Crying, a clinic patient explained that she knew she had this breast lump because she had spread nasty gossip about her neighbor. Which of the following actions by the nurse would likely be the most successful?
a. Explain the causes of a breast lump and the usual treatments
b. Refer the woman for an immediate biopsy to determine the status of the lump
c. Suggest that she has to repent and as much as possible undo her sin, but also make an appointment for a biopsy
d. Suggest that she has to repent, apologize to her neighbor, and pray for forgiveness
ANS: C
The woman has expressed a magico-religious perspective on illness. Because evil has caused her illness, she must undo the evil. However, the nurse, as a practitioner of the biomedical perspective, must also arrange for a biopsy as soon as possible so treatment can be begin.
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A nurse is teaching the parents of a teenage client, who is undergoing therapy after a suicide attempt, about the warning signs of potential adolescent suicide, which include:
a. withdrawal b. reclaiming of possessions and gifts previously bestowed upon friends and loved ones c. statements such as not being around much longer d. increased interest in personal appearance and hygiene
It is important to inform the nurse if the patient is "blue."
True False
Human immunodeficiency virus (HIV) may be perinatally transmitted:
a. Only in the third trimester from the maternal circulation. b. By a needlestick injury at birth from unsterile instruments. c. Only through the ingestion of amniotic fluid. d. Through the ingestion of breast milk from an infected mother.
Which of the following laboratory values is in the normal range for a woman?
1. Hemoglobin, 10 g/dL; hematocrit, 46% 2. Hemoglobin, 12 g/dL; hematocrit, 36% 3. Hemoglobin, 17 g/dL; hematocrit, 48% 4. Hemoglobin, 19 g/dL; hematocrit, 58%