While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact. Being culturally sensitive, the nurse recognizes that the patients actions are most likely a(n):
sign of respect for the wisdom and expertise of the nurse
means of communicating his dissatisfaction with his care
indication that he has no questions regarding the care he is receiving
expression of discomfort discussing personal matters
The Correct Answer is A
A. In Korean culture, silence and avoiding eye contact can be seen as signs of respect and deference, especially towards individuals perceived as having authority or expertise. Therefore, the patient's behavior is likely not a sign of dissatisfaction or discomfort, but rather a cultural expression of respect for the nurse.
B. While it is possible for the patient to be dissatisfied with his care, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
C. This is not necessarily the case. The patient may simply be uncomfortable speaking up or asking questions in a language that is not his native tongue.
D. While it is possible for the patient to be uncomfortable discussing personal matters, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This question focuses on future preparedness and may come off as presumptive or confrontational. It doesn't directly address the patient's personal feelings or experiences but rather implies an expectation about how they and their spouse will handle the situation over time. This might not encourage an open discussion about the patient's personal perception of their sexuality.
B. This question directly addresses how the sexual dysfunction affects the patient’s intimate relationship, which can provide insight into the patient's personal perception and emotional response to the problem. It allows the patient to discuss how their condition affects their intimate life and personal feelings, promoting a deeper understanding of their experience.
C. This question focuses on coping mechanisms and may shift the focus away from the patient's personal feelings to how both partners are managing the situation. While it can provide useful
information about coping strategies, it may not fully explore the patient’s individual perceptions and
emotional impact.
D. This question explores relational issues caused by the sexual dysfunction. It might elicit information about interpersonal conflicts or challenges but might not fully capture the patient’s personal feelings about their sexuality or how the dysfunction specifically impacts their self-perception and intimate experiences.
Correct Answer is ["B","D","E"]
Explanation
A. Easy bleeding is not a common side effect or concern associated with benzodiazepines. This symptom is more typically associated with anticoagulant medications or conditions affecting blood clotting. While it’s essential to monitor for side effects, easy bleeding is not directly related to benzodiazepine use.
B. Shortness of breath is not a typical side effect of benzodiazepines. However, it is important to monitor respiratory function in patients on any medication, especially if there are signs of respiratory distress or if the patient is on other medications that might interact with benzodiazepines. A
C. Benzodiazepines are known to cause cognitive impairments, including forgetfulness. This is particularly concerning in older adults, who may be more vulnerable to cognitive side effects. Memory issues and confusion can impact daily functioning and increase the risk of accidents and falls.
D. Daytime sleepiness is a common side effect of benzodiazepines due to their sedative properties. This side effect can significantly affect daily activities and increase the risk of falls and accidents. It’s essential to monitor patients for excessive drowsiness, as it can impact their safety and overall quality of life.
E. Benzodiazepines can cause motor impairment, including unsteady gait and increased risk of falls. This is particularly problematic in older adults who may already have decreased balance and coordination. Monitoring for unsteady gait is crucial to prevent falls and other injuries related to impaired mobility.
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