Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?

Correct Answer: D

Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation can be perceived as aggressive or disrespectful in many non-Western cultures. It may lead to misunderstandings, conflict, and hinder effective communication and collaboration in healthcare settings. In contrast: A: Interdependence is a valued trait in many cultures and fosters cooperation. B: Present orientation can be beneficial for focusing on the immediate needs of patients. C: Flexible perception of time can accommodate different cultural views on punctuality and time management.

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.

Correct Answer: A

Rationale: The correct answer is A because Histrionic Personality Disorder (HPD) is characterized by attention-seeking behavior and exaggerated emotions. In this scenario, the client's dramatic reaction to a minor injury, screaming for help and asking to call 911, reflects the need for attention and validation typical of HPD. Choice B is incorrect because unwanted intrusive thoughts are more indicative of Obsessive-Compulsive Disorder, not HPD. Choice C is incorrect as unwanted repetitive behavior patterns are often associated with Obsessive-Compulsive Disorder or Autism Spectrum Disorders, not HPD. Choice D is incorrect as inflexibility and lack of spontaneity in social interactions are more characteristic of Avoidant Personality Disorder, not HPD.