The nurse is caring for a patient of the Hispanic culture who tells the nurse, "The reason I'm hearing voices in my head is because my neighbor gave me the evil eye and cursed me." When planning appropriate nursing interventions for the patient,
what is the nurse's best understanding of the patient's statement?
1. The patient is describing a cultural myth.
2. The patient is describing a culture-bound syndrome.
3. The patient is experiencing delusions.
4. The patient's culture uses folklore elements to explain medical conditions.
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The nurse is caring for a patient who has developed acute respiratory distress syndrome (ARDS) after smoke inhalation. Based on the pathologic changes in ARDS, the nurse expects what outcome during the first several hours?
A) Improvement in airway patency with bronchodilator therapy B) Persistent and worsening hypoxia despite mechanical ventilation C) Evidence of hypercarbic respiratory failure with compensation D) General fluid volume deficit from capillary permeability increase
The staff nurses formed a committee to improve holiday scheduling. After several meetings they have designed a new schedule and are preparing to put it into action today. What phase of Lewin's change theory is this committee performing?
1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces
A client is being discharged after being diagnosed with diabetes. The client is being taught how to monitor his blood glucose. After teaching the client, which statement indicates to the nurse that additional teaching is needed?
A) "I should prick the tip of my finger to get the blood." B) "I should clean my finger with warm, soapy water." C) "I should massage my finger to get a hanging drop of blood." D) "I should avoid smearing the blood on the test strip."
Which does the nurse implement to maintain optimal suction in the client's Hemovac drain?
1. Replace the Hemovac drain when full. 2. Attach the tubing to the client's gown. 3. Measure Hemovac drainage when full. 4. Apply low intermittent suction to plug.