The physician approaches the client with a treatment plan for his ...

[cnetterville]

The physician approaches the client with a treatment plan for his cancer. The client states that his life is in God's hands and refuses conventional treatment. This is an example of:
 
  A) Fatalistic behavior
  B) Denial
  C) Anger
  D) Bargaining

Question 2

The client is admitted to the hospital for new-onset hypertension and chest pain. During the admission interview you ask the client if she takes over-the-counter medications, and she states no.
 
  She adds that she routinely visits a folk healer. The nurse's response should include:
  A) Obtaining a list of the herbs and folk medications that are taken and notifying the physician
  B) Requesting the client to stop the ingestion of the folk herbs
  C) Calling poison control with the list of herbs and folk medications
  D) Encouraging the client to continue to take the herbs and folk medications

[olivia_paige29]

Answer to Question 1

Ans: A
Feedback:
One central facet of culture is religion, and this also directly affects health, illness, and treatment. Some religions attribute disease to divine forces, for instance. Some cultures are relatively fatalistic, which affects their health behaviors. Insha'Allah (if God wills) is a common refrain for many Muslims, although they may mean it more or less literally. There is no evidence that the client is in denial, angry, or bargaining.

Answer to Question 2

Ans: A
Feedback:
Just as nurses ask about over-the-counter medication use, they should also inquire, respectfully, about what other preparations or nonpharmacologic strategies their clients may be using to maintain or regain health. The list is given to the physician. It would not be appropriate to either ask the client to stop taking the herbs or to encourage the client to continue taking the herbs, as this is beyond the scope of practice of the nurse. There is no need to call poison control regarding the herbs, as they are not likely to be poisonous or even harmful.