Author Question: A family health nurse works with a variety of cultures providing health care services that include ... (Read 113 times)

tiffannnnyyyyyy · **on:** Jul 22, 2018

A family health nurse works with a variety of cultures providing health care services that include preventive care, acute treatment, and education. Of the following families, which is most likely to use folk medicine?

1. The family who speaks little English and does not have a member who holds a job
2. A family who has numerous relatives in a Spanish-American sector of the city
3. A female client whose culture is one of male dominance
4. A Chinese client who has a small, family-run business in the area

Question 2

Which of the following are signs of early hypovolemic shock in children? (Select all that apply.)

1. Bradycardia
2. Increased work of breathing
3. Prolonged capillary refill time
4. Decreased blood pressure
5. Tachycardia

aidanmbrowne · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. The family who speaks little English and does not have a member who holds a job

Rationale:
Folk medicine is defined as beliefs and practices that rely on illness prevention and healing derived from cultural traditions rather than modern medicine's scientific base. Families who have limited access to scientific health care may turn to folk medicine or folk healing. Because folk healing is more culturally based, it may be more comfortable and less frightening for the family who is not fluent in the English language and has limited access to scientific health care. Folk medicine is thought to be more humanistic than biomedical health care. Even though any of the clients mentioned above could utilize folk medicine, it is more likely to be used by the first one described.

Answer to Question 2

2. Increased work of breathing
3. Prolonged capillary refill time
5. Tachycardia

Rationale:
Increased work of breathing is an early sign of shock, indicating compensation for decreased cardiac output and volume. Decreased capillary refill time is an early indicator of decreased fluid volume and compensation. Tachycardia is an early compensatory mechanism for hypovolemia in a child. Bradycardia is a late and ominous sign of shock indicating that the child is no longer able to compensate. Decreased blood pressure is a later finding, and would not occur until other compensatory mechanisms were exhausted.