In doing an initial assessment of a Native American, the nurse should be aware of the fact that
a. Native Americans like to relate their personal history
b. Many Native Americans find the personal questions asked during a history offensive
c. Native Americans who speak English are completely comfortable with the U.S. health-care system
d. Many Native Americans rely solely on the Indian Health Care Services for health care
B
Many Native Americans find the questions asked during an initial assessment and history offensive and intrusive. It is sometimes wiser to ask younger members of the family about a patient's history. Although Native Americans are great storytellers, they do not like to reveal much about their personal lives to strangers, so response A is not the best choice. Responses C and D are incorrect. Native Americans are often a caught in limbo in terms of modern health care. They are caught between their traditions and modern treatment—the Shaman and the physician. Finally, they often are "lost" between the Indian Health Care Services and other health-care services available in the United States.
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1. Self-awareness. 2. The ability to sympathize. 3. An extroverted personality. 4. Good recall.
List the tumors in order based on the following tissue of origin: 1, fat; 2, fibrous; 3, smooth muscle; 4, glands; 5, bone. (Separate letters by a comma and space as follows: A, B, C, D.)
A. Sarcoma B. Lipoma C. Leiomyoma D. Fibroma E. Carcinoma
An older adult patient tells the nurse that she is "tired" of having her medication doses changed so many times and wants to find a doctor who "knows what he's doing." How should the nurse respond to this patient?
1. "Have you thought about cutting pills or add pills together to get the correct dose?" 2. "If you seriously want to change providers, know some of the other doctors in the building are taking new patients." 3. "Frequent dose changes are necessary until the correct dose for you is determined." 4. "I know what you mean. It is annoying, but it is necessary."
A patient's plan of care includes the goal of increasing mobility this shift. As the patient is ambulating to the bathroom at the beginning of the shift, the patient suffers a fall. The nurse should revise the plan of care first by
a. Asking physical therapy to assist the patient because of the new injuries. b. Disregarding all previous diagnoses and establishing a new plan of care. c. Reassessing the patient. d. Setting new priorities for the patient.