The nurse is discussing the ecological model of health care and includes characteristics related to marital status, level of education, race, attitudes, and beliefs. Which of the following influences in terms of the ecological model would cover these characteristics?
Macrocultural
Microsystem
Exosystem
Ontogenetic
The Correct Answer is B
A. Macrocultural influences refer to broad cultural and societal contexts, such as policies and cultural norms, rather than individual characteristics.
B. Microsystem influences include immediate environments and relationships affecting an individual, such as marital status, education level, and personal attitudes.
C. Exosystem influences involve broader social systems that indirectly affect the individual, like community resources or workplace policies.
D. Ontogenetic influences focus on personal development and biological factors rather than societal characteristics like education and beliefs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A nurse explains the importance of medication adherence to a patient using visual aids and simplified language." This is more about education and communication rather than social learning.
B. "A nurse encourages a patient to join a support group where they can observe others coping with similar health challenges." This is correct. Social learning theory emphasizes learning through observation and interaction with others. Joining a support group allows the patient to observe and learn from the experiences of others.
C. "A nurse refers a patient to a physical therapist to learn exercises that promote mobility and strength." This is related to physical therapy and individual instruction rather than social learning.
D. "A nurse demonstrates wound care techniques to a patient and provides written instructions for future reference." This focuses on direct instruction rather than the observational learning component of social learning theory.
Correct Answer is B
Explanation
A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.
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