A nurse set up a clinic appointment for Friday of the following ...

[abern]

A nurse set up a clinic appointment for Friday of the following week. An Arab patient asked to come earlier in the week. As those days were heavily booked, the nurse left the appointment on Friday.
 
  The patient was a no show. Which of the following best explains what happened?
  a.
  A lot of people do family errands such as shopping on Fridays, Saturdays, and Sundays.
  b.
  It was inconvenient for the client so he did not come.
  c.
  A Muslim's holy day is from sunset Thursday to sunset Friday.
  d.
  Patients do not like being told what to do.

Question 2

A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse?
 
  a. I wish all smoking moms could see your example
  b. I'm so proud of you. You're down to only 25 of what you used to smoke
  c. That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely.
  d. Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born.

[eliasc0401]

Answer to Question 1

ANS: C
The nurse should know the days of religious worship. Protestants usually worship on Sundays; Muslims' day of worship is from sunset Thursday to sunset on Friday; and Jews and Seventh-Day Adventists' holy day is from sunset on Friday to sunset on Saturday. The other responses do not address the recognition by the nurse of the significance of the days of worship that were indicated as a priority for the client when an appointment was requested for earlier in the week.

Answer to Question 2

ANS: C
Quitting is best. Merely reducing cigarette use during pregnancy may not be enough to benefit the fetus because women who cut back tend to inhale more deeply or take more puffs to get an equivalent amount of nicotine. The nurse's response must be supportive and recognize the mother's efforts but also continue to encourage total quitting.