A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No,"
... [Show More] or "I guess so." Which of the following is appropriate for the interviewer to say or ask?
a. "We will be able to communicate better if you look at me."
b. "It's hard for me to gather useful information because your answers are so short."
c. "Are you uncomfortable talking with me?"
d. "Does your religion make it hard for you to answer my questions?" ANS: C
It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk about it; the other choices are less respectful.
DIF: Cognitive Level: Applying (Application) REF: p. 26
As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:
a.tell him that you understand his need to be alone. b.ask whether he has any questions.
c.ask whether he would prefer to speak to the clinician. d.tell him that it is all right to be angry.
ANS: B
The English worry about being overheard and tend to speak in modulated voices so, when they lean in toward you, they are probably poised to ask a question.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 26
An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Arabs is Western medicine's attempts to:
a.use a holistic approach that views a particular medical problem as part of a bigger picture.
b.determine a specific cause for every problem in a precise way. c.establish harmony between a person and the entire cosmos. d.restore balance in an individual's life.
ANS: B
A more scientific approach to health care problem solving, in which a cause can be determined for every problem in a precise way, is a Western approach. Hispanics, Native Americans, Asians, and Arabs embrace a more holistic approach. Using a holistic approach, establishing harmony between a person and the entire cosmos, and restoring balance in an individual's life would not be troublesome to many Hispanics, Native Americans, Asians, and Arabs.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 26
In a naturalistic or holistic approach to health, an example of a hot symptom would be: a.diarrhea.
b.an earache.
c.a headache.
d.a nasal cold. ANS: A
A hot symptom in cultures with a holistic approach is diarrhea.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26 An example of a cold condition would be:
a.a fever.
b.a rash. c.tuberculosis. d.an ulcer. ANS: C
A cold condition in cultures with a holistic approach is tuberculosis.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26 An example of a cold food is:
a.cod. b.eggs. c.oil. d.onions. ANS: A
Cod is a cold food. Eggs, oil, and onions are hot foods.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26
Penicillin is considered a:
a.cold herb. b.cold medicine. c.hot medicine. d.lukewarm oil. ANS: C Penicillin is an example of a hot medicine.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26
Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group? a.Native Americans
b.Hispanics c.Chinese d.Italians ANS: C
The Chinese are most likely to use MSG and soy sauce in their diet.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 28
Which maternal factor is most predictive of whether an infant will receive inoculations? a.Mother has family support
b.Mother is divorced
c.Mother received prenatal care d.Mother uses drugs
ANS: C
Mothers who take advantage of appropriate prenatal care generally take advantage of other infant care practices.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. [Show Less]