A patient who emigrated from India is hospitalized. The patient ...

[jrubin]

A patient who emigrated from India is hospitalized. The patient and family use ayurvedic medicine. The nurse wants to alter this patient's care so that it is more comfortable and familiar. What changes from usual Western practice should be considered?
 
  Select all that apply.
 
  a. In preparation for discharge, include a significant focus on preventive practices.
  b. Spend time exploring the patient's life overall, focusing on broader issues than health.
  c. Involve the patient's entire family and treatment team in decisions about treatment options.
  d. Anticipate that because the patient's traditions are steeped in history, there may be distrust in high-tech interventions.
  e. Provide relevant health-related information and then allow the patient to determine which course of action to pursue.

Question 2

A patient diagnosed with depression confidently tells the nurse, I've been supplementing my paroxetine (Paxil) with St. John's wort. It has helped a great deal. What is the nurse's priority action?
 
  a. Assess changes in the patient's level of depression.
  b. Remind the patient to use a secondary form of birth control.
  c. Educate the patient about the risks of selective serotonin syndrome.
  d. Suggest adding valerian to the treatment regimen to further improve results.

[rosiehomeworddo]

Answer to Question 1

ANS: A, B, D, E
Ayurvedic medicine, an ancient practice that originated in India, stresses individual responsibility for health, is holistic, promotes prevention, recognizes the uniqueness of the individual, and offers natural methods of treatment. Ayurvedic medicine does not require spiritual cleansing or the involvement of family and the treatment team in all decisions.

Answer to Question 2

ANS: C
Research has suggested that St. John's wort inhibits serotonin reuptake by elevating extracellular sodium; thus, it may interact with medication, particularly selective serotonin reuptake inhibitors, to produce serotonin syndrome. Discussing the patient's birth control method is a secondary priority.

[jrubin]

Thanks for the timely response, appreciate it

[jordangronback]

Gracias!