A hospice nurse plans care for four culturally diverse patients, each of whom has advanced cancer. Which patient will most likely wish to engage actively in end-of-life planning?
a. Native American; worked as a forest ranger
b. Female immigrant from China; acupuncturist
c. Refugee laborer from war-torn African country
d. Fourth-generation New England native; accountant
D
This patient would hold a Western worldview and value autonomy, independence, and self-reliance. The patient would see time as linear and have an internal locus of control. Self-action would be a high priority. For the distracters, the concept of person is defined more in relationship to others, and the locus of control is self-rooted in tradition or in natural forces. The need for independence and self-reliance is far less. Tradition, fate, or other forces are seen as being in control.
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A patient says, "My marriage is great. My spouse and I usually agree on everything." The nurse observes the patient's foot moving continuously and fingers twirling a shirt button
What assessment can the nurse make? The patient's communication is: a. clear. b. mixed. c. explicit. d. inadequate.
What are legislators more apt to be influenced by?
A) Form letters from group members B) Individual phone calls C) A strong collective political group D) A personal visit by an individual constituent
A nursing instructor has just completed a class on the effects of over-the-counter drugs on the fetus. At the end of class the students completed a quiz
Which responses by the students indicate that they understood the class? (Select all that apply.) a. Increased birth weight d. Renal failure b. Neonatal bleeding e. Teeth decay c. Bone growth inhibi-tion f. Central nervous sys-tem disturbances
The client receives glucocorticoid therapy. The nurse would prioritize assessment for which finding?
1. Hypothermia 2. Hypotension 3. Hypertension 4. Weight loss