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The nurse practitioner (NP) identifies which personal
characteristic as a potential manifestation of vicarious
traumatization (VT)?
a. Scheduling time off work
b. Seeking peer socialization
c. Empathizing with clients
d. Experiencing somatization - ANSWER -Experiencing
somatization
Explain the bidirectional nature of dual diagnosis. - ANSWER -
General risk factors are often present for both mental illness
and substance use. Substance use may be secondary to a
psychiatric disorder; however, a psychiatric disorder may also
develop secondary to substance abuse. Commonly, dual-
diagnosis is bidirectional, meaning the conditions contribute
to one other.
Explain the importance of including suicide screening during
risk assessment for members of the general, adolescent, and
geriatric populations. - ANSWER -For all risk assessments,
,suicide screening is a key component. In the United States,
according to the Centers for Disease Control and Prevention
(CDC), suicide is the 10th leading cause of death and is
responsible for 1% of fatalities. The primary care setting
provides the greatest opportunity for suicide screening.
Recent research indicated individuals who committed suicide
visited their primary care provider within a month of the
suicidal act. Members of the adolescent and geriatric
populations are at high risk for suicidality. Because
adolescents and geriatric patients typicallysee their primary
care provider at least once per year, suicide screening should
be included as part of routine office visits for members of
these populations.
Describe two key factors that contribute to misdiagnosis of
bipolar depression as unipolar depression. - ANSWER -Key
factors that contribute to misdiagnosis of bipolar depression
as unipolar depression include that depression is a common
symptom of bipolar disorder. Without more extensive patient
reporting, misdiagnosis of bipolar depression as unipolar
depression is likely to occur. Additionally, patients often fail to
recall manic episodes.
Explain how delivering patient care based on the Golden Rule
may impede cultural competence. - ANSWER -In Western
culture, the Golden Rule is one of the most familiar moral
values. The Golden Rule is "Do unto others as you would have
them do unto you." While the Golden Rule is rooted in good
intentions, in health care, this value presumes that all
,individuals prefer to be treated in a manner that is congruent
with the healthcare provider's personal standards and beliefs
without consideration of individual preferences. Beyond
following the Golden rule, culturally competent care requires
the nurse practitioner (NP) to consider the patient's individual
preferences.
Which concept centers on a belief that the culture with which
the individual is most familiar represents the cultural
standard?
a. Polarization
b. Ethnocentrism
c. Acculturation
d. Stereotyping - ANSWER -Ethnocentrism
Differentiate between the "melting pot" and the "tossed salad"
perspectives in application to cultural awareness in the United
States. - ANSWER -Considering the United States as a
"melting pot," or the blending together of various cultures to
form one, does not take into account the unique qualities of
the various cultures that form the population. By contrast,
perceiving the United States as a "tossed salad" represents a
more culturally aware perspective through which the diversity
of the culture is valued for what it contributes to the whole.
The nurse practitioner (NP) applies Giger and Davidhizar's
"transcultural assessment model" during patient assessment.
Which statement by the patient is most useful for determining
the patient's perception of environmental control?
, a. "God will decide whether or not I get well."
b. "Several of my relatives have sickle cell anemia."
c. "My parents think I need to drink more water."
d. "I am not comfortable with strangers touching me." -
ANSWER -"God will decide whether or not I get well."
Which action by the nurse practitioner is most reflective of
cultural humility?
a. Developing competence regarding all cultures served in a
specific setting
b. Acknowledging limitations in understanding a patient's
cultural background
c. Viewing the patient's circumstances from the NP's
perspective
d. Learning about a specific cultural group's beliefs and
preferences - ANSWER -Acknowledging limitations in
understanding a patient's cultural background
The nurse practitioner (NP) is preparing to assess a Native
American patient. Which strategy demonstrates cultural
sensitivity by the NP?
a. Understanding the patient may avoid eye contact
b. Anticipating that the patient may be quiet until trust is
established
c. Desiring to learn about the patient's use of herbal remedies
d. Recognizing the patient may prefer to collaborate with a folk
healer - ANSWER -Desiring to learn about the patient's use of
herbal remedies