The nurse at an elementary school is performing TB screenings on all of the students. Permission slips were returned for all but the children of one family
When the nurse phones to obtain permission, the parent states in clearly understandable English that permission cannot be given because the grandmother is out of town for 2 more weeks. Which cultural element is contributing to the dilemma that faces the nurse? 1. Permissible physical contact with strangers
2. Beliefs about the concepts of health and illness
3. Religion and social beliefs
4. Presence and influence of the extended family
4
Rationale 1: The situation the nurse faces is not being caused by permissible contact with strangers.
Rationale 2: The situation the nurse faces is not caused by beliefs about the concepts of health and illness.
Rationale 3: The situation the nurse faces is not caused by religion and social beliefs.
Rationale 4: The presence and influence of the extended family is contributing to the situation the nurse faces. In many cultures, a family elder is a primary decision maker when it comes to health care. In this case, the parent cannot grant permission to the nurse until the parent consults the grandmother.
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A 7-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal
The statement by the nurse working with this child that would be most likely to help determine the etiology of this child's abdominal pain is: 1. "Have there been any changes in your child's school or home life recently?" 2. "Tell me what your child usually eats on a normal day." 3. "Are your child's immunizations up to date?" 4. "Has your child had any fevers or viral illnesses in the last three months?"
The nurse is providing care for a patient with a new diagnosis of hypertension. How can the nurse best promote the patient's adherence to the prescribed therapeutic regimen?
A) Screen the patient for visual disturbances regularly. B) Have the patient participate in monitoring his or her own BP. C) Emphasize the dire health outcomes associated with inadequate BP control. D) Encourage the patient to lose weight and exercise regularly.
A patient is taking hydroxychloroquine sulfate. The physician will have the patient checked frequently for which condition?
a. Foot drop b. Skin rash c. Hearing loss d. Retinopathy
You are caring for a terminal patient who has just had a cordotomy for intractable pain. What is a cordotomy performed for?
A) To reroute the transmission of pain B) To destroy neuronal dysfunction C) To reduce nociceptive input D) To interrupt the transmission of pain