Question 1

The client is diagnosed with cancer.The health care provider has recommended chemotherapy, which would likely save the client's life.The client tells the nurse, "This is a punishment from God for the sins I have committed; some of the women at my Church say so." What is the best plan of action for the nurse based obtaining the consent of the client?

Accepted Answer

A

Question 2

The nurse is conducting a holistic assessment of a client with alcoholism.What are the priority questions that the nurse should include in the assessment? (Select all that apply)

Accepted Answer

These questions are all relevant to the client's history of alcohol use and their current situation. They can help the nurse to identify any risk factors for alcohol abuse, as well as any potential barriers to treatment.

Question 3

The nurse is doing a holistic assessment on a client prior to the initiation of antihypertensive medication.What factors would be included in a holistic assessment? (Select all that apply).

Accepted Answer

A,B,C,E

Question 4

An African-American client had an myocardial infarction, and is receiving atorvastatin (Lipitor).The nurse caring for the client is Caucasian.The nurse assesses the client's diet to be very high in fat.What is the best teaching plan by the nurse to improve the client's diet and reduce the risk for additional medications?

Accepted Answer

The answer of An African-American client had an myocardial infarction,...

Question 5

The client is from an Arab culture and is in labor and delivery.Her husband insists he must stay with her, and will not allow her to receive any analgesia during the experience.What is
The best action by the nurse?

Accepted Answer

The nurse should respect cultural beliefs and the husband's wishes, while remaining available to support the patient if the situation changes.

Question 6

An adolescent Hispanic male has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), and is taking methylphenidate (Ritalin).Even though the drug helps
Him with focusing and grades, the adolescent will not go to the school nurse at noon for his medication.Which statement best describes the result of the nurse's evaluation?

Accepted Answer

The most likely reason an adolescent might avoid taking medication at school, especially for a condition like ADHD, is due to embarrassment or fear of social stigma. Adolescents are particularly sensitive to their peers' perceptions and may fear being judged or labeled for taking medication.

Question 7

The nurse is assessing a client using the human integration model as a conceptual framework.How does this model assist the nurse in dealing holistically with the client's
Problems?

Accepted Answer

The human integration model views the individual as a whole, emphasizing the interconnectedness and interdependence of various aspects of a person's being (physical, emotional, social, etc.). This holistic approach ensures that the nurse considers all facets of the client's health and well-being, rather than focusing on isolated symptoms or problems.

Question 8

The nurse is caring for an Asian-American client with terminal cancer.What is an important factor for the nurse to consider in giving adequate pain control to the client?

Accepted Answer

Opioids are metabolized differently in individuals of Asian and Native American descent, which can affect the efficacy and side effects of pain management strategies. This is important for providing adequate pain control tailored to the individual's genetic and cultural background.

Question 9

The nurse is providing group education about warfarin (Coumadin)to a group of Asian- and African-American clients who have experienced strokes.The nurse determines that learning has occurred when the clients make which statement?

Accepted Answer

Certain ethnic groups, including Asian and African-American populations, may have genetic variations that affect how they metabolize warfarin, potentially requiring lower doses.

Question 10

The nurse is teaching a class on how to prevent heart attacks to clients.It is a mixed-gender class.What important factor does the nurse need to include in the teaching plan related to gender?

Accepted Answer

Certain medications, including aspirin, have been found to be more effective in preventing heart attacks in men than in women. This difference in medication efficacy between genders is an important consideration in preventive strategies for heart disease.

Question 11

The client is a Native American admitted to the hospital for chemotherapy.At any given time, five family members are in the client's private room.The nurse tells the client that according to hospital policy, only two visitors at a time are allowed.What is the nurse manager's analysis of the situation?

Accepted Answer

The nurse manager should recognize the importance of cultural sensitivity and assess the client's preferences, especially considering the cultural significance of family presence for Native American patients.

Question 12

The primary health care provider has prescribed isoniazid (INH)for a client of Japanese descent diagnosed with tuberculosis.What important factor must the nurse take into consideration in regard to the therapeutic effectiveness of this drug?

Accepted Answer

Clients of Japanese descent are often rapid acetylators, which means they metabolize isoniazid faster, potentially requiring dosage adjustments for therapeutic effectiveness.

Question 13

A male client comes into the Emergency Department with chest pain; his blood pressure is 210/100 mm/Hg.The client's wife says to the nurse, "He has not been taking his blood pressure medication, and we can afford it." What should the best plan of action for the nurse include?

Accepted Answer

The answer of A male client comes into the Emergency...

Quiz 13: Psychosocial, Gender, and Cultural Influences on Pharmacotherapy

The nurse is conducting a holistic assessment of a client with alcoholism.What are the priority questions that the nurse should include in the assessment? (Select all that apply)

The nurse is doing a holistic assessment on a client prior to the initiation of antihypertensive medication.What factors would be included in a holistic assessment? (Select all that apply) .

The client is from an Arab culture and is in labor and delivery.Her husband insists he must stay with her, and will not allow her to receive any analgesia during the experience.What is The best action by the nurse?

The nurse is assessing a client using the human integration model as a conceptual framework.How does this model assist the nurse in dealing holistically with the client's Problems?

The nurse is caring for an Asian-American client with terminal cancer.What is an important factor for the nurse to consider in giving adequate pain control to the client?

The nurse is providing group education about warfarin (Coumadin) to a group of Asian- and African-American clients who have experienced strokes.The nurse determines that learning has occurred when the clients make which statement?

The nurse is teaching a class on how to prevent heart attacks to clients.It is a mixed-gender class.What important factor does the nurse need to include in the teaching plan related to gender?

The primary health care provider has prescribed isoniazid (INH) for a client of Japanese descent diagnosed with tuberculosis.What important factor must the nurse take into consideration in regard to the therapeutic effectiveness of this drug?

A male client comes into the Emergency Department with chest pain; his blood pressure is 210/100 mm/Hg.The client's wife says to the nurse, "He has not been taking his blood pressure medication, and we can afford it." What should the best plan of action for the nurse include?