The nurse is working with a family who has recently immigrated to ...

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The nurse is working with a family who has recently immigrated to this country. The nurse has recently studied Purnell's Model for Cultural Competence (2002) and wants to respond to the family in a culturally acceptable manner.
 
  The most appropriate assessment question(s) would be: 1. In what places have you lived? and What do you miss about your native land?
  2. When I discuss your child's problem with you, how close to you should I stand?
  3. What is the school system like in your native land?
  4. What does eye contact indicate? and When do you want me to make eye contact?

Question 2

The nurse is working with a family of a 5-year-old child with the chronic condition of spina bifida in the lumbar area. The nurse partners with the family to plan goals of care.
 
  An appropriate goal for this child and family would be for the parents to: 1. Refuse a wheelchair for the child to motivate the child to learn to walk.
   2. Verbalize their frustrations to the nurse.
   3. Accept the school district's individualized transition plan (ITP).
   4. Alternately assume care for the child 24 hours a day, seven days a week.

[wuly]

Answer to Question 1

1
Rationale 1: Identification of information about the native land is the beginning component of Purnell's Model for Cultural Competence.
Rationale 2: Proximity, distance, and eye contact are concepts addressed by Giger and Davidhizar.
Rationale 3: Leninger's sunrise model addresses educational differences.
Rationale 4: Proximity, distance, and eye contact are concepts addressed by Giger and Davidhizar.
Global Rationale:

Answer to Question 2

2
Rationale:
1. A child with spina bifida in the lumbar area requires a wheelchair for mobility.
2. The nurse can assist the parents to talk through their frustrations.
3. The ITP assists adolescents with chronic conditions to transition from school to a vocation and independent living.
4. Parents will suffer caregiver burnout if they have no respite from caregiving and no special time with each other.

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Thank you

[wuly]

Happy to help you