Answer to Question 1
D
Culture can transcend generations, which means that cultural beliefs can be transmitted from generation to generation, and this is a strong possible reason for the patient's adherence to traditional Iraqi cultural practices.
A lack of understanding certainly could be a cause of not adhering to treatment for any patient, but the fact that the patient is from a different cultural group and is using folk practices should lead the nurses away from thinking this might be a primary cause.
Members of minority communities sometimes do have a lack of trust in the formalized health care system in this country. However, this group probably does not have a sentinel event that would lead them to mistrust the health care system en mass.
The patient is a third-generation American, which means his or her grandparents were the immigrants. Language skills should be good within this patient's generational group, who were educated in American schools.
Answer to Question 2
C
Evaluation should occur at each step of the nursing process to ensure that appropriate actions were taken. It may be done to judge whether assessment data were accurate or whether planned interventions were effective.
An evaluation should occur at the end of an episode of care, but this is not the only time it should occur; thus, this is not the best answer.
Evaluation after the patient has met goals does not really help the nursing process for that patient.
Evaluation should occur more frequently than every few days; it should also occur on a less rigid schedule.
