Author Question: A nurse skillful in the writing process knows that this talent may benefit the client because a ... (Read 55 times)

moongchi · **on:** Jul 19, 2018

A nurse skillful in the writing process knows that this talent may benefit the client because a well-written behavioral contract:

1. Teaches the client about past mistakes to lead to a successful outcome.
2. Provides everything needed for a cure.
3. Teaches the client to embrace the future helps overcome past misdeeds.
4. Can promote successful outcomes.

Question 2

The nurse is admitting a client who is from Kenya to the psychiatric unit. Which of the following actions will demonstrate cultural competence?

1. Arrange for an interpreter to assist.
2. Ask a family member to stay during the assessment interview.
3. Follow the admission assessment form.
4. Talk with the client to determine fluency in English.

Ksh22 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: For a contract to lead to a successful outcome, it must be carefully crafted. A contract does not provide everything needed for a cure, or teach the client to embrace the future. The contract is framed in positive terms (e.g., will maintain abstinence) rather than past mistakes (e.g., will not relapse into use).

Answer to Question 2

4
Rationale: In planning culturally competent care, the nurse must not make assumptions regarding a client's language preference and/or cultural needs. The nurse does not follow a predetermined plan for assessing clients, but instead takes the time to determine client needs based on the client's responses. Arranging for an interpreter or asking a family member to stay makes a predetermined assumption about the client's cultural needs or issues before a thorough assessment is done. While following an admission assessment form may assist the nurse in the process of admitting the client, assessing the client's cultural preferences requires time and creativity to which a predetermined assessment form may not lend itself.