Which information noted in a patient's history most suggests a ...

[james0929]

Which information noted in a patient's history most suggests a need for careful assessment of risk for violence in a newly admitted medical patient?
 
  a. Childhood abuse
  b. Family estrangement
  c. Academic problems
  d. Chemical dependence

Question 2

A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 12:30 PM for a 10 AM appointment. A Native American patient does not keep an appointment at all.
 
  What understanding will improve the nurse's planning? These patients are: a. members of cultural groups that have a different view of time.
  b. immature and irresponsible in health care matters.
  c. acting out feelings of anger toward the system.
  d. displaying passive-aggressive tendencies.

[cici]

Answer to Question 1

D
The nurse should suspect marginal coping skills in a patient with chemical dependence. They are often anxious, may be concerned about inadequate pain relief or going into withdrawal, and may have personality styles that externalize blame. The other options do not signal as high a degree of risk of violence.

Answer to Question 2

A
Hispanic Americans and Native Americans traditionally treat time in a way unlike the Western culture. They tend to be present-oriented; that is, they value the current interaction more than what is to be done in the future. If engaged in an activity for example, they may simply continue the activity and appear later for an appointment. Understanding this, the nurse can avoid feelings of frustration and anger when the nurse's future orientation comes into conflict with the patient's present orientation.