A nurse working with a Filipino American client has noted that ...

[CharlieWard]

A nurse working with a Filipino American client has noted that the client rarely makes eye contact
  during their interactions.
 
  The nurse hypothesizes that the reason for lack of eye contact is client low
  self-esteem and plans interventions designed to raise the client's self-esteem. After 3 weeks the
  client's eye contact has not improved. The nurse's clinical supervisor suggests that a problem exists
  with the assessment and plan. The most accurate formulation of the problem is
  a. the client's poor eye contact is indicative of anger and hostility that are going
  unaddressed.
  b. the client's eye contact should have been directly addressed by role playing to
  increase comfort with eye contact.
  c. the nurse should have considered the client's culture during the assessment and
  before making a plan.
  d. the nurse should not have independently embarked on assessment and planning.

Question 2

The community psychiatric nurse notes that a client with schizophrenia has remained stable in the
  community for 6 weeks after discharge from the hospital.
 
  Two weeks after making this notation in
  the medical record, the nurse is called by the client's husband to say that the client is delusional and
  explosive. During the home visit the nurse learns that the client is willing to take medication, but
  when her 90-day supply ran out she had none to take. The nurse arranges for a prescription refill. To
  avoid recurrence of this situation
  a. the nurse will obtain the prescription refill every 90 days and deliver it to the
  client.
  b. the client's husband will mark dates to obtain prescription refills on the calendar.
  c. the client will report to the hospital for medication follow-up every week.
  d. the client will call the nurse weekly to discuss medication-related issues.

[juliaf]

Answer to Question 1

ANS: C
The amount of eye contact a person engages in is often culturally determined. In some cultures eye
contact is considered insolent, whereas in others eye contact is expected. Filipino Americans often
prefer not to engage in direct eye contact.

Answer to Question 2

ANS: B
The nurse will attempt to use the client's support system to meet client needs whenever possible.
Option A should be unnecessary for the nurse to do if client or a significant other can be responsible.
Option C: The client may not need more intensive follow-up as long as she continues to take
medication as prescribed. Option D: This is probably unnecessary because no client issues except
failure to obtain medication refill were identified.

[CharlieWard]

Gracias!

[ryhom]

TYSM