Author Question: A nurse has agreed to delay a client's treatment until the matriarch of the family can be present. ... (Read 31 times)

dmcintosh · **on:** Jul 23, 2018

A nurse has agreed to delay a client's treatment until the matriarch of the family can be present.

Understanding that this is an important consideration for this client's cultural practices, which of Leininger's intervention modes is the nurse implementing?
1. Preservation and maintenance
2. Accommodation, negotiation
3. Restructuring
4. Repatterning

Question 2

A client is experiencing metabolic acidosis, a condition that involves the body's pH level, carbon dioxide level, and bicarbonate balance. According to Roy's model, to which mode should the nurse realize that this client is responding?

1. Physiologic
2. Self-concept
3. Role function
4. Interdependence

emily12345 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Rationale 1: The preservation and maintenance mode does not involve the scenario described here.
Rationale 2: By allowing flexibility in scheduling client treatment in order to allow for the client's family member to be presentwhich in this case is an important aspect of the family's cultural practicesthe nurse accommodates the client's needs.
Rationale 3: Restructuring does not involve the scenario described here.
Rationale 4: Repatterning does not involve the scenario described here.

Answer to Question 2

Correct Answer: 1
Rationale 1: The physiologic mode involves the body's basic physiologic needs and ways of adapting with regard to fluid and electrolytes, activity and rest, circulation and oxygen, nutrition and elimination, protection, the senses, and neurologic and endocrine function. The pH level as well as levels of the carbon dioxide and bicarbonate ion would be physiologic mechanisms at work in the body.
Rationale 2: The self-concept mode includes the physical self and the personal self.
Rationale 3: The role function mode is determined by the need for social integration and refers to the performance of duties based on given positions within society.
Rationale 4: The interdependence mode involves one's relations with significant others and support systems that provide help, affection, and attention.