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Exam (elaborations)

PNC quizzes

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PNC quizzes PNC quizzes PNC quizzes

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PNC quizzes
Which statement made by the client would the nurse consider to be an external variable influencing
the client's beliefs? - "Please do not include chicken in my diet plan because my religion forbids me
to consume meat."



When a client conveys to the nurse that his or her religion forbids the consumption of meat, the
nurse understands that the client's cultural background is influencing his or her health beliefs and
practices. To individualize care, the nurse would take this external variable into consideration. A
client who gets depressed as a result of illness is emotionally ill-equipped to deal with such
conditions. The nurse considers this an internal variable to individualize care. When caring for a
client, the nurse would take the client's developmental stage into consideration. The age of the
client also influences the way in which the client perceives health beliefs and practices. Another
internal variable to be considered by the nurse is the client's intellectual background. The client's
correct or incorrect knowledge regarding the human body systems also influences health beliefs and
practices.



A client says, "Do not cut the thread on my wrist before sending me for surgery because the thread
is a blessing from God." Which internal variable influences the client's health belief in this scenario? -
Spiritual factors



Religious practices are one way in which people exercise spirituality. In the given scenario, the client
asks the nurse to refrain from cutting the religious thread. This is an example of a spiritual factor.
Emotional factors involve the client's degree of stress, depression, or fear. The nurse considers the
client's developmental stage when using the client's health beliefs and practices as a basis for
planning care. Intellectual background factors are a person's beliefs about health that are shaped by
their knowledge, lack of knowledge, or incorrect information about body functions and illnesses.



Which statement made by the client is a socioeconomic influence on the client's health beliefs? - "I
cannot afford expensive medications because I have to take care of my family."



- When a client states that he or she cannot afford expensive medications because he or she has to
take care of a big family, this statement is an example of a socioeconomic influence on health
beliefs. When a client says that he or she is a vegetarian and cannot eat meat because of this
tradition, this statement is an example of the influence of cultural background on health beliefs.
When a client says that his or her family members always pray before a meal, this statement is an
example of the influence of family practices. When a client says that he or she believes that infant
vaccinations are sinful, this statement is an example of spiritual factors influencing health beliefs and
practices.

,Which describes the purpose of the Nurse Practice Acts? - Describe and define the legal boundaries
of nursing practice within each state



The Nurse Practice Acts describe and define the legal boundaries of nursing practice within each
state. They help distinguish between nursing and medical practice and establish education and
licensure requirements for nurses. Standards of care reflect the knowledge and skills possessed by
nurses who are active practitioners in their profession. Standards of care are legal requirements that
define the minimum acceptable nursing care. The Health Insurance Portability and Accountability
Act (HIPAA) protects individuals from losing their health insurance when changing jobs by providing
portability.



An elderly client states, "Disease occurs when supernatural elements enter the body." Which
variable influences the client's health beliefs in this scenario? - Spiritual factors



A client's spirituality, beliefs, and response to an illness influence how the nurse will provide support.
The elderly client's statement indicates that spiritual factors are at play. The given scenario is not an
example of the influence of emotional factors, intellectual background, or perceptions of
functioning.



A young woman tells the nurse, "My partner prevents me from taking my medications." Which
should the nurse do to deal with the situation? - Conduct an interview with the client alone, when
the partner is not around.



The statement provided by the young woman indicates that the individual may be a victim of abuse,
so the nurse would interview the client alone when the client has privacy and the individual
suspected of being the abuser is not present. Discussing the problems with the primary health care
provider might cause fear of retribution in the abused client. When dealing with people with mental
illness, the nurse would collaborate with multiple community resources to obtain adequate health
care. When dealing with vulnerable populations, the nurse would evaluate their cultural beliefs,
values, and practices to determine their specific needs.



Which statement made by the client would the nurse consider as an influence of the client's
intellectual background on his or her health beliefs? - "Don't include eggs in my diet because eggs
contribute to excess body heat."



If the client states that eggs would not be included in his or her diet because they cause excess body
heat, this statement is an example of the influence of the client's intellectual background on his or
her health beliefs. If the client states that seafood or ham would not be included in his or her diet
because it is against his or her beliefs, this statement is an example of the influence of the client's
cultural background on his or her health beliefs. If the client says that he or she does not smoke or

, drink because these drugs are a major sin, this statement is an example of spiritual factors
influencing his or her health beliefs and practices. If the client says that he or she has stopped taking
prescribed medications because he or she has recently lost a job, this statement is an example of the
client's socioeconomic influence on his or her health beliefs and practices.



Which statements made by the client would the nurse consider as an influence of spirituality on
health beliefs? Select all that apply. One, some, or all responses may be correct. - -"My faith
prohibits the use of a donor's sperm."

- "Don't administer nasal drops now because it will break my fast."

- "I do not believe in surrogacy because this is not permitted in our community."



When a client says that his or her faith prohibits the use of donor's sperm, this statement is an
example of spiritual factors influencing health beliefs and practices. When a client says that
administering nasal drops will break his or her fast, this statement is also an example of spiritual
factors influencing health beliefs and practices. The client's ideas about surrogacy being conditioned
by the beliefs of his or her community is another example of the influence of spiritual factors. When
a client says that he or she is not worried about surgery because he or she has undergone several
surgeries in the past, this statement is an example of emotional factors influencing health beliefs and
practices. When a client says that he or she is not able to meet his or her basic needs and thus
cannot afford costly medications, this statement is an example of socioeconomic influences on
health beliefs and practices.



The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that
surgeries are against their belief system. Which step would the nurse take first to resolve this ethical
dilemma? - Obtain information from the child, the parents, health care workers, and other sources.



After determining that an ethical dilemma exists in a situation, the nurse would focus on gathering
information from multiple sources. The perspectives obtained from the child, the parents, health
care workers, and other sources are helpful because it is essential to incorporate as much knowledge
as possible. Evaluating the outcome of the plan of action over time is the last step of resolving an
ethical dilemma. After gathering all relevant information regarding the issue and clarifying values, it
is essential to verbalize the problem. A group agrees on a simple problem statement to hold a
discussion on an issue. After gathering relevant information regarding the ethical dilemma, the nurse
would examine his or her own values critically to formulate an opinion regarding the matter.



Which statements by the student nurse indicate an understanding of caring for clients of various
cultures? Select all that apply. One, some, or all responses may be correct. - - "The focus is on
understanding the traditions, beliefs, and values of the client's culture."

- "I will be aware of my own cultural background and beliefs when attending to clients who belong to
different cultures."

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