Which communication strategy would be most effective for a nurse to use during an assessment interview with an adult Native American patient?

Correct Answer: C

Rationale: The correct answer is C because it aligns with effective communication strategies in Native American culture. Soft voice respects the patient's preference for calm and gentle interactions. Breaking eye contact occasionally shows respect and humility, as prolonged eye contact can be interpreted as confrontational. General leads and reflective techniques promote a more holistic and patient-centered conversation. In Native American culture, indirect communication is valued, and reflective techniques encourage the patient to share their thoughts and feelings at their own pace. Overall, choice C prioritizes building rapport, demonstrating respect, and fostering a collaborative and inclusive conversation.

Correct Answer: A

Rationale: Step 1: Pharmacokinetics refers to how the body processes medications, including absorption, distribution, metabolism, and excretion. Step 2: Cultural factors such as genetics, diet, and lifestyle can influence how individuals metabolize medications. Step 3: Different cultural groups may have variations in enzyme activity and genetic polymorphisms affecting drug metabolism. Step 4: Therefore, patients of different cultural groups may indeed metabolize medications at different rates. Summary: Choice A is correct because cultural diversity can impact pharmacokinetics. Choice B is incorrect as metabolism can vary among cultural groups. Choice C is incorrect as hepatic enzyme differences may not always be solely based on cultural factors. Choice D is irrelevant to the pharmacokinetics of medications.

Correct Answer: B

Rationale: The correct answer is B because personality disorders often stem from maladaptive patterns of behavior learned in childhood. In this case, the client received exclusive nurturance from one source, leading to dependency and discouragement of independent behaviors. This can contribute to the development of a personality disorder characterized by reliance on others for validation and support. Choices A, C, and D all involve a mix of multiple sources of nurturance and encouragement or discouragement of independent behaviors, which do not align with the typical underlying cause of a personality disorder rooted in dependency on a single source of nurturance.

Correct Answer: D

Rationale: The correct answer is D because individuals with Obsessive-Compulsive Personality Disorder (OCPD) typically exhibit rigidity, perfectionism, and a strong need for control. Option D reflects this by showcasing a resistance to changes and a desire for rules to govern decisions. Options A, B, and C do not align with OCPD characteristics as they involve avoiding responsibility, suspicions of hidden motives, and displaying entitlement respectively. Ultimately, choice D best captures the core traits associated with OCPD, making it the correct response.

Correct Answer: A

Rationale: The correct answer is A because providing external limits on client behavior helps establish boundaries and consequences for inappropriate actions, promoting accountability and potentially reducing guilt-inducing behaviors. This intervention can guide the client towards more appropriate behaviors and reinforce the importance of adhering to set limits. Explanation of why the other choices are incorrect: B: Foster discussions of rationales for behavioral change - While discussing rationales for behavioral change can be beneficial, it may not directly address the lack of guilt feelings in the client. C: Implement interventions consistently by only one staff member - Consistency in interventions is important, but limiting interventions to one staff member may not be sufficient to address the underlying lack of guilt feelings. D: Encourage the client to involve self in care - Encouraging client involvement in care is important for empowerment but may not directly address the lack of guilt feelings.