Author Question: The nurse is assessing several patients. For which patient does assessment reveal a psychosocial ... (Read 49 times)

lunatika · **on:** Jul 23, 2018

The nurse is assessing several patients. For which patient does assessment reveal a psychosocial history that may affect the patient's outcome?

1. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home
2. Middle-aged patient with Down syndrome living in a group home
3. Recently divorced mother of three children with breast cancer
4. Sixteen-year-old requesting birth control without parental consent
5. Seven-year-old with asthma in a foster care home

Question 2

Which statement regarding human DNA sequences is accurate?

1. Only 2 of human DNA is different among the different ethnicities.
2. Due to enzyme polymorphism, Hispanics are less likely to metabolize codeine to morphine.
3. Even though human genetic differences are small, significant differences can be seen with drug metabolism.
4. Asian Americans are the ethnic group known to be slow acetylators.

kswal303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: This patient may not be able to return to a home that requires climbing stairs.
Rationale 2: A patient with Down syndrome needs additional care to ensure that treatment outcome is successful.
Rationale 3: This patient may be the family's sole provider and may have financial concerns.
Rationale 4: Many teens seek contraception without their parents' consent. This should not have a negative impact on outcome.
Rationale 5: Residing in foster care should not have a negative impact on outcome.

Answer to Question 2

Correct Answer: 3
Rationale: Human DNA differences of only 0.2 can produce significant differences in the way drugs are handled within the body. Asian Americans are less likely to metabolize codeine to morphine, and Caucasians are known to be slow acetylators.