A Hispanic patient whose only child died over a year ago says, "I cannot do my usual home duties or go out in my community because of my headaches and backaches." The patient is diagnosed with major depression
The staff nurse says in the team meeting, "I can't help her. All she talks about is pain in her body." Which feedback from the team will be most helpful to this nurse? a. "You should take the lead and focus on reasons for her resistance to therapy."
b. "In her culture, physical symptoms are expressions of distress and emotional pain."
c. "Ask the patient why she has chosen to grieve her child's death in this particular way."
d. "It will take the antidepressant medication about 3 weeks to reach therapeutic levels. Be patient."
B
Somatization is common in this culture and demonstrates the patient's psychological pain. The distracters do not give the nurse helpful guidance.
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A father brings his child to the clinic with complaints that the child jumps around, gestures continuously with the hands, and makes grunting noises. He wants to know if the child has attention deficit-hyperactivity disorder (ADHD)
What response by the nurse is the most appropriate? A. "Does your child have risks for obsessive-compulsive disorder?" B. "I don't think so; that sounds more like a tic disorder." C. "Possibly; those are some classic symptoms of ADHD." D. "Yes, that definitely sounds like ADHD to me."
Who was the first person to recognize the importance of the environment by noting that cholera rates were much higher among those who drank water from a particular well?
A. C.E.A. Winslow B. Edwin Chadwick C. Lemuel Shattuck D. John Snow
Building partnerships is an important part of the implementation process of the Community Health Improvement Model. This involves inviting interested persons to become active in the process
What are some important factors for active participation? 1. Individuals must be assigned to work groups for effective implementation. 2. The groups must represent all segments of the population. 3. People will only work together if they endorse the leadership. 4. People participate when they feel a sense of community and see the issues as worthy of their time.
An accident victim who presented to the Emergency Department 8 hours earlier begins having seizures. Toxicology reports indicate an abnormally high blood alcohol level. Based on this information, what drug does the nurse expect to administer?
1. Valproic acid (Depakote) 2. Levetiracetam (Keppra) 3. Lorazepam (Ativan) 4. Phenytoin (Dilantin)