Which grieving behaviors should a nurse anticipate when caring for a Navajo client who recently lost a child?
1. Celebrating the life of a deceased person with festivities and revelry
2. Not expressing grief openly and reluctance to touch the dead body
3. Holding a prayerful vigil for a week following the person's death
4. Expressing grief openly and publicly and erecting an altar in the home to honor the dead
2
Rationale: The nurse should identify that a Navajo client who recently lost a child would not express grief openly and would be reluctant to touch the dead body. Navajo Indians do not bury the body of a deceased person for four days after death, and they conduct a cleaning ceremony prior to burial. The dead are buried with their shoes on the wrong feet and rings on their index fingers.
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A patient who has been casted for a fracture of the left ulna asks the nurse when the cast will come off. The nurse's response is based on the knowledge that the cast will be removed when which physiologic parameter has been met?
1. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A specific amount of time has passed, predetermined by the severity of the break. 4. The X-ray of the fractured bone shows that the ends are well joined.
Moral reasoning is best illustrated by making decisions about:
a. Bioethical questions b. Religious training c. How human beings ought to be and act d. Philosophical viewpoints