A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent patient teaching?

Correct Answer: D

Rationale: The correct answer is D: Develop written materials in the patient's native language. This is necessary for culturally competent patient teaching as it ensures that the information is accessible and understandable to the individuals who have recently immigrated from Iraq. By providing materials in their native language, it enhances their comprehension and engagement with the content. This approach shows respect for their cultural background and helps to bridge any language barriers. A: Using materials developed previously for U.S. citizens may not be effective as they may not be culturally relevant or easily understood by individuals from Iraq. B: Using all visual materials may be helpful, but it is not sufficient on its own to ensure cultural competence in patient teaching. C: Using a lecture format with few questions may not be engaging or interactive enough for individuals from Iraq, and it may not cater to their preferred learning style.

Correct Answer: D

Rationale: The correct answer is D: Masked grief. This type of grief occurs when the individual exhibits behaviors that are not typically associated with the grieving process, such as engaging in risky behaviors like promiscuity to mask or distract from their emotional pain. In this scenario, the woman's sudden change in behavior following her fiancé's death suggests that she may be using promiscuity as a coping mechanism to avoid facing her grief directly. Other choices: A: Anticipatory grief occurs before a loss, such as expecting the death of a loved one. B: Chronic grief is prolonged and ongoing, not typically characterized by sudden behavioral changes. C: Exaggerated grief involves intense and prolonged mourning, but does not necessarily involve maladaptive behaviors like promiscuity.

Correct Answer: C

Rationale: The correct answer is C: Occult stool. This assessment data takes priority because the patient has been taking ibuprofen, which can lead to gastrointestinal bleeding. Checking for occult blood in the stool can help identify any gastrointestinal bleeding that may be occurring. Diarrhea (A) may be a side effect of ibuprofen but is not as urgent as assessing for bleeding. Hematuria (B) and Ova & parasites (O&P) (D) are not directly related to the patient's current condition and are not as urgent as checking for gastrointestinal bleeding.

Correct Answer: C

Rationale: The correct answer is C: Democratic. This is because the charge nurse is involving all group members in the decision-making process by eliciting their opinions and organizing a vote. This leadership style promotes collaboration and empowers team members to have a say in the decision. A: Laissez-faire is incorrect because this leadership style involves minimal interference from the leader, which is not the case here. B: Autocratic is incorrect because this style involves making decisions without input from others, which is not happening in this scenario. D: Scientific is incorrect because it refers to a leadership style that emphasizes data-driven decision-making, which is not the focus in this situation.

Correct Answer: A

Rationale: The correct answer is A (2.4 g). To calculate the maximum daily dose, we take the highest dose (800 mg) and multiply it by the number of times it can be taken in a day (3 times). Therefore, 800 mg * 3 = 2400 mg = 2.4 g. This is the maximum daily dose. Choice B (4.8 g) is incorrect as it is double the correct answer, exceeding the safe daily limit. Choices C (2.0 g) and D (1.0 g) are too low and do not reflect the maximum dose calculation.