A health care provider prescribed depot injections every 3 weeks at the clinic for a patient with a history of medication noncompliance. For this plan to be successful, which factor will be of critical importance?

Correct Answer: D

Rationale: The ability of the patient to get to the clinic is of paramount importance to the success of the plan. The depot medication relieves the patient of the necessity to take medication daily, but if he or she does not receive the injection at 3-week intervals, non-adherence will again be the issue. Attitude toward the patient, trusting relationships, and nutrition are important but not fundamental to this particular problem.

Correct Answer: D

Rationale: Native Americans, because of their beliefs in the interrelatedness of parts and about being in harmony with nature, respond best to a holistic approach. No data are present to support dual diagnosis, because the patient has resolved the problem of excessive alcohol use. Psychopharmacological and somatic therapies may be part of the treatment, but the focus should be more holistic. Psychoanalysis is a long-term expensive therapy; cognitive therapy might be a better choice.

Correct Answer: C

Rationale: The correct answer to the question is C) Western, biomedical. This patient's perspective on health and illness reflects a Western biomedical approach, which focuses on the physical aspects of health and illness and often prioritizes scientific evidence, medical interventions, and disease management. In this case, the patient's primary concern is the impact of their illness on their job responsibilities and daily tasks, indicating a worldview that aligns with the Western biomedical model. Option A) Fateful, magical, does not align with the patient's statement about email correspondence and job responsibilities. This perspective suggests a belief in destiny or supernatural forces influencing health. Option B) Eastern, holistic, while holistic approaches consider the interconnectedness of mind, body, and spirit, the patient's focus on work-related stressors indicates a more Western, task-oriented perspective. Option D) Harmonious, religious, does not capture the patient's emphasis on work duties and email correspondence. A religious perspective may involve faith-based beliefs about health and illness, which are not explicitly mentioned in the patient's statement. Educationally, understanding different cultural and individual perspectives on health and illness is crucial for healthcare professionals, including nurses. It allows them to provide patient-centered care that respects and addresses diverse beliefs and values, ultimately improving patient outcomes and satisfaction.

Correct Answer: B

Rationale: Acceptance is avoiding judgments of the person, no matter what the behavior is. It means accepting the person but not necessarily the behavior. It does not involve punishment for inappropriate behavior. Empathy is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.

Correct Answer: A

Rationale: A person who does not assess personal attitudes and beliefs may hold a prejudice or bias toward a group of people because of preconceived ideas or stereotypical images of that group. It is not uncommon for a person to be ethnocentric about his or her own culture. Failure to consider cultural variations or reactions to initial exposure to variations is less detrimental to the therapeutic relationship than cultural bias. Manipulation results from a failure to maintain boundaries.