To provide culturally competent care, the nurse should

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Stage Theories of Health Behavior Questions

Question 1 of 5

To provide culturally competent care, the nurse should

Correct Answer: D

Rationale: The correct answer is D because identifying strategies that fit within the cultural context of the patient is essential for providing culturally competent care. This involves understanding the patient's beliefs, values, and practices to tailor interventions accordingly. A: Accurately interpreting the thinking of individual patients may not necessarily address their cultural needs. B: Predicting how a patient may perceive treatment interventions is important but does not guarantee culturally competent care. C: Formulating interventions to reduce the patient's ethnocentrism may not be appropriate or effective in all cultural contexts.

Question 2 of 5

A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?

Correct Answer: C

Rationale: The correct answer is C: Western, biomedical. The patient's focus on returning to work and managing emails indicates a perspective aligned with Western biomedical views, which prioritize physical health and treatment over spiritual or holistic approaches. This is evident in the patient's concern about productivity and work responsibilities, reflecting a biomedical understanding of illness as a disruption to daily life activities. Choices A, B, and D are incorrect as they do not align with the patient's emphasis on work and productivity, which are more in line with Western biomedical perspectives.

Question 3 of 5

A client diagnosed with antisocial personality disorder comes to the nurses' station at 11:00 p.m., requesting to phone a lawyer to discuss filing for a divorce. The unit rules state that no phone calls are permitted after 10:00 p.m. Which nursing reply is most appropriate?

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the unit rules without dismissing the client's request. By informing the client that they can make the call the next day, the nurse ensures that the client's needs are addressed while also upholding the unit's policies. Option A enables the rule-breaking behavior, which is inappropriate. Option B shames the client, which is not therapeutic. Option D minimizes the client's request and assumes they are not capable of making decisions, which is not empowering. Option C is the most appropriate response as it respects both the client's needs and the unit's rules.

Question 4 of 5

Which student statement indicates that learning has occurred regarding clients diagnosed with HPD and the quality of their relationships?

Correct Answer: B

Rationale: The correct answer is B because it reflects an understanding of Histrionic Personality Disorder (HPD) characteristics. Individuals with HPD often have shallow and fleeting relationships, using them to fulfill their dependency needs. This statement shows awareness of the quality of relationships typically seen in individuals with HPD. Choice A is incorrect as it focuses on the dramatic style rather than the depth of relationships. Choice C is incorrect because individuals with HPD often struggle with maintaining deep, meaningful relationships due to their shallow and attention-seeking behavior. Choice D is incorrect as paying attention to details is not a characteristic commonly associated with HPD and does not address the quality of relationships.

Question 5 of 5

Which client symptoms should lead the nurse to suspect a diagnosis of OCPD?

Correct Answer: C

Rationale: Rationale: Choice C is correct because OCPD (Obsessive-Compulsive Personality Disorder) is characterized by traits such as inflexibility, perfectionism, and rigidity in interpersonal relationships. This can manifest as a lack of spontaneity and difficulty in adapting to different social situations. Choices A, B, and D are incorrect because they describe symptoms more characteristic of OCD (Obsessive-Compulsive Disorder), which involves unwanted intrusive thoughts (A), repetitive behaviors (B), and obsessive thoughts not externally imposed (D). OCPD focuses more on personality traits and behavior patterns rather than specific intrusive thoughts or behaviors.

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