CEPN Final ch. 13 Exam Written Questions With Accurate Answers

A contemporary view of the sick role includes - Correct Answers patient as partner with the health care provider. A patient was diagnosed with ovarian cancer 5 years ago. She underwent chemotherapy and radiotherapy, but cancer returned 2 years ago with metastases to the bone and possibly the lung. She says the cancer is "no longer curable, but treatable." During this time the patient's daughter was critically injured in a car accident and now lives with a traumatic brain injury, needing round-the-clock care. Her husband is also having an affair. She continues to work and volunteers with various community groups. Which phenomenon is the patient demonstrating? - Correct Answers Resilience What is the primary difference between acute illness and chronic illness? - Correct Answers In acute illness, symptoms begin suddenly, progress quickly, and subside quickly. Which statement about acute illness is true? - Correct Answers Most people with acute illness return to their previous level of wellness. Which illness has the characteristics of a chronic illness? - Correct Answers Lupus Which illness has the characteristics of an acute illness? - Correct Answers Influenza A patient states, "Can't you give me my medication more often? I'm going to die anyway." In which stage of illness is this patient? - Correct Answers Depression and grief A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient? - Correct Answers Acceptance and participation A patient states, "There is no hope. They're going to keep me here until I die. Can't you give me my medication more often? I'm going to die anyway." In which stage of illness is this patient? - Correct Answers Depression and grief A patient in whom metastatic cancer is diagnosed tells the nurse, "God has never let me down before. I'll pray for strength." This patient's illness behavior is being influenced by - Correct Answers spirituality. A patient in whom cancer has just been diagnosed tells the nurse, "Just get out of here and leave me alone! Let me suffer alone. God is punishing me." The nurse determines that the most appropriate nursing diagnosis for this patient is - Correct Answers Spiritual distress A patient is in the intensive care unit after a myocardial infarction and refuses to stay in bed, saying, "I have to be up and walking around. When I stayed in bed after having my babies 40 years ago, I got so weak I could hardly move." This patient's illness behavior is being influenced by: - Correct Answers past experiences An English-speaking nurse gave a non-English-speaking patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of povidone-iodine was to be used in cleansing the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error? - Correct Answers Using a medical interpreter to give the preoperative instructions A young girl from a Middle Eastern country is in the process of dying. Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress every day. The parents cannot be there every day to do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care? - Correct Answers A young girl from a Middle Eastern country is in the process of dying. Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress every day. The parents cannot be there every day to do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care? Which questions will aid the nurse in planning culturally congruent care? (Select all that apply.) - Correct Answers A. "What do smiles, nods, and hand gestures mean?" B. "How are you usually addressed?" D. "What is eaten when one is sick?" E. "Who is involved in making decisions about health care?" The best definition of ethnocentrism is - Correct Answers a tendency to view your own culture as superior to others. A Caucasian nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibility that this is - Correct Answers an important item used in native healing practices. Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress? - Correct Answers Consider patients' religious beliefs when planning care. Why is a basic understanding of ethnopharmacology part of being a culturally competent nurse? - Correct Answers Significant differences among ethnic groups have been found in relation to the effects of medications. Leininger's theory uses the sunrise model. What is the major premise of Leininger's theory - Correct Answers Nursing care should be culturally congruent. Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress? - Correct Answers Consider patients' religious bel