Before integrating humor in the care of an Asian patient, the nurse should:
Ask the patient whether jokes are understood.
Develop jokes about the doctors and nurses.
Ask the patient's feelings about hearing a joke or funny story.
Develop jokes about the patient's condition.
The Correct Answer is C
Choice A reason: Understanding jokes assumes comprehension but ignores cultural comfort; humor’s acceptability varies, and this misses emotional readiness assessment.
Choice B reason: Jokes about staff may offend or confuse; without patient input, this risks cultural insensitivity, especially in Asian contexts valuing respect for authority.
Choice C reason: Asking feelings respects cultural norms; humor’s therapeutic effect depends on patient receptivity, ensuring it aligns with individual and cultural preferences.
Choice D reason: Joking about conditions can distress; it’s culturally inappropriate in many Asian settings, potentially worsening trust or emotional state without consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Alcohol and hepatitis C impair liver function; acetaminophen’s metabolite NAPQI accumulates, causing hepatotoxicity in an already compromised organ.
Choice B reason: COPD and smoking affect lungs, not liver; acetaminophen metabolism is minimally impacted, posing lower hepatic risk compared to liver disease states.
Choice C reason: Renal disease affects drug excretion, not liver metabolism; acetaminophen’s hepatic load is unchanged, making liver damage less likely here.
Choice D reason: Prostate issues involve urinary tract; liver metabolism of acetaminophen remains intact, with no heightened risk of hepatotoxicity from this condition.
Correct Answer is C
Explanation
Choice A reason: Four times (6:00 a.m., noon, 6:00 p.m., midnight) is QID, not TID; TID means three times daily, and this schedule overdoses the patient unnecessarily.
Choice B reason: Six times daily is every 4 hours, not TID; this exceeds the three-dose requirement, risking toxicity or side effects from excessive administration frequency.
Choice C reason: 9:00 a.m., 1:00 p.m., 5:00 p.m. is TID; spaced 8 hours apart, it aligns with standard three-times-daily dosing, ensuring consistent therapeutic levels safely.
Choice D reason: Meal and bedtime timing is vague; without fixed hours, it risks uneven dosing intervals, potentially disrupting pharmacokinetics and efficacy of the medication.
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