When a Mexican American client and the primary nurse are sitting ...

[jilianpiloj]

When a Mexican American client and the primary nurse are sitting together, the client often takes
  the nurse's hand and holds it. The client also takes the nurse's hand or links her arm through the
  nurse's when they are walking.
 
  The nurse has made the assessment that the client is a lesbian and is
  quite uncomfortable with the behavior. Which of the following alternatives might be a more accurate
  assessment?
  a. The client is accustomed to touch during conversation, as are members of many
  Hispanic subcultures.
  b. The client understands that touch makes the nurse uncomfortable and controls the
  relationship based on that factor.
  c. The client is afraid of being alone. When touching the nurse, the client is
  reassured that she is not alone.
  d. The nurse is homophobic.

Question 2

The nurse assigned to an assertive community treatment program should explain the program's
  treatment goals as
 
  a. assisting clients to maintain abstinence from alcohol and other substances of
  abuse.
  b. maintaining medications and stable psychiatric status for incarcerated inmates
  who have a history of mental illness.
  c. providing assessment and intervention for mentally ill individuals who would
  otherwise have no access to care.
  d. providing structure and a therapeutic milieu for mentally ill clients whose
  symptoms require stabilization.

[elizabethrperez]

Answer to Question 1

ANS: A
The most likely answer is that the client's behavior is culturally influenced. Hispanic women
frequently touch women they consider to be their friends. Although the other options are possible,
they are much less likely.

Answer to Question 2

ANS: C
A mobile health care unit cares for individuals who would not come to a treatment facility or an
established site. Assessment and intervention are the primary aspects of the nursing process used.
Little time for extensive planning and little opportunity for evaluation of outcomes exist. Option A is
a goal relevant to a substance abuse treatment program. Option B is a goal relevant to a forensic
setting. Option D is a goal of an inpatient unit.

[jilianpiloj]

Thanks for the timely response, appreciate it

[ebonylittles]

Gracias!