The family of an older Arab-American patient does not want the patient to be informed of a diagnosis of cancer. What should the nurse do?
a. Call a religious counselor.
b. Respect the family's wishes.
c. Insist that the family tell the patient about the diagnosis.
d. Tell the patient anyway, because patients have a right to know.
___
ANS: B
B. Initially, the family's wishes should be respected. This may be important in their culture. An ethics committee may be contacted for further input if the situation warrants it. A, C, and D are culturally insensitive responses.
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A client with chronic renal failure says that he will be going to the dentist for a planned tooth extraction. What would be the nurse's best response?
A. "You may take any medication for pain that the dentist prescribes." B. "You should receive prophylactic antibiotics before any dental procedure." C. "You should rinse your mouth with an antiseptic solution once the tooth is re-moved." D. "Have your dentist check all of your teeth, because kidney problems can cause tooth decay."
Nurses are often sought out to help with primary prevention planning. Which of the following actions would not be included in primary prevention?
A) Sharing the plan with teachers B) Teaching adults about stress reactions and how to comfort the children C) Spending time caring for the wounded D) Encouraging individuals to maintain a good support system
Which of the following structures controls most of our conscious thought processes plus speech, hearing, and sight?
A. cerebellum B. cauda equina C. brain stem D. cerebrum
A patient who has bronchiectasis asks the nurse "what condition would warrant a call to the clinic?"
A. blood clots in the sputum B. sticky sputum on a hot day C. increased SOB after eating a large meal D. production of large amounts of sputum on a daily basis