Naturalistic/ Holistic
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, A model of health and illness that views human life as only one of many
forces of nature; in this paradigm, all of the forces of nature should be kept
in balance or harmony, because breaking the laws of nature creates
imbalance, chaos, and disease.
Natural Balance
Yin/ Yang
Hot/ Cold
During an interview, the nurse states, "You mentioned shortness of breath. Tell me
more about that." Which verbal skill is used with this statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
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D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states
the topic to be discussed but only in general terms. The nurse should use it
to begin the interview, to introduce a new section of questions, and
whenever the person introduces a new topic.
In the majority culture of America, coughing, sweating, and diarrhea are symptoms of
an illness. For some individuals of Mexican-American origin, however, these
symptoms are a normal part of living. The nurse recognizes that this is true, probably
because Mexican-Americans:
A) have less efficient immune systems and are often ill.
B) consider these symptoms a part of normal living, not symptoms of ill health.
,C) come from Mexico and coughing is normal and healthy there.
D) are usually in a lower socioeconomic group and are more likely to be sick.
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B) consider these symptoms a part of normal living, not symptoms of ill
health.
Page: 27 The nurse needs to identify the meaning of health to the patient,
remembering that concepts are derived, in part, from the way in which
members of the cultural group define health.
Avoidance Language
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The use of euphemisms to avoid reality or to hide feelings
Saying someone "passed on" instead of "died"
Echolocalia
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Parrot talk, imitation and repetition of other words and phrases
Circumulocation
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, "The thing you open the door with" when you cannot remember the word
key
The nurse is conducting an interview in an outpatient clinic and is using a computer to
record data. Which is the best use of the computer in this situation? Select all that
apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
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A) Collect the patient's data in a direct, face-to-face manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should
begin the interview as usual by greeting the patient, establishing rapport,
and collecting the patient's narrative story in a direct face-to-face manner.
Only after the narrative is fully explored should the nurse type data into the
computer. When typing, the nurse should position the monitor so that the
patient can see it.
The nurse recognizes that working with children with a different cultural perspective
may be especially difficult because:
A) children have spiritual needs that are influenced by their stages of development.
B) children have spiritual needs that are direct reflections of what is occurring in their
homes.
C) religious beliefs rarely affect the parents' perceptions of the illness.
Give this one a try later!
, A model of health and illness that views human life as only one of many
forces of nature; in this paradigm, all of the forces of nature should be kept
in balance or harmony, because breaking the laws of nature creates
imbalance, chaos, and disease.
Natural Balance
Yin/ Yang
Hot/ Cold
During an interview, the nurse states, "You mentioned shortness of breath. Tell me
more about that." Which verbal skill is used with this statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
Give this one a try later!
D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states
the topic to be discussed but only in general terms. The nurse should use it
to begin the interview, to introduce a new section of questions, and
whenever the person introduces a new topic.
In the majority culture of America, coughing, sweating, and diarrhea are symptoms of
an illness. For some individuals of Mexican-American origin, however, these
symptoms are a normal part of living. The nurse recognizes that this is true, probably
because Mexican-Americans:
A) have less efficient immune systems and are often ill.
B) consider these symptoms a part of normal living, not symptoms of ill health.
,C) come from Mexico and coughing is normal and healthy there.
D) are usually in a lower socioeconomic group and are more likely to be sick.
Give this one a try later!
B) consider these symptoms a part of normal living, not symptoms of ill
health.
Page: 27 The nurse needs to identify the meaning of health to the patient,
remembering that concepts are derived, in part, from the way in which
members of the cultural group define health.
Avoidance Language
Give this one a try later!
The use of euphemisms to avoid reality or to hide feelings
Saying someone "passed on" instead of "died"
Echolocalia
Give this one a try later!
Parrot talk, imitation and repetition of other words and phrases
Circumulocation
Give this one a try later!
, "The thing you open the door with" when you cannot remember the word
key
The nurse is conducting an interview in an outpatient clinic and is using a computer to
record data. Which is the best use of the computer in this situation? Select all that
apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Give this one a try later!
A) Collect the patient's data in a direct, face-to-face manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should
begin the interview as usual by greeting the patient, establishing rapport,
and collecting the patient's narrative story in a direct face-to-face manner.
Only after the narrative is fully explored should the nurse type data into the
computer. When typing, the nurse should position the monitor so that the
patient can see it.
The nurse recognizes that working with children with a different cultural perspective
may be especially difficult because:
A) children have spiritual needs that are influenced by their stages of development.
B) children have spiritual needs that are direct reflections of what is occurring in their
homes.
C) religious beliefs rarely affect the parents' perceptions of the illness.
