When assessing what influences a patient's health beliefs and practices, a nurse should consider both internal and external variables. Which is an example of an external variable?
a. Intellectual background
b. Emotional factors
c. Spiritual factors
d. Family practices
D
Family practices is an external variable. Intellectual background, emotion factors, and spiritual factors are internal variable.
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The nurse is caring for a woman newly diagnosed with breast cancer who asks the nurse to explain the difference between a mastectomy and a radical mastectomy. The nurse's best response is:
1. "They are both the same except that a radical mastectomy removes muscles from the chest wall." 2. "Both remove the breast tissue, but a radical mastectomy removes muscles and lymph nodes." 3. "The radical mastectomy takes more tissue from the chest and improves the chances of survival." 4. "The mastectomy removes more tissue and reduces the risk of metastasis, thereby improving survival rates."
The mother of a 2-month-old child tells the nurse, "I've been reading about how vaccines cause autism so I have decided not to give my child any of these vaccines." What is the nurse's best response?
A) "Extensive studies have found no link between the measles–mumps–rubella (MMR) vaccine and autism." B) "Extensive studies are being conducted and so far they have not found a link to autism." C) "Research has found no link between the chickenpox vaccine and autism." D) "Many parents agree that withholding vaccines is best and that is your choice to make."
The most appropriate technique a nurse can demonstrate to help a patient form more healthy relationships is:
A) Instruct the patient to speak only to the nurse about concerns. B) Show the patient that s/he is accepted as an individual, but certain behaviors may be unacceptable. C) Discourage the patient from forming hospital relationships. D) Require the patient to speak only to the other individual involved in any concerns or issues.
The patient with blood type A, Rh-negative delivered yesterday. Her infant is blood type AB, Rh-positive. Which statement indicates that teaching has been effective?
1. "I need to get RhoGAM so I don't have problems with my next pregnancy." 2. "Because my baby is Rh-positive, I don't need RhoGAM." 3. "If my baby had the same blood type I do, it might cause complications." 4. "Before my next pregnancy, I will need to have a RhoGAM shot."