A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Limit the number of visitors the patient can have

Suggest shorter visits to the patients visitors

Require visitors to check in at the front desk

Only allow family members to visit the patient

Answer and Explanation

The Correct Answer is B

A.   Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B.   Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C.   Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D.   Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

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Correct Answer is C

Explanation

A. This question addresses the emotional and psychological impact of relocating to an assisted living facility. Emotional stress and adjustment issues can affect sleep patterns. While important for understanding the patient's emotional state and potential stressors, this question may not directly address the specific physiological or medical causes of sleep difficulties.
B. This question focuses on the management of hypothyroidism, which can influence sleep patterns. Hypothyroidism and its treatment can affect energy levels and sleep quality. Medications for hypothyroidism could impact sleep if they are not well managed or if the dosage needs adjustment. However, this question alone might not cover other potential causes of sleep difficulties.
C. This question aims to identify if the patient has a history of using sleeping medications, which can help in understanding their sleep patterns and possible reliance on such treatments. Knowing whether the patient has used sleeping medications can provide insight into their current sleep issues and help the nurse assess if previous treatments have been effective or if adjustments are needed. This question is directly related to assessing and addressing sleep difficulties.
D. This question gathers information about the duration of diabetes, which can help in understanding the patient’s overall management of the condition. While the duration of diabetes is important for overall health management, it does not directly address the sleep issues the patient is experiencing. Diabetes can affect sleep, but this question does not specifically target the sleep problem.

A. age B. cancer diagnosis C. nutritional status D. cognitive limitations

Correct Answer is C

Explanation

A. While age can affect the absorption of some medications, it is not the primary factor that would impact the effectiveness of a topical cream in this case.
B. The cancer diagnosis itself does not directly affect the absorption of topical medications. However, the underlying disease process and treatment may impact the patient's overall health and nutritional status, which can in turn affect medication absorption.
C. Topical medications are absorbed through the skin. Malnutrition can lead to skin thinning and decreased circulation, which can impair the absorption of topical medications. Therefore, the patient's nutritional status is the most likely factor to negatively impact the effectiveness of the topical cream.
D. The patient's cognitive limitations may make it difficult to follow instructions regarding the application of the topical cream, but this does not directly affect the medication's effectiveness.

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A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with diabetes and hypothyroidism is being admitted to an assisted living facility. During the admission assessment, the patient reports difficulty falling asleep. The nurse shows an understanding of sleep dysfunction and the older patient when asking:

Correct Answer is C

Explanation

The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer. The nurse carefully monitors the effectiveness of the medication because its effectiveness will be most negatively impacted by the patient's:

Correct Answer is C

Explanation

The student learns that which of the following is the best definition of culture?

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