A recent immigrant from Honduras comes to the clinic with a family member who has been a U.S. resident for 10 years. The family member says, The immigration to America has been very difficult. Considering cultural background, which expression of stress by this patient would the nurse expect?

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Multidimensional Basis of Health Protective Behaviors Questions

Question 1 of 5

A recent immigrant from Honduras comes to the clinic with a family member who has been a U.S. resident for 10 years. The family member says, The immigration to America has been very difficult. Considering cultural background, which expression of stress by this patient would the nurse expect?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A young female member in a therapy group says to an older female member, You are just like my mother, always trying to control me with your observations and suggestions. Which therapeutic factor of a group is evident by this behavior?

Correct Answer: D

Rationale: The younger patient is demonstrating an emotional attachment to the older patient that mirrors patterns within her own family of origin, a phenomenon called corrective recapitulation of the primary family group. Feedback from the group then helps the member gain insight about this behavior and leads to more effective ways of relating to her family members. Instillation of hope involves conveying optimism and sharing progress. Existential resolution refers to the realization that certain existential experiences such as death are part of life, aiding the adjustment to such realities. Development of socializing techniques involves gaining social skills through the groups feedback and practice within the group.

Question 3 of 5

Which remark by a group participant would the nurse expect during the working stage of group therapy?

Correct Answer: D

Rationale: In the working stage, members actively interact to help each other accomplish goals, and because trust has developed, conflict and disagreement can be expressed. Focusing on trust and confidentiality typically occur in the orientation phase as part of establishing group norms. Commonality and universality are also themes typically expressed in the orientation phase, whereas reflecting on progress is a task addressed in the termination phase.

Question 4 of 5

During a support group, a patient diagnosed with schizophrenia says, Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not. Select the nurse leaders best comment to facilitate discussion of this issue.

Correct Answer: B

Rationale: Asking others to share their experiences will facilitate discussion of an issue. Giving information may serve to close discussion of the issue because it sounds final. Suggesting a focus on the positives implies a discussion of the issue is not appropriate. Suggesting other possible feelings is inappropriate at this point, considering the patient has identified feelings of sadness and seems to have a desire to explore this feeling. Focusing on other feelings will derail discussion of the patients grief for his perceived lost potential.

Question 5 of 5

During electroconvulsive therapy (ECT), the patient is monitored carefully before and after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary because the patient may suffer from:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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