The nurse is developing a care plan for a 68-year-old African American male who was recently diagnosed with hypertension.
Which human dimension do age, race, gender, and genetic inheritance exemplify?
Physical dimension
Emotional dimension
Environmental dimension
Holistic dimension
The Correct Answer is A
Choice A rationale:
The physical dimension encompasses the tangible, biological aspects of an individual, including age, race, gender, genetic inheritance, anatomy, and physiological processes.
Here's a detailed breakdown of how each of these factors aligns with the physical dimension in the context of the patient's hypertension:
Age:
Hypertension is more prevalent in older adults due to natural changes in the cardiovascular system, such as stiffening of arteries and decreased elasticity.
The patient's age of 68 years places him within this higher-risk category.
Race:
African Americans have a disproportionately higher risk of hypertension and related complications compared to other racial groups.
This disparity is attributed to a complex interplay of genetic, environmental, and socioeconomic factors. Gender:
While both men and women experience hypertension, men tend to develop it earlier in life and have a higher lifetime risk.
This difference is partially due to hormonal influences and lifestyle factors.
Genetic inheritance:
Hypertension often has a significant genetic component.
Individuals with a family history of hypertension are more likely to develop the condition themselves, suggesting a role of inherited genes in blood pressure regulation.
Choice B rationale:
The emotional dimension focuses on psychological and mental aspects, including feelings, thoughts, behaviors, and coping mechanisms.
While emotions can certainly influence blood pressure and overall health, they are not directly categorized under the physical dimension in this context.
Choice C rationale:
The environmental dimension addresses external factors that impact health, such as access to healthcare, social support, exposure to pollutants, and community resources.
While these factors can indirectly contribute to hypertension risk, they are not inherent physical characteristics of the individual.
Choice D rationale:
The holistic dimension encompasses a comprehensive view of health, integrating physical, emotional, spiritual, social, and environmental aspects.
While holistic care is essential for managing hypertension, the question specifically asks about the dimension that age, race, gender, and genetic inheritance exemplify, which is most accurately aligned with the physical dimension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale for Choice A:
While it's true that a urinalysis can confirm the eradication of bacteria, it's not routinely recommended in uncomplicated UTIs when symptoms have resolved.
Conducting a urinalysis at this point could potentially lead to unnecessary healthcare visits and costs.
It's important to prioritize patient adherence to the full course of antibiotics, as this is the most effective way to prevent recurrence of infection.
Rationale for Choice B:
This response is inaccurate and could discourage the patient from completing the treatment.
It's essential for the nurse to convey that the treatment is likely working, even though the patient is feeling better. Reinforcing the importance of completing the full course of antibiotics is crucial for optimal outcomes. Rationale for Choice C:
Stopping the antibiotic prematurely, even if symptoms have improved, can lead to:
Increased risk of recurrent UTI
Development of antibiotic resistance
Prolonged or more severe infections in the future
Completing the full course of antibiotics ensures that all bacteria are eradicated, reducing the likelihood of these complications.
Rationale for Choice D:
This response correctly emphasizes the importance of completing the full course of antibiotics, even when symptoms have resolved.
It addresses the patient's concern while providing accurate and essential information.
Key points to highlight in this response include:
The need to eliminate all bacteria, including those that may not be causing active symptoms
The prevention of antibiotic resistance
The reduction of the risk of recurrent UTIs
Correct Answer is C
Explanation
Choice A rationale:
While elevating the head of the bed can make it easier to visualize the patient's face and upper chest, it's not the primary rationale for positioning a patient with pneumonia in semi-Fowler's position.
Skin color and temperature can be assessed in other positions as well, such as supine or side-lying. In cases of pneumonia, prioritizing respiratory function takes precedence over ease of skin assessment. Choice B rationale:
While semi-Fowler's position can offer some comfort, it's not the most comfortable position for all patients, especially those with thoracic pain.
Positions that fully support the back and minimize pressure on the chest, such as side-lying with pillows, may provide better pain relief.
The primary goal in positioning a patient with pneumonia is to optimize respiratory function, not solely to maximize comfort.
Choice C rationale:
Semi-Fowler's position effectively promotes lung expansion due to the following reasons:
Gravity: Elevating the head of the bed allows gravity to assist in pulling the diaphragm downward, creating more space for lung expansion.
Abdominal pressure: The semi-upright position reduces pressure from the abdominal organs on the diaphragm, further facilitating its downward movement and enhancing lung expansion.
Secretion drainage: The inclined position encourages drainage of secretions from the upper airways, preventing their accumulation and potential airway obstruction. This allows for better air entry and gas exchange.
Choice D rationale:
While semi-Fowler's position may slightly increase venous return to the heart, it's not the primary reason for using this position in patients with pneumonia.
Positions that significantly increase venous return, such as Trendelenburg position (head down), are typically used for specific indications like shock or hypotension, not for pneumonia management.
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