The clinic nurse is caring for an infant during a routine ...

[asd123]

The clinic nurse is caring for an infant during a routine wellness exam. The parents and infant are of an African ethnic origin and immigrated to America 6 months ago.
 
  The mother explains that she believes that an herbal remedy, prepared by the village doctor, is the best way to treat the infant's colic. Which action by the nurse is appropriate?
  A) Ask the mother what the ingredients are in the remedy.
  B) Give the mother an alternate remedy for colic.
  C) Explain how herbal ingredients may be harmful to the infant.
  D) Tell the mother not to use the remedy because there is no way to know what the ingredients' scientific effect may be.

Question 2

The nurse is caring for an adolescent with cystic fibrosis who suddenly becomes noncompliant with the medication regimen. Which intervention should the nurse choose to help improve medication compliance for this client?
 
  A) Give the client a computer-animated game that presents information on the management of cystic fibrosis.
  B) Recommend to the client's parents that certain privileges should be taken away, such as cell phone use and texting, if compliance fails to improve.
  C) Arrange for the physician to discuss the risks related to noncompliance with medications to the client.
  D) Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.

[Ksh22]

Answer to Question 1

Answer: A

To recognize cultural practices, the nurse must acknowledge that use of old and home remedies is part of caregiving practices. Asking the mother what ingredients are in the herbal remedy allows the nurse to best evaluate what the mother is using, and then a determination of the benefit or detriment to the infant can be made in a nonjudgmental manner. Telling the mother not to use the remedy, giving an alternative, or making a judgment that any herbal ingredient is harmful does not recognize this cultural practice and shows insensitivity on the part of the nurse.

Answer to Question 2

Answer: D

Providing the adolescent with positive role models from his or her peer group is the intervention most likely to improve compliance. Interest in games might begin to wane at this age. Adult opinions, even from a physician, could be viewed negatively and challenged. Threatening punishment could further incite rebellion.