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10 Chapter 3 Medical-Surgical Patients: Individuals, Families, and Communities Match the health developmental task in the numbered column with the developmental stage in the lettered column. 3. Which are true regarding ethnic and cultural groups? Select all that apply. 1. Languages among cultural and ethnic groups can vary. 2. Nonverbal language is strictly an American concept 3. Institutions receiving federal funds are required to provide translators for non- English speakers and those who are hard of hearing 4. Individuals within certain cultures may turn to folk healers if their physical and psychosocial needs are not met by western medicine. 5. It is safe to assume that all individuals within a particular ethnic or cultural group share the same beliefs. 6. Culture impacts many aspects of family life. 4. Generativity versus stagnation 5. Intimacy versus isolation 6. Ego integrity versus despair A. Young adulthood B. Middle adulthood C. Older adulthood D. Age-Related Health Problems Choose the most appropriate answer or select all that apply. C. Developmental Stages Choose the most appropriate answer or select all that apply. 1. Which health problems are related to middle adulthood? Select all that apply. 1. Benign or malignant prostate enlargement 2. Bone mass begins to decrease 3. Vehicular accidents and suicide 4. Injuries frequently causing absence from work among men 5. Stress related to managing a household 6. Perimenopausal period 7. Stress related to caregiving role for older parents 1. Which describe middle adulthood? Select all that apply. 1. Focus on marriage, childbearing, and work 2. “Sandwich” generation 3. Redirection of energy and talents to new roles and activities 4. Earn most of their money 5. Retirement 6. Establish career goals 2. Which are the most common health problems in older adults? Select all that apply. 1. Presbyopia 2. Heart disease 3. Obesity 4. Arthritis 5. Diabetes 6. Cancer PART II: PUTTING IT ALL TOGETHER 2. Which describe young adulthood? Select all that apply. 1. Settling down to job and raising a family 2. Decreased short-term memory 3. Pay the most taxes 4. Establish career goals 5. Develop satisfying leisure activities 6. Establish meaningful social relationships 3. Which relate to older adulthood? Select all that apply. 1. Guidance of grown children 2. Home and time management 3. They are a very heterogeneous group 4. Help growing and grown children to be- come happy, responsible adults 5. Frequently have limited formal education 6. Many who engage in exercise continue to function well E. Multiple Choice Choose the most appropriate answer. 1. What cultural information does the nurse need to collect from a patient? Select all that apply. 1. Food practices 2. Family roles 3. Religious beliefs 4. Health literacy Conuria 0101 Chapter 3 Medical-Surgical Patients: Individuals, Families, and Communities 11 9. Which are internal family coping mechanisms? Select all that apply. 1. Family group reliance 2. Role flexibility 3. Maintaining a normal life 4. Seeking support 2. Why is it important to provide culturally sensi- tive care to all patients? 1. It is legally required by all health care insti- tutions. 2. Patients not treated according to their be- liefs may bring in folk healers. 3. Can reduce stress and decrease recovery time. 4. To be politically correct. 3. Which ethnic group responds better to diuret- ics for treatment of hypertension than other groups? 1. African Americans 2. Latinos 3. Native Americans 4. Caucasians PART III: CHALLENGE YOURSELF! 4. Adapting nursing care to the cultural differ- ences of patients is called: 1. holistic care. 2. complementary care. 3. awareness and cultural competency. 4. cultural diversity. F. Getting Ready for NCLEX Choose the most appropriate answer or select all that apply. 1. In western culture, most people believe illness is treatable. What are some beliefs about illness held by other cultures? 1. Illness is a punishment for sins. 2. Illness is related to western medicine 3. Illness is beyond one’s control. 4. Illness is a metaphysical concept. 2. The nurse is admitting a new patient to the hospital. The patient expresses fear about be- ing in the hospital. What are the three stages of culture shock associated with hospitalization? Select three that apply. 1. Asking questions 2. Denial 3. Adaptation 4. Bargaining 5. Being disenchanted 6. Generalization 5. Establishing financial independence is a devel- opmental task of the: 1. middle adult. 2. older adult. 3. young adult 4. adolescent. 6. The nurse is assisting with an education pro- gram for young adults on health care needs. At what age are women advised to begin Papani- colaou (Pap) smears? 1. Teens 2. 20s 3. 30s 4. 40s 7. In what age group are unintentional injuries one of the top 10 causes of death? 1. 15-25 2. 30-45 3. 45-60 4. 65 and above 3. A 62-year-old patient in the hospital states that he does not like to take baths routinely and is very modest about disrobing in front of strang- ers. Which are appropriate responses of the nurse? Select all that apply. 1. Explain to the patient that baths will be taken every morning before noon. 2. Knock before entering the room. 3. Ask permission before touching the pa- tient. 4. Reassure the patient that it is all right to disrobe in the hospital, as you will pull the curtain to provide privacy. 5. Ask permission from the patient to assist with personal hygiene. 6. Explain the importance of personal hy- giene for all patients in the hospital. 8. How is family identified/defined for each pa- tient? 1. Blood relations or through marriage or adoption 2. Identified by the patient 3. Through power of attorney 4. Varies by state
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