The nurse is conducting a holistic assessment of a patient with ...

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The nurse is conducting a holistic assessment of a patient with alcoholism. What are the important questions to ask?
 
  1. How is drinking alcohol viewed by your culture?
  2. Have you ever attended Alcoholic Anonymous meetings?
  3. Did you see your parents drinking alcohol when you were growing up?
  4. Have you been in alcohol rehabilitation before now?
  5. What blood relatives of yours are addicted to alcohol?

Question 2

The nurse is providing group education about warfarin (Coumadin) to minority patients who have experienced strokes (brain attacks). The nurse determines that learning has occurred when the patients make which statement?
 
  1. We may need to have more frequent blood tests.
  2. We may need to have less frequent blood tests.
  3. We may need more medication than other ethnic groups.
  4. We may need less medication than other ethnic groups.

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Answer to Question 1

Correct Answer: 1,3,5
Rationale: Biological, environmental, and cultural questions are valid questions to ask during a holistic assessment. Participation in a rehabilitation program refers to treatment, and does not have relevance to a holistic assessment. Participation in Alcoholics Anonymous refers to treatment, and does not have relevance to a holistic assessment.

Answer to Question 2

Correct Answer: 4
Rationale: Asian and African American patients are poor metabolizers of warfarin (Coumadin), so they will often require lower dosages. There is no need for Asian and African American patients to have more frequent blood tests than Caucasian patients. Asian and African American patients are poor metabolizers of warfarin (Coumadin), so they will often require lower, not higher, dosages. There is no need for Asian and African American patients to have less frequent blood tests than Caucasian patients.

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TYSM

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Gracias!