A student nurse is caring for a patient of Mexican descent. In an attempt to become culturally aware, the student should consciously think about which of the following?
a. What people of Mexican descent believe
b. The relationship between culture and ethnicity
c. The fact that the patient belongs to an isolated social group
d. Where the person is in the intersections of socially constructed categories
D
We must understand a person's location in the intersections of socially constructed categories of privilege and oppression (e.g., race, class, gender, age, sexual orientation). This is necessary in order to, "fully understand a person's actions, choices and outcomes." Culture has historically been associated with norms, values, and traditions passed down through generations. Culture has also been perceived as synonymous with ethnicity, race, nationality, and language. These outdated ideas about culture lead to statements such as, "Mexicans believe this" or "Chinese patients are like this." In reality, culture is much more dynamic and includes race, ethnicity, gender, sexual orientation, class, immigration status, and other axes of identification. All of us are members of multiple social groups at the same time. These intersecting identities impact our experience of the world around us.
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You should minimize the risk of aggression from a patient with a history of violence by doing all of the following, EXCEPT
a. positioning your chair between the patient's chair and the door. b. using limit setting and refocusing. c. leaving the door to the interview room open. d. confronting the patient.
As a nurse is preparing a patient for a colonoscopy, the patient states that she is nervous about the procedure but knows it will help her physician diagnose her problem. Which coping strategy should the nurse recognize the patient is using?
a. Internal family coping by interpreting events in a positive manner b. Internal family coping by relieving anxiety and tension with humor c. External family coping by seeking social support d. External family coping by depersonalizing the procedure
An obese adolescent who adamantly denies sexual activity has a positive pregnancy test that was performed in the adolescent clinic. The appropriate nursing statement/question to the adolescent is:
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A pregnant client asks the nurse to explain what a teratogen is. What is the best response by the nurse to educate this client?
1. A teratogen is any substance that will harm a developing fetus or embryo. 2. A teratogen is a controlled substance. 3. A teratogen is a nonnarcotic pain reliever. 4. A teratogen is a medication used to treat bacterial infections.