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A nurse is visiting an Asian family and found that both parents have cardiac problems. The nurse is aware of Asian genetic predisposition to cardiovascular diseases.
The nurse assessment falls below which of the following cultural assessment category?
When assessing the health of a family, considering their genetic predispositions to certain conditions falls under the category of bio-cultural factors. These factors include genetic traits, physical characteristics, and biological variations that can influence health. In this case, the nurse's awareness of the genetic predisposition of Asian individuals to cardiovascular diseases helps in understanding the family's health risks.
Spector, R. E. (2017). Cultural Diversity in Health and Illness. Pearson.
A nurse understands that patient with blood transfusion reaction is at risk to develop which of the following types of jaundice?
A blood transfusion reaction can lead to hemolytic jaundice. This type of jaundice occurs when there is an excessive breakdown of red blood cells, leading to an increase in bilirubin production. Hemolytic reactions during a blood transfusion cause the destruction of the transfused red blood cells, releasing large amounts of hemoglobin into the bloodstream, which is then converted to bilirubin, resulting in jaundice.
American Association of Blood Banks (AABB). (2017). Technical Manual, 19th Edition. AABB Press.
A nursing student who has a high percentage of absenteeism frequently visits the health center complaining of GI symptoms before examinations. The student continues to believe of having a terminal illness despite normal test results.
The student is MOST probably suffering from:
The student is most likely suffering from hypochondriasis, which is now referred to as illness anxiety disorder in the DSM-5. This condition is characterized by an excessive preoccupation with having a serious illness despite medical reassurance and the absence of significant medical findings. The key features in this scenario are the student's high absenteeism, frequent complaints of gastrointestinal symptoms, and persistent belief in having a terminal illness despite normal test results. Hypochondriasis involves misinterpreting normal bodily sensations as signs of severe illness and seeking repeated medical evaluations.
A group of nurses conducting a systematic review to identify best practice evidence for hemodialysis in patient with anemia.
Which of the following should considered based on level of research evidence?
Randomized controlled trials (RCTs) are considered the highest level of evidence in research because they reduce bias and provide the most reliable results. When conducting a systematic review to identify best practice evidence for hemodialysis in patients with anemia, RCTs should be prioritized. These studies provide strong evidence on the efficacy of interventions. Case-control studies, non-experimental studies, and quasi-experimental studies provide valuable information but are considered lower levels of evidence compared to RCTs.
A nursing director wishes to improve the job performance of a group of medical orderlies who are ineffective in their job.
Using Herzberg's theory of motivation, what would be the most appropriate motivator?
Herzberg's two-factor theory of motivation distinguishes between hygiene factors and motivators. Hygiene factors (like pay, working conditions, and benefits) can prevent dissatisfaction but do not create long-term motivation. Motivators, on the other hand, are related to the nature of the work itself and include factors such as achievement, recognition, responsibility, and opportunities for growth. Offering opportunities for achievement and recognition is a motivator according to Herzberg's theory and would likely improve job performance by enhancing job satisfaction and intrinsic motivation.
