NUR 3314 Exam 1 Practice Questions With Complete
Solutions
A Chinese patient who does not have a documented cardiac
disorder reports cardiac symptoms to the nurse. Further
assessment by the nurse reveals that the patient's parents
recently died in an accident. Which condition would the nurse
be concerned about in this patient? Correct Answers
Emotional disharmony
Chinese patients may convert psychological experiences caused
by loss into bodily symptoms. They consider the heart the center
of emotion and complain of cardiac symptoms while grieving.
Because the patient has no history of cardiac illness and the
parents died in a recent accident, the nurse would be concerned
that the patient has emotional disharmony because of the loss.
Merely experiencing loss does not indicate that the patient has
symptoms of mental illness. In this case the patient is grieving
because of the parents' death, but there is also no indication of
loss of integrity. Shenkui is a Chinese culture-bound syndrome
associated with anxiety, dizziness, and insomnia. The patient is
experiencing loss because of the parents' death.
A Filipino patient who has arthritis tells the nurse, "There has
been an imbalance in the hot and cold elements in my body. I've
been trying to keep myself warm and eat hot foods to deal with
this problem." Which perspective is this patient describing?
Correct Answers Naturalistic
Patients who explain their illness according to the hot/cold
theory believe in a naturalistic view. They believe that the
,illness occurs because of an imbalance in the four humors of the
body, which are blood, phlegm, black bile, and yellow bile. A
magicoreligious perspective involves attributing the cause of
illness to supernatural forces. A scientific perspective assumes
that all events have a cause and effect. Cultural relativity is a
view that considers that no culture is superior to another culture
A patient with cancer who is receiving chemotherapy tells the
nurse, "These medications cannot save my life; only the patron
saint of people with cancer can save my life." Which action
would the nurse take in this situation? Correct Answers
Encourage the patient to offer prayers to the saint.
A patient's religious practices and spiritual beliefs influence the
patient's health. If a patient believes that the patron saint of
people with cancer can save his or her life, then the nurse would
encourage the patient to offer prayers to that saint. This helps
enhance the patient's coping skills and improve the patient's
health. Patron saints are Catholic. Therefore the nurse would not
bring a statue of Buddha into the patient's room. Informing the
primary health care provider about the patient's condition will
not help enhance the patient's coping skills. If the nurse explains
the effectiveness of the chemotherapeutic medications, the
patient may feel that the nurse is not considering his or her
beliefs and may feel rejected.
For which assessments is the palpation technique appropriate?
Select all that apply. Correct Answers
The nurse asks the patient with lower back pain, "How does the
pain limit your daily activities?" to determine which aspect of
, the patient's pain experience? Correct Answers Degree of
impairment
Questions on how pain limits the patient's function or activities
help the nurse identify its effect on the quality of life. The
question "What does the pain feels like?" helps identify the
quality of the pain experienced by the patient. The nurse can
identify the pain myths and misconceptions the patient believes
by asking questions like "What does this pain mean to you?"
Asking a question like "When did your pain start?" helps the
nurse determine the onset and duration of the pain.
The nurse checks the patient's immigration status, stress factors,
and cultural similarities and differences. Which type of cultural
care is the nurse providing? Correct Answers Competent
Culturally competent care consists of an awareness of the
patient's total situation rather than just in part; therefore
determining immigration status, stress factors, and cultural
similarities and differences the patient may be experiencing
helps the nurse understand the patient as a whole. If the nurse
has some basic knowledge about and a constructive attitude
toward the various cultural practices, it helps him or her provide
culturally sensitive care. If the nurse applies his or her
knowledge to provide the best health care to the patient, this is
culturally appropriate care. If the nurse checks patients'
perceptions of pain or illness, then it helps determine the cultural
beliefs of the patients. This is culturally determined care and
helps describe the cultural care provided by health care
professionals.
Solutions
A Chinese patient who does not have a documented cardiac
disorder reports cardiac symptoms to the nurse. Further
assessment by the nurse reveals that the patient's parents
recently died in an accident. Which condition would the nurse
be concerned about in this patient? Correct Answers
Emotional disharmony
Chinese patients may convert psychological experiences caused
by loss into bodily symptoms. They consider the heart the center
of emotion and complain of cardiac symptoms while grieving.
Because the patient has no history of cardiac illness and the
parents died in a recent accident, the nurse would be concerned
that the patient has emotional disharmony because of the loss.
Merely experiencing loss does not indicate that the patient has
symptoms of mental illness. In this case the patient is grieving
because of the parents' death, but there is also no indication of
loss of integrity. Shenkui is a Chinese culture-bound syndrome
associated with anxiety, dizziness, and insomnia. The patient is
experiencing loss because of the parents' death.
A Filipino patient who has arthritis tells the nurse, "There has
been an imbalance in the hot and cold elements in my body. I've
been trying to keep myself warm and eat hot foods to deal with
this problem." Which perspective is this patient describing?
Correct Answers Naturalistic
Patients who explain their illness according to the hot/cold
theory believe in a naturalistic view. They believe that the
,illness occurs because of an imbalance in the four humors of the
body, which are blood, phlegm, black bile, and yellow bile. A
magicoreligious perspective involves attributing the cause of
illness to supernatural forces. A scientific perspective assumes
that all events have a cause and effect. Cultural relativity is a
view that considers that no culture is superior to another culture
A patient with cancer who is receiving chemotherapy tells the
nurse, "These medications cannot save my life; only the patron
saint of people with cancer can save my life." Which action
would the nurse take in this situation? Correct Answers
Encourage the patient to offer prayers to the saint.
A patient's religious practices and spiritual beliefs influence the
patient's health. If a patient believes that the patron saint of
people with cancer can save his or her life, then the nurse would
encourage the patient to offer prayers to that saint. This helps
enhance the patient's coping skills and improve the patient's
health. Patron saints are Catholic. Therefore the nurse would not
bring a statue of Buddha into the patient's room. Informing the
primary health care provider about the patient's condition will
not help enhance the patient's coping skills. If the nurse explains
the effectiveness of the chemotherapeutic medications, the
patient may feel that the nurse is not considering his or her
beliefs and may feel rejected.
For which assessments is the palpation technique appropriate?
Select all that apply. Correct Answers
The nurse asks the patient with lower back pain, "How does the
pain limit your daily activities?" to determine which aspect of
, the patient's pain experience? Correct Answers Degree of
impairment
Questions on how pain limits the patient's function or activities
help the nurse identify its effect on the quality of life. The
question "What does the pain feels like?" helps identify the
quality of the pain experienced by the patient. The nurse can
identify the pain myths and misconceptions the patient believes
by asking questions like "What does this pain mean to you?"
Asking a question like "When did your pain start?" helps the
nurse determine the onset and duration of the pain.
The nurse checks the patient's immigration status, stress factors,
and cultural similarities and differences. Which type of cultural
care is the nurse providing? Correct Answers Competent
Culturally competent care consists of an awareness of the
patient's total situation rather than just in part; therefore
determining immigration status, stress factors, and cultural
similarities and differences the patient may be experiencing
helps the nurse understand the patient as a whole. If the nurse
has some basic knowledge about and a constructive attitude
toward the various cultural practices, it helps him or her provide
culturally sensitive care. If the nurse applies his or her
knowledge to provide the best health care to the patient, this is
culturally appropriate care. If the nurse checks patients'
perceptions of pain or illness, then it helps determine the cultural
beliefs of the patients. This is culturally determined care and
helps describe the cultural care provided by health care
professionals.
