Identify one example of how each of the following cultural factors may affect the nursing care of a patient of a different culture and one example of the functioning of a health care team made up of individuals from different cultures.

Correct Answer: D

Rationale: In this scenario, the correct answer is option D: Personal space. Understanding personal space preferences is crucial in nursing care as different cultures have varying norms regarding physical proximity and touch. For example, some cultures may prefer more personal space during interactions, while others may be more comfortable with close proximity. Option A: Time orientation could impact nursing care by influencing perceptions of punctuality and the urgency of treatment, but it may not directly affect personal interactions and care provision as significantly as personal space preferences. Option B: Economic factors can influence a patient's access to healthcare services and medications, but in terms of cultural factors affecting nursing care, personal space is more directly related to interpersonal interactions and comfort levels. Option C: Nutrition is important in healthcare, but in the context of cultural factors, personal space plays a more significant role in shaping patient-nurse interactions. Understanding and respecting cultural differences related to personal space can enhance communication, trust, and patient comfort, ultimately improving the quality of care provided. In a healthcare team composed of individuals from different cultures, awareness of personal space preferences can help team members navigate interactions and collaboration effectively, promoting a respectful and inclusive working environment.

Correct Answer: C

Rationale: In this scenario, the nurse's best action is option C: Question the patient further about the characteristics of the symptoms. This is the correct choice because it allows the nurse to gather more information to understand the underlying cause of the patient's extreme fatigue. By asking targeted questions about the duration, severity, exacerbating factors, associated symptoms, and any recent changes in the patient's health status, the nurse can better assess the situation and determine the appropriate course of action. Option A (Stop the interview and leave the patient alone to be able to rest) is incorrect because abruptly ending the assessment without further exploration may lead to missed opportunities to identify important information related to the patient's condition. Option B (Arrange another time with the patient to complete the interview) delays addressing the patient's immediate concern and may not be necessary if the nurse can gather relevant data during the current encounter. Option D (Reassure the patient that the symptoms will improve when treatment has had time to be effective) is also incorrect as it assumes a treatment plan is already in place when the nurse has not yet fully assessed the situation. By choosing option C, the nurse can prioritize gathering essential data to inform subsequent interventions and provide optimal care for the patient's fatigue, demonstrating the importance of thorough assessment skills in nursing practice.

Correct Answer: C

Rationale: The correct answers are 'Handle the skin with care because of potential fragility,' 'Keep the patient warm and comfortable during the assessment,' and 'Place the patient in a position of comfort and avoid unnecessary changes in position.' These adaptations address age-related vulnerabilities and promote patient cooperation.

Correct Answer: B

Rationale: In the context of pharmacology and medical-surgical nursing practice, understanding a patient's functional health patterns is crucial for providing comprehensive care. The correct answer, B) "Do you have a good relationship with your spouse?" is the most appropriate open-ended question to gather information about the patient's psychosocial health pattern. This question delves into the patient's emotional well-being, support system, and potential stressors, all of which can impact their overall health and response to pharmacological interventions. Option A) "Are you having any pain?" is a closed-ended question that focuses solely on one aspect of the patient's health - pain. While pain assessment is important, it does not provide a holistic view of the patient's functional health patterns. Option C) "How long have you been ill?" is a closed-ended question that focuses on the duration of illness but lacks the depth needed to explore the patient's overall health patterns. Option D) "Do you exercise regularly?" is also a closed-ended question that addresses a specific aspect of the patient's health behavior but does not explore the broader psychosocial aspects that could impact their health outcomes in the context of pharmacological interventions. By asking open-ended questions related to the patient's functional health patterns, nurses can gather comprehensive information that guides their pharmacological interventions and overall patient care plan. This approach aligns with a patient-centered care model that considers the individual's unique needs and circumstances for optimal treatment outcomes.

Correct Answer: A

Rationale: The correct answers are 'To rehearse behaviors or feelings,' 'With mature and confident participants,' and 'In combination with almost any other teaching strategy.' Role-playing is most effective when used to practice behaviors or feelings and when combined with other strategies. It is less suitable for teaching motor skills or providing basic information.