After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response?

Correct Answer: B

Rationale: The correct answer is B: "I see that you are upset, but I feel uncomfortable when you swear at me." This response acknowledges the client's emotion, sets a boundary against inappropriate behavior, and expresses the nurse's discomfort without being confrontational. It maintains a professional and therapeutic communication while addressing the client's behavior. Choice A: "Do you believe that I was the cause of your blood test being canceled?" This response can come off as defensive and may escalate the situation by questioning the client's perception. Choice C: "Have you ever thought about ways to express anger appropriately?" This response may be perceived as patronizing or dismissive of the client's feelings, potentially leading to further frustration. Choice D: "I'll give you some space. Let me know if you need anything." While giving space can be helpful, this response does not directly address the client's inappropriate behavior or set boundaries, missing an opportunity to address the behavior constructively.

Correct Answer: D

Rationale: The correct answer is D: Use a holistic approach, including mind, body, and spirit. A holistic approach is essential for Native American patients as it considers their cultural beliefs and values. Native Americans often have a strong connection to their community, nature, and spirituality, so addressing all aspects of their well-being is crucial. This approach acknowledges the interconnectedness of the mind, body, and spirit in promoting healing and overall wellness. Explanation for other choices: A: Psychopharmacological and somatic therapies focus solely on biological aspects and may overlook the importance of cultural and spiritual factors in Native American healing practices. B: While childhood trauma may be a contributing factor, focusing solely on psychoanalytical approaches may not address the holistic needs of the patient. C: Treating depression and alcohol abuse concurrently is important, but it does not address the underlying cultural and spiritual needs of the patient.

Correct Answer: B

Rationale: The correct answer is B, the older, mature registered nurse. This nurse is likely to have more experience and maturity, making them better equipped to handle discussions on medication management for a culturally diverse group. Older nurses may have encountered a wider range of cultural practices and beliefs, allowing them to provide more informed and sensitive care. The other choices lack the depth of experience and maturity needed for leading such a session. Choice A (very young nurse) may lack sufficient experience, choice C (newly licensed nurse) may not have enough practical knowledge, and choice D (very thin nurse) is unrelated to the ability to lead the session effectively.

Correct Answer: D

Rationale: The correct answer is D because determining whether an interpreter is needed is crucial in ensuring effective communication with the patient, which is essential for providing safe and quality care. Without proper communication, it can lead to misunderstandings, errors, and potential harm to the patient. Assessing immunizations (A) can be important but not the priority at this stage. Religious preferences (B) and specific ethnic group (C) are also important but do not directly impact the immediate assessment and care as much as the need for an interpreter.

Correct Answer: A

Rationale: The correct answer is A because it accurately distinguishes between schizoid and avoidant personality disorders. Schizoid individuals prefer to be alone and lack desire for close relationships, while avoidant individuals desire intimacy but fear rejection. Choice B is incorrect because schizoid personality disorder does not necessarily involve odd or eccentric behavior, and avoidant personality disorder can involve social inhibition. Choice C is incorrect because avoidant personality disorder does not involve eccentric behavior, and schizoid personality disorder does not necessarily make individuals dull or vacant. Choice D is incorrect because schizoid personality disorder is not characterized by psychotic thought processes, and avoidant personality disorder is not necessarily more rooted in reality.