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448 Exam 1 (Units 1-3) nur 448 test questions and answers.
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448 Exam 1 (Units 1-3) nur 448 test questions and answers.
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448 Exam 1 (Units 1-3) nur448 test questions and
answers
Which mental disorder is one of the four top medical disorders causing
disability?
a. Posttraumatic stress disorder
b. Anxiety disorder
c. Sleep disorder
d. Depression
d. Depression
Major depression is one of four top mental disorders causing disability.
The other three include schizophrenia, bipolar disorder, and alcohol abuse.
Fatmata is a 24-year-old woman from North Africa who has been admitted
to the Behavioral Care Unit, due to a severe depression. She is an
observant Muslim who wears a head cover and eats food that is prescribed
by the Quran. She requests to attend groups that are especially for
women. The nurse decides to:
a. Honor Fatmata's request and plan a women's group for problem solving
b. Teach Fatmata that problem solving can happen in a coed group
c. Expect Fatmata to attend all groups in the milieu to work through her
reason for admission
d. Insist that Fatmata interact with men in order to work through her
problems with her father
a. Honor Fatmata's request and plan a women's group for problem solving
Kristen was recently hospitalized in a behavioral health unit after a
suicidal attempt. Kristen stated she took the overdose because she felt
unloved by everyone, including God. What spiritual principle will help
Kristen begin to sort out the issues that led to her suicide attempt?
a. Alienation
b. Hope
c. Discovery
d. A new love relationship
,b. Hope.
Hope assists an individual to determine a will to live. Once there is a will
to live, the patient and her therapist can explore the dynamics that
occurred to reinforce Kristen's isolation.
Rosa gave birth to a baby girl who had several serious birth defects. The
delivery was complex, because Rosa had a long labor and did not dilate as
needed to facilitate a normal vaginal birth. Rosa gave birth to her
daughter with a C-section. After the baby was born, Rosa became very
depressed, stating that God was paying her back for all of her mistakes
and the errors of her parents.
What NANDA diagnosis would be appropriate for Rosa?
Would a referral to a clergy of Rosa's choice be a useful intervention?
NANDA Diagnosis: Spiritual distress as related to Rosa's feelings toward
her baby who has several serious birth defects, as evidenced by Rosa's
crying and stating that her daughter's birth defects are due to God's anger
toward Rosa for her past mistakes and those of her family members.
Yes, referral to a board-certified clergy would assist Rosa to process her
daughter's birth defects and the impact this has on her daughter and their
family.
Which of the following would be the least useful strategy for an American
nurse as he or she enters into a cross-cultural encounter with a female
client from Japan?
1. Anticipate diversity.
2. Promote a feeling of acceptance.
3. Learn what it means to be the client by assessing health beliefs.
4. Facilitate communication by using direct eye contact and a handshake.
4
Rationale: The least useful strategy would be to use direct eye contact
and touch. In a cross-cultural encounter it is preferable to use strategies
that are known to be acceptable to the client. When particular strategies
have not been identified, try to avoid offending the client. Direct eye
contact and touch may be offensive to clients whose culture calls for more
reserved cultural practices.
A mental health nurse with 3 years inpatient experience has been
assigned to work in a medication follow-up clinic beginning Monday. The
clinic sees culturally diverse clients. To prepare for work in the clinic, it
would be advisable for the nurse to:
, 1. review the literature on cultural differences in client responses to
psychotropic medications
2. read a handbook on the various health beliefs of members of diverse
cultures
3. contact the clinical nurse specialist for guidelines for cultural
competence
4. take a course in psychotropic pharmacology
1
Rationale: It can be assumed that a nurse with 3 years' experience
working on a mental health inpatient unit is familiar with the action and
side effects of most commonly prescribed psychotropic medications.
However, since the culturally diverse clients are seen in the clinic,
reviewing cultural differences in client response to these medications
could be helpful. One such difference is the development of
extrapyramidal side effects at lower drug doses in Asian clients.
Regarding options 2 and 3, neither is sufficient to produce cultural
competence. Regarding option 4, this might be helpful over the long run,
but the nurse begins work at the clinic on Monday.
A mental health nurse with 3 years inpatient experience is about to begin
work in a medication follow-up clinic that serves a culturally diverse client
population. Which way of sitting during an interview is most neutral and
acceptable to people of most cultures?
1. sitting with legs crossed, leaning slightly backward in chair with one
arm extended on the desk
2. sitting with feet on the floor and upper body leaning slightly forward
toward client
3. sitting with one leg crossed and the upper body turned slightly away
from client
4. sitting straight in chair with feet on the floor and arms crossed over
chest
2
Rationale: Crossing the leg to show the bottom of the foot is considered
impolite in some cultures. Crossing the arms over the chest is considered
a "closed" authoritarian posture.
Which question would help the nurse assess power and control issues
governing the availability of healing options for a woman of a culture with
an interdependent worldview?
1. "What does someone of your culture call this illness?"
2. "How does someone with this illness usually behave?"
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