Which cultural group is correctly matched with the disease process for which this group is most susceptible?

Correct Answer: C

Rationale: Sickle cell disease is a genetic blood disorder that primarily affects people of African, Middle Eastern, and Mediterranean descent. Arab Americans fall into the Middle Eastern category and are therefore more susceptible to sickle cell disease. The disease occurs when someone inherits two abnormal hemoglobin genes, one from each parent, leading to the production of abnormal hemoglobin known as hemoglobin S. This causes red blood cells to become rigid and sticky, leading to blockages in blood vessels and resulting in pain, anemia, organ damage, and other complications. It is important for members of susceptible cultural groups to be aware of their increased risk for certain diseases to seek appropriate medical care and genetic counseling if needed.

Correct Answer: B

Rationale: The phase of the nurse-client relationship that begins when the individuals first meet is the orientation phase. This phase is characterized by an agreement to continue to meet and work on setting client-centered goals. During this phase, the nurse and client establish rapport, gather information, and set the tone for the rest of the therapeutic relationship. It is an essential phase where trust and mutual understanding are developed, setting the foundation for the rest of the therapeutic process.

Correct Answer: D

Rationale: During the working phase of relationship development, the priority task for a nurse is to promote the client's insight and perception of reality. This involves helping the client gain a better understanding of their thoughts, emotions, and behaviors, as well as helping them see things more clearly and accurately. By promoting the client's insight and perception of reality, the nurse can assist the client in making positive changes, resolving issues, and achieving their therapeutic goals. This task is essential for facilitating growth, problem-solving, and overall improvement in the client's mental health and well-being.

Correct Answer: C

Rationale: In the working stage of the therapeutic relationship, the nurse's most therapeutic statement would be to focus on the client's concerns and goals. By asking the client which identified problems they would like to address first, the nurse demonstrates respect for the client's autonomy and empowers them to take an active role in the therapeutic process. This approach helps to establish a collaborative relationship built on trust and mutual understanding, which is essential for effective communication and progress in therapy. By prioritizing the client's agenda, the nurse can tailor the interventions and support provided to meet the client's specific needs and goals.

Correct Answer: D

Rationale: In a therapeutic nurse-client relationship, self-disclosure by the nurse is appropriate when it is judged that the information may benefit the client. This means that the nurse shares personal information with the client if it will have a positive impact on the client's well-being, understanding, or progress in therapy. Self-disclosure should always be client-centered and used as a therapeutic tool to help the client, rather than for the nurse's own benefit. It is important for the nurse to carefully evaluate the potential benefits and risks of self-disclosure before sharing personal information with the client.