The nurse becomes frustrated when a patient insists on taking herbal remedies rather than prescribed medications and spends certain hours of each day in prayer.
The patient also prefers the care of the spiritual healer over the attending physician.
Which factor may be responsible for the nurse's frustration?
Incorrect organization of health assessment findings.
Impaired ability of the patient to cope with acute illness.
Cultural differences in health-related practices.
Delay in the patient's psychosocial development.
The Correct Answer is C
Choice A rationale
Incorrect organization of health assessment findings relates to how the nurse collects and structures patient data, which may impact the accuracy of diagnosis and care planning but is less likely to be the primary cause of frustration with a patient's cultural health practices.
Choice B rationale
While a patient's insistence on alternative remedies and spiritual practices might indicate coping mechanisms, it doesn't directly explain the nurse's frustration. The frustration likely stems from a conflict in beliefs or approaches to healthcare rather than the patient's ability to cope.
Choice C rationale
Cultural differences encompass the values, beliefs, and practices that influence a person's perception of health, illness, and healthcare. A patient's preference for herbal remedies, prayer, and a spiritual healer over conventional medical treatment reflects cultural health-related practices that may differ significantly from the nurse's professional training and beliefs, potentially leading to frustration.
Choice D rationale
Delay in psychosocial development refers to a lag in achieving expected developmental milestones related to social and emotional functioning. While it can influence a patient's health behaviors, it is less directly related to the nurse's frustration with culturally based healthcare choices. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Reading back the order ensures accuracy and allows the physician to immediately correct any misheard or misinterpreted information. This step is crucial for patient safety as it verifies the details of the medication order before it is implemented.
Choice B rationale
While double-checking with another nurse is a good practice, the immediate priority after receiving a telephone order is to confirm the order directly with the prescriber to avoid any initial misunderstanding.
Choice C rationale
Authorizing the order with the pharmacy occurs after the order has been received and verified. The pharmacy then prepares and dispenses the medication based on the confirmed order.
Choice D rationale
Withholding the medication could delay necessary treatment. The priority is to verify the order promptly and then proceed with safe administration. Many institutions allow for a limited time frame for the written order to follow a telephone order.
Correct Answer is C
Explanation
Choice A rationale
Information about the family of a client in a different room (room 107) is not directly relevant to the change-of-shift report for the client in room 108. The report should focus on information pertinent to the care of the assigned client.
Choice B rationale
While the fact that a client in room 105 had a bath might be included in their specific report, it is not essential information to communicate during the change-of-shift report for the client in room 108 who has a new pain medication.
Choice C rationale
The administration of a new pain medication to the client in room 108 is crucial information for the oncoming nurse. It is essential to communicate the name of the medication, the time it was given, the dosage, the route of administration, and the client's response to the medication to ensure continuity of pain management.
Choice D rationale
The dietary preferences of a client in a different room (room 109) are not relevant to the change-of-shift report for the client in room 108. Dietary information is specific to each client and should be communicated within their individual report if pertinent to their current care.
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