The nurse understands that which are important in the process of developing a cultural identity? (Select all that apply.)
a. School
b. Church/religious institution
c. Family
d. History
e. Community
ANS: A, B, C, E
Many institutions and groups, both formal and informal, assist an individual in developing a cultural identity, including school, religious institutions, family, and community.
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A patient who was admitted after receiving a blow to the head begins to show signs of shock. How should the patient be positioned?
a. With the head lower than the body b. Flat with the legs elevated c. Flat on the back d. In a side-lying position
An older diabetic patient reports a candidiasis infection. When asked, the patient states all blood sugars have been within the target range. What action by the nurse is best?
a. Facilitate having a hemoglobin A1c drawn. b. Teach the patient preventive measures. c. Teach the patient about the side effects of medications. d. Review the patient's medication history.
A client with obsessive-compulsive therapy has been taking fluoxetine (Prozac) for 1 month. The client tells the nurse, "These pills are making me sick. I think I'm getting a brain tumor because of the headaches"
The most appropriate response by the nurse is to tell the client: A) "Let's talk about how often you have been performing the rituals lately." B) "Tell me how many times you have washed your hands today." C) "Have you been practicing your deep breathing and relaxation exercises?" D) "These medications have side effects that can cause increased headaches."
The factor that is more predictive of abusive behavior is
1. A perceived or actual crisis 2. Social isolation 3. Previous exposure to violence 4. Marital strain