacy and side effects of medications.
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Several family members arrive to visit an African American client. The nurse can best meet this client's need for socialization by providing the client and family which of the following?
- A. Individual visits to provide the client with a calm environment
- B. Group gatherings and open conversation
- C. Inclusion of ritualistic health practices with the family present
- D. A spiritual healer to remove the illness and protect the family
Correct Answer: B
Rationale: African American families often provide support through animated group interactions and public affection.
How might the nurse best provide culturally competent care?
- A. Behave as appropriate for the nurse's culture.
- B. Find out as much as possible about a client's cultural values, beliefs, and health practices.
- C. Know what to expect from many cultural groups.
- D. Validate knowledge about culture through continuing education.
Correct Answer: B
Rationale: Culturally competent care requires understanding the individual client's cultural values, beliefs, and practices.
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.
Females from which of the following cultures are most likely to be expected to move in with husband's family?
- A. African Americans
- B. Mexican Americans
- C. South Asians
- D. Haitians
Correct Answer: C
Rationale: South Asian culture often expects daughters to move in with the husband's family.
A client reports feeling like he belongs among his peers with whom he shares a group home. The nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?
- A. Living with a peer group often increases anxiety.
- B. Peers may alienate the client from daily living activities.
- C. The client will likely feel needed by his peers.
- D. Peer groups often do too much for each other causing dependency.
Correct Answer: C
Rationale: A sense of belonging reduces anxiety and fosters a sense of purpose and social productivity.
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