Nursing Elites

1. An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally-sensitive nurse would:

• A. contact the hospital administrator about the best course of action.
• B. automatically get a curandero for her because it is not culturally appropriate for her to request one.
• C. further assess the patient's cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires.
• D. ask the family what they would like to do because Mexican-Americans traditionally give control of decisions to their families.

Correct answer: C

Rationale: When caring for a patient with traditional beliefs, especially one belonging to a culture like Mexican-American where folk or religious healers are important, a culturally-sensitive nurse should assess the patient's beliefs and preferences. By offering assistance in contacting a curandero or priest, the nurse acknowledges and respects the patient's cultural practices and provides holistic care that aligns with the patient's values. This approach helps build trust and ensures the patient receives care that is culturally appropriate and respectful. Choice A is incorrect as contacting the hospital administrator may not directly address the patient's cultural needs. Choice B is inappropriate as assuming the patient needs a curandero without assessment disregards individual preferences. Choice D is incorrect because while family involvement is valued in Mexican-American culture, the primary focus should be on the patient's individual preferences and autonomy.

2. Select the word in the following sentence that is not used correctly. On departing, the patient complimented her therapist and counselor.

• A. departing
• B. complimented
• C. therapist
• D. counselor

Correct answer: C

Rationale: The word 'therapist' in the sentence is used correctly. However, the word 'councilor' is misspelled and should be 'counselor' to refer to a mental health professional providing therapy services. The correct term should have an 's' after 'counselor,' making it 'counselor' instead of 'councilor.' Therefore, the word 'councilor' is the one not used correctly in the sentence.

3. Which word is not spelled correctly in the context of the following sentence? The pharmacist seemed to disagree with the prescription designated by the physician.

• A. pharmacist
• B. prescription
• C. designated
• D. physician

Correct answer: B

Rationale: The word 'prescription' in the sentence is misspelled as 'proscription.' A prescription is a written order for medication or treatment provided by a healthcare professional, while a proscription means a forbidding or prohibition. The other choices (A, C, D) are all correctly spelled in the context of the sentence.

4. According to the Clausius inequality, for a cyclic process involving heat transfer between a system and its surroundings at a single constant temperature (T), the following inequality must hold true:

• A. There is no relationship between heat transfer and temperature in a cyclic process.
• B. ∫ dQ/T ≥ 0
• C. ∫ Q/T = constant
• D. ∫ dQ/T ≤ 0

Correct answer: D

Rationale: The Clausius inequality states that for a cyclic process involving heat transfer at a single constant temperature, the integral of heat transfer divided by temperature (∫ dQ/T) must be less than or equal to zero. This inequality reflects the irreversibility of natural processes. Choice A is incorrect as there is a direct relationship between heat transfer and temperature in the Clausius inequality. Choice B is incorrect because the integral of dQ/T must be less than or equal to zero, not greater than or equal to zero. Choice C is incorrect because the integral of Q/T is not a constant in a cyclic process involving heat transfer at a single constant temperature.

5. A patient's temperature is 98.6 degrees Fahrenheit. What is their temperature in degrees Celsius (1°F = 5/9°C)?

• A. 37�C
• B. 32�C
• C. 41�C
• D. 45�C

Correct answer: A

Rationale: To convert Fahrenheit to Celsius, you need to subtract 32 from the Fahrenheit temperature (98.6°F) and then multiply the result by 5/9. Doing this calculation, you get 37°C. Choice B (32°C) is incorrect because it doesn't consider the conversion formula correctly. Choices C (41°C) and D (45°C) are incorrect as they do not apply the conversion formula accurately, leading to incorrect results.

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