Question 1

The nurse is caring for an Asian American client diagnosed with terminal cancer.Which factor should the nurse consider to achieve adequate pain control for the client?

Accepted Answer

Opioids are metabolized differently in individuals of Asian and Native American descent due to genetic differences in enzymes that break down the drug. This means that dosages and administration may need to be adjusted to achieve adequate pain control. It is important for the nurse to consider the client's ethnicity when developing a pain management plan. A, B, and C are incorrect statements as they suggest that all ethnic groups respond to medications in the same way or that there are no variations in drug metabolism among certain ethnic groups, which is not the case.

Question 2

The nurse in charge of a clinical study welcomes the participants in an open forum.One client is surprised that there are men and women from several ethnic groups.The nurse tells the group that in the past,ethnic variables were largely unknown or ignored for which reasons?
Select all that apply.

Accepted Answer

Historically, clinical trials have failed to include ethnically diverse subjects, with most trials comprising mainly Caucasian males. Little attention was focused on identifying the different effects drugs had on various ethnic groups.

Question 3

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

Accepted Answer

Certain medications, such as aspirin, have been found to be more effective in preventing heart attacks in men than in women. This difference in effectiveness is an important consideration in gender-specific health education and prevention strategies.

Question 4

A Caucasian nurse is caring for an African American client who has a history of myocardial infarction and is receiving atorvastatin (Lipitor).The nurse assesses the client's diet to be very high in fat.Which teaching plan would be most effective at improving the client's diet and possibly reducing the need for additional medications?

Accepted Answer

The answer of A Caucasian nurse is caring for an...

Question 5

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

Accepted Answer

The answer of The nurse is providing education about warfarin...

Question 6

A health care provider recommends chemotherapy for a client diagnosed with cancer.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." Which intervention will best meet the client's spiritual needs?

Accepted Answer

Involving the client's own minister can provide spiritual support and address the client's beliefs and concerns in a familiar and comforting context.

Question 7

The nurse is conducting a holistic assessment of a client diagnosed with alcoholism.Which priority questions should the nurse include in the assessment?
Select all that apply.

Accepted Answer

The answer of The nurse is conducting a holistic assessment...

Question 8

A woman from an Arab culture is in labor and delivery.Her husband insists he must stay with her and will not allow her to receive any analgesia.Which action by the nurse is the most appropriate?

Accepted Answer

Allowing the request and being available in the event the request changes is the most appropriate action because it respects the woman's right to make decisions about her own body and care, while also ensuring that she has access to pain relief if she needs it.

Question 9

The nurse in the emergency department is caring for several clients from diverse cultures.Which statements show the nurse's ability to provide culturally competent care?
Select all that apply.

Accepted Answer

The nurse shows cultural competence by acknowledging and respecting the client's religious beliefs (A), assessing the client's understanding and ensuring informed decision making (B), and exploring the client's concerns and offering information to alleviate fears (C). Making assumptions about the client's beliefs or behavior based on stereotypes or labels (D) and confronting the client about non-adherence without exploring the reasons for it (E) indicate a lack of cultural competence.

Question 10

An adolescent Hispanic male with attention deficit hyperactivity disorder (ADHD)is taking methylphenidate (Ritalin).The adolescent will not go to the school nurse at noon for his medication.Which statement best describes the likely result of the nurse's assessment?

Accepted Answer

Adolescents with ADHD often feel embarrassed about having to take medication at school due to social stigma. This can result in resistance to taking medication during school hours. It is unlikely that the adolescent does not need an additional dose of medication, as ADHD symptoms can interfere with academic performance and achievement. There is no evidence to suggest that the adolescent is afraid of the drug being a "gateway drug" or that he has developed alternative coping mechanisms.

Question 11

A client asks the nurse why a medication prescribed by the provider didn't do anything at all." Which statement by the nurse accurately describes how genetics influence drug action?
Select all that apply.

Accepted Answer

Genetic differences can play a significant role in how each client metabolizes and responds to the same medication. These differences can be due to mutations in enzymes, altered metabolism, or differences in how drugs are absorbed or excreted. This variability can lead to medication accumulation, toxicity, or lack of therapeutic effect in some clients. Biracial identity alone does not necessarily lead to an allergic response to medications.

Question 12

A Native American client is admitted to receive 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 answer of A Native American client is admitted to...

Question 13

A nurse administering medications to a variety of clients on a medical-surgical floor recognizes that which clients may need additional education about medication adherence?
Select all that apply.

Accepted Answer

The answer of A nurse administering medications to a variety...

Question 14

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

Accepted Answer

People of Japanese descent are known as rapid acetylators, which means they metabolize isoniazid more quickly, potentially affecting the drug's therapeutic effectiveness and requiring dosage adjustments.

Question 15

The nurse is performing a holistic assessment on a client prior to administering antihypertensive medication.Which factors would be included in the holistic assessment?
Select all that apply.

Accepted Answer

A holistic assessment includes evaluating physical health (A: Blood pressure), spiritual beliefs (B: Belief in a higher power), educational background (C: Level of education), and emotional state (E: Mood), as these factors can influence health outcomes and medication adherence.

Question 16

A home health nurse's client caseload is ethnically diverse.Which interventions show understanding of cultural variables?
Select all that apply.

Accepted Answer

The answer of A home health nurse's client caseload is...

Question 17

A male client comes to the emergency department with chest pain.Upon assessment the nurse notes that his blood pressure is 210/100 mmHg.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 nurse's plan of action include?

Accepted Answer

The answer of A male client comes to the emergency...

Question 18

The nurse is assessing several clients.For which client does assessment reveal a psychosocial history that may affect the client's outcome?
Select all that apply.

Accepted Answer

The answer of The nurse is assessing several clients.For which...

Quiz 11: Individual Variations in Drug Responses

The nurse is caring for an Asian American client diagnosed with terminal cancer.Which factor should the nurse consider to achieve adequate pain control for the client?

The nurse in charge of a clinical study welcomes the participants in an open forum.One client is surprised that there are men and women from several ethnic groups.The nurse tells the group that in the past,ethnic variables were largely unknown or ignored for which reasons? Select all that apply.

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

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

A health care provider recommends chemotherapy for a client diagnosed with cancer.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." Which intervention will best meet the client's spiritual needs?

The nurse is conducting a holistic assessment of a client diagnosed with alcoholism.Which priority questions should the nurse include in the assessment? Select all that apply.

A woman from an Arab culture is in labor and delivery.Her husband insists he must stay with her and will not allow her to receive any analgesia.Which action by the nurse is the most appropriate?

The nurse in the emergency department is caring for several clients from diverse cultures.Which statements show the nurse's ability to provide culturally competent care? Select all that apply.

An adolescent Hispanic male with attention deficit hyperactivity disorder (ADHD) is taking methylphenidate (Ritalin) .The adolescent will not go to the school nurse at noon for his medication.Which statement best describes the likely result of the nurse's assessment?

A client asks the nurse why a medication prescribed by the provider didn't do anything at all." Which statement by the nurse accurately describes how genetics influence drug action? Select all that apply.

A Native American client is admitted to receive 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?

A nurse administering medications to a variety of clients on a medical-surgical floor recognizes that which clients may need additional education about medication adherence? Select all that apply.

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

The nurse is performing a holistic assessment on a client prior to administering antihypertensive medication.Which factors would be included in the holistic assessment? Select all that apply.

A home health nurse's client caseload is ethnically diverse.Which interventions show understanding of cultural variables? Select all that apply.

A male client comes to the emergency department with chest pain.Upon assessment the nurse notes that his blood pressure is 210/100 mmHg.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 nurse's plan of action include?

The nurse is assessing several clients.For which client does assessment reveal a psychosocial history that may affect the client's outcome? Select all that apply.