Which information noted by the nurse during a patient interview is considered part of cultural assessment?
a. The patient's personal appearance and clothing are neat and clean.
b. The patient is considerably overweight for his or her height and age.
c. The skin tone and eye coloring of all family members is very similar.
d. The wife looks to her husband to answer questions about her health.
D
Interaction among family members can give important clues to culture and cultural influence. In many cultures, the husband is the authority of the household and the wife does not express opi-nions or question the validity of the husband's statements.
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A patient with a new diagnosis of cancer says, "My father died of pancreatic cancer. I took care of him during his illness, so I know what is ahead for me.". Which nursing diagnosis applies?
a. Anticipatory grieving b. Ineffective coping c. Ineffective denial d. Spiritual distress
A patient tells a nurse, "I know all about this already. I read about it on the Internet." The patient then summarizes what he has learned. Because some of this information seems incorrect, what questions would be effective for the nurse to ask? (Select a
a. Were you able find what you wanted easily on the website? b. Did the website say when the information was updated? c. Did the website state who was responsible for the information? d. Did you enjoy reading the material on the website?
A nurse is conducting a family assessment as part of the process for services provided through the community. Of the following, which would provide the best information in identifying existing or potential health problems?
1. Ecomap 2. Genogram 3. Cultural assessment 4. Family communication patterns
A nurse is assisting in the care of a patient with ankylosing spondylitis who is to receive a single dose of biologic therapy given intravenously. Which of the following would the nurse expect to find in the patient's collaborative plan of care?
(Select all that apply.) a. Activity as tolerated; up with assistance b. Administer Remicade today c. Tylenol #3 every 4 hours prn pain d. Physical therapy daily e. Sitz baths three times daily