The partner of a client at 16 weeks' gestation accompanies her to ...

[ap345]

The partner of a client at 16 weeks' gestation accompanies her to the clinic. The partner tells the nurse that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions.
 
  Which statement would be best for the nurse to make? 1. If you would concentrate harder, you'd be aware of the reality of this pregnancy.
  2. My husband had no problem with this. What was your childhood like?
  3. You might need professional psychological counseling. Ask your physician.
  4. Many men feel this way. Feeling the baby move in a few weeks will help make it real to you.

Question 2

The nurse is working with a woman newly enrolled in an English-as-a-second-language class. The nurse wants to teach the woman about the importance of hand washing before meals.
 
  The best way to assimilate the nurse's cultural values about hygienic nutrition is to: 1. Have the nurse model proper hand washing before examining the woman.
  2. Provide written materials in English about hygiene and diet for the patient to take home.
  3. Have the woman repeat her interpretation of the information that was taught.
  4. Schedule a medical interpreter to accompany the patient to her next visit.

[ktidd]

Answer to Question 1

4
Explanation: 4. Initially, expectant fathers may have ambivalent feelings.The extent of ambivalence depends on many factors, including the father's relationship with his partner, his previous experience with pregnancy, his age, his economic stability, and whether the pregnancy was planned. The expectant father must first deal with the reality of the pregnancy and then struggle to gain recognition as a parent from his partner, family, friends, coworkers, societyand from his baby as well.

Answer to Question 2

3
Rationale 1: Assimilation is described as adopting and incorporating traits of the new culture within one's practices. Information must be understood before it is assimilated. The purpose of modeled behavior might be misunderstood if it is not accompanied by an explanation.
Rationale 2: Written materials in English hold minimal value for patients with limited understanding.
Rationale 3: When an interpreter is not available, asking patients to repeat their understanding of what was taught reveals how concepts were understood.
Rationale 4: In working with families with limited English proficiency, it is optimal to have a medical interpreter present for the entire visit. When teaching has been done, the nurse has a responsibility to assess patient understanding; thus, an interpreter at the next visit will not help the nurse or the patient now.

[ap345]

Gracias!

[nyrave]

TYSM