NURS 210 Quiz 3 with 100% correct answers A+ rated6.docx, Exams of Nursing

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NURS 210 Quiz 3 with 100% correct

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While taking a history on an Appalachian patient, Mrs. Brown tells the nurse that she had "high blood." The competent nurse interprets this to mean the patient has a history of which of the following? a. Increased low-density lipoproteins. b. Hypercholesterolemia c. Hypertension d. Hemodilution - correct answer ✔✔c. hypertension When an Appalachian client is ill, personal space collapses inwardly. For the nurse providing nursing care, this means: a. The person will try to be independent and self-sufficient. b. The person expects to be waited on and cared for by others. c. The person wants to be cared for by the family only. d. The person expects that health care decisions will be made by the family. - correct answer ✔✔b. The person expects to be waited on and cared for by others. In planning health care screening for rural Appalachians, which of the following would be of the least concern for the nurse? a. Tuberculosis b. Coronary heart disease c. Cervical cancer d. Breast cancer - correct answer ✔✔d. Breast cancer

The nurse is caring for a family in which five family members have tuberculosis. The family describes its health beliefs to the nurse, which include shamanic healing. The nurse knows the patient will be more compliant if she includes the use of Anti tuberculin medication as well as which of the following? a. Services of a folk healer b. Behavior therapy c. Acupuncture d. Yoga - correct answer ✔✔a. Services of a folk healer A nurse caring for an Eskimo child observes dark spots in the lumbar area as well as other dark areas on the body. The nurse should do which of the following? a. Have the parents investigated for child abuse. b. Assess the areas to determine if they are Mongolian spots. c. Recognize these areas as being related to coining. d. Ignore the difference in color. - correct answer ✔✔b. Assess the areas to determine if they are Mongolian spots. As you explain your patient's condition to her husband, you notice that he is leaning toward you and raising his eyebrows. Knowing that he is an Eskimo, your most appropriate response to this behavior is to do what? a. Tell him that you understand he needs to be alone b. Ask whether he has any questions c. Ask whether he would prefer to speak to the physician. d. Understand that he is agreeing. - correct answer ✔✔d. Understand that he is agreeing. In the treatment of hypertension for a Japanese client, the nurse needs to stress to the family and client the importance of limiting which of the following? a. Pepper

b. Soy sauce c. Tofu d. Milk - correct answer ✔✔b. Soy sauce In assessing a Japanese American student in the mental health center, the nurse is aware that this client is more apt to seek counseling for which of the following? a. Academic difficulties b. Emotional conflict c. Family problems d. Loss of self-esteem - correct answer ✔✔a. Academic difficulties The majority of communication of feelings and attitudes among Japanese Americans is primarily which of the following? a. Verbal b. Vocal c. Facial expression d. Touch - correct answer ✔✔d. Touch Although the Afghan or Afghan-American client might believe that illness is the "will of Allah," it is important for the nurse to remember which of the following? a. Afghan are likely to value and seek Western medical care b. Afghans, in general, refuse all but traditional folk treatment c. Afghans are a genetically homogeneous group with numerous genetically linked disease d. the traditional Afghan diet is very unhealthy, providing poor nutrition - correct answer ✔✔a. Afghan are likely to value and seek Western medical care Afghan or Afghan Americans' death beliefs and customs center on which of the following?

a. muslim practices b. christian practices c. buddhist practices d. zoroastrian practices - correct answer ✔✔a. muslim practices Determinants of the use of touch among Afghans and Afghan Americans are based on which of the following? a. family relationships and gender b. age and social position c. gender and social position d. eye contact and tribe - correct answer ✔✔a. family relationships and gender When communicating with adult Russian American clients, it is important for the nurse to address the client by which of the following? a. Mr. or Mrs., followed by last name b. First name only c. Terms of endearment d. Using a friendly. outgoing manner - correct answer ✔✔a. Mr. or Mrs., followed by last name When caring for a Russian American client, the nurse should be aware that, for the most part, Russians prefer which of the following? a. To remain at an intimate distance rather than a social distance caregiver b. To remain at a social distance rather than an intimate distance with caregivers c. That health assessment procedures be done in the intimate zone d. That boundaries are open between internal and external environments - correct answer ✔✔b. To remain at a social distance rather than an intimate distance with caregivers

When assessing a Russian American client, the nurse should use a direct approach to client interaction because the Russian American client is likely to have which belief or value? a. Is used to home care by nurses and physicians b. Values the American medical system c. Believes in being direct d. Has a tendency for somatization of emotional problems - correct answer ✔✔d. Has a tendency for somatization of emotional problems Appalachians - correct answer ✔✔direct eye contact is impolite/agressive Appalachians - correct answer ✔✔avoid confrontation Appalachians space - correct answer ✔✔- Value having lots of land

• present-oriented, focused on "being" rather than "doing"
• personal space collapses during illness
• expects to be cared for & wants family close by Appalachian socials - correct answer ✔✔- family is main unit -mother/grandmothers make most health decisions -Children-promise of future Appalachian Time - correct answer ✔✔- may miss appointments
• time based off body rhythms instead of clock time -may not return to appointment if turne away for being late Appalachian environmental control - correct answer ✔✔-Low paying jobs -lung diseases from toxins

-fatalistic viewpoints -no control over future health (external) Appalachian biological variation - correct answer ✔✔-rates of excess mortality and obesity

• High rates: tuberculosis (resp. issues), coronary artery disease, heart disease, and stroke, cervical cancer, infant mortality.
• Poor nutrition