Author Question: The nurse working in a clinic in a primarily African American community notes a higher incidence of ... (Read 68 times)

ericka1 · **on:** Jun 25, 2018

The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in the patients. To correct this health disparity, which action should the nurse take first?

a. Initiate a regular home-visit program by nurses working at the clinic.
b. Schedule teaching sessions about low-salt diets at community events.
c. Assess the perceptions of community members about the care at the clinic.
d. Obtain low-cost antihypertensive drugs using funding from government grants.

Question 2

A Hispanic patient complains of abdominal cramping caused by empacho. Which action should the nurse take first?

a. Ask the patient what treatments are likely to help.
b. Massage the patient's abdomen until the pain is gone.
c. Administer prescribed medications to decrease the cramping.
d. Offer to contact a curandero(a) to make a visit to the patient.

parker125 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Before other actions are taken, additional assessment data are needed to determine the reason for the disparity. The other actions also may be appropriate, but additional assessment is needed before the next action is selected.

Answer to Question 2

ANS: A
Further assessment of the patient's cultural beliefs is appropriate before implementing any interventions for a culture-bound syndrome such as empacho. Although medication, a visit by a curandero(a), or massage may be helpful, more information about the patient's beliefs is needed to determine which intervention(s) will be most helpful.